• Coding Quality Auditor , HEDIS…

    Providence (OR)
    …the best people, we must empower them._** **Providence Health Plan is calling a Coding Quality Auditor , HEDIS who will:** + Be responsible for conducting ... program + Conduct Audits inclusive of review of outpatient medical records, hospital records, clinical lab and pharmacy records...+ **This posting is for multiple openings of a Coding Quality Auditor , HEDIS** + **This position… more
    Providence (11/16/24)
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  • A**Divisional Coding Quality Auditor

    AdventHealth (Altamonte Springs, FL)
    …** Remote ** **The role you'll contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of ... as well as supporting on-going quality assurance needs for coding staff. They will review medical records...REQUIRED:** . Five (5) years of inpatient or outpatient coding or Coding Quality Auditor more
    AdventHealth (10/24/24)
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  • Inpatient Coding Auditor

    AdventHealth (Maitland, FL)
    ** Coding Auditor Inpatient** **Work Hours/Shift:** + Full Time Remote **You Will Be Responsible For:** + Performs quality reviews on coded records to ... + RHIA, RHIT, or CCS certification or credential **Job Summary:** The Inpatient Coding Auditor , under general supervision, is responsible for validating the … more
    AdventHealth (11/07/24)
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  • Coding Auditor & Educator…

    CommonSpirit Health Mountain Region (Centennial, CO)
    …with resources to help you flourish and leaders who care about your success. The Coding Auditor and Educator utilizes ICD-10-CM, HCPCS, and CPT-4 Coding ... professional fee coding team. Responsible for answering coding and billing questions, onboarding and training new staff,...CO, KS and NM, this position is open to remote /out of state candidates residing in only these states:… more
    CommonSpirit Health Mountain Region (11/20/24)
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  • Coding Auditor & Educator

    CommonSpirit Health Mountain Region (Centennial, CO)
    …to help you flourish and leaders who care about your success. The Coding Auditor -Educator is an advanced level position utilizing ICD-10-CM, ICD-10 PCS, ... and CPT-4 Coding Classification systems who supports the facility and ...CO, KS and NM, this position is open to remote /out of state candidates residing in only these states:… more
    CommonSpirit Health Mountain Region (11/20/24)
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  • Coding Denial Auditor

    R1 RCM (Boise, ID)
    …cash flows while reducing operating costs and enhancing the patient experience. The Coding Denial Auditor will be responsible for reviewing denial coded cases ... To learn more, visit: R1RCM.com Visit us on Facebook (https://www.facebook.com/R1RCM) \#li- remote # coding #healthcare #insurance #ccs R1 is the leading… more
    R1 RCM (11/21/24)
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  • Senior Compliance Coding Auditor

    Nuvance Health (Danbury, CT)
    …Officer (SACO) Physician Audit & Billing, the Senior Inpatient Professional Auditor providesHospital Inpatient and Outpatient coding , billing, and documentation ... *Description* Fully remote opportunity within approved working states *Summary:* Reporting...for this position is advanced expertise in regards to medical terminology, anatomy, physiology, documentation, coding guidelines,… more
    Nuvance Health (10/29/24)
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  • Professional Billing Coding Auditor

    Columbus Regional Hospital (Columbus, IN)
    …(RHIA) + Registered Health Information Technician (RHIT) + Certified Professional Medical Auditor (CPMA) or Certified Documentation Improvement Practitioner ... about this position: + Responsible for evaluating and auditing provider coding and documentation compliance to determine appropriate code assignments for diagnoses… more
    Columbus Regional Hospital (09/20/24)
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  • Medical Coder Auditor -HIM…

    UNC Health Care (Chapel Hill, NC)
    …**Professional Experience Requirements:** * If associate's degree: Five (5) years of experience in medical coding or acute care consisting of both IP and OP ... High School Diploma: Nine (9) years of experience in medical coding or acute care consisting of...directly with various levels of staff (including on-site and remote ) as well as manage vendor relationships and expectations.… more
    UNC Health Care (09/04/24)
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  • Coding Educator/ Auditor

    Insight Global (Charlottesville, VA)
    Job Description Insight global is seeking a remote Professional Coding Educator for a healthcare system in Virginia. The educator will provide consulting ... coding presentations for physicians -Experience with Auditing -Experience with academic medical center coding -Neurosurgery exp null We are a company… more
    Insight Global (09/07/24)
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  • Intermediate Clinical Auditor /Analyst, QA…

    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...organize multiple projects and tasks. + In-depth knowledge of medical terminology, ICD-10 and CPT-4 coding . +… more
    UPMC (11/01/24)
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  • Senior Medical Auditor - Pediatrics…

    UPMC (Pittsburgh, PA)
    …and to help defend external coding audits when requested.** As the Senior Medical Auditor , you will provides technical expertise to review staff to ensure ... **UPMC is hiring a full-time Senior Medical Auditor to join their Department...of code type, over- coding , under- coding , coding not supported by documentation in the medical more
    UPMC (11/17/24)
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  • Claims Auditor II - Remote

    Martin's Point Health Care (Portland, ME)
    …Under the supervision of the Director of Health Plan Operations, the Claims Auditor II will perform the following job functions: + Audit Development and Processing: ... The Auditor II will be responsible for developing and processing...to others within the company regarding claims administration, procedural coding and billing and related overpayment matters. + Provide… more
    Martin's Point Health Care (10/23/24)
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  • Nurse Auditor - Medical Bill Review…

    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?... bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance, over-utilization, and erroneous… more
    Rising Medical Solutions (11/13/24)
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  • Compliance Auditor , Intermediate (Hybrid…

    UPMC (Pittsburgh, PA)
    …technical school diploma is preferred. + 3 or more years of experience in medical coding , billing, auditing and compliance. + Extensive knowledge of CMS, and ... Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified … more
    UPMC (10/11/24)
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  • Medicare Clinical Auditor

    Medical Mutual of Ohio (OH)
    …of clinicaland medical auditing experience. **Professional Certification(s)** + Certified Medical Auditor (if not certified required to obtain within 18 ... Founded in 1934, Medical Mutual is the oldest and one of...claim irregularities, overpayments and provider appeals from a clinical coding perspective, applying coding guidelines. Analyzes provider… more
    Medical Mutual of Ohio (11/15/24)
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  • Lead Clinical Documentation Auditor (CCDS…

    Vanderbilt University Medical Center (Nashville, TN)
    …people of equal rank in an effort to accomplish team goals. * Medical Coding (Intermediate): The transformation of healthcare diagnosis, procedures, medical ... **Discover Vanderbilt University Medical Center:** Located in Nashville, Tennessee, and operating...identify trends and patterns. Identifies areas for strategic audits, coding education and improvement. * Creates detailed reports based… more
    Vanderbilt University Medical Center (11/22/24)
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  • Diagnosis Related Group Auditor

    Hackensack Meridian Health (Hackensack, NJ)
    …this includes compliance with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency ... training of facility healthcare professionals including physicians in use of coding guidelines and practices, proper documentation techniques, medical more
    Hackensack Meridian Health (09/06/24)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Morristown, NJ)
    …of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
    Elevance Health (11/08/24)
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  • Clinical Provider Auditor II

    Elevance Health (Columbus, OH)
    …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II**...+ Requires a AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1… more
    Elevance Health (11/13/24)
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