- UNC Health Care (Chapel Hill, NC)
- …or GED * Successful completion of the UNC HCS SS Rev Cycle Physician Coder Auditor Proficiency Test. **Licensure/Certification Requirements:** * Must have one of ... other applicable codes. Analyzes information for optimal and proper reimbursement, including coding denial resolution. Ensures compliance with all appropriate … more
- 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
- Veterans Affairs, Veterans Health Administration (IN)
- …(HAS) at the Marion, IL VA Health Care System. The Medical Records Technician ( Coder ) Auditor is responsible for abstracting medical record data and assigning ... but are not limited to: Performing audits of encounters to identify areas of non- compliance in coding . Providing recommendations on appropriate coding and… more
- Veterans Affairs, Veterans Health Administration (IN)
- Summary The VISN Consolidated Coding Unit Auditor is a position located within the Business Office Support Services (BOSS), Health Information Management (HIM) ... levels of staff to promote consistency in practice and compliance with coding rules and regulations; initiates...in accordance with VA Policy. English Language Proficiency. MRTs ( Coder ) must be proficient in spoken and written English… more
- The Arora Group (Bellevue, NE)
- …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. + ... potential compliance risk and notify management immediately.Identifies anomalies in coding .Identifies ways to avoid errors and issues and creates safeguards to… more
- The Arora Group (Montgomery, AL)
- …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
- Houston Methodist (Austin, 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
- UTMB Health (Galveston, TX)
- Auditor , Coding and QA - Revenue Cycle Coding **Galveston, Texas, United States** **Hot** Business, Managerial & Finance UTMB Health Requisition # 2403671 ... accredited agency. Must meet minimum qualifications of a Sr. Coder and be proficient in auditing and reporting. At...Capture, Medicare, CMS Preferred **JOB SUMMARY:** To provide internal coding quality reviews to ensure compliance with… more
- Geisinger (Danville, PA)
- … committees. Job Duties + Responsible for reviewing the reliability and integrity compliance and coding information and the means used to identify, measure, ... and evaluations of the adequacy and effectiveness of the organization's compliance initiatives. Participates in reviews related to performance quality of assigned… 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 . 1. High school diploma or equivalent is… more
- Queen's Health System (Honolulu, HI)
- RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: * Responsible for conducting internal audits of coding and documentation to ensure compliance with coding ... A. EDUCATION/CERTIFICATION AND LICENSURE: * Certification as an Outpatient Physician Coder (CPC) or Certified Coding Specialist -Physician based (CCS-P)… more
- Northwell Health (Lake Success, NY)
- … compliance risk. Job Responsibility + Reviews data, such as claims detail, coding and medical record documentation to determine compliance with appropriate ... risk assessments. + Acts as the internal expert on coding issues to ensure compliance with state...combination of education and related experience. + Current Professional Coder Certification, or Current Coding Professional Certification… more
- LifePoint Health (Marquette, MI)
- …**UP Health System - Marquette Physician Practices* **Title:** *Physician Compliance Auditor PRN* **Location:** *Michigan-Marquette* **Requisition ID:** ... other revenue producing areas or departments to assure accuracy and compliance to acceptable billing/ coding guidelines and regulations Minimum Qualifications:… more
- Baylor Scott & White Health (Columbus, OH)
- …for follow-up + Researches complex coding HCC issues and keeps abreast of coding and compliance changes as communicated by CMS, HHS, AHA, AMA and the ... conventions, and clinical documentation + Knowledge of and compliance with standards of ethical coding as...Coding Specialist-Physician Based + CPC - Certified Professional Coder + RHIA - Reg Health Info Administrator +… more
- St. Bernard's Medical Center (Jonesboro, AR)
- …Arranges education for coders and physician/leadership on audit results. Works with Coding Manager to improve outcomes and ensure coding compliance . ... credentials (RHIA, RHIT, CCS-P, CPC) + Experience + Credentialed coder with at least ten years coding ...Credentialed coder with at least ten years coding experience. Must have professional claim coding … 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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