- Johns Hopkins University (Baltimore, MD)
- We are seeking a **Sr. Compliance Auditor ** **Trainer** who will provide on-going training and support to physicians, non-physician providers, professional fee ... + Minimum of five years of related experience. Classified Title: Sr. Billing Compliance Auditor Job Posting Title (Working Title): Sr. Compliance … more
- Nuvance Health (Danbury, CT)
- …within approved working states *Summary:* Reporting to the Special Associate Compliance Officer (SACO) Physician Audit & Billing, the Senior Inpatient Professional ... Auditor providesHospital Inpatient and Outpatient coding, billing, and documentation...units and provides recommendations toward continuing improvement of coding compliance and coding denial management, while ensuring compliance… more
- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... and objective internal audits and assessments of its operational, financial and compliance controls. IA reports administratively to the Chief Compliance Officer… more
- Hackensack Meridian Health (Hackensack, NJ)
- …as a leader of positive change. The **Diagnosis Related Group (DRG) Auditor ** is responsible for auditing clinical documentation that supports code assignment for ... compliance with billing regulations, this includes compliance ...with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency… more
- LA Care Health Plan (Los Angeles, CA)
- Claims Quality Auditor II Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... to achieve that purpose. Job Summary The Claims Quality Auditor II works closely with the Claims Quality Auditing...liaison between partnering departments ie Payment Integrity and Claims Compliance . This position works to ensure claims are being… more
- Covenant Health Inc. (Knoxville, TN)
- …. + Performs research and analysis of ICD-10 and ICD-10-PCS coding to ensure compliance with Medicare , Medicaid guidelines and other insurance payers and to ... Overview Inpatient Auditor and Educator Full Time, 80 Hours Per...npatient accounts. Work involves leading or conducting coding and compliance audit projects for Covenant Health entities as they… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** **Description:** **Job Title:** Coding Auditor and Educator (Remote) **Employment Type:** Full-Time **Shift:** Days ... DC and Baltimore, MD. **Description:** + Monday-Friday The Professional Coding Auditor Educator performs medical record audits including but not limited to… more
- CHS (Clearwater, FL)
- **Overview** ** ** **Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary:** The Claims & Call Auditor audits processed medical insurance ... claims and customer service calls to ensure validity, accuracy, and compliance with appropriate policies, procedures, and regulations + **Health, Dental, Vision, and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and serve as a leader of positive change. The **Coding Quality Auditor ** is responsible for monitoring compliance with applicable clinical documentation ... **Responsibilities** A day in the life of an **Coding Quality Auditor ** at **Hackensack Meridian** **_Health_** includes: + Reviews Diagnosis Related Group… more
- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... and objectiveinternal audits and assessments of its operational, financial and compliance controls. IA reports administratively to the Chief ComplianceOfficer and… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Staff Auditor I Augusta , Maine , United States | Auditor | Full-time | Partially remote Apply by: Sept. 30, 2024 Apply with Linkedin Apply Department of Health ... to its staff. ABOUT THE POSITION: As a Staff Auditor I you will: + Perform professional audit work...funds through contracts with DHHS. + Complete financial and/or compliance audits for conformance to established laws, rules, regulations… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …Capture Auditor works closely with clinical departments to ensure compliance with government, payer, and internal charge capture policies; provides education to ... + Attends trainings as required to keep current with Medicare and Medi-Cal coding and compliance guidelines as they pertain to coding, charge items, charge… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Trainer/ Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #11905 Monday, September 9, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... healthy living. JOB SUMMARY: The objective isto ensure ongoing compliance , provide support and training by monitoring the field...monitoring the field staff on a monthly basis. The Trainer/ Auditor will provide oversight of the field staff. He/she… more
- Hackensack Meridian Health (Hackensack, NJ)
- …a leader of positive change. The **Ambulatory Payment Classification (APC) Auditor ** performs all related internal, concurrent, prospective and retrospective coding ... A day in the life of a **Ambulatory Payment Classification (APC) Auditor ** at **Hackensack Meridian** **_Health_** includes: + Assist with developing coding quality… more
- TEKsystems (Norfolk, VA)
- As the Medical Coding Auditor If you're ready to explore the next step in your career: You'll enjoy Career Opportunities - Tons of growth opportunities for you ... use a variety of reports to accomplish tasks, such as AMA guidelines, Medicare LCD's, commercial payor billing guidelines, coding manuals and ASTRO/ACR guidelines. +… more
- Atlantic Health System (Morristown, NJ)
- …assure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines and provide ongoing feedback and analysis of ... throughout the year 9. Audit charts for accurate and correct coding and compliance within documentation guidelines and AHS policies 10. Prepares written reports of… more
- State of Colorado (Denver, CO)
- SNAPQA Auditor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4663795) Apply SNAPQA Auditor Salary $57,708.00 - $92,340.00 Annually ... data collection, analysis and reporting on findings, providing technical and compliance training to county workers, assessing and measuring county adherence to… more
- InnovaCare (San Juan, PR)
- …ICT and health assessments. Staff will notify supervisors of any processes not in compliance with the Plan's SNP policies and MOC requirements. Clinical staff who do ... application in accordance with NCQA and CMS regulations to assure compliance standards and federal regulations utilizing established medical care guidelines.17.… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Special Investigative Unit Auditor to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren ... working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier...the full range of products for assigned Plan. Ensures compliance with all requirements related to Special Investigation Units… more
- TEKsystems (Norfolk, VA)
- Coding Auditor - Onsite (CPC required) Location: Onsite in Norfolk, VA - Will go hybrid after 6 months Experience Level: Intermediate Employment Type: 6 month ... a variety of reports to accomplish tasks, such as AMA guidelines, Medicare LCD's, commercial payor billing guidelines, coding manuals and ASTRO/ACR guidelines. All… more
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