- Elevance Health (Hanover, MD)
- …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 ** **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 (Hanover, 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. + ... 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
- Baylor Scott & White Health (Annapolis, MD)
- …tracks results and identifies trends and deficiencies for follow-up + Researches complex coding HCC issues and keeps abreast of coding and compliance changes ... knowledge with co-workers, as directed + Assists Risk Adjustment Auditor 2 or Manager with educator duties in the...**KEY SUCCESS FACTORS** + Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and… more
- Intermountain Health (Annapolis, MD)
- …severity of illness of patients through improved clinical documentation and diagnostic coding practices. Job Essentials Reviews medical records documentation for ... **Job Description:** The goal of the Clinical Documentation Specialist- Auditor is to improve the accuracy of the overall clinical picture and the representation of… more
- Baylor Scott & White Health (Annapolis, MD)
- …to or resulting from the Baylor Scott & White Health electronic medical record [EPIC] and related application(s). Utilizing approved materials and templates, ... healthcare clinical operations, hospital revenue cycle systems, hospital billing and coding , and healthcare compliance issues and requirements. Working knowledge of… more