- AdventHealth (Tampa, FL)
- …for the internal coding audit and clinical quality reviews. The Coding Quality Auditor will work in conjunction with the Outpatient Operations Manager to ... as a Primary Stroke Center. **The** **ro** **le** **you'll** **contribute:** The Coding Quality Auditor , under the general supervision of the Outpatient… more
- BayCare Health System (FL)
- …+ **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 currently ... reside in Florida, Georgia, or North Carolina. **Responsibilities** + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance… more
- Hackensack Meridian Health (Hackensack, NJ)
- … Quality Auditor ** is responsible for monitoring compliance with applicable clinical documentation to support coding and billing regulations to insure ... proficiency in computer skills. + Extensive knowledge in data collection and clinical coding reviews. + Excellent written, verbal, and interpersonal… 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 ... Risk Adjustment Coding team to ensure coding and clinical documentation accuracy and consistency....and delivery of relevant training. The Risk Adjustment Senior Coding Quality Auditor & Educator will utilize… more
- R1 RCM (Salt Lake City, UT)
- …AI, intelligent automation, and workflow orchestration. As our Revenue Integrity Facility Coding Auditor , you will review hospital charges against medical record ... you will experience working as a** **Revenue Integrity Facility Coding Auditor ** **:** + Review hospital charges...and neurology. + Must possess a demonstrated knowledge of clinical processes; clinical coding (CPT,… more
- Rush University Medical Center (Chicago, IL)
- …1** **Work Schedule:** 8 Hr (8:00:00 AM - 4:30:00 PM) **Summary:** The Billing Coding Auditor uses advanced knowledge of billing, coding , auditing, ... to ensure accurate and timely capture of all chargeable procedures. The Billing Coding Auditor also monitors interfaces and ancillary software related to… more
- AdventHealth (Tampa, FL)
- …as a Primary Stroke Center. **The role you'll contribute:** The Inpatient Coding Quality Auditor , under general supervision of the Inpatient Operations ... responsible for the daily auditing of records. The Inpatient Coding Quality Auditor works in collaboration with...are equally respectful to all. Works collaboratively with the Clinical Documentation Improvement team to ensure our charts have… more
- 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 ... This position performs data quality review to ensure data integrity, coding accuracy, and revenue preservation. Additional duties include participating in quality… more
- Sharp HealthCare (San Diego, CA)
- …as a certified coder. + 2 Years experience working as a HCC risk adjustment coding auditor . + Experience with medical billing and with medical terminology. + ... timely and accurate answers to inquiries presented by customers on clinical coding issues.Maintain a positive attitude and productive relationship… more
- UTMB Health (Galveston, TX)
- Auditor , Coding and QA - Revenue...the Physician Billing & Revenue Cycle Department and other clinical departments to research and resolve coding ... At least one-year analytical experience. CCA, CCS, or CCSP coding certification from AHIMA; or CPCA, CPC, CPCHA ...coding certification from AHIMA; or CPCA, CPC, CPCHA coding certification from AAPC. PB/HB, Revenue Cycle, Coding… more
- WelbeHealth (Los Angeles, CA)
- … Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the health ... **Essential Job Duties:** + Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual...programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work closely with Coding … more
- UNC Health Care (Chapel Hill, NC)
- …both inpatient and outpatient cases. Reviews coding insurance denials and refers clinical coding denials to the CDI Physician Advisors. 4. Resolves insurance ... shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position provides...Training. This position provides mentoring and training of new coding staff and ongoing training for existing staff. The… more
- Atlantic Health System (Morristown, NJ)
- Responsible for coding quality audits of all records (outpatient, inpatient, procedures, testing) to assure appropriateness and accurate code assignments in ... for the providers and staff; also responsible for assisting with coding inquiries from providers, charge posters, billing staff, etc. Principal Accountabilities:… more
- ProMedica Health System (Toledo, OH)
- …billing education services to providers. Ensures medical service documentation and coding conforms to guidelines and regulations. Responsible for handling high level ... assignments such as auditing of coding , compliance and provides education to physicians and other...and documentation trends and issues of both physicians and clinical staff and collaborates with the office manager/operations director,… 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 services to ... allied health professionals and billing staff to support patient care documentation, coding and billing practices according to federal, state and local regulatory… more
- Northwell Health (Garden City, NY)
- …RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical .** Validates Acute Inpatient ... by the documentation in the Medical Record. Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review… more
- Medical Mutual of Ohio (OH)
- …inpatient and professional claim irregularities, overpayments and provider appeals from a clinical coding perspective, applying coding guidelines. Analyzes ... RN experience, DRG,_** **_and/or_** **_hospital bill auditing experience._** **Responsibilities** ** Clinical Auditor ** + **Audits outpatient, inpatient and… more
- Northwell Health (Garden City, NY)
- …RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Conducts Home Health Resource ... standards are maintained in compliance with Federal and State regulations. + Applies coding rules and regulations to the validation review process. + Reviews codes… more
- Elevance Health (Denver, CO)
- **Diagnosis Related Group Clinical Validation Auditor ** **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...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
- Sevita (Baltimore, MD)
- …opportunities for the people we serve and for our employees. **Summary** The Clinical Compliance Auditor is responsible for collaborating with Operations and ... across all Company business units and service lines. Ensures that existing clinical audit standards and procedures are best practice according to legal and… more