- Centene Corporation (New York, NY)
- …conducting, administering, and analyzing clinical coding training and auditing programs. The Senior Clinical Coding Auditor & Trainer will conduct audits ... Fidelis Care and assist in development of training and audit tools. The Senior Clinical Coding Auditor & Trainer position is primarily remote with a small… more
- Geisinger (Danville, PA)
- …education for facility and professional documentation, coding , and billing. The Senior Compliance Auditor serves as a mentor for Compliance Auditors and ... Job Summary The Senior Compliance Auditor ensures the integrity...service line area. Job Duties One of the following coding or auditing certifications are required (CCS, CPC, RHIA,… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42910BR** **Extended Job Title:** Medical Coding Auditor **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for ... maintaining compliance with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers, and other departmental… more
- Elevance Health (Boston, MA)
- …including specialized claims, working independently and without significant guidance. The **Claims Auditor Senior ** is responsible for auditing of high dollar ... - all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. + **Claims Auditor Senior ** - all the above, plus : Service as a subject… more
- University of Washington (Seattle, WA)
- **Job Description** The senior healthcare auditor is responsible for the completion of internal audits within the clinical integrated parts of the University of ... based primary care clinics, and an air medical transport. Senior healthcare auditors are also expected to be familiar...and conclusions drawn so other reviewers can follow the auditor 's logic and methodology. . Effectively evaluates audit results,… more
- Elevance Health (Atlanta, GA)
- **Nurse Auditor Senior - Payment Integrity Complex and Clinical Audit** **Location:** This role enables associates to work virtually full-time, with the ... eliminate and prevent unnecessary medical-expense spending. The **Nurse Audit Senior ** will be responsible for identifying, monitoring, and analyzing aberrant… more
- CIBC (IL)
- …and providing assurance for our technology and business processes. As a Senior Auditor , Information Technology, you'll conduct risk-focused audits, advise ... you to complete an attribute-based assessment and other skills tests (such as simulation, coding , MS Office). Our goal for the application process is to get to know… more
- Mount Sinai Health System (New York, NY)
- …and related professions). + Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist ... **Job Description** **Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue...billing and reimbursement. This position will report to the Senior Director. This role will serve as a crucial… more
- St Croix Hospice (Mendota Heights, MN)
- …+ Preferred Certifications: + Certified in Healthcare Compliance (CHC) + Certified Internal Auditor (CIA) + Certified Billing and Coding Specialist (CBCS) + ... of caregivers, then come work where you matter. Compliance Auditor (Clinical) Position Overview The Compliance Auditor ...as Legal, Human Resources, Finance, IT, Quality, Billing and Coding to enhance internal controls and address and remediate… more
- Northwell Health (Lake Success, NY)
- **Req Number** 174853 Lead Compliance Auditor - Heavy Anesthesia & Healthcare Expertise Needed. This is a HYBRID position- MUST be in the office located in ... make a real impact? FlexStaff is seeking a dynamic, detail-oriented Lead Compliance Auditor to join our client's team and lead the charge in safeguarding healthcare… more
- CARMAX (Richmond, VA)
- …procedures; and aspects of the annual SOX 404 audit. **Essential Responsibilities** As a Senior Auditor - Technology, you'll wear many hats such as thought ... more about joining our CarMax Audit Services team as Senior Technology Auditor . This role will broadly...suite, tools etc. (eg ERPs, custom applications, security and coding tools, SQL scripting, database structure design, robotic process… more
- WTW (Houston, TX)
- **Description** As a Medical Claim Field Auditor , you will apply your medical claims audit, project management and claim processing and auditing experience to ... knowledge of ICD-10 and CPT and revenue codes and coding protocols + Excellent oral and written communications skills...and Savings Plan (401k). All Level 38 and more senior roles may also be eligible for non-qualified Deferred… more
- WTW (Houston, TX)
- **Description** As a Medical Claim Lead Auditor , you will apply your audit, project management and client management skills to lead client audits. You will serve as ... + Detailed knowledge of ICD-10 and CPT codes and coding protocols + Excellent oral and written communications skills...and Savings Plan (401k). All Level 38 and more senior roles may also be eligible for non-qualified Deferred… more
- UCLA Health (Los Angeles, CA)
- …Support compliance excellence at UCLA Health by joining our team as a Compliance Auditor , MAPD, focused on Medicare Advantage (Part C) and Prescription Drug (Part D) ... and findings. * Prepare detailed and professional audit reports for senior leadership and regulatory bodies. * Support organization-wide audit readiness and… more
- Dartmouth Health (Lebanon, NH)
- …audit and monitor completeness, accuracy and timeliness of documentation, coding , billing, reimbursement, efficiency and effectiveness of operations and compliance ... compliance objectives. Performs complex professional and facility (DRG or APC) coding and billing audits across all clinical specialties. Responsibilities * Plans… more
- Guthrie (Sayre, PA)
- …program. * Conduct regular audits and reviews of medical records, billing, coding , provider activity, and departmental processes to ensure compliance with regulatory ... clinical teams, and external partners. * Present findings and recommendations to senior management, committees, and other stakeholders. * Foster a culture of… more
- Texas Health Resources (Arlington, TX)
- …Ability to provide clear and constructive feedback to coders, non-coders, and senior leadership, translating complex coding rules into actionable insights. ... Manager Compliance Coding _Are you looking for a rewarding career...establishing management correction plans when necessary. Additionally, the Compliance Auditor Manager effectively communicates audit findings through reports, presentations,… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- Position Information Posting NumberSRGV8219 Working TitleCOMPLIANCE CODING AND BILLING ANALYST Number of Vacancies1 LocationMcAllen, Texas DepartmentCompliance ... of Job Responsible for performing compliance reviews of billing and coding compliance functions and activities, compliance risk assessments, developing policies and… more
- BJC HealthCare (St. Louis, MO)
- …in Town & Country, MO. **Preferred Qualifications** **Role Purpose** The Senior Compliance Coordinator conducts and coordinates reviews of BJCMG specialty provider ... giving instruction on federal and state regulations, documentation guidelines, and coding training in a way that ensures compliance with governmental regulations.… more
- Ascension Health (Austin, TX)
- …Auditor (CPMA), Certified Documentation Expert Outpatient (CDEO), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician-based (CCS-P), ... experience required. **Additional Preferences** + This position requires a Coding Certification, will accept one of the following from...of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision… more