- Exela Pharma Sciences, LLC (Lenoir, NC)
- …FDA and other regulatory agency audits. Serve as an Internal Auditor .Data Management- perform statistical data analysis and prepare reports.pFMEA- facilitate team ... possess strong knowledge manufacturing within a regulated industry such as medical device, automotive, or defense.Must be detail-oriented with exceptional planning… more
- 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
- Baylor Scott & White Health (Temple, TX)
- …on position type and/or level **JOB SUMMARY** **HYBRID POSITION** The Appeals & Grievances ( Medical Auditor ) RN conducts reviews of medical records, and plan ... thorough written reviews of appeals, grievances, and reconsiderations using evidence-based medical guidelines to assist the Medical Director in determining… more
- Charles Evans Center (Bethpage, NY)
- …and Coding, or related field (Bachelor's degree preferred). + Certified Professional Medical Auditor (CPMA), Certified Coding Specialist (CCS), or similar ... Medical Records Auditor - Independent Contractor; quarterly audits Salary: $35-45/hour Bethpage, NY Our Mission: The Charles Evans Center (CEC Health Care) is… 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
- 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
- Highmark Health (Harrisburg, PA)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding,… more
- UNC Health Care (Chapel Hill, NC)
- …Successful completion of the UNC HCS SS Rev Cycle Physician Coder Auditor Proficiency Test. **Licensure/Certification Requirements:** * Must have one of the ... * If Associates Degree or Higher: Five (5) years of experience in physician medical coding. * If High School Diploma: Seven (7) years of experience in physician… 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
- Centene Corporation (Tallahassee, FL)
- …As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** ... Responsible for the auditing of corporate, health plan, and specialty company staff related to clinical systems entry and/or processes + Develop and maintain the audit process and tools related to: authorizations, appeals, quality events, and case management… more
- University of Washington (Seattle, WA)
- …the general guidance of the Director of System Credentialing, the Credentialing File Auditor audits medical staff credentialing and privileging files for UW ... School of Medicine has two outstanding opportunities for a Credentialing File Auditor to join their team.** UW Medicine's programs encompass advanced medical… more
- Robert Half Accountemps (Los Angeles, CA)
- …University Hospital near Los Angeles is seeking a detail-oriented and experienced Medical Clinical Trial Claims Auditor . This role involves meticulous oversight ... Hospital Billing, Hospital Inpatient, Hospital Outpatient, Hospital Revenue Cycle, Medical Appeals, Medical Denials, Clinical Trial Operations, Clinical… more
- Prime Healthcare (Ontario, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/190589/coder- auditor -trainee phmi- medical ... California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The Inpatient Coder Auditor Trainee reviews and analyzes documentation present… more
- CHS (Clearwater, FL)
- … (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance claims and customer service calls to ensure ... + Prior auditing experience is preferred + Knowledge of medical terminology + Knowledge of medical coding...to thirty (30) pounds. ** ** **Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** **… more
- Trinity Health (Albany, NY)
- …**Coding Auditor and Educator - St. Peter's Health Partners Medical Associates - Hybrid Remote** **Responsibilities** . Prepare and present coding education ... Conducts routine monitoring of key acute care risk areas such as medical record documentation, coding, billing, reimbursement, and privacy; providing follow up… more
- Trinity Health (Silver Spring, MD)
- …Washington DC and Baltimore, MD. **Description:** + Monday-Friday The Professional Coding Auditor Educator performs medical record audits including but not ... **Employment Type:** Full time **Shift:** **Description:** **Job Title:** Coding Auditor and Educator (Remote) **Employment Type:** Full-Time **Shift:** Days… more
- R1 RCM (Salt Lake City, UT)
- …a background in Physician coding, billing, and reimbursement guidelines. The Auditor must understand medical terminology, coding, contractual agreements, and ... **Everyday in this role, you will:** + Review physician charges against medical record and all applicable documentation to determine appropriate code assignments for… more
- Elevance Health (St. Louis, MO)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG Coding Auditor ** is responsible for ... **DRG Coding Auditor (DIAGNOSTIC RELATED GROUP)** _This position will work...its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of… more
- Elevance Health (Columbus, OH)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II** is responsible ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools… more
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