Recovery Auditor Jobs
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Search Results - Recovery Auditor Jobs
Elevance Health-Chicago
auditing, quality assurance, or recovery auditing.
RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder...
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Alignment Healthcare-Irvine
accountability, decision rights, escalation paths, and closure criteria for cross-functional remediation
• Build and direct an analytics-led capability to connect recovery, audit, adjustment, denial, configuration, provider, and operational data
• Translate...
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Elevance Health-Chicago
auditing, quality assurance, or recovery auditing.
RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder...
Read more
Alignment Healthcare-Orange
accountability, decision rights, escalation paths, and closure criteria for cross-functional remediation
• Build and direct an analytics-led capability to connect recovery, audit, adjustment, denial, configuration, provider, and operational data
• Translate...
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Elevance Health-Chicago
or recovery auditing.
• Requires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC...
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Dallas
Reviewing and Validating the Accuracy of Claims Data and the Accuracy of Claims Payment, is preferred.
• Experience Applying Published Healthcare Guidelines such as CMS Regulations and Coding Guidelines to Healthcare Claims Data. Recovery audit experience...
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tiptopjob.com -
2 similar jobs: Houston, San Antonio
Elevance Health-Chicago
or recovery auditing.
• Requires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC...
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Remote
of accuracy and quality set by the audit for the auditing concept, for valid claim, identification and documentation (letter writing).
• Identifies New Claim Types.
• Identifies potential claims outside of the concept where additional recoveries may...
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icims.com -
Elevancehealth-Indianapolis
Overview
In this role you will audit inpatient medical records to ensure accurate DRG assignment and generate high-quality recoveries across lines of business. You will apply ICD-10 coding expertise and clinical guidelines to support objective...
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Remote
of accuracy and quality set by the audit for the auditing concept, for valid claim.
• identification and documentation (letter writing).
Identifies New Claim Types.
• Identifies potential claims outside of the concept where additional recoveries may...
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icims.com -
Elevance Health-Chicago
management for the auditing concept, valid claim identification, and documentation purposes (e.g., letter writing). Identifies new claim types by identifying potential claims outside of the concept where additional recoveries may be available, such as re...
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Remote
KPIs
• Coding-audit financial impact
• Charge completeness
• Claims readiness
• Days-to-Bill
• Denial management
• Payer performance
• Payment/remittance reconciliation
• Underpayment detection
• AR aging
• Revenue recovery
• Audit...
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icims.com -
Elevance Health-Chicago
or recovery auditing.
• Requires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC...
Read more
Elevancehealth-Jersey City
Identify new claim types and potential recoveries beyond standard concepts (e.g., readmissions, HACs)
• Recommend process improvements to improve efficiency and accuracy in coding/auditing
• Contribute to quality standards and documentation practices (e.g...
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Elevancehealth-Carmel (IN)
Overview
In this role you will audit inpatient medical records to ensure accurate DRG assignment and generate high-quality recoveries across lines of business. You will apply ICD-10 coding expertise and clinical guidelines to support objective...
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