- UNC Health Care (Chapel Hill, NC)
- …appeals insurance coding denials. This position analyzes coded records for compliance with federal, state and third party insurer rules and regulations and note ... . **Knowledge/Skills/and Abilities Requirements:** * Strong knowledge of ICD-10/PCS/CPT/HCPCS coding and billing compliance (MS-DRGs/IPPS, APC/OPPS) with… more
- AdventHealth (Altamonte Springs, FL)
- …**Monday-Friday** **Remote** **The role you'll contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the ... to achieve industry best practice levels of performance. The Corporate Quality Auditor will adhere to AdventHealth Corporate Compliance standards, as well… more
- Catholic Health Initiatives (Chattanooga, TN)
- …hospital, connect with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes ... needs are met at the highest level. The Sr Coding Compliance Auditor 's primary focus...Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) required. Professional Medical Auditor Certification… more
- The Arora Group (Bellevue, NE)
- …and Management (E&M) Auditor Certification. + Possess either the Certified Outpatient Coder (COC) or the Certified Coding Specialist (CCS). This will satisfy ... to providers and other clinical staff to resolve documentation issues to support coding compliance . Assigns accurate codes to encounters based upon provider… more
- The Arora Group (Enid, OK)
- …to providers and other clinical staff to resolve documentation issues to support coding compliance . Assigns accurate codes to encounters based upon provider ... certification, but not both. + Possess either the Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CSS-P), this will satisfy… more
- Sharp HealthCare (San Diego, CA)
- …certified coder . + 2 Years experience working as a HCC risk adjustment coding auditor . + Experience with medical billing and with medical terminology. + ... Certified Professional Coder (CPC) - AAPC **OR** Certified Coding ...compliance risk and notify management immediately.Identifies anomalies in coding .Identifies ways to avoid errors and issues and creates… more
- Columbus Regional Hospital (Columbus, IN)
- …to know about this position: + Responsible for evaluating and auditing provider coding and documentation compliance to determine appropriate code assignments for ... coding initiatives. + Proactively identifies areas of opportunity to improve coding quality based on audit feedback, coder questions, physician escalations,… more
- Houston Methodist (Houston, 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 ... + Participates and provides good feedback during coding section meetings, coding education in-services, and coder /CDMP meetings. Takes initiative to assist… more
- TEKsystems (Jacksonville, FL)
- The Outpatient Medical Coding Auditor - is responsible for ensuring the accuracy, integrity, and compliance of medical coding practices within the ... to coding guidelines and regulations. The Medical Coding Auditor plays a crucial role in...and services using ICD-10, CPT, and HCPCS codes. + Compliance Monitoring: Ensure that coding practices comply… more
- HonorHealth (Phoenix, AZ)
- …Licenses and Certifications Certified Professional Coder (CPC) Professional coding certification Required Professional coding Auditor certification ... Job Summary Under the direction of senior leadership, the Audit and Coding Consultant audits, develops educational materials, educates providers and coders regarding… more
- Trinity Health (Fresno, CA)
- …Centers for Medicare and Medicaid Services (CMS). Monitor's accuracy of centralized coder 's charge capture and coding with proper International Classification of ... by each practitioner. Responsible for practitioner education in areas related to coding , documentation and compliance . Pay Range $31.36 - $42.34 **1. Certified… more
- TEKsystems (Baltimore, MD)
- …+ Assigns the appropriate APR/DRG. + Is familiar with and follows the Coding Compliance plan. + Abstracts predetermined information from inpatient, day surg, ... REMOTE MEDICAL CODER REMOTE | $25-30/hr Highlight: * Industry: Hospital...Sick Leave) Requirements: + 2-4 years experience in Medical Coding (either in-patient or facility) + Diploma or GED… more
- Ascension Health (Halethorpe, MD)
- …billing, and sufficiency of supporting documentation. + Audit specified number of records per coder as defined in the system coding audit plan. + Prepare audit ... appropriate. + Develop corrective action plans to address opportunities for coding , billing and documentation improvement. + Identify trends and educational… 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 ... + 3 or more years of experience in medical coding , billing, auditing and compliance . + Extensive... Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor … more
- UPMC (Pittsburgh, PA)
- …help defend external coding audits when requested.** As the Senior Medical Auditor , you will provides technical expertise to review staff to ensure that all ... coding staff are adhering to all guidelines for compliance as set forth by governmental, regulatory agencies and...unique audit findings and recommendations as requested by the Compliance Manager. It is the Auditor 's responsibility… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete reimbursement to the health ... timely manner. + Prepares trend and other reports for compliance audits and charge processes. + Serves as a...reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. +… more
- MD Anderson Cancer Center (Houston, TX)
- …educational needs 5. Evaluate correct code assignments to verify accuracy consistent with coding rules and regulations 6. Identify compliance risks and financial ... other official sources; keeps staff up to date with coding regulations to ensure compliance 11. Create...the American Academy of Professional Coders (AAPC). Certified Outpatient Coder (COC) certification from (AAPC). Certified Coding … more
- LifePoint Health (Marquette, MI)
- …Certified Hematology & Oncology Coder (CHONC) Certified Professional Medical Auditor (CPMA) Certified Coding Associate (CCA) Registered Health Information ... and abides by HIM.COD policies. Certifications (one of the following): Certified Coding Specialist (CCS) Certified Professional Coder (CPC) Certified Evaluation… more
- Commonwealth Care Alliance (Boston, MA)
- …Working under the direction of the Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for ... employment -- + Certified Professional Coder (CPC) + Certified Inpatient Coder (CIC) + Certified Professional Medical Auditor (CPMA) **Desired Education… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... review process. JOB DUTIES AND RESPONSIBILITIES: + Maintain current knowledge of coding , compliance , and documentation guidelines + Resolve Charge Review and… more
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