- Certified as a CPMA
- 3+ years of experience in healthcare
- Detailed oriented, attention to detail and ability to multi-task
- Good written and verbal communication skills
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Medical & Dental Compliance Auditor
2 days ago
McDermott Will & Emery Chicago, United StatesMcDermott+Consulting (McDermottPlus) is a premier healthcare consulting firm with offices in Washington, D.C. and New York City. · The Farragut Square Group, McDermottPlus' research and advisory division, provides clients with research and policy advisory services on a range of ...
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Medical & Dental Compliance Auditor
4 days ago
McDermott Will & Emery Chicago, United StatesMcDermott+Consulting (McDermottPlus) is a premier healthcare consulting firm with offices in Washington, D.C. and New York City. · The Farragut Square Group, McDermottPlus' research and advisory division, provides clients with research and policy advisory services on a range of ...
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Medical & Dental Compliance Auditor
1 week ago
McDermott+Consulting Chicago, United StatesMcDermott+Consulting (McDermottPlus) is a premier healthcare consulting firm with offices in Washington, D.C. and New York City. · The Farragut Square Group, McDermottPlus' research and advisory division, provides clients with research and policy advisory services on a range of h ...
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Auditor, Medical Devices
2 weeks ago
Intertek Arlington Heights, United States Part timeJob Description · Interested in future career opportunities in the Quality Assurance audit and support services industry? We're looking for a Part-time Medical Device Auditor that wants to build something great with an incredible group of people. By joining Intertek, your contri ...
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Senior Auditor, Billing Compliance
3 weeks ago
Edward-Elmhurst Health Chicago, United StatesSenior Auditor, Billing Compliance page is loaded · Senior Auditor, Billing Compliance · Apply · locations · NSO 1301 Central St Corporate Office Evanston · EDO Warrenville 3S 517 Winfield Road · time type · Full time · posted on · Posted 3 Days Ago · job requisition id ...
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ft greeter
1 week ago
Family Dollar Chicago, United StatesGeneral Summary: · Work where you love to shop Family Dollar is hiring in your neighborhood. Avoid long commutes and set your own course to success by applying today. · We offer generous benefits, flexible work schedules and the ability to work today and get paid tomorrow. · As a ...
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Associate Principal, Business
3 weeks ago
OCC Chicago, United States Full timeWhat You'll Do: · This role will support independent assessments of OCC's financial and operational business processes, risk management, and other objectives as needed. The role is responsible for determining the sufficiency of management's controls and activities related to the ...
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Senior Accountant, Financial Reporting
4 days ago
Invenergy LLC Chicago, United States Full timeInvenergy drives innovation in energy. Powered by decades of entrepreneurial experience and unparalleled execution, we solve the energy challenges facing our customers and communities. We provide power generation and storage solutions at scale around the world to create a cleaner ...
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Chief Financial Officer
2 weeks ago
Career Blazers Nonprofit Search Chicago, United StatesChief Financial Officer · Chicago, IL · Hybrid – 3 days on-site · Position Overview · Be a part of a nonprofit organization dedicated to improving the earning potential of the local community through innovative employment initiatives that lead to economic advancement and an i ...
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Lead Internal Auditor, Risk Management
3 weeks ago
Discover Financial Services, Inc. Chicago, United StatesAbout This RoleDiscover. A brighter future.With us, you'll do meaningful work from Day 1. Our · collaborative culture is built on three core behaviors: We Play to Win, We Get Better Every Day & We Succeed Together. · And we mean it — we want you to grow and make a difference at ...
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Devon Bank Chicago, United StatesJob Type · Full-time · Description · At Devon Bank, we have a great opportunity for you to grow your Accounting career · When you Join our Bank, you will find a welcoming and accepting culture that comes from our desire to make diversity, respect and service a priority. · In ...
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Tax Manager, Income Tax Provision
2 weeks ago
Abbott Chicago, United StatesAbbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medic ...
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FSO Audit-BCM-Senior-New England-Central
1 day ago
EY Chicago, IL, United StatesAt EY, you'll have the chance to build a career as unique as you are, with the global scale, support, inclusive culture and technology to become the best version of you. And we're counting on your unique voice and perspective to help EY become even better, too. Join us and build ...
