- R1 RCM (Salt Lake City, UT)
- …operating costs and enhancing the patient experience. As our Inpatient Production Auditor , you will be responsible for auditing inpatient cases and reviewing ... part in providing analytical expertise for the validation process while evaluating claim reimbursement potential based on coding assignment. To thrive you must be… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …20 years of experience as an intensive care unit, emergency department or documentation specialist nurse auditor or an LPN with a combined coding and auditing ... Summary With direction from the Patient Financial Services Director, the Nurse Auditor / Revenue Integrity/ CDM Analyst is responsible for performing audits of… more
- St. Luke's University Health Network (Allentown, PA)
- …collaboration with the Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor /Educator. Demonstrate the ability to formulate an appeal ... a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified...role is a Certified Medical Coder who ensures clean claim submission and timely review and resolution of coding… more
- Catholic Health Initiatives (Chattanooga, TN)
- …with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an ... met at the highest level. The Sr Coding Compliance Auditor 's primary focus will be to facilitate and ensure...other portion of time focused on provider communication, and claims denial resolutions. Communicates denial trends to leadership and… more
- TEKsystems (Jacksonville, FL)
- The Outpatient Medical Coding Auditor - is responsible for ensuring the accuracy, integrity, and compliance of medical coding practices within the organization. This ... to verify adherence to coding guidelines and regulations. The Medical Coding Auditor plays a crucial role in minimizing coding errors, preventing fraudulent… more
- Hackensack Meridian Health (Hackensack, NJ)
- …as a leader of positive change. The **Diagnosis Related Group (DRG) Auditor ** is responsible for auditing clinical documentation that supports code assignment for ... includes compliance with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency and efficiency in… more
- Elevance Health (Morristown, NJ)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Government Publishing Office (Washington, DC)
- …and within the prescribed timeframes. Advise and assist the Supervisory Auditor in developing and recommending audit and other oversight policies, procedures ... procedure steps. Requirements Conditions of Employment Qualifications To qualify for the Auditor , PG -0511-13/14, you must meet the following requirements: In order… 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 ... and DRG assignment appropriateness to ensure consistency and efficiency in claims processing, data collection, and quality reporting. + Conduct audits on… more
- DoorDash (Tempe, AZ)
- …ambitious cross-functional partners at DoorDash. About the Role We are seeking an experienced claims specialist who will be a member of DoorDash's Corporate Risk ... The team is divided into three separate subgroups: Actuarial, Claims Operations, and Risk Management & Mitigation. We are...The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here:… more
- Ascension Health (Halethorpe, MD)
- …Advisor for additional specifics._ **Responsibilities** Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of ... **Requirements** Licensure / Certification / Registration: + Certified Coding Specialist (CCS) credentialed from the American Health Information Management… more
- Commonwealth of Pennsylvania (PA)
- Audit Specialist 3 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4723667) Apply Audit Specialist 3 Salary $66,250.00 - $100,636.00 ... Pennsylvania? Would you enjoy applying your skills as an auditor to help safeguard assets and provide oversight of...then we invite you to apply for this Audit Specialist 3 opportunity within the Bureau of Audits! DESCRIPTION… more
- Molina Healthcare (ID)
- …conducting various audits including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to ensure accuracy in ... auditing of critical information on claims ensuring adherence to business and system requirements of...authorizations, fee schedules, and other business requirements critical to claim accuracy. Maintain audit records, and provide counsel regarding… more
- Winterset Community School District (Winterset, IA)
- …all funds. Keep accurate accounting records for all funds. + Ensure that all claims are approved and merchandise received; create and prepare a list for board ... approval; pay and distribute all claims approved by the board. + Reconcile all bank...accounting procedures within the district to ensure compliance with auditor standards. + Maintain appropriate records for all school… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …and trainee status. Examples of Work Acting as a program quality control auditor , determines whether claims for Unemployment Insurance benefits were properly ... information about this posting, please contact: Erica R. Gay HR Specialist Division of Administration/Office of Human Resources email: ###@la.gov Minimum… more