- TEKsystems (Jacksonville, FL)
- The Outpatient Medical Coding Auditor - is responsible for ensuring the accuracy, integrity, and compliance of medical coding practices within the ... to coding guidelines and regulations. The Medical Coding Auditor plays a crucial role in...| medical, dental & vision benefits offered. + 100% Remote | Equipment is not provided. + Applicants must… more
- The Cigna Group (Bloomfield, CT)
- …a high level of quality, as set by internal standards, to ensure continued auditor accuracy. + Stays up-to-date with current Cigna Medicare coding guidelines. + ... and company meetings. **Minimum Qualifications:** + Must possess an active professional coding credential through AHIMA or AAPC (required). + Minimum 2-5 active… 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 ... This position performs data quality review to ensure data integrity, coding accuracy, and revenue preservation. Additional duties include participating in quality… more
- BayCare Health System (GA)
- …+ **Shift:** 7:00 AM to 3:30 PM + **Days:** Monday - Friday The **Inpatient** ** Coding Auditor ** is a full-time remote position. This team member must ... reside in Florida, Georgia, or North Carolina. **Responsibilities** + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance… 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 ... **EDUCATION AND EXPERIENCE REQUIRED:** . Five (5) years of inpatient or outpatient coding or Coding Quality Auditor experience . Completion of a coding … 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
- 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...expertise in regards to medical terminology, anatomy, physiology, documentation, coding guidelines, state and federal regulations. Works closely with… more
- Columbus Regional Hospital (Columbus, IN)
- …about this position: + Responsible for evaluating and auditing provider coding and documentation compliance to determine appropriate code assignments for diagnoses ... and in a group setting, on all aspects of coding and documentation utilizing both oral and written direction....8:00AM-5:00PM, Monday through Friday. + This position is partial remote eligible. What is required for this position: Education… more
- UNC Health Care (Chapel Hill, NC)
- …have opted into shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position provides mentoring and training of ... new coding staff and ongoing training for existing staff. The...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 ... allied health professionals and billing staff to support patient care documentation, coding and billing practices according to federal, state and local regulatory… 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
- 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
- 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 ... will have the possibility of working remote 1-2 days per week.** **Responsibilities:** + Conduct UPMC wide auditing and monitoring to ensure coding /documentation… more
- Providence (OR)
- …must empower them._** **Providence Health Plan is calling an** HCC Risk Adjustment QA Auditor : Medicare Advantage & ACA **who will:** + Perform internal coding ... contractors, and vendors + Perform audits to ensure compliance with national coding guidelines and industry regulations, as well as adherence to Providence Health… 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 ... **UPMC is hiring a full-time Senior Medical Auditor to join their Department of Pediatrics team!...physicians, clinical, billing and coding staff are adhering to all guidelines for compliance… more
- Rising Medical Solutions (Chicago, IL)
- …born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the world of medical cost containment. Join ... medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance, over-utilization, and erroneous charges.… more
- Veterans Affairs, Veterans Health Administration (IN)
- …(HIM) section at the Lebanon VA Medical Center. Medical Record Technician (Coder) Auditor are skilled in classifying medical data from patient health records in the ... code selection. Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases… more
- Adecco US, Inc. (Chicago, IL)
- …DRG Validation RN Auditor ! This role is work from home / remote . Please see below and apply today for further information: **Type:** Two-month contract, ... $42.76 an hour **Responsibilities of the** **DRG Validation RN Auditor :** . Conduct MS-DRG and APR-DRG coding ...RN Auditor :** . Conduct MS-DRG and APR-DRG coding reviews to verify the accuracy of DRG assignment… 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 ... as a leader of positive change. The **Diagnosis Related Group (DRG) Auditor ** is responsible for auditing clinical documentation that supports code assignment for… more
- Vanderbilt University Medical Center (Nashville, TN)
- …data, to identify trends and patterns. Identifies areas for strategic audits, coding education and improvement. * Creates detailed reports based on audit findings ... equal rank in an effort to accomplish team goals. * Medical Coding (Intermediate): The transformation of healthcare diagnosis, procedures, medical services, and… more