Top 62382 Process administrator Jobs

Coding and Compliance Auditor
South Shore Health —Weymouth, MA
- $73,000 - $104,400 a year
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Acute care experience
Supervisor, Document Control
Associates of Cape Cod Inc —East Falmouth, MA
- $65,000 - $91,000 a year
- Full-time
- 5 years
- Computer literacy
- Mid-level
- Health insurance
- Dental insurance
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Clinical Administrator/Patient Progression Coordinator
Dental Specialists & Implant Clinic of Iowa —Mason City, IA
- From $20 an hour
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Payroll Administrator
Network Management Group Inc. —Mishawaka, IN
- Full-time
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Assistant to City Administrator/Deputy Treasurer/Economic Development
City of Burley —Burley, ID
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- Public speaking
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Regional State Test Administrator
Graduation Alliance —Clayton, NM
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Senior Compliance Specialist - LIHTC/HUD
Quality Management Group Inc —Ontario, CA
- $33 - $37 an hour
- Extended hours
- Microsoft Word
- Microsoft Outlook
- Customer service
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Quality Integrator (RN) (4973) - Region 1
SIU Medicine —Springfield, IL
- $4,805.66 - $5,285.88 a month
- Day shift
- Nursing
- RN License
- Bachelor of Science
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- Disability insurance
RN Facility Administrator
DAVITA —Jacksonville, IL
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FINANCIAL SYSTEM ADMINISTRATOR
Designs Direct Creative Group —Covington, KY
- Full-time
- Oracle
- No experience needed
- Mid-level
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- Health insurance
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Bilingual HR Administrator - entry level ( Fully- on site)
PharmaLink, LLC —Largo, FL
- Background check
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PLANNING AND ZONING ADMINISTRATOR
Town of Springfield, Vermont —Springfield, VT
- $65,811 - $75,150 a year
- Full-time
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- Microsoft Excel
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RN Supervisor - Night
North Country Nursing and Rehabilitation Center —Massena, NY
- $39 - $41 an hour
- Part-time
- Background check
- Skilled nursing facility
- RN License
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- Paid time off
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Physician/Medical Director - Skilled Nursing Facility
The Partners Care —Newton, MA
- $275,000 - $325,000 a year
- Full-time
- Medicine
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- Paid time off
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International Baccalaureate Coordinator
Bishop Ludden-Grimes Jr Sr High School —Syracuse, NY
- $46,000 - $56,000 a year
- Contract
- Background check
- School experience
- Doctoral degree
- Health insurance
- Dental insurance
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Director of Nursing
Santa Cruz Surgery Center —Santa Cruz, CA
- $195,000 - $218,400 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- Health insurance
- 401(k)
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Manager, Nursing - Post Anesthesia Care Unit - Full Time
The Guthrie Clinic —Sayre, PA
- Full-time
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- 5 years
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7th Grade Science Teacher
Learning Gate Community School —Lutz, FL
- Full-time
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11d
Human Resources Manager
Fibre Converters, Inc. —Constantine, MI
- $68,041.39 - $81,942.31 a year
- Full-time
- Management
- Mid-level
- Recruiting
- Health savings account
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Organ Procurement Nurse
Center for Organ Recovery and Education —Pittsburgh, PA
- $85,000 - $90,000 a year
- Weekends as needed
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply

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Coding and Compliance Auditor

South Shore Health -
Weymouth, MA

Apply Now

Job Details

Full-time
$73,000 - $104,400 a year

Qualifications

Medical coding experience in outpatient clinics
Medical coding for surgical records
Health information management
Acute care experience

Full Job Description

Job Description Summary

The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders. The Coding & Compliance Auditor monitors external regulatory and internal process changes and provides support to colleagues in adhering to Federal, State and local requirements. This is a hybrid position: 2 days onsite; 3 days remote option.

Job Description

Job Responsibilities:

Establishes, implements, and maintains a formalized review process for coding compliance, including a formal review (audit) process.

Responsible for conducting both routine and targeted audits to ensure clinical documentation supports accurate CPT, HCPC’s, PCS and ICD-10-CM codes.
Perform prospective and retrospective audits to validate medical necessity and documentation supportive of code selection.
Analyzes data to identify deficiencies, prepare reports to deliver provider education specific to training needs identified during audit.
Develop and monitor follow-up audits and education as determined necessary to improve documentation quality.

Support all departments of the Health System with coding guidance:

Pertaining to compliance training / education as requested from providers and/or staff related to coding, billing and documentation in the inpatient, outpatient, professional, surgical and Home Health divisions of the Health System to ensure accuracy and support program objectives.
Designs training programs around compliant coding and billing from a regulatory standpoint for any new initiatives or programs affecting the Health System.
Evaluates vendor-training materials for its application or recommendation for use in educational programs.

Maintains:

Knowledge of all State and Federal regulatory changes that impact the Health System
Revises/modifies any instructional tools as necessary based on any changes to State and Federal regulatory changes to ensure guidance and training are accurate.
Assists in the development of follow-up mechanisms to ensure that knowledge and/or skills learned in the training are being applied on the job and have an impact on staff performance in meeting organizational goals.
Reports on program effectiveness and documents necessary changes.

Self Development:

Participates in professional societies or organizations relevant to ICD-9-CM, ICD-10-CM, PCS and CPT.
Maintains necessary licensure required for employment.

Administrative Duties:

Assists with administering programs as assigned.
Attends and participates in organization-wide committees as assigned.
Performs additional related duties as required.
Designs, develops and delivers education and training programs that meet the staff’s needs for compliant coding and billing.
Plans and develops curriculum in accordance with the organization’s strategic goals, mission and business strategies to improve employee performance leading to quality data and accuracy.

JOB REQUIREMENTS

Minimum Education - Preferred

Associates or Bachelor’s degree in Health Information Management.

Minimum Work Experience

Minimum 5 years acute care coding with demonstrated expertise in ICD-9-CM, ICD-10-CM, PCS and CPT coding.
Experience, preferred, in adult and continuing education, organizational development and training.

Required Certifications

CCA - Certified Coding Associate (AHIMA-American Health Information Management Assoc) or

CCS - Certified Coding Specialist (AHIMA-American Health Information Management Assoc) or

CCS-P - Certified Coding Specialist-Physican Based (AHIMA-American Health Information Management Assoc) or

CPC - Certified Professional Coder (AAPC-American Academy of Professional Coders) or

CPMA -Certified Professional Medical Auditor (AAPC-Academy of Professional Coders) or

RHIA - Registered Health Information Administrator (AHIMA-American Health Information Management Association)

Required additional Knowledge and Abilities:

Interact with constituents who have competing priorities and effectively communicate the importance of compliance in a respectful yet authoritative manner.

Apply Now

Refine Your Search

process administrator jobs

Coding and Compliance Auditor

Supervisor, Document Control

Clinical Administrator/Patient Progression Coordinator

Payroll Administrator

Assistant to City Administrator/Deputy Treasurer/Economic Development

Regional State Test Administrator

Senior Compliance Specialist - LIHTC/HUD

Quality Integrator (RN) (4973) - Region 1

RN Facility Administrator

FINANCIAL SYSTEM ADMINISTRATOR

Bilingual HR Administrator - entry level ( Fully- on site)

PLANNING AND ZONING ADMINISTRATOR

RN Supervisor - Night

Physician/Medical Director - Skilled Nursing Facility

International Baccalaureate Coordinator

Director of Nursing

Manager, Nursing - Post Anesthesia Care Unit - Full Time

7th Grade Science Teacher

Human Resources Manager

Organ Procurement Nurse

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