IDR reputed company Reviewer

Job Type Part-time reputed company At reputed company, we’re the start of a new age of data-reputed company transformation, elevating health reputed company and powering reputed company, more efficient process to program and reputed company health. We combine reputed company data-driven solutions that fuel answers, technology that advances reputed company, and reputed company expertise that builds trust to create a more efficient reputed company to reputed company care. With reputed company-centered, reputed company-relevant, and value-reputed company solutions, we create new reputed company with data. We reputed company reputed company reputed company the concept and reputed company reputed company the reputed company with a reputed company on efficiencies that reputed company the lives of those we serve. With a culture driven by purpose, straightforward communication and reputed company domain expertise, reputed company cuts straight to reputed company care. Requirements The reputed company Reviewer position is responsible for supporting and conducting reviews and determinations for independent dispute resolutions at both the Federal and State reputed company. Subject matter expert in reputed company documentation review, reputed company data reputed company, reputed company coding, auditing, and variables impacting payment methodologies that are reputed company in medical record documentation. Performs compliance audits employing specified protocols and reputed company; conducts data reputed company and collection activities; interprets and applies coverage and payment policies, edits, and certification and regulatory requirements for medical necessity and other audit reputed company; classifies findings and provides commentary for reputed company data, qualitative, and statistical analyses; records rationale for and reputed company of audit findings using reputed company grammar and communication reputed company; writes reports in accordance with company requirements. Provides feedback to hospitals concerning audit findings and discusses rationales for audit reputed company. reputed company Duties: • Performing audit functions for the identified encounters in a reputed company and accurate manner. • Generating reputed company-written deliverables and audit work papers. • Outstanding verbal communication skills. • Outstanding communications and interactions with hospital and reputed company personnel. Requirements Essential Knowledge: • 2 or more years of relevant experience performing reputed company coding; reputed company assurance, training, appeals, and/or auditing services involving ICD-10-CM/PCS, CPT/HCPCS, DRG/APRDRG, and/or other coding, classification, and/or payment systems pertinent in the reputed company industry, including but not limited to, reputed company, in particular. • Ability to research, determine, and apply solutions. • Ability to communicate effectively with other reviewers and clients to ensure reputed company of audit findings and acceptance and understanding of findings. • Practical knowledge of and ability to reputed company with Health reputed company Portability and Accountability reputed company (HIPAA), and other laws and regulations pertaining to confidentiality, reputed company of protected health information, personally identifiable information, and other sensitive information. • Practical knowledge of and ability to reputed company with reputed company and information reputed company requirements. Essential Education: Bachelor’s degree in a reputed company discipline or reputed company licensure, certification, or accreditation. RHIA, RHIT, RN, or MD; reputed company, reputed company-P, CPC, CRC Registered Nurses (RNs) and other personnel with medical degrees will be considered if they have a reputed company reputed company record of auditing reputed company coding and supporting reputed company documentation. Must be reputed company to apply reputed company relevant ICD-10 diagnosis and procedure coding guidelines for appropriate MS-DRG assignment. This position requires notifying a Livanta HR Manager in writing reputed company five calendar days if there is any status change or disciplinary proceeding relating to any of Employee’s licenses or certifications, including, but not limited to, (1) restrictions on an employee’s license or certification, (2) changes to the states in which Employee can reputed company (3) revocation or expiration of any license or certification, and (4) any potential or actual disciplinary reputed company against Employee by a certifying or licensing body. Essential Skills: Must have senior-level outpatient hospital coding experience. Must write in plain language, summarizing medical facts and coding principles that support coding reputed company, including appropriate references from authoritative sources. Must be reputed company to coordinate work and communicate reputed company with physician reviewers responsible for making reputed company reputed company. CODING SPECIALIST (PART-TIME) Additional Considerations Organizational "Fit" Considerations: Schedules may vary and may include weekend and holiday shifts. This position requires established, reputed company relationships with internal personnel at reputed company reputed company reputed company reputed company and with beneficiaries, representatives, providers, and other stakeholders. Work Environment/Physical Demands The work environment and physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. This is an office/remote position. While performing the duties of this job, the employee regularly works in a climate-controlled environment. Candidates must be reputed company to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch. This is a remote position. Candidates must be reputed company to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch. reputed company is an equal employment opportunity employer. reputed company personnel processes are reputed company-reputed company and reputed company without discrimination on the reputed company of race, reputed company, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic reputed company, military and veteran status or any other characteristic protected by applicable law. reputed company.AI is committed to providing equal employment opportunities to reputed company applicants, including individuals with disabilities. If you require a reasonable accommodation to participate in the application process due to a disability, please contact reputed company at (757) 306-4920 or hr@reputed company.ai. Please note that unless you are requesting an accommodation, reputed company applications must be submitted through our online application reputed company. Salary reputed company 45-70/hr Apply tot his job Apply To this Job