Review and audit medical claims against patient medical records to ensure accuracy and completeness of documentation. Identify discrepancies between clinical documentation and billed services, highlighting variances and potential billing errors. Perform detailed clinical reviews to validate
Overview CPC certification. Overall 3+ years of coding experience Specialty worked: Outpatient surgery APC Facility coding is an added advantage Good communication, flexibility reliability Responsibilities and Essential Functions: Follow every aspect of SOP without fail Complete
Medical Coding Team Lead – Surgery & Payment Integrity is responsible for overseeing a team of medical coding specialists to ensure accurate, compliant, and timely auditing of surgical procedures across multiple specialties. This role demands strong
Team & Operations Management: Supervise and manage the daily activities of the surgery coding and audit teams, including in-house and contract auditors. Allocate workload, monitor performance, and ensure timely completion of assigned tasks in alignment with project
Job Overview The Principal Auditor is primarily responsible for guiding the financial, operational, business process or compliance audit towards successful completion at McDermott across the globe. The Principal Auditor effectively interfaces with various levels of management and develops
Job Overview: The Senior Auditor is responsible for guiding the financial, operational, business process or compliance audit towards successful completion at McDermott across the globe. The Senior Auditor should demonstrate high levels of energy, be flexible and innovative
Review and audit medical claims against patient medical records to ensure accuracy and completeness of documentation. Identify discrepancies between clinical documentation and billed services, highlighting variances and potential billing errors. Perform detailed clinical reviews to validate
Overview CPC certification. Manadtory 3+ Years of experience After Certification Overall 3+ years of coding experience Specialty worked: Outpatient surgery APC Facility coding is an added advantage Good communication, flexibility reliability Responsibilities and Essential Functions: Follow
Conduct comprehensive reviews of inpatient medical records to validate that assigned ICD-10-CM/PCS codes and DRG classifications accurately reflect the documented clinical conditions and procedures. Ensure compliance with IPPS (Inpatient Prospective Payment System) methodology, CMS
Conduct comprehensive reviews of inpatient medical records to validate that assigned ICD-10-CM/PCS codes and DRG classifications accurately reflect the documented clinical conditions and procedures. Ensure compliance with IPPS (Inpatient Prospective Payment System) methodology, CMS
ADDITIONAL AND ESSENTIAL RESPONSIBILITIES: Follow every aspect of SOP without fail. Complete received Audits for quality review and ensure quality output. To achieve Quality SLA and quality production target. Excellent verbal and written communication. Follow project
1. Coding Audit and Review Conduct detailed DRG validation audits on selected inpatient medical records to ensure coding accuracy, completeness, and compliance with ICD-10-CM/PCS, AHA Coding Clinic, and CMS guidelines. Review documentation to confirm that all
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