- Catholic Health Initiatives (Chattanooga, TN)
- …specificity, patient medical needs are met at the highest level . The Sr Coding Compliance Auditor 's primary focus will be to facilitate and ensure ... us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible...appropriate. + Reports areas of risk directly to the Coding Integrity Manager/Supervisor. + Maintains a high level… more
- AdventHealth (Altamonte Springs, FL)
- …**Monday-Friday** **Remote** **The role you'll contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the ... coding teams across the organization by completing both overall and account- level quality reviews of inpatient and outpatient coding functions. Quality… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **38935BR** **Extended Job Title:** Documentation & Coding Auditor **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Performs ... **Major/Essential Functions:** + Maintains current knowledge of billing and coding requirements, risks and billing compliance requirements....of which one (1) year may be as a coding auditor . + Additional job-specific education may… more
- Covenant Health Inc. (Knoxville, TN)
- …named a Forbes "Best Employer" seven times. Position Summary: Performs or reviews complex level internal coding audit work for i npatient accounts. Work involves ... leading or conducting coding and compliance audit projects for Covenant...certifications are acceptable-RHIT/RHIA/AAPC, CPC, or CPMA. Apply/Share Job Title CODING OFF AUDITOR -EDU ID 3865895 Facility Covenant… more
- Atlantic Health System (Morristown, NJ)
- …new providers throughout the year 9. Audit charts for accurate and correct coding and compliance within documentation guidelines and AHS policies 10. Prepares ... staff, providers, and billing department 14. Provides clarification on coding and compliance policies Required: 1. CPC...Best Employers for Workers over 50 - AARP + Gold- Level "Well Workplace": Wellness Council of America (WELCOA) +… more
- Columbus Regional Hospital (Columbus, IN)
- …to know about this position: + Responsible for evaluating and auditing provider coding and documentation compliance to determine appropriate code assignments for ... and in a group setting, on all aspects of coding and documentation utilizing both oral and written direction....Requires the ability to professionally interact with physicians and mid- level providers with strong skill in verbal and written… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines. This position… more
- Johns Hopkins University (Baltimore, MD)
- … Compliance Auditor Job Posting Title (Working Title): Sr. Compliance Auditor Trainer Role/ Level /Range: ATP/04/PE Starting Salary Range: $73,300 ... We are seeking a **Sr. Compliance Auditor ** **Trainer** who will provide...Coding , and professional fee billing. + Performs other compliance related activities as necessary. + May be asked… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …Integrity Professional Preferred Education: Bachelor of Science in Nursing preferred Experience: Senior Level Coding experience of at least 20 years or 10 years ... outside consultants to analyze, review and assess identified billing, coding , charging and compliance issues + Understands...in a coding management level recent experience … more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team! This role will work standard daylight hours, Monday - ... Steel Tower, however, this role may work remotely. The Intermediate Clinical Auditor /Analyst is an integral part of the Quality Assurance and Operational Integrity… more
- Catholic Health (Kenmore, NY)
- …8-4 flex Summary: The Catholic Health (CH) Health Information Management (HIM) Educator/ Auditor is responsible for providing Provider Coding education, including ... CHS/Trinity-employed providers appropriate code the medical services that are provided. The Educator/ Auditor will introduce new providers to the coding program… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …Capture Auditor works closely with clinical departments to ensure compliance with government, payer, and internal charge capture policies; provides education to ... time. Job Summary This paragraph summarizes the general nature, level and purpose of the job. The Senior Charge...as required to keep current with Medicare and Medi-Cal coding and compliance guidelines as they pertain… more
- Insight Global (Houston, TX)
- …guidelines and coding guidelines about split shared visits Knowledge of coding compliance policies, official coding guidelines, regulatory requirements ... in Houston, TX is seeking a Physician Educator & Auditor to join their growing team. This team will...ensure the documentation is correct and effective from a coding and clinical perspective. The ideal candidate needs to… more
- Elevance Health (MD)
- **Clinical Provider Auditor I** **Supports Payment Integrity & Behavioral Health** _Location: This position will work a hybrid model (remote and office). The ideal ... to improve the delivery of care. The **Clinical Provider Auditor I** is responsible for identifying issues and/or entities...will you make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies… more
- Centene Corporation (Tallahassee, FL)
- …**Position Purpose:** Conduct provider medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure ... and development of interventions at the provider and market level . + Subject matter experts for proper risk adjustment.... + Subject matter experts for proper risk adjustment coding and CMS data validation + Work in conjunction… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Identifies areas for improvement for clinical documentation workflow, clinical query compliance , data integrity and training. * Reviews medical records to determine ... data, to identify trends and patterns. Identifies areas for strategic audits, coding education and improvement. * Creates detailed reports based on audit findings… more
- Trinity Health (Livonia, MI)
- … issues in charge router, charge review and claim edit WQs assigned to regional coding team to ensure coding compliance and minimize audit liability. ... and charge capture reconciliation in conjunction with professional coding supervisors. Manages team compliance to initial...a comprehensive knowledge of CPT, ICD-10-CM (ICD-9-CM) and HCPCS level II coding guidelines, along with CCI… more
- St. Luke's University Health Network (Allentown, PA)
- …review process. JOB DUTIES AND RESPONSIBILITIES: + Maintain current knowledge of coding , compliance , and documentation guidelines + Resolve Charge Review and ... to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who...Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor /Educator. Demonstrate the ability to formulate an appeal rationale… more
- LifePoint Health (Marquette, MI)
- …(CEMC) Certified Hematology & Oncology Coder (CHONC) Certified Professional Medical Auditor (CPMA) Certified Coding Associate (CCA) Registered Health Information ... UP Health System - Marquette /Manager, Coding Revenue Cycle, Central Billing Office 1.0DV/ *Who...a 222 bed hospital and houses the region's only Level II Trauma Center and Neonatal Intensive Care Unit… more
- R1 RCM (Chicago, IL)
- …analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse** , you will help review and interpret medical ... day you will review medical records to ensure appropriate coding of removed or revised diagnosis and procedure codes....a Clinical Validation Review by an insurer or third-party auditor . + Draft appeal letters that are well-written, logically… more