- Nuvance Health (Danbury, CT)
- …closely with all business units and provides recommendations toward continuing improvement of coding compliance and coding denial management, while ensuring ... *Responsibilities:* 1. Under the leadership of the SACO, conducts high volume of coding compliance audits across all Nuvance Hospitals in accordance with the… more
- BayCare Health System (NC)
- …+ **Shift:** 7:00 AM to 3:30 PM + **Days:** Monday - Friday The **Inpatient** ** Coding Auditor ** is a full-time remote position. This team member must ... _Sign on bonuses available!_ **Responsibilities** + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related… more
- AdventHealth (Altamonte Springs, FL)
- …** Remote ** **The role you'll contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of ... industry best practice levels of performance. The Corporate Quality Auditor will adhere to AdventHealth Corporate Compliance ...findings and trends from the quality audits to the HIM/ Coding leadership . Reports any compliance and/or… more
- R1 RCM (Boise, ID)
- …initiatives + Contributes to the reduction of the hospital's and Company's coding compliance risks and contributes to the Company's revenue enhancement ... reducing operating costs and enhancing the patient experience. The Coding Denial Auditor will be responsible for...procedures, and AHIMA/ACDIS Query Guidelines) so as tomaintain system-wide coding consistency and remain in compliance with… 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 ... and in a group setting, on all aspects of coding and documentation utilizing both oral and written direction....8:00AM-5:00PM, Monday through Friday. + This position is partial remote eligible. What is required for this position: Education… 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
- Insight Global (Charlottesville, VA)
- Job Description Insight global is seeking a remote Professional Coding Educator for a healthcare system in Virginia. The educator will provide consulting ... training and education sessions for physicians, allied health professionals, residents, and coding and billing staff to support compliance with third party… 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 ... will have the possibility of working remote 1-2 days per week.** **Responsibilities:** + Conduct UPMC...+ 3 or more years of experience in medical coding , billing, auditing and compliance . + Extensive… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team! This role will work standard daylight hours, Monday - ... Steel Tower, however, this role may work remotely. The Intermediate Clinical Auditor /Analyst is an integral part of the Quality Assurance and Operational Integrity… 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
- Trinity Health (Boise, ID)
- …the highest quality of care. We are looking for a new **Revenue Integrity Auditor ** to join our team, working in coordination with Revenue Liaison and Revenue ... charges to ensure that documentation supports billing and is in compliance with documentation, and applicable policies, procedures and regulations. Directly… more
- Children's Hospital Boston (Boston, MA)
- 77470BRJob Posting Title:Billing Compliance Auditor IDepartment:NeurologyAutoReqId:77470BRStatus:Full-TimeStandard Hours per Week:40 Job Posting Category:Legal ... ServicesJob Posting Description:The Billing Compliance Auditor I is responsible for: +...selecting and reviewing a percentage of records to assess coding documentation, billing, and/or reimbursement practices for compliance… more
- Rising Medical Solutions (Chicago, IL)
- …reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance , over-utilization, and erroneous ... thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the...CPC-H certification(s) strongly desired + Specialized training in hospital coding , ortho, neuro, rehab, or ER procedures + 3-5… more
- Hackensack Meridian Health (Hackensack, NJ)
- …includes compliance with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency and ... mortality, PSI/HAC, POA and risk adjustment codes and makes changes as needed in compliance with coding guidelines. + Provides continuous support for HMH network… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Identifies areas for improvement for clinical documentation workflow, clinical query compliance , data integrity and training. * Reviews medical records to determine ... data, to identify trends and patterns. Identifies areas for strategic audits, coding education and improvement. * Creates detailed reports based on audit findings… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …Capture Auditor works closely with clinical departments to ensure compliance with government, payer, and internal charge capture policies; provides education to ... Revenue Cycle 1.0 FTE, 8 Hour Day Shift, Onsite-Not Remote At Stanford Children's Health, we know world-renowned care...as required to keep current with Medicare and Medi-Cal coding and compliance guidelines as they pertain… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …continuing education and peer-to-peer networking. + Ensures that the System Director, Compliance is apprised of local, remote and client-network emerging issues, ... coding , and trending of non-compliant activities to enhance compliance proficiency and competency, understanding of standards and the consequences of… more
- Elevance Health (Columbus, OH)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model ( remote and office). The ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- UNC Health Care (Chapel Hill, NC)
- …**Our department of HIM-Revenue Integrity is seeking a Revenue Integrity Nurse Auditor to facilitate charge code auditing system-wide. This role works with a ... RN charge code auditors to provide coverage 6a-6p 5 days per week; fully remote .** Become part of an inclusive organization with over 40,000 teammates, whose mission… more
- Ascension Health (Indianapolis, IN)
- …Full Time Days, Monday - Friday, 8:00am - 4:30pm + **Hospital:** Remote + **Location:** Indianapolis, IN **Benefits** Paid time off (PTO) Various health ... development and improvement activities, value-based purchasing reimbursements, quality/outcomes and compliance requirements. + Oversee the review of physician documentation… more
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