- Houston Methodist (Austin, TX)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient ... /SAFETY ESSENTIAL FUNCTIONS** + Maintains and achieves the highest standards of coding quality by assigning accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT codes… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …in the following personas: E-Worker, Mobile and Resident The Risk Adjustment Senior Coding Quality Auditor & Educator provides education and training ... and delivery of relevant training. The Risk Adjustment Senior Coding Quality Auditor & Educator...Employees may be required to perform other job-related duties. #LI- REMOTE Minimum Education Requirements: High school degree or equivalent… more
- Hackensack Meridian Health (Hackensack, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The ** Coding Quality Auditor ** is responsible for monitoring compliance with ... Hackensack Meridian Health (HMH) Network. **This is a 100% remote position working for the largest healthcare network in...weekend.** **Responsibilities** A day in the life of an ** Coding Quality Auditor ** at **Hackensack… more
- Elevance Health (Indianapolis, IN)
- **DRG (DIAGNOSTIC RELATED GROUP) CODING AUDITOR ** **Location** : This position will work a hybrid model ( remote and office). The ideal candidate will live ... of one of our Elevance Health PulsePoint locations. The **DIAGNOSTIC RELATED GROUP CODING AUDITOR ** is responsible for auditing inpatient medical records and… more
- UNC Health Care (Chapel Hill, NC)
- …that have opted into shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position provides mentoring and ... directly with various levels of staff (including on-site and remote ) as well as manage vendor relationships and expectations....Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: HIM Coding & CDI Quality Work Type: Full… more
- UNC Health Care (Chapel Hill, NC)
- …clarifies existing documentation. 4. Performs pre-bill and/or post-bill audits for assigned coding teams. 5. Adheres to departmental quality and production ... regulations. Establishes a collaborative relationship with stakeholders to ensure quality standards are met. Responsibilities: 1. Accurately assigns International… 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 ... allied health professionals and billing staff to support patient care documentation, coding and billing practices according to federal, state and local regulatory… more
- Geisinger (Danville, PA)
- …organization's compliance initiatives. Participates in reviews related to performance quality of assigned responsibilities as defined by the organizations Compliance ... Job Duties + Responsible for reviewing the reliability and integrity compliance and coding information and the means used to identify, measure, classify and report… more
- Medical Mutual of Ohio (OH)
- …provide peace of mind to more than 1.2 million members through our high- quality health, life, disability, dental, vision and indemnity plans. We offer fully insured ... professional claim irregularities, overpayments and provider appeals from a clinical coding perspective, applying coding guidelines. Analyzes provider billing… more
- Rising Medical Solutions (Chicago, IL)
- …born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the world of medical cost containment. Join ... medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance, over-utilization, and erroneous charges.… more
- Johns Hopkins University (Baltimore, MD)
- …**Preferred Qualifications** + Five years of experience preferred. + Additional coding certifications preferred. Classified Title: Billing Compliance Auditor Job ... and research techniques, determines the adequacy of medical records documentation, coding and billing for all providers across all clinical specialties. Works… more
- Elevance Health (Columbus, OH)
- **Diagnosis Related Group Clinical Validation Auditor ** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will live ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Sevita (Baltimore, MD)
- …and their families across the United States. Our extraordinary team offers innovative, quality services and support that lead to growth and new opportunities for the ... serve and for our employees. **Summary** The Clinical Compliance Auditor is responsible for collaborating with Operations and Revenue...Company and the Chief Compliance Officer. This position is remote and can be performed from anywhere in the… more
- MD Anderson Cancer Center (Houston, TX)
- …records and applies in-depth knowledge of coding principles to determine potential coding issues and quality concerns 8. Perform audits to monitor and ... and the public. **S** **ummary** The primary purpose of the Coordinator, Coding Training position is: Facilitate training and auditing services for specific … more
- Columbus Regional Hospital (Columbus, IN)
- … improvement. + This position proactively identifies areas of opportunity to improve coding quality , based on external audit findings, denials, and other ... to know about the position: + The Professional Billing Coding Reimbursement Specialist provides the coding staff...week, Monday through Friday. + The position is 100% remote . What is required for this position: Education and/or… more
- Providence (OR)
- …experts to identify, investigate and correct fraudulent and/or abusive billing and coding practices, which may advance in complexity with experience + Leverage ... of overpayments related to fraudulent and/or abusive billing and coding practices; keeps organized audit work papers that enables...+ Support team in peer review and delivery of quality work product, including integrating checks on their own… more
- The Arora Group (Hampton, VA)
- …to identify inconsistencies, ambiguities, or discrepancies that could cause inaccurate coding , medico-legal re-percussions or impacts quality patient care. + ... The full-time position is Monday-Friday, 8 hours shifts between 7:30am and 4:30pm. Telework/ Remote work may be available with base approval. DUTIES OF THE MEDICAL… more
- University of Michigan (Ann Arbor, MI)
- …to substantiate Hospital and Professional Billing claims in response to payer, auditor , and government agency requests. Process medical record requests for on-site ... to View" form requests from health system employees + Provide assistance to remote auditors as requested (or other users as defined and approved) in accessing… more
- TestPros (Portsmouth, VA)
- …Assessment, Localization Testing, Independent Verification and Validation (IV&V), Quality Assurance (QA), Compliance, and Research and Development (R&D) ... Cyber Operations Position: Full-Time Location: Kearneysville, WV or Portsmouth, VA & Remote (hybrid 1-2 days onsite, as required) Clearance: Active DoD Secret… more
- Ventura County (Ventura, CA)
- …life balance by offering compressed work (eg, 9/80 or 4/10 workweek) and remote hybrid telework schedules for some positions subject to organizational needs and ... National Recreation Area. Ventura County's beauty and weather combined with a wonderful quality of life are among the many reasons our residents choose to call… more
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