- R1 RCM (Salt Lake City, UT)
- …operating costs and enhancing the patient experience. As our Inpatient Production Auditor , you will be responsible for auditing inpatient cases and reviewing ... inpatient medical records for validation while maintaining excellent organizational skills...validation process while evaluating claim reimbursement potential based on coding assignment. To thrive you must be detail-oriented and… more
- Trinity Health (Des Moines, IA)
- … and abstracting patients' records for professional billing. . Reviews patient medical records retrospectively and concurrently for the coding and sequencing ... of diagnoses and procedures for reimbursement purposes. . Interacts and assists with coding requests and questions from billers. . Serves as a resource for difficult… more
- TEKsystems (Jacksonville, FL)
- The Outpatient Medical Coding Auditor - is responsible for ensuring the accuracy, integrity, and compliance of medical coding practices within the ... adherence to coding guidelines and regulations. The Medical Coding Auditor plays a...certification is required. Certified Professional Coder (CPC) and/or Certified Coding Specialist (CCS) are preferred, while CPC-H,… more
- Catholic Health Initiatives (Chattanooga, TN)
- … Certification through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS) or Certified Coding Specialist ... Coders (AAPC) as a Certified Professional Coder (CPC) required. Professional Medical Auditor Certification (CPMA) (CMAS)-preferred but not required. CRC… more
- AdventHealth (Altamonte Springs, FL)
- …degree in HIM field **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** + Certified Coding Specialist + Certified Professional Coder + Certified Professional ... **Remote** **The role you'll contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports...may still be eligible for this position. * Certified Coding Specialist * Certified Professional Coder *… more
- HCA Healthcare (Nashville, TN)
- …coding guidelines and policy + Demonstrates and applies expert level knowledge of medical coding practices and concepts + Participates on special reviews or ... We care like family! Jump-start your career as a Coding Quality Review Auditor today with Work...Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical… more
- Houston Methodist (Houston, TX)
- ** Coding Quality Auditor - 100% Remote...inpatient/outpatient coding **OR** + CCS - Certified Coding Specialist (AHIMA) -- For inpatient/outpatient ... LA, WA State, or TX)** At Houston Methodist, the Coding Quality Auditor position is responsible for...coding **OR** + CCS-P - Certified Coding Specialist Physician-based (AHIMA) -- For professional… more
- Columbus Regional Hospital (Columbus, IN)
- …required. Certifications, Licenses, Registrations + One of the following is required: + Certified Coding Specialist (CCS) + Certified Coding Specialist - ... (RHIA) + Registered Health Information Technician (RHIT) + Certified Professional Medical Auditor (CPMA) or Certified Documentation Improvement Practitioner… more
- Sharp HealthCare (San Diego, CA)
- …working as a certified coder. + 2 Years experience working as a HCC risk adjustment coding auditor . + Experience with medical billing and with medical ... + Certified Professional Coder (CPC) - AAPC **OR** Certified Coding Specialist (CCS) - The American Health...and maintains confidentiality in all activities.Educates clinicians on specific coding issues based on medical records review… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Clinical background preferred (ie, LPN, RN, etc.). + Current Certified Coding Specialist (CCS) certification required. Certification in Healthcare Compliance ... coding , and documentation requirements, Federal and State regulations, medical necessity, clinical best practices, and hospital/clinical billing issues. +… more
- Northwell Health (Garden City, NY)
- …Seeking RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist -Diagnosis, COS-C Certificate for OASIS Specialist -Clinical. Conducts Home ... clinical staff and nursing supervisors in providing appropriate documentation in the Medical Record. + Identifies appropriate coding changes necessary to provide… more
- Ascension Health (Halethorpe, MD)
- …compliance areas. **Requirements** Licensure / Certification / Registration: + Certified Coding Specialist (CCS) credentialed from the American Health ... Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation. + Audit specified number… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …as an intensive care unit, emergency department or documentation specialist nurse auditor or an LPN with a combined coding and auditing background. ... attention to detail and accuracy Certificates, Licenses, Registrations Current Virginia Nursing License and or RHIA with CCS Certified Coding Specialist and CRIP more
- Hackensack Meridian Health (Hackensack, NJ)
- …+ Auditing experience. **Licenses and Certifications Required:** + Certified Coding Specialist . **Licenses and Certifications Preferred:** + Registered ... this includes compliance with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency… more
- Intermountain Health (Murray, UT)
- …includes case file documentation, recorded phone conversations, application of medical criteria, adherence to policies, procedures, approved work processes, ... guidelines and expectations, and other aspects of other aspects of medical management. + Provides reports via professionally written deliverables to Health… more
- Elevance Health (Morristown, NJ)
- …of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
- UPMC (Pittsburgh, PA)
- …technical school diploma is preferred. + 3 or more years of experience in medical coding , billing, auditing and compliance. + Extensive knowledge of CMS, and ... internal investigations is essential. **Licensure, Certifications, and Clearances:** + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC) +… more
- Columbus Regional Hospital (Columbus, IN)
- …Certifications, Licenses, Registrations + One of the following is required: + Certified Coding Specialist (CCS) + Certified Professional Coder (CPC) + Registered ... + Registered Health Information Technician (RHIT) + Certified Professional Medical Auditor (CPMA), Certified Documentation Improvement Practitioner (CDIP),… more
- MD Anderson Cancer Center (Houston, TX)
- …Coders (AAPC). Certified Outpatient Coder (COC) certification from (AAPC). Certified Coding Specialist - Physician-based (CCS-P) from the American Health ... 7. Demonstrate ability to work independently, reviews and interpret medical records and applies in-depth knowledge of coding...Information Management Association (AHIMA). Certified Coding Specialist (CCS) from the American Health… 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 ... MSO, and ASCs across the network. Utilizes provider documentation and queries, coding software tools and Insurance carrier medical and reimbursement policies… more
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