- Premera Blue Cross (Mountlake Terrace, WA)
- …serve through our Healthsource blog: https://healthsource.premera.com/ . The **Medical Coding Auditor ** plays a crucial role in ensuring the accuracy and compliance ... leveraging a deep understanding of ICD-10 and other coding standards, the auditor reviews and researches provider diagnostic coding issues, performs detailed medical… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …Kettering Institute, scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our understanding of ... Opportunity at MSK: **Senior Healthcare Coding & Billing Compliance Specialist ( Auditor )** At Memorial Sloan Kettering (MSK), our Compliance team ensures the… more
- GRAIL (Durham, NC)
- …and we are using the power of next-generation sequencing (NGS), population-scale clinical studies, and state-of-the-art computer science and data science to overcome ... (CAPA) investigations, Nonconformance (NCR) reporting, Quality Management Review (QMR), clinical laboratory Quality Monitoring and Improvement (QMI), and Quality… more
- 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
- 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
- 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
- Astrix Technology (Los Angeles, CA)
- ** Clinical Compliance Auditor ** Clinical Los Angeles, CA, US + Added - 04/04/2025 Apply for Job We're partnering with an innovative client in the ... biotechnology industry, and they're on the lookout for a talented ** Clinical Compliance Auditor ** to join their dynamic team! If you're passionate about ensuring… more
- Elevance Health (Nashville, TN)
- … Auditor II** - all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. + **Claims Auditor Senior** - all the above, plus : ... **Claims Auditor I, II and Senior** **Location :** This...obtain any necessary information. + Completes and maintains detailed documentation of audit which includes decision methodology, system or… more
- Catholic Health (Buffalo, NY)
- …Teams. Demonstrated ability to work closely with CH associates, medical staff, Clinical Documentation Improvement (CDI) leadership and staff, department managers ... consistent, accurate, and meets data integrity for use in billing, reimbursement, clinical outcomes, and for reporting. The Auditor /Educator will monitor… 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
- Baylor Scott & White Health (Dallas, TX)
- …elements into the coding and abstracting system. Works collaboratively with the Clinical Documentation Specialists and Coaches to communicate opportunities for ... **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of...accurate, complete, and compliant documentation . Completes production coding when needed and assigned by… 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
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …also will help ensure the accuracy, completeness and compliance of coding and documentation throughout the organization. The Coding Auditor will perform audits ... country, our 220-acre main campus, and our network of clinical sites across Michigan. We are a tight-knit community...incredible work. What Will you Do? As a Coding Auditor at Pine Rest, you'll be part of tight-knit… more
- Kelly Services (Lancaster, SC)
- **Quality Assurance Auditor ** **Location: Lancaster, South Carolina** **Schedule: Monday-Friday 8:30am-5pm** **Salary: $70,000-$95,000/year with a discretionary ... work up to 12% of YTD earnings** **Position Summary** The Quality Assurance Auditor plays a key role in supporting and maintaining internal compliance programs to… more
- Rush University Medical Center (Chicago, IL)
- …and pricing for applicable accounts being reviewed * Reconcile charges against clinical documentation , code rules and charging methodologies for internal ... Coding Auditor uses advanced knowledge of billing, coding, auditing, documentation requirements, and charge capture to solve complex charging scenarios, provide… more
- FlexStaff (Chappaqua, 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
- 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
