- Lyric (Newtown Square, PA)
- …solution, as a payment, reimbursement or medical policy analyst, medical claims processor, chart auditor /reviewer, or claims edit/denial management + 3+ years of ... experience managing coding, billing or claims processing professionals + Active AAPC Certified Professional Coders (CPC) certification or American Health Information Management Association (AHIMA) Certified Coding Specialist-Physician (CCS-P) + Working… more
- Wipfli LLP (Milwaukee, WI)
- …transaction structuring, and post-merger integration. + Align accounting policies, chart of accounts, reporting templates, and disclosure practices across merging ... audit processes, resolve technical inquiries, and oversee timely responses to auditor requests. + Establish accounting policy frameworks and ensure consistent… more
- Trinity Health (Fresno, CA)
- …Day Shift **Description:** Reporting to the Nurse Manager*, Cath Lab, the Nurse Auditor performs thorough chart review of Electronic Medical Records (EMR) ... documentation for inaccuracies, omissions, misspellings, and charge review. As needed, facilitates documentation correction with appropriate staff. **Requirements** 1. Bachelor's degree in healthcare or a related field or combination of equivalent experience… more
- FlexStaff (Chappaqua, NY)
- **Req Number** 172252 Surgical Anesthesia Compliance AuditorCompliance Auditor MUST HAVE CPC CERTIFICATON This is a HYBRID position- MUST be in the office located in ... Chappaqua, NY 3 days a week. Surgical Anesthesia Compliance Auditor - Hybrid position- Chappaqua, NY- $100K-$115K Are you passionate about healthcare compliance and… more
- Sharp HealthCare (San Diego, CA)
- …*This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance ... Functions** + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of performing all audits and … more
- Providence (MT)
- …must empower them._** **Providence Health Plan is calling a Coding Quality Auditor , HEDIS who will:** + Be responsible for conducting clinical quality ... the HEDIS project + Collect data by way of chart extraction, using objective specifications for the Healthcare Effectiveness...posting is for multiple openings of a Coding Quality Auditor , HEDIS** + **This position is affiliated with Providence… more
- University of Michigan (Ann Arbor, MI)
- DRG COMPLIANCE AUDITOR (DCA) **Early Site Maintenance** We are performing updates and maintenance to our applicant experience. As a result, the site will be ... on coding compliance, including proper documentation, accurate coding, trends found in chart reviews, audit findings, and regular coding updates. + Identify and… more
- Insight Global (Plano, TX)
- …DRG Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic Related Group (DRG) validation and quality audits on ... based on the candidates years of experience. Key Responsibilities: Conduct thorough chart reviews to validate that assigned codes accurately reflect the patient's… more
- Tufts Medicine (Burlington, MA)
- **Professional Coding Auditor and Educator - Remote** **Job Profile** **Summary** This role focuses on activities related to revenue cycle operations such as ... of ICD-10-CM diagnosis codes. The coder will focus on chart reviews, the detailed physician chart abstraction,...focus on chart reviews, the detailed physician chart abstraction, related coding education, evaluation of denials, and… more
- Elevance Health (Seattle, WA)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Elevance Health (Grand Prairie, TX)
- …Make an Extraordinary Impact.** **Title** : Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG) **Virtual: ** _ _ This role ... reside within a commuting distance from an office.** The **DRG Coding Auditor ** is responsible for auditing inpatient medical records and generating high quality… more
- Elevance Health (Roanoke, VA)
- **DRG Coding Auditor Principal** **_Virtual: _** _ _ This role enables associates to work virtually full-time, with the exception of required in-person training ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG Coding Auditor Principal** is responsible for auditing inpatient medical records on… more
- Insight Global (South Jordan, UT)
- Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. The work authorization is not specified and the salary ... Below are the key responsibilities for this role: * Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical… more
- Cognizant (Topeka, KS)
- **About the role** As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... Federal, state and payer regulations + Capable of interpreting medical records reports and chart entries + Able to work independently and as a team member + Capable… more
- Williams Adley (Washington, DC)
- …Information Systems, Cybersecurity, Accounting, or equivalent experience working as an IT Auditor or Consultant for a public accounting firm or a professional ... mentoring, professional membership/subscription dues, and professional development opportunities, you can chart a unique and fulfilling career path on your own… more
- Providence (WA)
- **Description** The Revenue Cycle Auditor is responsible for providing patient focused, standardized, compliant revenue cycle support that will assist Providence St ... Joseph Health in meeting financial objectives. - Conduct audits (individual chart /bill audits, focus audits, compliance audits, payer defense audits, patient… more
- Albany Medical Center (Albany, NY)
- …Salary Range: $60,367.47 - $90,551.20 This position has remote opportunity Professional Coding Auditor will apply an advanced professional coding skill set to act as ... development and maintenance documentation. + Perform timely medical record chart reviews (which could include prospective, concurrent & retrospective auditing)… more
- Dartmouth Health (Lebanon, NH)
- …competency in working with regulatory/clinical issues and/or professional or facility chart abstraction, CPT and ICD-9 coding and clinical documentation education ... and reimbursement guidelines required. * Knowledge of professional or facility chart abstraction, CPT and ICD-9 coding and clinical documentation highly desired.… more
- BlueCross BlueShield of North Carolina (NC)
- …prior healthcare payer experience strongly preferred + Experience in conducting patient chart reviews to obtain clinical measures is preferred **What You'll Get** + ... The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community + Work-life balance, flexibility, and the autonomy to do great work + Medical, dental, and vision coverage along with numerous health and… more
- Banner Health (AZ)
- …Medical Management Team** . This assignment-based role focuses on independent chart review and clinical assessment. **Key Responsibilities** : + Independently review ... patient medical charts to assess whether the care provided may have contributed to the cause of death. + Make initial determinations based on clinical findings and documentation. + Forward reviewed charts to the broader Medical Management Team for further… more
