- Houston Methodist (Fort Worth, 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 ... inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body… more
- Northwell Health (Lake Success, NY)
- …compliance risk. Job Responsibility + Reviews data, such as claims detail, coding and medical record documentation to determine compliance with appropriate ... **Req Number** 109921 Job Description Performs complex coding audits, drafts findings and advises with organization leadership to provide education on regulations… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …in the following personas: E-Worker, Mobile and Resident The Risk Adjustment Senior Coding Quality Auditor & Educator provides education and training for the ... evaluate and administer a Quality Review Program by auditing medical records reviewed by the coding team...and delivery of relevant training. The Risk Adjustment Senior Coding Quality Auditor & Educator will utilize… more
- UNC Health Care (Chapel Hill, NC)
- …* If Associates Degree or Higher: Five (5) years of experience in physician medical coding . * If High School Diploma: Seven (7) years of experience ... of the UNC HCS SS Rev Cycle Physician Coder Auditor Proficiency Test. **Licensure/Certification Requirements:** * Must have one...in physician medical coding . **Knowledge/Skills/and Abilities Requirements:** **Job Details**… more
- Hackensack Meridian Health (Hackensack, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Coding Quality Auditor ** is responsible for monitoring compliance with applicable ... weekend.** **Responsibilities** A day in the life of an ** Coding Quality Auditor ** at **Hackensack Meridian** **_Health_**...on quality indicator. + Analyzes physician documentation in the medical record for clinical correlation for coding … more
- WelbeHealth (Los Angeles, CA)
- …is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring ... ( Remote , CA residents only) WelbeHealth PACE (All-Inclusive Care...in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion… more
- Nuvance Health (Danbury, CT)
- …Officer (SACO) Physician Audit & Billing, the Senior Inpatient Professional Auditor providesHospital Inpatient and Outpatient coding , billing, and documentation ... *Description* Fully remote opportunity within approved working states *Summary:* Reporting...for this position is advanced expertise in regards to medical terminology, anatomy, physiology, documentation, coding guidelines,… more
- UNC Health Care (Chapel Hill, NC)
- …**Professional Experience Requirements:** * If associate's degree: Five (5) years of experience in medical coding or acute care consisting of both IP and OP ... High School Diploma: Nine (9) years of experience in medical coding or acute care consisting of...directly with various levels of staff (including on-site and remote ) as well as manage vendor relationships and expectations.… more
- Insight Global (Charlottesville, VA)
- Job Description Insight global is seeking a remote Professional Coding Educator for a healthcare system in Virginia. The educator will provide consulting ... coding presentations for physicians -Experience with Auditing -Experience with academic medical center coding -Neurosurgery exp null We are a company… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …corrective course of action\. + Reviewing the claims materials and medical record information submitted and assessing accuracy of provider submitted claims\. ... _Experience_ + 2 years \- Professional/ancillary or facility inpatient/outpatient coding and/or auditing experience in an applicable setting\. … 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?... bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance, over-utilization, and erroneous… 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...claim irregularities, overpayments and provider appeals from a clinical coding perspective, applying coding guidelines. Analyzes provider… more
- Veterans Affairs, Veterans Health Administration (Biloxi, MS)
- …experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding , and the structure and format of a health ... the Gulf Coast Veterans Health Care System. MRT (Coder) Auditor are skilled in classifying medical data...courses in medical terminology, anatomy and physiology, medical coding , and introduction to health records);… more
- Johns Hopkins University (Baltimore, MD)
- …requirements. Using established auditing and research techniques, determines the adequacy of medical records documentation, coding and billing for all providers ... **Preferred Qualifications** + Five years of experience preferred. + Additional coding certifications preferred. Classified Title: Billing Compliance Auditor Job… more
- Elevance Health (Denver, CO)
- …of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor ** **Location:** This position will work a hybrid...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
- Veterans Affairs, Veterans Health Administration (IN)
- …experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding , and the structure and format of a health ... with the hiring official Telework: No-This position is 100% remote Virtual: Yes-This is a virtual position. Functional Statement...courses in medical terminology, anatomy and physiology, medical coding , and introduction to health records);… more
- Sevita (Baltimore, MD)
- …people we serve and for our employees. **Summary** The Clinical Compliance Auditor is responsible for collaborating with Operations and Revenue Cycle in ... Supports the leadership of the Company and the Chief Compliance Officer. This position is remote and can be performed from anywhere in the US There is some travel… more
- Texas Health Resources (Arlington, TX)
- …Specialist upon hire **REQUIRED** Other CIC (Certified Inpatient Coder), CMA (Certified Medical Auditor ) upon hire **REQUIRED** **Skills** Proficient in software ... to 4:30 pm but some flexibility on hours **HIMS Coding Department Highlights:** . 100% remote work...(Preferred). **What you will do** . Performs auditing of medical records and validates assignment of DRG, diagnosis and… more
- Commonwealth Care Alliance (Boston, MA)
- …Professional Coder (CPC) + Certified Inpatient Coder (CIC) + Certified Professional Medical Auditor (CPMA) **Desired Education (nice to have):** + Masters ... public health care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding , Compliance, Payment Integrity and Analytics + Direct and… more
- MD Anderson Cancer Center (Houston, TX)
- …billing errors 7. Demonstrate ability to work independently, reviews and interpret medical records and applies in-depth knowledge of coding principles to ... and the public. **S** **ummary** The primary purpose of the Coordinator, Coding Training position is: Facilitate training and auditing services for specific … more