- Cognizant (Little Rock, AR)
- About the role As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... Knowledge of Federal, state and payer regulations Capable of interpreting medical records reports and chart entries Able to work independently and as a team… more
- Elevance Health (St. Louis, MO)
- …How you will make an impact: Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance ... formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The DRG CODING AUDITOR is responsible for… more
- Elevance Health (Mason, OH)
- …make an impact: Analyzes and audits claims by integrating advanced or convoluted medical chart coding principles (found in the Official Coding Guidelines, Coding ... formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The DRG Coding Auditor Principal is responsible… more
- Providence (CA)
- …must empower them._** **Providence Health Plan is calling a Coding Quality Auditor , HEDIS who will:** + Be responsible for conducting clinical quality ... improvement within the HEDIS project + Collect data by way of chart extraction, using objective specifications for the Healthcare Effectiveness and Data Information… more
- FlexStaff (Chappaqua, NY)
- **Req Number** 172252 Surgical Anesthesia Compliance AuditorCompliance Auditor MUST HAVE CPC CERTIFICATON This is a HYBRID position- MUST be in the office located in ... Chappaqua, NY 3 days a week. Surgical Anesthesia Compliance Auditor - Hybrid position- Chappaqua, NY- $100K-$115K Are you passionate about healthcare compliance and… more
- Sharp HealthCare (San Diego, CA)
- …*This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance ... Functions** + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of performing all audits and … more
- University of Michigan (Ann Arbor, MI)
- …employer. **Job Detail** **Job Opening ID** 271520 **Working Title** DRG COMPLIANCE AUDITOR (DCA) **Job Title** Medical Coder Compliance Spec **Work Location** ... DRG COMPLIANCE AUDITOR (DCA) **Early Site Maintenance** We are performing...compliance, including proper documentation, accurate coding, trends found in chart reviews, audit findings, and regular coding updates. +… more
- Insight Global (Plano, TX)
- …DRG Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic Related Group (DRG) validation and quality audits on ... based on the candidates years of experience. Key Responsibilities: Conduct thorough chart reviews to validate that assigned codes accurately reflect the patient's… more
- Cognizant (Topeka, KS)
- **About the role** As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... Knowledge of Federal, state and payer regulations + Capable of interpreting medical records reports and chart entries + Able to work independently and as a team… more
- Tufts Medicine (Burlington, MA)
- **Professional Coding Auditor and Educator - Remote** **Job Profile** **Summary** This role focuses on activities related to revenue cycle operations such as ... level and inclusion of ICD-10-CM diagnosis codes. The coder will focus on chart reviews, the detailed physician chart abstraction, related coding education,… more
- Albany Medical Center (Albany, NY)
- …to include system development and maintenance documentation. + Perform timely medical record chart reviews (which could include prospective, concurrent ... Salary Range: $60,367.47 - $90,551.20 This position has remote opportunity Professional Coding Auditor will apply an advanced professional coding skill set to act as… more
- Elevance Health (Seattle, WA)
- …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure… more
- Insight Global (South Jordan, UT)
- …assignment accuracy. Below are the key responsibilities for this role: * Integrates medical chart coding principles, clinical guidelines, and objectivity in the ... Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100%...payment systems. This position is responsible for auditing inpatient medical records and generating high-quality recoverable claims for the… more
- Trinity Health (Fresno, CA)
- …the Nurse Manager*, Cath Lab, the Nurse Auditor performs thorough chart review of Electronic Medical Records (EMR) documentation for inaccuracies, omissions, ... misspellings, and charge review. As needed, facilitates documentation correction with appropriate staff. **Requirements** 1. Bachelor's degree in healthcare or a related field or combination of equivalent experience and education is required. 2. Current… more
- Williams Adley (Washington, DC)
- …Information Systems, Cybersecurity, Accounting, or equivalent experience working as an IT Auditor or Consultant for a public accounting firm or a professional ... mentoring, professional membership/subscription dues, and professional development opportunities, you can chart a unique and fulfilling career path on your own… more
- Providence (Torrance, CA)
- **Description** The Revenue Cycle Auditor is responsible for providing patient focused, standardized, compliant revenue cycle support that will assist Providence St ... Joseph Health in meeting financial objectives. - Conduct audits (individual chart /bill audits, focus audits, compliance audits, payer defense audits, patient… more
- Dartmouth Health (Lebanon, NH)
- …competency in working with regulatory/clinical issues and/or professional or facility chart abstraction, CPT and ICD-9 coding and clinical documentation education ... and reimbursement guidelines required. * Knowledge of professional or facility chart abstraction, CPT and ICD-9 coding and clinical documentation highly desired.… more
- Banner Health (AZ)
- …Health Plans** , you will be an integral part of the **Health Plan Medical Management Team** . This assignment-based role focuses on independent chart review ... and clinical assessment. **Key Responsibilities** : + Independently review patient medical charts to assess whether the care provided may have contributed to the… more
- Atlantic Health System (Morristown, NJ)
- …reported + Audits codes and professional fee services performed by providers from medical records according to ICD-10, CPT, HCPCS, and CMS guidelines + Responsible ... coding such as appropriate documentation, accurate coding, coding trends found during chart reviews, third party audit findings, and annual coding updates. +… more
- BlueCross BlueShield of North Carolina (NC)
- …activities to meet targets when necessary + Performs quality audits of member medical records to ensure compliance with HEDIS specifications + Assists in designing ... Consultants based on HEDIS Audits + Drive requirements gathering for medical record abstraction tool enhancements and develop, update, and maintain desktop… more
