Review and analyze CDM data to ensure accuracy and compliance.
Conduct regular audits to identify discrepancies and areas for improvement.
Work with clinical, billing, and coding teams to resolve charge capture issues.
LCMC Health is a community-focused healthcare provider deeply rooted in New Orleans, Louisiana. They are committed to providing exceptional care and education, with a culture that celebrates authenticity, equity, and inclusion.
Participate in the execution of SOX compliance activities.
Build effective working relationships and trust with partners.
Develop a detailed understanding of Yelp's business processes.
Yelp is in that sweet ‘Goldilocks’ spot of being a company that’s not too big or too small. Here you will have your voice and recommendations heard, contributing process and control enhancements that will impact the business in the near term and future. YAR fosters a culture where auditors are not looked upon as “scary”’ - people here will be receptive to your ideas!
Conduct audits of payer processed claims to verify accurate reimbursement.
Conduct post-implementation Care Center audits following the audit policy.
Assist the Manager, RI, in leading initiatives that drive efficiency.
Privia Health is a technology-driven physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices. Their platform consists of scalable operations and cloud-based technology to reduce healthcare costs and improve patient outcomes.
Manage audit, review, and compilation engagements and multiple teams.
Oversee daily operations of the audit engagement, including staffing and financial reporting.
Assist clients with GAAP compliance and adoption of FASB Accounting Standard Updates.
Jobgether is a platform that connects job seekers with companies. They utilize AI-powered matching to ensure applications are reviewed quickly and fairly.
Conduct comprehensive coding reviews to ensure accuracy in code assignment and reimbursement.
Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications.
Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations.
Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. The Coherenauts who succeed here are empathetic and believe diverse, inclusive teams make the most impactful work.