- Emory Healthcare/Emory University (Atlanta, GA)
- …and 3rd party clinical reviewers. + Leads training on proper documentation for inpatient hospital /clinical billing and coding compliance . + Works with the ... executes audit, monitoring, and education for inpatient hospital billing, coding and documentation programs that ensure compliance with regulatory standards.… more
- Catholic Health Initiatives (Chattanooga, TN)
- …hospital , connect with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes ... specificity, patient medical needs are met at the highest level. The Sr Coding Compliance Auditor 's primary focus will be to facilitate and ensure the… more
- Nuvance Health (Danbury, CT)
- …and accepted compliance and audit practices. 8. Collaborates with the Hospital Coding Department coders to identify errors, patterns, trends, and variances ... (SACO) Physician Audit & Billing, the Senior Inpatient Professional Auditor providesHospital Inpatient and Outpatient coding , billing,... and coding denial management, while ensuring compliance with NUVANCE HEALTH Hospital policies as… more
- Hackensack Meridian Health (Hackensack, NJ)
- …includes compliance with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency and ... mortality, PSI/HAC, POA and risk adjustment codes and makes changes as needed in compliance with coding guidelines. + Provides continuous support for HMH network… more
- HCA Healthcare (Nashville, TN)
- …be a part of our team. **Job Summary and Qualifications** As an Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... Do you want to join an organization that invests in you as an Inpatient Coding Quality Auditor ? At Work from Home, you come first. HCA Healthcare has… more
- Houston Methodist (Miami, FL)
- ** Coding Quality Auditor - 100% Remote (Must Live in FL, TN, GA, LA, WA State, or TX)** **$5,000 Sign-On Bonus** At Houston Methodist, the Coding Quality ... Assists in the development of documentation protocols for physicians. Represents the coding area in Hospital meeting/events when necessary (eg, Performance… more
- Atlantic Health System (Morristown, NJ)
- …new providers throughout the year 9. Audit charts for accurate and correct coding and compliance within documentation guidelines and AHS policies 10. Prepares ... to the office staff, providers, and billing department 14. Provides clarification on coding and compliance policies Required: 1. CPC Certification 2. Minimum 6… more
- Covenant Health Inc. (Knoxville, TN)
- …certifications are acceptable-RHIT/RHIA/AAPC, CPC, or CPMA. Apply/Share Job Title CODING AUDITOR -EDU-CLINIC ID 4106253 Facility Covenant Medical Management ... alerts, OIG advisory opinions, and other publications relative to coding , billing and reimbursement compliance in order...coding updates. + Serves as a resource to hospital departments and physician practices to assist with … more
- Highmark Health (Columbus, OH)
- …Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or auditing, as well as, education techniques and ... as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding … more
- Trinity Health (Des Moines, IA)
- …compliance with federal, state, insurance industry regulations. . Follows established hospital policies concerning corporate compliance . . Keeps abreast of ... Type:** Full time **Shift:** **Description:** ESSENTIAL FUNCTIONS: . Responsible for coding and abstracting patients' records for professional billing. . Reviews… more
- LifePoint Health (Marquette, MI)
- …**UP Health System - Marquette Physician Practices* **Title:** *Physician Compliance Auditor * **Location:** *Michigan-Marquette* **Requisition ID:** ... can do. UPHS - Marquette is a 222 bed hospital and houses the region's only Level II Trauma...revenue producing areas or departments to assure accuracy and compliance to acceptable billing/ coding guidelines and regulations… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …and Analysis, and outside consultants to analyze, review and assess identified billing, coding , charging and compliance issues + Understands and reviews payer ... in a coding management level recent experience coding in an acute hospital setting required,...intensive care unit, emergency department or documentation specialist nurse auditor or an LPN with a combined coding… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Reporting to the Director, Compliance Audit and Analysis, the Sr. Compliance Auditor will develop and execute audit, monitoring, and education for ... clinical reviewers and leads training on proper documentation for facility/professional billing and coding compliance . + Work with the compliance operations,… more
- Arkansas Children's (Little Rock, AR)
- …(AAPC), CHC required within one year of hire or eligibility (For Non Research Compliance Auditor ) - Compliance certification Board, CHRC required within one ... CPCO required within one year of hire or eligibility (for Non research Compliance Auditor ) - American Academy of Professional Coders **Description** 1. Develops… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete reimbursement to the health ... and charge processes. + Serves as a resource to hospital departments regarding compliance with billing regulations...reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. +… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 03/04/2025 **Requisition Number** PRN41328B **Job Title** Coding Auditor **Working Title** Quality Assurance Auditor II **Job Grade** E ... too. We are looking for an experienced **Quality Assurance Auditor II** to join our team. As the Quality...practices; prepares reports of findings and education on accurate coding practices, compliance risks, and revenue cycle… more
- Catholic Health (Kenmore, NY)
- …8-4pm Summary: The Catholic Health (CH) Health Information Management (HIM) Educator/ Auditor is responsible for providing Provider Coding education, including ... CHS/Trinity-employed providers appropriate code the medical services that are provided. The Educator/ Auditor will introduce new providers to the coding program… more
- Robert Half Accountemps (Los Angeles, CA)
- Description A University Hospital near Los Angeles is seeking a detail-oriented and experienced Medical Clinical Trial Claims Auditor . This role involves ... of claims related to our clinical trials to ensure compliance with contract terms, federal regulations, and guidelines. The...procedures. Requirements UB04 form, EOB - Explanation of Benefits, Hospital Billing, Hospital Inpatient, Hospital … more
- Essentia Health (Duluth, MN)
- **Job Description:** The Registered Nurse - Charge Auditor plans, conducts, and performs charge audits, based on clinical documentation and billing practices for ... Identifies proactive opportunities to enhance charge capture processes, regulatory compliance and facilitates appropriate revenue capture. Coordinates and monitors… more
- BJC HealthCare (St. Louis, MO)
- …providers giving instruction on federal and state regulations, documentation guidelines, and coding training in a way that ensures compliance with governmental ... **Responsibilities** + Researches, analyzes, and responds to inquiries regarding compliance , inappropriate coding , denials, and billable services identified… more
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