- Providence (OR)
- …the best people, we must empower them._** **Providence Health Plan is calling a Coding Quality Auditor , HEDIS who will:** + Be responsible for conducting ... program + Conduct Audits inclusive of review of outpatient medical records, hospital records, clinical lab and pharmacy records...+ **This posting is for multiple openings of a Coding Quality Auditor , HEDIS** + **This position… more
- AdventHealth (Altamonte Springs, FL)
- …** Remote ** **The role you'll contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of ... as well as supporting on-going quality assurance needs for coding staff. They will review medical records...REQUIRED:** . Five (5) years of inpatient or outpatient coding or Coding Quality Auditor … more
- AdventHealth (Maitland, FL)
- ** Coding Auditor Inpatient** **Work Hours/Shift:** + Full Time Remote **You Will Be Responsible For:** + Performs quality reviews on coded records to ... + RHIA, RHIT, or CCS certification or credential **Job Summary:** The Inpatient Coding Auditor , under general supervision, is responsible for validating the … more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …with resources to help you flourish and leaders who care about your success. The Coding Auditor and Educator utilizes ICD-10-CM, HCPCS, and CPT-4 Coding ... professional fee coding team. Responsible for answering coding and billing questions, onboarding and training new staff,...CO, KS and NM, this position is open to remote /out of state candidates residing in only these states:… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …to help you flourish and leaders who care about your success. The Coding Auditor -Educator is an advanced level position utilizing ICD-10-CM, ICD-10 PCS, ... and CPT-4 Coding Classification systems who supports the facility and ...CO, KS and NM, this position is open to remote /out of state candidates residing in only these states:… more
- R1 RCM (Boise, ID)
- …cash flows while reducing operating costs and enhancing the patient experience. The Coding Denial Auditor will be responsible for reviewing denial coded cases ... To learn more, visit: R1RCM.com Visit us on Facebook (https://www.facebook.com/R1RCM) \#li- remote # coding #healthcare #insurance #ccs R1 is the leading… 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
- Columbus Regional Hospital (Columbus, IN)
- …(RHIA) + Registered Health Information Technician (RHIT) + Certified Professional Medical Auditor (CPMA) or Certified Documentation Improvement Practitioner ... about this position: + Responsible for evaluating and auditing provider coding and documentation compliance to determine appropriate code assignments for diagnoses… 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
- 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...organize multiple projects and tasks. + In-depth knowledge of medical terminology, ICD-10 and CPT-4 coding . +… more
- UPMC (Pittsburgh, PA)
- …and to help defend external coding audits when requested.** As the Senior Medical Auditor , you will provides technical expertise to review staff to ensure ... **UPMC is hiring a full-time Senior Medical Auditor to join their Department...of code type, over- coding , under- coding , coding not supported by documentation in the medical… more
- Martin's Point Health Care (Portland, ME)
- …Under the supervision of the Director of Health Plan Operations, the Claims Auditor II will perform the following job functions: + Audit Development and Processing: ... The Auditor II will be responsible for developing and processing...to others within the company regarding claims administration, procedural coding and billing and related overpayment matters. + Provide… 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
- UPMC (Pittsburgh, PA)
- …technical school diploma is preferred. + 3 or more years of experience in medical coding , billing, auditing and compliance. + Extensive knowledge of CMS, and ... Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified … 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
- Vanderbilt University Medical Center (Nashville, TN)
- …people of equal rank in an effort to accomplish team goals. * Medical Coding (Intermediate): The transformation of healthcare diagnosis, procedures, medical ... **Discover Vanderbilt University Medical Center:** Located in Nashville, Tennessee, and operating...identify trends and patterns. Identifies areas for strategic audits, coding education and improvement. * Creates detailed reports based… more
- Hackensack Meridian Health (Hackensack, NJ)
- …this includes compliance with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency ... training of facility healthcare professionals including physicians in use of coding guidelines and practices, proper documentation techniques, medical … more
- Elevance Health (Morristown, NJ)
- …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 -RN** **Location:** This position will work a hybrid...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
- Elevance Health (Columbus, OH)
- …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II**...+ Requires a AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1… more