Reviewing require data analysis and research within the the organization's data systemsAuditing CMS & or Commercial Insurance billing for diagnosis data collected from physician and hospital medical records (collection and analysis coding and reimbursement guidelines)Reviewing and researching medical records to determine the accuracy of coding, billing and supporting clinical documentation either in an health care facility or in the organization's assigned officeAssisting pursuit staff as needed in requesting recordsMaintaining current knowledge of requirements and guidance required in the performance of audit duties, including but not limited to ICD9, CMSReviewing medical records that have been reviewed and coded by the coding vendorAdhere to measured productivity requirements and module testingShare departmental responsibilities as assignedAudit CMS and/or Commercial Insurance billing for diagnosis data collected from physician and hospital medical recordsReview and research medical records to determine the accuracy of coding, billing and supporting clinical documentation
Job Type: Full-time
