- 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 (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
- Houston Methodist (Miami, FL)
- ** Coding Quality Auditor - 100% Remote (Must Live in FL, TN, GA, LA, WA State, or TX)** At Houston Methodist, the Coding Quality Auditor position is ... + Participates and provides good feedback during coding section meetings, coding education in-services, and coder /CDMP meetings. Takes initiative to assist… more
- MedKoder (Mandeville, LA)
- …is a full-time, remote position that offers a flexible schedule. Description: Physician Coding Auditor is responsible for reviewing and accurately coding ... Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder's internal … more
- Houston Methodist (Houston, TX)
- ** Coding Quality Auditor - 100% Remote...coding classification systems, DRG and APC systems, official coding guidelines and coding compliance ... Coding Specialist Physician-based (AHIMA) **OR** + CPC - Certified Professional Coder (AAPC) **OR** + Other coding credential by the American Academy… more
- Ascension Health (Indianapolis, IN)
- …billing, and sufficiency of supporting documentation. + Audit specified number of records per coder as defined in the system coding audit plan. + Prepare audit ... with office and hospital based audits 3-5 years preferred Previous experience with surgical case coding would be a plus Experience with HCC/RAF coding would be a… more
- Ascension Health (Kalamazoo, MI)
- …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
- CVS Health (Columbus, OH)
- …fraud. Proficient in researching information and identifying information resources AAPC Coding certification - Certified Professional Coder (CPC) Strong ... Certification - Certified Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment… 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
- TEKsystems (Baltimore, MD)
- …* Assigns the appropriate APR/DRG. * Is familiar with and follows the Coding Compliance plan. ABSTRACTS - Abstracts predetermined information from outpatient ... Outpatient Medical Coder 100% On-Site - Baltimore, MD Pay: $24-30/hr...and assigns ICD-10CM/PCS codes to those diagnoses/procedures for outpatient coding . Tasks: * Reviews the entire medical record for… more
- TEKsystems (Baltimore, MD)
- …* Assigns the appropriate APR/DRG. * Is familiar with and follows the Coding Compliance plan. ABSTRACTS - Abstracts predetermined information from outpatient ... TekSystems is currently hiring for a Medical Coder in the Baltimore area! + MUST HAVE:...MUST HAVE: 1-2+ years related experience in a Medical Coding role + Must have outpatient coding … 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
- The Cigna Group (Bloomfield, CT)
- …**Ability to demonstrate knowledge of and utilize auditing skills related to coding quality and compliance .** **Maintains and continuously improves knowledge ... **The DRG Auditor performs an in-depth review of the medical...and procedural information in the record and validates accurate coding classification for the DRG assignment for reimbursement of… more
- TEKsystems (Baltimore, MD)
- …+ Assign the appropriate APR/DRG. + Is familiar with and follows the Coding Compliance plan. ABSTRACTS - Abstracts predetermined information from outpatient ... the patient and assigns ICD-10CM/PCS codes to those diagnoses/procedures for outpatient coding . Tasks: + Review the entire medical record for codable information. +… 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
- Sanford Health (SD)
- …Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC) or an equivalent. Certified Healthcare Auditor (CHA) ... to ensure that the organization's processes and operations are in compliance with laws, corporate guidelines, best practices, and contractual agreements.… 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
Related Job Searches:
Auditor,
Coder,
Coder Compliance,
Coding,
Coding Auditor,
Coding Compliance Auditor,
Compliance,
Compliance Auditor