Coding Integrity Auditor
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![]() United States, New York, New York | |
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Summary of Job Responsible for upholding the standard for code review functions in the setting of claims review, grievance and appeal, and new medical policy implementation. Identify inconsistencies between CCI & EH reimbursement policies and claim which directly impact claim payment (i.e. authorizations) and responsible for working with leadership to bring to resolution. Perform audit of suspended and appealed claims reviewed by coding staff. Perform audits of outlier providers for accurate coding practices and documentation requirements. Responsibilities:
Qualifications:
Additional Information
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