• Billing Compliance Auditor I

    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...have: + High School Diploma/GED. Bachelor's degree preferred. + Professional Billing Coding certification (CPC, CCS-P) +… more
    Children's Hospital Boston (10/24/24)
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  • Professional Billing Coding…

    Columbus Regional Hospital (Columbus, IN)
    …Administrator (RHIA) + Registered Health Information Technician (RHIT) + Certified Professional Medical Auditor (CPMA) or Certified Documentation Improvement ... + Responsible for evaluating and auditing provider coding and documentation compliance to determine appropriate code assignments for diagnoses and services performed… more
    Columbus Regional Hospital (09/20/24)
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  • Sr. Compliance Auditor Trainer

    Johns Hopkins University (Baltimore, MD)
    …coding certifications. + Minimum of five years of related experience. Classified Title: Sr. Billing Compliance Auditor Job Posting Title (Working Title): Sr. ... We are seeking a **Sr. Compliance Auditor ** **Trainer** who will provide...documentation practices, address compliance problems, or improve professional fee billing activities. + Conducts training… more
    Johns Hopkins University (10/15/24)
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  • Senior Medical Auditor - Pediatrics (Work…

    UPMC (Pittsburgh, PA)
    …update or discuss unique audit findings and recommendations as requested by the Compliance Manager. It is the Auditor 's responsibility to seek out meetings ... Auditor , Junior Medical Auditor and Auditor Analyst as required or as requested Compliance...work produced by these staff and provides feedback to Compliance Manager. + Maintain professional affiliations and… more
    UPMC (10/22/24)
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  • Research Compliance Auditor

    Hackensack Meridian Health (Edison, NJ)
    …mission to transform healthcare and serve as a leader of positive change. The Research Compliance Auditor is a key contributor to HMH's Research Compliance ... with applicable policies, regulations, and best practices. The Research Compliance Auditor is also responsible for identifying...and processes in at least one area of research compliance (eg human subjects research, clinical billing ,… more
    Hackensack Meridian Health (09/19/24)
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  • Compliance Auditor , Intermediate…

    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 ... 3 or more years of experience in medical coding, billing , auditing and compliance . + Extensive knowledge...+ Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified … more
    UPMC (10/11/24)
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  • CDM Analyst RI Auditor

    Chesapeake Regional Healthcare (Chesapeake, VA)
    …Review and Analysis, and outside consultants to analyze, review and assess identified billing , coding, charging and compliance issues + Understands and reviews ... Summary With direction from the Patient Financial Services Director, the Nurse Auditor / Revenue Integrity/ CDM Analyst is responsible for performing audits of… more
    Chesapeake Regional Healthcare (10/26/24)
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  • Senior Compliance Coding Auditor

    Nuvance Health (Danbury, CT)
    …to the Special Associate Compliance Officer (SACO) Physician Audit & Billing , the Senior Inpatient Professional Auditor providesHospital Inpatient and ... all business units and provides recommendations toward continuing improvement of coding compliance and coding denial management, while ensuring compliance with… more
    Nuvance Health (10/29/24)
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  • Sr Coding Compliance Auditor

    Catholic Health Initiatives (Chattanooga, TN)
    …connect with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding ... are met at the highest level. The Sr Coding Compliance Auditor 's primary focus will be to...as a Certified Professional Coder (CPC) required. Professional Medical Auditor Certification (CPMA) (CMAS)-preferred but… more
    Catholic Health Initiatives (10/25/24)
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  • Revenue Integrity Auditor /Full Time/Hybrid

    Henry Ford Health System (Troy, MI)
    …and coding issues, as well as staying abreast of all changes related to billing /coding compliance . The RI Auditor coordinates processes between clinical ... ensuring that the accounts audited reflect proper documentation, charge capture, coding and billing to support proper payment. The RI Auditor also confirms that… more
    Henry Ford Health System (09/25/24)
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  • Documentation & Coding Auditor

    Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
    …current knowledge of billing and coding requirements, risks and billing compliance requirements. Regularly reviews JH-MAC website and Texas Medicaid ... **38935BR** **Extended Job Title:** Documentation & Coding Auditor **Org Level 1:** Texas Tech Unv Hlth...necessary. Research payer policies to accurately and completely address billing compliance questions. Participate in coding/ billing more
    Texas Tech University Health Sciences Center - El Paso (11/01/24)
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  • Revenue Cycle Auditor

    Dignity Health (Phoenix, AZ)
    …research has been completed. + Works directly with department supervisors to ensure compliance with billing regulations on all discrepancies identified in the ... a** **Certified Professional Coder (CPC) or Certified Professional Medical Auditor (CPMA)** Dignity Health now...School Diploma or GED + 5-7 years experience in professional medical billing office with 3 years… more
    Dignity Health (09/29/24)
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  • Nurse Auditor / Revenue Cycle, FT, Mon…

    Omaha Children's Hospital (Omaha, NE)
    …and provides education/training regarding proper billing requirements. The Nurse Auditor will work collaboratively within Revenue Cycle, Compliance and ... patient bill and identifies and corrects errors or discrepancies to accurately support billing and payment. In addition, the Nurse Auditor will complete requests… more
    Omaha Children's Hospital (10/04/24)
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  • Internal Auditor (Hybrid) - Full Time…

    Mohawk Valley Health System (New Hartford, NY)
    Internal Auditor (Hybrid) - Full Time - Days Department: LEGAL AND COMPLIANCE Job Summary The Internal Auditor - Compliance will oversee the internal and ... will play a key role in assessing and improving the effectiveness of the compliance program across the organization. The Internal Auditor - Compliance more
    Mohawk Valley Health System (10/22/24)
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  • Coding Off Auditor -Edu

    Covenant Health Inc. (Knoxville, TN)
    …for Covenant Health entities as they relate to coding, documentation , and billing compliance . Also provides consulting services to the organization's management ... Overview Inpatient Auditor and Educator Full Time, 80 Hours Per...OIG advisory opinions, and other publications relative to coding, billing and reimbursement compliance in order to… more
    Covenant Health Inc. (08/06/24)
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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 - ... 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 (11/01/24)
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  • Compliance Auditor Analyst

    SUNY Upstate Medical University (Syracuse, NY)
    Compliance Officer the main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or guidelines ... and professional coding and billing audits. Duties/Responsibilities: Analysis...and aberrations. Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding, and billing more
    SUNY Upstate Medical University (08/08/24)
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  • Coding Auditor -Edu-Clinic

    Covenant Health Inc. (Knoxville, TN)
    …Register, fraud alerts, OIG advisory opinions, and other publications relative to coding, billing and reimbursement compliance in order to ensure compliance . ... + Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure compliance . + Performs research and analysis of… more
    Covenant Health Inc. (10/09/24)
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  • Coding and Compliance Internal…

    Atlantic Health System (Morristown, NJ)
    …providers, and billing department 14. Provides clarification on coding and compliance policies Required: 1. CPC Certification 2. Minimum 6 months experience in ... for assisting with coding inquiries from providers, charge posters, billing staff, etc. Principal Accountabilities: 1. Coordinates, schedules, performs the… more
    Atlantic Health System (08/28/24)
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  • Clinical Provider Auditor Senior - Maryland…

    Elevance Health (MD)
    …and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for ... **Clinical Provider Auditor Senior - Maryland Behavioral Health** **Supports Payment...investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates… more
    Elevance Health (10/24/24)
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