• Coding Quality Auditor

    Providence (OR)
    …retain the best people, we must empower them._** **Providence Health Plan is calling a Coding Quality Auditor , HEDIS who will:** + Be responsible for ... + **This posting is for multiple openings of a Coding Quality Auditor , HEDIS** +...to fill in for staff vacancies.** **Providence welcomes 100% remote work for applicants who reside in the United… more
    Providence (11/16/24)
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  • A**Divisional Coding Quality

    AdventHealth (Altamonte Springs, FL)
    …AND EXPERIENCE REQUIRED:** . Five (5) years of inpatient or outpatient coding or Coding Quality Auditor experience . Completion of a coding ... **Monday-Friday** ** Remote ** **The role you'll contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the… more
    AdventHealth (10/24/24)
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  • Inpatient Coding Auditor

    AdventHealth (Maitland, FL)
    ** Coding Auditor Inpatient** **Work Hours/Shift:** + Full Time Remote **You Will Be Responsible For:** + Performs quality reviews on coded records to ... + RHIA, RHIT, or CCS certification or credential **Job Summary:** The Inpatient Coding Auditor , under general supervision, is responsible for validating the … more
    AdventHealth (11/07/24)
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  • Coding Denial Auditor

    R1 RCM (Boise, ID)
    …and relays needed coding educational topics to the Regional Manager, IP Coding Quality . **Responsibilities:** + Audits records as defined in the coding ... reducing operating costs and enhancing the patient experience. The Coding Denial Auditor will be responsible for...quality review plan. Review cases flagged by the coding quality software on a daily basis… more
    R1 RCM (11/21/24)
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  • Professional Billing Coding Auditor

    Columbus Regional Hospital (Columbus, IN)
    coding initiatives. + Proactively identifies areas of opportunity to improve coding quality based on audit feedback, coder questions, physician escalations, ... about this position: + Responsible for evaluating and auditing provider coding and documentation compliance to determine appropriate code assignments for diagnoses… more
    Columbus Regional Hospital (09/20/24)
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  • Medical Coder Auditor -HIM Coding

    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 (09/04/24)
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  • Coding Educator/ Auditor

    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
    Insight Global (09/07/24)
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  • Intermediate Clinical Auditor /Analyst, QA…

    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 ... US Steel Tower, however, this role may work remotely. The Intermediate Clinical Auditor /Analyst is an integral part of the Quality Assurance and Operational… more
    UPMC (11/01/24)
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  • Compliance Auditor , Intermediate (Hybrid…

    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 wide auditing and monitoring to ensure coding /documentation… more
    UPMC (10/11/24)
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  • Senior Medical Auditor - Pediatrics (Work…

    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 ... **UPMC is hiring a full-time Senior Medical Auditor to join their Department of Pediatrics team!...physicians, clinical, billing and coding staff are adhering to all guidelines for compliance… more
    UPMC (11/17/24)
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  • Medicare Clinical Auditor

    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
    Medical Mutual of Ohio (11/15/24)
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  • Nurse Auditor - Medical Bill Review…

    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
    Rising Medical Solutions (11/13/24)
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  • Diagnosis Related Group Auditor

    Hackensack Meridian Health (Hackensack, NJ)
    … changes and performs account activity to send to Finance for rebilling. + Performs coding quality reviews as needed on accounts referred to coding by ... with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy,...filing of inpatient claims. Collaborates with the Clinical Documentation Quality Liaison to assist in reviewing quality more
    Hackensack Meridian Health (09/06/24)
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  • Lead Clinical Documentation Auditor (CCDS…

    Vanderbilt University Medical Center (Nashville, TN)
    …with staff. Performs audits of inpatient documentation. Understands and applies quality standards to all aspects of the documentation integrity program. Provides ... data, to identify trends and patterns. Identifies areas for strategic audits, coding education and improvement. * Creates detailed reports based on audit findings… more
    Vanderbilt University Medical Center (11/22/24)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Morristown, NJ)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **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
    Elevance Health (11/08/24)
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  • Senior Charge Capture Auditor - TxCtr-Admin…

    Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
    Revenue Cycle 1.0 FTE, 8 Hour Day Shift, Onsite-Not Remote At Stanford Children's Health, we know world-renowned care begins with world-class caring. That's why we ... and purpose of the job. The Senior Charge Capture Auditor works closely with clinical departments to ensure compliance...action. Specific role duties + Accurate charge capture, primary coding changes liaison + Build and charge appropriately in… more
    Lucile Packard Children's Hospital Stanford (11/26/24)
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  • Associate Auditor

    Broadridge Financial Solutions (Edgewood, NY)
    …means youll be assigned to a Broadridge officeandgiven the flexibility to work remote . Responsibilities: + The Associate Auditor may assist in the development ... growing company? Broadridge is hiring! Were seeking an Associate Auditor to join our stellar team. We are made...interpretation of proxy voting results (including un-voted proxies, proxy coding errors, etc,). + Continuous interaction and output in… more
    Broadridge Financial Solutions (10/19/24)
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  • Revenue Integrity Nurse Auditor -…

    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
    UNC Health Care (11/20/24)
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  • Compliance Auditor - Enterprise Risk…

    Bon Secours Mercy Health (Cincinnati, OH)
    …Bon Secours Mercy Health, we are dedicated to continually improving health care quality , safety and cost effectiveness. Our hospitals, care sites and clinicians are ... Job Functions** + Assists in the review of Bon Secours Mercy Health coding , billing and claims processing policies and procedures for the development of compliance… more
    Bon Secours Mercy Health (11/25/24)
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  • RN-Clin Documentation Auditor

    Ascension Health (Austin, TX)
    …Preferences** + Prior clinical documentation program experience + 5 years RN or 3-5 coding quality audit experience strongly preferred + ICU and/or ED nursing ... **Details** + **Department: Coding Documentation** + **Schedule: M-F /8am-4:30pm** + **Hospital:...Seton Admin Offices** + **Location: Austin, TX (may be remote , but must be able to travel to the… more
    Ascension Health (11/07/24)
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