- Sharp HealthCare (San Diego, CA)
- …and employer business practices. *This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the ... Functions** + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of performing… more
- University of Southern California (Los Angeles, CA)
- …with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded ... AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also,... and documentation from coders, providers, and all other hospital staff. Perform other coding department related… more
- Humana (Columbus, OH)
- …and receives guidance where needed. Follows established guidelines/procedures. As a Medical Coding Auditor for the Hospital Outpatient/APC Coding ... community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against... guidelines specific to Ambulatory Payment Classification (APC) and Hospital Outpatient Facility coding + Utilize encoders… more
- Humana (Columbus, OH)
- …an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper ... and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a...reading and interpreting claims * Experience in performing inpatient coding reviews/ audits in health insurance and/or hospital… more
- Rush University Medical Center (Chicago, IL)
- …origin, disability, veteran status, and other legally protected characteristics. **Position** Coding Auditor and Educator **Location** US:IL:Chicago **Req ID** ... and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications * Experience… more
- Atlantic Health System (Morristown, NJ)
- …new providers throughout the year + Audit charts for accurate and correct coding and compliance within documentation guidelines and AHS policies + Prepares ... to the office staff, providers, and billing department + Provides clarification on coding and compliance policies Required: * CPC Certification * Minimum 6… more
- Houston Methodist (Katy, TX)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... Assists in the development of documentation protocols for physicians. Represents the coding area in Hospital meeting/events when necessary (eg, Performance… more
- Covenant Health Inc. (Knoxville, TN)
- …a friend (https://careers-covenanthealth.icims.com/jobs/67911/ coding - auditor -edu-clinic/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336232841) Job Title ... 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
- UNC Health Care (Chapel Hill, NC)
- …processes. Ability to interpret federal and state regulations as they relate to coding and compliance . Must possess strong communication skills, both written and ... shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may...and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and… more
- Carle Health (Champaign, IL)
- …and coding team members. Auditors work closely with HIM leadership and Compliance to assure Carle providers and coding team members are following all ... HIM Coding management team to establish coding guidelines and assure coding team audits are completed timely Report compliance or other concerns directly… more
- Carle Health (Champaign, IL)
- …for supporting and monitoring theimplementation, accuracy, and optimization of the hospital 's autonomous coding (AC) solution. Thishybrid position combines ... assist with remediation and reaudit post education. Auditors are responsible to produce coding education materials in formats such as power point or LMS educations… more
- AnMed Health (Anderson, SC)
- …you'll find opportunities to thrive, lead, and make a meaningful impact here. Performs coding compliance audits of outpatient accounts according to coding ... medical necessity regarding diagnosis issues. + Conducts a quarterly compliance audit of outpatient accounts. + Performs concurrent reviews...+ Minimum of five years of experience in outpatient coding in an acute care hospital setting.… more
- Geisinger (Danville, PA)
- … education for facility and professional documentation, coding , and billing. The Senior Compliance Auditor serves as a mentor for Compliance Auditors and ... Job Summary The Senior Compliance Auditor ensures the integrity and...education, including auditing, trending, providing audit feedback to facility/professional coding staff and providers working in the hospital… 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
- Mount Sinai Health System (New York, NY)
- …and related professions). + Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist ... charged, ultimately maximizing reimbursement for services rendered. + Ensure adherence to coding guidelines and compliance regulations set by entities like the… more
- Community Health Systems (Franklin, TN)
- …Health Information Management or related field preferred + 3-5 years Inpatient acute care hospital coding experience required + 2-4 years Inpatient acute care ... **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits...hospital coding audit experience preferred + 1-2 years… more
- Cedars-Sinai (Los Angeles, CA)
- …us one of America's Best Hospitals. **What will I be doing in this role?** The Coding Auditor works under the general direction of the Coding Supervisor. A ... query opportunities, and other related encounter data collection points. Auditors evaluate compliance with all coding guidelines including but not limited to:… more
- HCA Healthcare (Nashville, TN)
- …Apply Today! **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the… more
- Saint Francis Health System (Tulsa, OK)
- …**to login and apply.** Full Time Days Job Summary: The Compliance Nurse Auditor assists with and supports the ... Saint Francis Health System (SFHS). This role supports clinical coding and billing audit functions as well as the...Nurse License. Work Experience: Minimum 3 years of healthcare compliance clinical auditing experience within a hospital … more
- Cedars-Sinai (Los Angeles, CA)
- …and therapeutic procedures) + Daily follow-up with providers, clinical staff, the Coding department, Billing Compliance , and Revenue Integrity. + Review and ... the general direction of the Manger or Associate Director, the Revenue Auditor Service Line performs audits of medical records against submitted professional… more
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