- Highmark Health (Harrisburg, PA)
- …and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation ... as it relates to the DRG/APC and other clinical data quality management factors. With technical direction...Auditor (CPMA) 5 years with hospital or physician coding and/or auditing, as well as, education techniques and… more
- Capital One (Charlotte, NC)
- …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 (Hybrid)...is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit… more
- UnitedHealth Group (Minneapolis, MN)
- …scale. Join us to start Caring. Connecting. Growing together . In this position as a Coding & Clinical Auditor / DRG Specialist RN , you will apply your expert ... outcomes by connecting people with the care, pharmacy benefits, data , and resources they need to feel their best....knowledge of the MS-DRG and APR-DRG coding /reimbursement methodology systems, ICD-10 Official Coding Guidelines,… more
- Datavant (Raleigh, NC)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... Datavant is a data platform company and the world's leader in...own workspace! What You Will Do: Performs Inpatient Facility coding audits according to scope of work, for the… more
- BJC HealthCare (St. Louis, MO)
- …Additional Information About the Role Remote opportunity! Experience with analyzing provider data and training on current billing guidelines to identify trends is a ... Illinois areas. Our providers are nationally recognized for excellent patient satisfaction, quality health care, and improving the health and well-being of the… more
- Datavant (Columbus, OH)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... Datavant is a data platform company and the world's leader in...auditor proficient in multi-specialty including procedure and E/M coding in multiple settings What You Will Do: Performs… more
- Datavant (Oklahoma City, OK)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... Datavant is a data platform company and the world's leader in...the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma… more
- Elevance Health (St. Louis, MO)
- Performance Quality Analyst II Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... accommodation is granted as required by law. The Performance Quality Analyst II is responsible for driving service ...How you will make an impact: Assists higher level auditor /lead on field work as assigned and acts as… more
- Trinity Health (Livonia, MI)
- …Attached Purpose Work Remote Position (Pay Range: $24.5303-$36.7954) Responsible for the data capture, analysis & reporting of data information to assist ... basic knowledge of TH policies, practices & processes to ensure quality , confidentiality, & safety are prioritized. Demonstrates knowledge of departmental processes… more
- Capital One (Charlotte, NC)
- …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 ... function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit professionals are… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …of Dana-Farber Cancer Institute's hospital and professional billing through data -driven audits and targeted monitoring. This role conducts complex, risk-based ... audits across coding , charge capture, and documentation to assess adherence to...Billing, ADCC and AAMC as well as other continuous quality improvement processes and workgroups as needed. Serve as… more
- Coinbase (Boston, MA)
- …importance of controls, an effective control environment, and the role of Internal Auditor . Promote new ideas / innovative means of executing projects and internal ... deadlines. Solid analytical and problem solving skills, with high standards for quality , accuracy and attention to detail. Excellent written and verbal communication… more
- CVS Health (Austin, TX)
- …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
- HCA Healthcare (Caldwell, ID)
- …Do you want to join an organization that invests in you as an Inpatient Coding Quality Auditor ? At Parallon, you come first. HCA Healthcare has ... Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for...stated in current Company policy + Reviews all official data quality standards, coding guidelines,… more
- Houston Methodist (WA)
- 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
- Baylor Scott & White Health (Dallas, TX)
- …coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), ... **JOB SUMMARY** The Coding Auditor 1 is proficient in...THE ROLE** ESSENTIAL FUNCTION OF THE JOB Performs routine coding quality reviews on all coders including… 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
- 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
- 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
- Rush University Medical Center (Chicago, IL)
- …Offers may vary depending on the circumstances of each case. **Summary:** The Billing Coding Auditor uses advanced knowledge of billing, coding , auditing, ... as well as internal equity and industry specific market data . The pay range for each role reflects Rush's...and timely capture of all chargeable procedures. The Billing Coding Auditor also monitors interfaces and ancillary… more