- 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 ... office staff, providers, and billing department 14. Provides clarification on coding and compliance policies Required: 1. CPC Certification 2. Minimum 6 months… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Ongoing mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, ... participates in continuing education opportunities to remain current with billing and coding compliance best practices (ie, conferences, workshops, and other… more
- Nuvance Health (Danbury, CT)
- …closely with all business units and provides recommendations toward continuing improvement of coding compliance and coding denial management, while ensuring ... *Responsibilities:* 1. Under the leadership of the SACO, conducts high volume of coding compliance audits across all Nuvance Hospitals in accordance with the… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …reviewers. + Leads training on proper documentation for inpatient hospital/clinical billing and coding compliance . + Works with the compliance operations, ... participates in continuing education opportunities to remain current with billing and coding compliance best practices (ie, conferences, workshops, and other… more
- Highmark Health (Columbus, OH)
- … as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding ... Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal , concurrent, prospective and retrospective coding audit activities.… more
- Sharp HealthCare (San Diego, CA)
- …as a certified coder. + 2 Years experience working as a HCC risk adjustment coding auditor . + Experience with medical billing and with medical terminology. + ... potential compliance risk and notify management immediately.Identifies anomalies in coding .Identifies ways to avoid errors and issues and creates safeguards to… 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 ... coding guidelines. **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding /DRG requests. Responds promptly to Business… more
- HonorHealth (Phoenix, AZ)
- …experience Required Licenses and Certifications Certified Professional Coder (CPC) Professional coding certification Required Professional coding Auditor ... completeness of coding through a rigorous quality review of external and internal documentation of audit process ensuring compliance with federal and state… more
- UNC Health Care (Chapel Hill, NC)
- …appeals insurance coding denials. This position analyzes coded records for compliance with federal, state and third party insurer rules and regulations and note ... . **Knowledge/Skills/and Abilities Requirements:** * Strong knowledge of ICD-10/PCS/CPT/HCPCS coding and billing compliance (MS-DRGs/IPPS, APC/OPPS) with… more
- Intermountain Health (Las Vegas, NV)
- …advanced-level expertise in the areas of national physician code sets, insurance reimbursement, coding compliance issues, and internal coding policies, ... expertise in the areas of national physician code sets, reimbursement, and coding compliance to Intermountain secondary care physicians, APC's, and staff,… more
- Insight Global (Charlottesville, VA)
- …training and education sessions for physicians, allied health professionals, residents, and coding and billing staff to support compliance with third party ... Job Description Insight global is seeking a remote Professional Coding Educator for a healthcare system in Virginia. The educator will provide consulting services to… more
- Northwell Health (Port Jefferson, NY)
- …reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. 5.Applies coding rules and ... 2.Full review of CDI suggested code changes 3.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.… more
- Northwell Health (Garden City, NY)
- …are maintained in compliance with Federal and State regulations. + Applies coding rules and regulations to the validation review process. + Reviews codes on ... or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home...Medicare/non-Medicare charts for compliance to rules and conventions. + Instructs professional staff… more
- UPMC (Pittsburgh, PA)
- …help defend external coding audits when requested.** As the Senior Medical Auditor , you will provides technical expertise to review staff to ensure that all ... coding staff are adhering to all guidelines for compliance as set forth by governmental, regulatory agencies and...unique audit findings and recommendations as requested by the Compliance Manager. It is the Auditor 's responsibility… more
- Mohawk Valley Health System (New Hartford, NY)
- Internal Auditor (Hybrid) Department: LEGAL AND COMPLIANCE Job Summary The Internal Auditor - Compliance will oversee the internal and ... and improving the effectiveness of the compliance program across the organization. The Internal Auditor - Compliance will identify areas to be audited… more
- UPMC (Pittsburgh, PA)
- **UPMC Corporate Finance is hiring a full-time Compliance Auditor , Intermediate. This position will be based out of Forbes Tower in Pittsburgh, PA. This position ... school diploma is preferred. + 3 or more years of experience in medical coding , billing, auditing and compliance . + Extensive knowledge of CMS, and third-party… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …and Analysis, and outside consultants to analyze, review and assess identified billing, coding , charging and compliance issues + Understands and reviews payer ... of experience as an intensive care unit, emergency department or documentation specialist nurse auditor or an LPN with a combined coding and auditing background.… more
- Children's Hospital Boston (Boston, MA)
- 77470BRJob Posting Title:Billing Compliance Auditor IDepartment:NeurologyAutoReqId:77470BRStatus:Full-TimeStandard Hours per Week:40 Job Posting Category:Legal ... ServicesJob Posting Description:The Billing Compliance Auditor I is responsible for: +...in the overall system. Providing guidance to departments regarding internal controls. Developing and drafting billing and coding… more
- Tennant Company (Eden Prairie, MN)
- Senior IT Internal Auditor With more than $1B in revenue, Tennant Company is a globally recognized leader in the cleaning equipment industry. For the past 150 ... through collaboration with business stakeholders across our global organization. The Senior IT Internal Auditor reports directly to the Manager, Internal … 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