Similar Jobs
See allInpatient Clinical Coder
Clover Health
US
Excel
PowerPoint
Profee Coding Auditor
UASI
US
Coding
Auditing
EMR Systems
Coding Compliance Audit & Education Specialist
Privia Health
US
CPT
ICD-10
HCPCS
E/M Coder (Remote AZ Only)
Optima Medical
US
CPT
HCPCS
EHR Systems
Revenue Integrity Specialist
Privia Health
US
Microsoft Excel
Medical Billing
HIPAA
About the Opportunity:
- Conduct thorough DRG payment validation reviews, including clinical and coding assessments.
- Meticulously document findings and provide detailed clinical, policy, and regulatory support.
- Collaborate with relevant stakeholders to ensure compliance with payment standards.
What you’ll do:
- Conduct audits in alignment with organizational quality and timeliness standards.
- Use proprietary auditing systems proficiently to make consistent determinations and generate audit letters.
- Ensure compliance with HIPAA regulations for protected health information.
What We Offer:
- Top Medical/Dental/Vision offerings
- Flexible and trusting environment where you’ll feel empowered to do your best work
- Competitive salary, 401(k) with company match
Machinify
Machinify is a healthcare intelligence company delivering value, transparency, and efficiency to health plan clients. They deploy a configurable, AI-powered platform and best-in-class expertise, serving over 85 health plans representing more than 270 million lives.