- UNC Health Care (Chapel Hill, NC)
- …travel from entity to entity across the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow ... we serve. Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities that are owned or… more
- Insight Global (Plano, TX)
- …more years working in an acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). -CCS Certification RN or BSN ... policy bulletins, CMS guidelines, NCDs, and LCDs. Adhere to coding guidelines and Clinical Documentation Improvement (CDI) best practices as endorsed by ACDIS… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Clinical Auditor /Analyst Intermediate! The Clinical Auditor /Analyst Intermediate is an integral part ... establishes and revises better best practice within the department. The Clinical Auditor /Analyst Intermediate creates, maintains and analyzes auditing reports… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue Auditor for the ... with clinical , billing, coding, and IT departments to address documentation issues and optimize workflows. + Leverage charge capture software and analytics… more
- Bloom Healthcare (Lakewood, CO)
- …The RN Clinical Auditor conducts comprehensive reviews of clinical documentation across the continuum of hospice care-including intake, admissions, ... RN Clinical Auditor - Location: Mostly Remote...trends, providing feedback, and supporting education initiatives that strengthen clinical documentation and reduce organizational risk. While… more
- Elevance Health (Chicago, IL)
- … Auditor -RN** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG...years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of… more
- Cleveland Clinic (Cleveland, OH)
- …leverages both clinical expertise and auditing skills to ensure that clinical documentation , care processes, and regulatory practices consistently meet the ... healthcare organizations in the world. As a Senior Internal Auditor , you will conduct audit procedures for assigned audits,...to a Cleveland Clinic facility to conduct an onsite clinical audit._** A caregiver who excels in this role… more
- Baylor Scott & White Health (Dallas, TX)
- …vary based on position type and/or level **Job Summary** In this job, as a Clinical Auditor RN, you'll perform charge capture accuracy audits by reviewing and ... analyzing clinical documentation from the Electronic Health Record (EHR) compared to patient charges and bills. These audits are intended to review for… more
- Adecco US, Inc. (Bradenton, FL)
- …of the Coding Auditor and Educator:** . Facilitates optimal clinical documentation performance by performing ongoing outreach education for new ... Healthcare & Life Sciences is looking for a **Coding Auditor and Educator** for our client in **Bradenton, FL!**...dual role in promoting the quality and accuracy of clinical documentation by providing education and training… more
- Humana (Columbus, OH)
- …and appropriateness of procedure codes based on services rendered + Review medical documentation for clinical indicators to ensure specific procedures meet ... our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct… more
- Centene Corporation (Atlanta, GA)
- …strongly preferred. **Position Purpose:** Lead medical record audits, monitor and analyze clinical documentation , and modify business processes to measure member ... outcomes. Assess provider performance and quality of care through clinical case reviews. + Lead clinical audits...care through clinical case reviews. + Lead clinical audits for provider medical records both remotely via… more
- Rush University Medical Center (Chicago, IL)
- …and documentation performed by RUMG & ROPPG providers. 2. Evaluates clinical documentation to identify inconsistency or improvement opportunities that could ... and documentation adequacy. The professional will work collaboratively with clinical providers to improve revenue cycle integrity while seeking and identifying… more
- Sharp HealthCare (San Diego, CA)
- …Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate; Other; ... ICD-10-CM/PCS coding, DRG coding and CPT coding classification. + Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate… more
- Community Health Systems (Franklin, TN)
- …patient records for accuracy in ICD-10-CM/PCS coding, DRG assignments, and supporting clinical documentation . This includes evaluating present on admission (POA) ... **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for...care hospital coding audit experience preferred + 1-2 years Clinical Documentation Improvement or other clinical… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42910BR** **Extended Job Title:** Medical Coding Auditor **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for auditing ... compliance with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers, and other departmental leaders to… more
- Hartford HealthCare (Hartford, CT)
- …to the success of the Office of Compliance and Integrity (OCI) by executing clinical documentation , coding and billing audits as assigned or scheduled. The ... Revenue Compliance Auditor performs independent reviews to assess compliance with federal,...federal, state and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional, facility (inpatient… more
- TEKsystems (Annapolis, MD)
- …into the coding and abstracting system. * Works collaboratively with the Clinical Documentation Specialists and Coaches to communicate opportunities for ... Description JOB SUMMARY The Coding Auditor 1 is proficient in various types of...accurate, complete, and compliant documentation . * Completes production coding when needed and assigned… more
- Northwell Health (Lake Success, NY)
- …modifiers, and billing practices. + Develop and deliver targeted training for clinical staff on anesthesia coding, documentation , and regulatory requirements. + ... **Req Number** 174853 Lead Compliance Auditor - Heavy Anesthesia & Healthcare Expertise Needed....anesthesia. + Deep knowledge of anesthesia coding, billing, and documentation standards, including CPT, ICD-10, HCPCS, and modifier usage.… more
- Cedars-Sinai (Los Angeles, CA)
- …the general direction of the Manger or Associate Director, the Revenue Auditor Service Line performs audits of medical records against submitted professional ... bill and performs special audit requests for the department. The Revenue Auditor Service Line performs daily reconciliation of the submitted professional charges by… more
- Northwell Health (Lake Success, 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