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Senior Accountant, Financial Reporting
3 weeks ago
Invenergy Chicago, United StatesInvenergy drives innovation in energy. Powered by decades of entrepreneurial experience and unparalleled execution, we solve the energy challenges facing our customers and communities. We provide power generation and storage solutions at scale around the world to create a cleaner ...
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Auditor
3 weeks ago
Northern Trust Chicago, United StatesNorthern Trust, a Fortune 500 company, is a globally recognized, award-winning financial institution that has been in continuous operation since 1889.Northern Trust is proud to provide innovative financial services and guidance to the world's most successful individuals, families ...
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Staff Accountant
2 weeks ago
E80 Group Chicago, United StatesE80 Group, located in Viano, Italy is a leading global provider of automated intralogistics systems for the consumer products industry. Our vision is to optimize the value chain of our customers by increasing productivity and quality across their facilities. Safety, Technology in ...
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Staff Accountant
3 weeks ago
Insight Hospital and Medical Center Chicago, United StatesWE ARE INSIGHT: At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community ...
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Lead Auditor
6 days ago
Kemper Chicago, United States Full timeLocation(s) · Chicago, Illinois, Remote-IL Details · Kemper is one of the nation's leading specialized insurers. Our success is a direct reflection of the talented and diverse people who make a positive difference in the lives of our customers every day. We believe a high-perfo ...
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QA Audit and Compliance Auditor
2 weeks ago
AbbVie North Chicago, United States Full timeJob Description · The function of Audit and Compliance Auditor I is to perform evaluations for compliance with US and foreign regulation requirements (minimally may include the Americas, Asia, Africa, Australia, European Middle East regions) and provide constructive evaluation of ...
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Accounts Payable Clerk
3 weeks ago
Saint Anthony Hospital Chicago, United States Full timeAccounts Payable Clerk · Saint Anthony Hospital · FinanceChicago, ILFinance Full Time, Day ShiftPosted 05/22/2024Req # 6259 Saint Anthony Hospital is a diverse and community-centric organization your career can thrive in, while addressing the health and wellness challenges tha ...
Certified Medical Auditor - Chicago, United States - Podiatry Service Company LLC
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Description
Job Description
Job DescriptionCertified Professional Medical Auditor
A Certified Professional Medical Auditor is responsible for reviewing and auditing medical documentation, including patient records, charts, and clinical notes, to ensure accuracy, compliance with regulations, and adherence to industry standards. This role is crucial in maintaining the integrity of medical records, billing processes, and healthcare facilities' compliance with applicable laws and regulations.
Key Responsibilities:
Medical Documentation Review:
Conduct thorough audits of patient medical records, including physician notes, progress notes, discharge summaries, and other relevant documentation.
Examine medical records to verify their completeness and conformity with established standards, ensuring they accurately reflect the patient's condition, diagnosis, treatment, and other pertinent information.
Verify that documentation adheres to established coding guidelines, such as ICD-10 and CPT, and compliance with healthcare regulations (e.g., HIPAA, Medicare, Medicaid).
Compliance Assessment:
Evaluate medical documentation for compliance with industry standards, hospital policies, and governmental regulations.
Assess policy adherence and procedural efficiency, upholding data integrity through audits and scrutinizing a range of medical documentation.
Identify and report any discrepancies or potential compliance issues, recommending corrective actions as needed.
Billing and Claims Audit:
Analyze medical claims data and associated documentation by conducting continuous auditing with analyses to prevent and address discrepancies and non-conformities in billing and provider chart documentation.
Evaluate coding and documentation to identify recommendations for provider improvement.
Document audit findings and suggest any applicable changes and/or opportunities for documentation improvement.
Recognize and identify trends in billing and documentation at both the practice and provider levels.
Education and Communication:
Assist in providing coding knowledge to providers and billing departments as needed.
Collaborate and communicate verbally and in writing to deliver audit findings, clearly articulating rationale supported by evidence of conclusions.
Knowledge and Compliance with Coding Standards:
Maintain current knowledge of CMS policies and coding applications for CPT, ICD-10, HCPCS, and other applicable coding standards for medical claims.
Compilation of applicable CMS fees and audit findings/results for tracking accuracy and provider productivity analysis.
Qualifications