Sr. Coding Integrity Auditor (Remote)
. Review reporting for outlier provider claims;request patient medical records to assign diagnoses, treatments, and surgical...
. Review reporting for outlier provider claims;request patient medical records to assign diagnoses, treatments, and surgical...
for claim reimbursement. Reviews outlier cases to determine level of care and clinical appropriateness. Assists as appropriate...
a best fit statistical forecast. This includes maintenance of SKU segmentation, outlier correction and a detailed understanding...
measurement data to ensure accuracy, consistency, and reliability. Identify and remeasure outlier data points. Author measurement...
AI driven frameworks to augment reporting and analytics across the firm. Implement strategies for Outlier Detection, Insight...
testing. data analytics for test/yield optimization (outlier analysis, etc) Ensure Broadcom ASIC Product Division...
compliance and ensure financial controls are followed. Trend & Outlier Identification Flag financial outliers (unexpected...
performance, outlier trends and prevalence opportunities Promote a culture of accountability, innovation and compliance...
safety concerns. Clinical Outlier Support: Collaborate with leadership to align on priority clinics not meeting goals... outlier support by focusing on hospitalizations and quality and leveraging support from various clinical roles. Perform...
filing of all the cost reports per timelines, the GME reimbursement applications, the outlier bills and other supplemental...