- CVS Health (Columbia, SC)
- …regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient ... providers in the office and/or facility setting. + Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical… more
- Houston Methodist (Katy, TX)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient ... data quality review to ensure data integrity, coding accuracy, and revenue preservation....relative to job function. Contributes ideas to help improve quality of coding data and… more
- Providence (CA)
- …retain the best people, we must empower them._** **Providence Health Plan is calling a Coding Quality Auditor , HEDIS who will:** + Be responsible for ... quality improvement within the HEDIS project + Collect data by way of chart extraction, using objective specifications...+ **This posting is for multiple openings of a Coding Quality Auditor , HEDIS** +… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex...to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42910BR** **Extended Job Title:** Medical Coding Auditor **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for ... maintaining compliance with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers, and other departmental… more
- Sharp HealthCare (San Diego, CA)
- …practices. *This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's ... program. The position provides oversight and maintenance of a high- quality , effective, best practices coding , billing, and... ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of… more
- Hackensack Meridian Health (Hasbrouck Heights, NJ)
- …and serve as a leader of positive change. The **Physician Billing (PB) Coding Auditor and Educator** is responsible for auditing and educating healthcare ... large multi-specialty group. + Experience and thorough knowledge of ICD-10 and CPT coding . + Knowledge of data reporting requirements and proficiency in computer… more
- University of Southern California (Los Angeles, CA)
- …Coding Compliance Auditor will also, provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding ... accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded… more
- Elevance Health (Norfolk, VA)
- **JR171732 Coding Auditor Sr** CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health ... and quality of life through homecare and community-based services. The CareBridge Coding Auditor Sr is responsible for auditing coders that diagnosis data… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …leadership programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor ** to extract data from patient encounters ensuring ... audits the accuracy and completeness of diagnosis and procedure coding , DRG assignment, and abstracted data POA,...+ Coordinates remediation when required. + Coordinates with the Coding leadership, Quality nurses and the CDS… more
- Atlantic Health System (Morristown, NJ)
- Responsible for coding quality audits of all records (outpatient, inpatient, procedures, testing) to assure appropriateness and accurate code assignments in ... the providers and staff; also responsible for assisting with coding inquiries from providers, charge posters, billing staff, etc....identify incomplete or inconsistent documentation that could impact the quality of data being reported + Audits… more
- University of Utah Health (Salt Lake City, UT)
- …EO/AA_ This position audits the accuracy and completeness of diagnosis and procedure coding , DRG assignment, and abstracted data to support that appropriate ... post-discharge and pre-bill, audits the accuracy and completeness of diagnoses, procedure coding , abstracted data and DRG assignment. + Reviews non-CC/MCC… more
- Veterans Affairs, Veterans Health Administration (IN)
- …identify areas of non-compliance in coding . They facilitate improved overall quality , completeness, and accuracy of coded data . They provide recommendations ... Reviews assigned codes from the current version of several coding systems to include current versions of the International...reports. They assist in the development of guidelines for data quality , consistency, and monitoring for compliance… more
- Cedars-Sinai (Los Angeles, CA)
- …recommendations of action plans. + Perform additional activities (eg Data quality reports, etc.) as assigned by the Coding Supervisor. **Qualifications** ... **What will I be doing in this role?** The Coding Auditor works under the general direction...cases during shortage of staff. + Assist in improved data quality for reporting and research, accurate… more
- Community Health Systems (Franklin, TN)
- …(POA) indicators, discharge disposition, and any other relevant data to ensure coding accuracy. The auditor is also responsible for writing and defending ... **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for...non-RAC accounts, reviewing patient records for accuracy in ICD-10-CM/PCS coding , DRG assignments, and supporting clinical documentation. This includes… more
- Mount Sinai Health System (New York, NY)
- …and related professions). + Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist ... **Job Description** **Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue Auditor for the Mount… more
- HCA Healthcare (Nashville, TN)
- …educational requirements as stated in current Company policy + Reviews all official data quality standards, coding guidelines, Company policies and ... Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for...the accuracy, integrity and quality of patient data , to ensure minimal variation in coding … more
- St Croix Hospice (Mendota Heights, MN)
- …implemented. + Collaborate with departments such as Legal, Human Resources, Finance, IT, Quality , Billing and Coding to enhance internal controls and address and ... journey. Through compassionate care, we focus on our patient's quality of life, empowering them to make the most...+ Certified in Healthcare Compliance (CHC) + Certified Internal Auditor (CIA) + Certified Billing and Coding … more
- Covenant Health Inc. (Knoxville, TN)
- …current clinical license/registration in the State of Tennessee as RN with equivalent coding experience. Apply/Share Job Title REV INTEGRITY AUDITOR SR ID ... Overview Revenue Integrity Auditor Full Time, 80 Hours Per Pay Period,...and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million… more
- Capital One (New York, NY)
- …make you a better auditor . This will require leveraging the power of data analytics and furthering your technical expertise. + You're a teacher. You do the right ... Principal Auditor - Cyber, Risk and Analysis Technology Audit...is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit… more
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