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Duke University Health System
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Benefis Health System
Great Falls, Montana
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Lancaster, Pennsylvania
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Penn State Health
Lancaster, Pennsylvania
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Sr Billing and Coding Auditor
Overview Leads advanced, complex compliance audits and investigations with a primary focus on revenue cycle by reviewing medical records for documentation compliance for CPT, Level II HCPCS, and diagnosis codes determining that regulations are being complied with as evidenced in medical record documentation; and evaluating appropriateness of billing and coding procedures. Requires advanced knowledge of CPT, Level II HCPCS, diagnosis coding, and government payer regulations. Work involves actively directing and conducting compliance audits, investigations, corrective action plans, regulation research, organizational education, and proving consultative services to the organizations senior leadership, providers and staff; advising and assisting on the development of the C
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