- UPMC (Pittsburgh, PA)
- **UPMC is hiring a full-time Senior Medical Auditor to join their Department of Pediatrics team! This position will join our Pediatrics administrative team, ... and to help defend external coding audits when requested.** As the Senior Medical Auditor , you will provides technical expertise to review staff to ensure that… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- Robert Half Accountemps (Alhambra, CA)
- Description We are seeking a Medical Chart Auditor to join our team in the Healthcare industry, located in Los Angeles, California. This role offers a contract ... issues. * Organize and carry out extensive defense audits of patient medical records with insurance company representatives. * Correct charges and coordinate… more
- ManpowerGroup (South San Francisco, CA)
- …Auditor to lead their auditing activities in South San Fran, CA. **Job Title: Medical Device Senior QA Auditor ** **Location: South San Francisco and San Jose, ... degree and at least 6 years of experience + Medical Device manufacturing/Quality experience + Demonstrated knowledge in ...Documentum platforms Must Haves + **Certified ISO 13485:2015 Lead Auditor , with auditing experience** + **MDSAP auditor … more
- Veterans Affairs, Veterans Health Administration (Columbia, MO)
- …service to our Nation's Veterans. Responsibilities The incumbent serves as the Medical Records Technician (Coder) Auditor in Health Administration Service ... position for highly qualified candidates. Functional Statement #: 000000 Medical Records Technician (Coder) Auditor Relocation/Recruitment Incentives: Not… more
- Rising Medical Solutions (Chicago, IL)
- …too. In fact, that's how our business was born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark ... Have you ever looked a medical bill and immediately noticed something was wrong?...in the world of medical cost containment. Join our team and maximize client… more
- Dignity Health (Phoenix, AZ)
- …department. Must be a** **Certified Professional Coder (CPC) or Certified Professional Medical Auditor (CPMA)** Dignity Health now offers an Education Benefit ... IDX and Cerner. + Certified Professional Coder (CPC) or Certified Professional Medical Auditor (CPMA) **PREFERRED** + Previous auditing experience. + Certified… more
- Catholic Health Initiatives (Chattanooga, TN)
- …Coders (AAPC) as a Certified Professional Coder (CPC) required. Professional Medical Auditor Certification (CPMA) (CMAS)-preferred but not required. CRC ... **Overview** **CHI Memorial Mountain Management** CHI Memorial Medical Group (Mountain Management Services), now part of CommonSpirit Health formed between Catholic… more
- UPMC (Pittsburgh, PA)
- …Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified ... **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… more
- Columbus Regional Hospital (Columbus, IN)
- …(RHIA) + Registered Health Information Technician (RHIT) + Certified Professional Medical Auditor (CPMA) or Certified Documentation Improvement Practitioner ... + Develops quality audit reports that identify trends and educational opportunities. + Responsible for training and educating providers, clinical staff, and departments, one-on-one and in a group setting, on all aspects of coding and documentation utilizing… more
- New York State Civil Service (Albany, NY)
- …, Associate Auditor (Forensic), Associate Examiner of Municipal Affairs, Associate Medical Facilities Auditor , Auditor 2 (Abandoned Property), Auditor ... Agency Homeland Security and Emergency Services, Division of Title Auditor 3 Occupational Category Other Professional Careers Salary Grade...promotion field, have one year of service as an Auditor 2 and must not have failed, or failed… more
- Vanderbilt University Medical Center (Mount Juliet, TN)
- **Discover Vanderbilt University Medical Center:** Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, ... and state laws and delegated credentialing agreements independently. Executes the Medical Staff Office Quality Assurance Program. . KEY RESPONSIBILITIES * Audits… more
- UNC Health Care (Chapel Hill, NC)
- …of the unique communities we serve. Summary: This position trains and audits medical coders, either inpatient or outpatient across all HCS entities that are owned ... mortality, and demonstrate compliance. Responsibilities: 1. Audits inpatient and outpatient medical coders to assure a minimum of 95% accuracy and recommends… more
- Health Advocates Network (Coral Springs, FL)
- …workloads to ensure expedited cases are processed within defined timelines. Review medical information such as lab reports, provider visit notes, and prescriptions. ... to read patent records and decode + Expertise in medical terminology + Knowledge of DME Products for Diabetics...of DME Products for Diabetics - Highly preferred + Medical Assistants or Pharmacy Techs preferred **Benefits We Offer:**… more
- HCA Healthcare (Nashville, TN)
- …your potential! **Job Summary and Qualifications** The Revenue Integrity Registered Nurse Auditor evaluates medical record documentation for evidence of clinical ... hours volunteering in our communities. As a Revenue Integrity Auditor RN with Parallon you can be a part...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- Baystate Health (Springfield, MA)
- …in the region is looking for an experience **RN, Provider** **Clinical Compliance Auditor ** to join the Baystate Medical Practice Revenue Integrity Team **Full ... the direct supervision of the Manager, the **RN, Provider** **Clinical Compliance Auditor ** for Baystate Medical Practices, reviews and responds to external… more
- UPMC (Pittsburgh, PA)
- …and revises better best practice within the department. The Intermediate Clinical Auditor Analyst reviews medical records, creates, maintains, and analyzes ... 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 -… more
- Elevance Health (Manchester, NH)
- …Payment Integrity, is determined to recover, eliminate, and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor I** is responsible ... **Clinical Provider Auditor I - Carelon Payment Integrity** **Location:** The...control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools… more
- Catholic Health (Kenmore, NY)
- …leadership and others to ensure that CHS/Trinity-employed providers appropriate code the medical services that are provided. The Educator/ Auditor will introduce ... 7-3 Summary: The Catholic Health (CH) Health Information Management (HIM) Educator/ Auditor is responsible for providing Provider Coding education, including but not… more
- Commonwealth Care Alliance (Boston, MA)
- …Professional Coder (CPC) + Certified Inpatient Coder (CIC) + Certified Professional Medical Auditor (CPMA) **Desired Education (nice to have):** + Masters ... direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective… more
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