The Coding Auditor executes routine coding reviews to ensure health records align with billed ICD-10-CM, CPT, HCPCS, and Revenue codes. They are responsible for documenting findings, summarizing reports, and maintaining current knowledge of federal and state coding regulations.
The SIU Analyst will assist the team with the intake and triage of client tasks and analyze medical records to identify potential fraud, waste, and abuse. They will also document findings, summarize reports, and maintain knowledge of coding guidelines and regulations.
The VP of Implementation provides strategic leadership for all client implementation projects, overseeing planning, execution, and delivery from initiation to go-live. This role manages team capacity, fosters cross-functional collaboration, and ensures high-quality outcomes while maintaining strong relationships with client executives.
The investigator will analyze medical records and claims to identify fraud, waste, and abuse while performing coding determinations. They are responsible for documenting findings, summarizing reports, and providing subject matter expertise to clients.