- 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 ... inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body… more
- Humana (Columbus, OH)
- …Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments...**What Humana Offers** We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company… more
- 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
- 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
- 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
- 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
- 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
- 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
- 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 (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
- 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
- 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
- Providence (Beaverton, OR)
- …must empower them._** **Providence Health Plan is calling an** HCC Risk Adjustment QA Auditor : Medicare Advantage & ACA **who will:** + Perform internal coding ... contractors, and vendors + Perform audits to ensure compliance with national coding guidelines and industry regulations, as well as adherence to Providence Health… more
- Veterans Affairs, Veterans Health Administration (Columbia, MO)
- …described below to qualify for GS-9 Medical Records Technician (Coder) Auditor position. (a) Advanced knowledge of current coding classification systems such ... experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding , and the structure and format of a health… more
- 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
- 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
- Elevance Health (MD)
- …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... **Clinical Provider Auditor I** **Supports Payment Integrity & Behavioral Health**...Requires a AA/AS and minimum of 1 year related medical coding /auditing experience; or any combination of… more
- Elevance Health (Houston, TX)
- …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... **Clinical Provider Auditor Senior** **Location:** This position will work a...+ Requires a AA/AS and minimum of 6 years medical coding /auditing experience, including minimum of 4… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- Revenue Cycle 1.0 FTE, 8 Hour Day Shift, Onsite-Not Remote At Stanford Children's Health, we know world-renowned care begins with world-class caring. That's why we ... and purpose of the job. The Senior Charge Capture Auditor works closely with clinical departments to ensure compliance...action. Specific role duties + Accurate charge capture, primary coding changes liaison + Build and charge appropriately in… more
- Centene Corporation (Tallahassee, FL)
- …Perform quality assurance auditing (ie ensure appropriateness and accuracy of ICD-9/ICD-10 coding ) for WellCare's Medical Coding Specialists. + Communicates ... QA results to the Medical Coding Specialists with suggestions for improvement and re-training topics....plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
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