- UPMC (Pittsburgh, PA)
- **UPMC is hiring a full-time Senior Medical Auditor to join their Department of Pediatrics team! This position will join our Pediatrics administrative team, ... and to help defend external coding audits when requested.** As the Senior Medical Auditor , you will provides technical expertise to review staff to ensure that… more
- Rising Medical Solutions (Chicago, IL)
- …too. In fact, that's how our business was born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark ... Have you ever looked a medical bill and immediately noticed something was wrong?...in the world of medical cost containment. Join our team and maximize client… more
- Medical Mutual of Ohio (OH)
- …of clinicaland medical auditing experience. **Professional Certification(s)** + Certified Medical Auditor (if not certified required to obtain within 18 ... Founded in 1934, Medical Mutual is the oldest and one of...DRG,_** **_and/or_** **_hospital bill auditing experience._** **Responsibilities** **Medicare Clinical Auditor ** + **Audits outpatient, inpatient and professional claims from… more
- Catholic Health Initiatives (Chattanooga, TN)
- …Coders (AAPC) as a Certified Professional Coder (CPC) required. Professional Medical Auditor Certification (CPMA) (CMAS)-preferred but not required. CRC ... **Overview** **CHI Memorial Mountain Management** CHI Memorial Medical Group (Mountain Management Services), now part of CommonSpirit Health formed between Catholic… more
- UPMC (Pittsburgh, PA)
- …Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified ... **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… more
- Highmark Health (Columbus, OH)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding,… more
- Columbus Regional Hospital (Columbus, IN)
- …(RHIA) + Registered Health Information Technician (RHIT) + Certified Professional Medical Auditor (CPMA) or Certified Documentation Improvement Practitioner ... + Develops quality audit reports that identify trends and educational opportunities. + Responsible for training and educating providers, clinical staff, and departments, one-on-one and in a group setting, on all aspects of coding and documentation utilizing… more
- Robert Half Accountemps (Alhambra, CA)
- Description We are currently seeking a meticulous Chart Auditor responsible primarily for verifying, rectifying, and finalizing edits in the Patient Accounting ... System or claims editing system. The Chart Auditor will occasionally conduct insurance audits in conjunction with chosen payer auditors as per contract stipulations.… more
- R1 RCM (Boise, ID)
- …certificate: CPC or CSS. **Here's what you will experience working as a** **Coding Auditor & Educator:** + Conduct audits of medical records to ensure accurate ... in multiple specialties, adapting to coding changes, and work experience as a medical coding auditor For this US-based position, the base pay range is $26.26 -… more
- UNC Health Care (Chapel Hill, NC)
- …of the unique communities we serve. Summary: This position trains and audits medical coders, either inpatient or outpatient across all HCS entities that are owned ... mortality, and demonstrate compliance. Responsibilities: 1. Audits inpatient and outpatient medical coders to assure a minimum of 95% accuracy and recommends… more
- Health Advocates Network (Coral Springs, FL)
- …workloads to ensure expedited cases are processed within defined timelines. Review medical information such as lab reports, provider visit notes, and prescriptions. ... to read patent records and decode + Expertise in medical terminology + Knowledge of DME Products for Diabetics...of DME Products for Diabetics - Highly preferred + Medical Assistants or Pharmacy Techs preferred **Benefits We Offer:**… more
- HCA Healthcare (Nashville, TN)
- …your potential! **Job Summary and Qualifications** The Revenue Integrity Registered Nurse Auditor evaluates medical record documentation for evidence of clinical ... hours volunteering in our communities. As a Revenue Integrity Auditor RN with Parallon you can be a part...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- UPMC (Pittsburgh, PA)
- …and revises better best practice within the department. The Intermediate Clinical Auditor Analyst reviews medical records, creates, maintains, and analyzes ... 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 -… 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. + ... (AHIMA) -PREFERRED **Essential Functions** + Act as a ResourceRequests, reviews and codes medical services from reports and notes in order to convert procedural and… more
- Elevance Health (Columbus, OH)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II** is responsible ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools… more
- Catholic Health (Kenmore, NY)
- …leadership and others to ensure that CHS/Trinity-employed providers appropriate code the medical services that are provided. The Educator/ Auditor will introduce ... flex Summary: The Catholic Health (CH) Health Information Management (HIM) Educator/ Auditor is responsible for providing Provider Coding education, including but not… more
- Commonwealth Care Alliance (Boston, MA)
- …Certified Professional Coder (CPC) * Certified Inpatient Coder (CIC) * Certified Professional Medical Auditor (CPMA) Desired Education (nice to have): * Masters ... specific to Medicare and Medicaid * 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims, settlement, claims auditing… more
- Spokane County (Spokane, WA)
- Internal Auditor 1 or 2 Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4737625) Apply Internal Auditor 1 or 2 Salary $55,100.06 - ... Annually Location WA 99260, WA Job Type Regular Job Number 24-00256 Department Auditor Opening Date 11/21/2024 Closing Date Continuous FLSA Exempt + Description +… more
- Ventura County (Ventura, CA)
- Internal Auditor /Analyst II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4668923) Apply Internal Auditor /Analyst II Salary $72,786.64 - ... CA Job Type Full-Time Regular Job Number 0932AUD-24AA (EO) Department Auditor -Controller Opening Date 09/24/2024 Closing Date Continuous + Description + Benefits… more
- The County of Los Angeles (Los Angeles, CA)
- HEAD CONTRACT PROGRAM AUDITOR / EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4448498) Apply HEAD ... CONTRACT PROGRAM AUDITOR / EMERGENCY APPOINTMENT HOMELESSNESS Salary $103,751.04 - $139,817.52...not pay into Social Security, but do pay the Medical Hospital Insurance Tax portion of Social Security at… more