• Coding and Compliance

    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 ... office staff, providers, and billing department 14. Provides clarification on coding and compliance policies Required: 1. CPC Certification 2. Minimum 6 months… more
    Atlantic Health System (08/28/24)
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  • Professional Coding Compliance

    Emory Healthcare/Emory University (Atlanta, GA)
    …+ Ongoing mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, ... participates in continuing education opportunities to remain current with billing and coding compliance best practices (ie, conferences, workshops, and other… more
    Emory Healthcare/Emory University (11/06/24)
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  • Senior Compliance Coding

    Nuvance Health (Danbury, CT)
    …closely with all business units and provides recommendations toward continuing improvement of coding compliance and coding denial management, while ensuring ... *Responsibilities:* 1. Under the leadership of the SACO, conducts high volume of coding compliance audits across all Nuvance Hospitals in accordance with the… more
    Nuvance Health (10/29/24)
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  • Coding Off Auditor -Edu

    Covenant Health Inc. (Knoxville, TN)
    …Forbes "Best Employer" seven times. Position Summary: Performs or reviews complex level internal coding audit work for i npatient accounts. Work involves leading ... or conducting coding and compliance audit projects for Covenant...certifications are acceptable-RHIT/RHIA/AAPC, CPC, or CPMA. Apply/Share Job Title CODING OFF AUDITOR -EDU ID 3865895 Facility Covenant… more
    Covenant Health Inc. (11/05/24)
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  • Hospital Coding Compliance

    Emory Healthcare/Emory University (Atlanta, GA)
    …reviewers. + Leads training on proper documentation for inpatient hospital/clinical billing and coding compliance . + Works with the compliance operations, ... participates in continuing education opportunities to remain current with billing and coding compliance best practices (ie, conferences, workshops, and other… more
    Emory Healthcare/Emory University (11/06/24)
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  • Coding Quality Auditor - 100% Remote…

    Houston Methodist (Houston, 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 ... coding guidelines. **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding /DRG requests. Responds promptly to Business… more
    Houston Methodist (09/14/24)
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  • Coding Auditor & Educator

    HonorHealth (Phoenix, AZ)
    …experience Required Licenses and Certifications Certified Professional Coder (CPC) Professional coding certification Required Professional coding Auditor ... completeness of coding through a rigorous quality review of external and internal documentation of audit process ensuring compliance with federal and state… more
    HonorHealth (11/06/24)
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  • Medical Coder Auditor -HIM Coding

    UNC Health Care (Chapel Hill, NC)
    …appeals insurance coding denials. This position analyzes coded records for compliance with federal, state and third party insurer rules and regulations and note ... . **Knowledge/Skills/and Abilities Requirements:** * Strong knowledge of ICD-10/PCS/CPT/HCPCS coding and billing compliance (MS-DRGs/IPPS, APC/OPPS) with… more
    UNC Health Care (09/04/24)
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  • Coding Educator/ Auditor

    Insight Global (Charlottesville, VA)
    …training and education sessions for physicians, allied health professionals, residents, and coding and billing staff to support compliance with third party ... Job Description Insight global is seeking a remote Professional Coding Educator for a healthcare system in Virginia. The educator will provide consulting services to… more
    Insight Global (09/07/24)
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  • Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    …to comprehend clinical documentation and code descriptions. + Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as ... in accordance with all State and Federal regulations and internal policies and procedures. In this position you will...proficiency in the following: + Proven ability to support coding judgment and decisions using industry standard evidence and… more
    CVS Health (10/26/24)
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  • (RN) HCS-D, COS-C - Registered Nurse Coding

    Northwell Health (Garden City, NY)
    …are maintained in compliance with Federal and State regulations. + Applies coding rules and regulations to the validation review process. + Reviews codes on ... or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home...Medicare/non-Medicare charts for compliance to rules and conventions. + Instructs professional staff… more
    Northwell Health (09/02/24)
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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 ... coding staff are adhering to all guidelines for compliance as set forth by governmental, regulatory agencies and...unique audit findings and recommendations as requested by the Compliance Manager. It is the Auditor 's responsibility… more
    UPMC (10/22/24)
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  • Internal Auditor (Hybrid) - Full…

    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 ... and improving the effectiveness of the compliance program across the organization. The Internal Auditor - Compliance will identify areas to be audited… more
    Mohawk Valley Health System (10/22/24)
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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 ... school diploma is preferred. + 3 or more years of experience in medical coding , billing, auditing and compliance . + Extensive knowledge of CMS, and third-party… more
    UPMC (10/11/24)
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  • CDM Analyst RI Auditor

    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 ... of experience as an intensive care unit, emergency department or documentation specialist nurse auditor or an LPN with a combined coding and auditing background.… more
    Chesapeake Regional Healthcare (10/26/24)
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  • 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 responsible for: +...in the overall system. Providing guidance to departments regarding internal controls. Developing and drafting billing and coding more
    Children's Hospital Boston (10/24/24)
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  • Senior IT Internal Auditor

    Tennant Company (Eden Prairie, MN)
    Senior IT Internal Auditor With more than $1B in revenue, Tennant Company is a globally recognized leader in the cleaning equipment industry. For the past 150 ... through collaboration with business stakeholders across our global organization. The Senior IT Internal Auditor reports directly to the Manager, Internal more
    Tennant Company (11/02/24)
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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)
    …trends and aberrations. Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding , and billing guidelines. ... Job Summary: Position Summary: Under the direction of the Compliance Officer the main duties for this position include:...main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or… more
    SUNY Upstate Medical University (11/07/24)
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  • HCC Risk Adjustment QA Auditor : Medicare…

    Providence (Beaverton, OR)
    …Adjustment QA Auditor : Medicare Advantage & ACA **who will:** + Perform internal coding audits of Hhierarchical Condition category (HCC) coding review ... Full time **Job Shift:** **Career Track:** Business Professional **Department:** 5018 HCS CODING COMPLIANCE OR REGION **Address:** OR Beaverton 3601 SW Murray… more
    Providence (10/31/24)
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