- Humana (Annapolis, MD)
- …of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- Ascension Health (Halethorpe, MD)
- …Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation. + Audit specified number ... of records per coder as defined in the system coding audit plan. + Prepare audit reports that are...+ Develop corrective action plans to address opportunities for coding , billing and documentation improvement. + Identify trends and… more
- 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 ... and analysis techniques, determines the adequacy of medical records documentation, coding and billing for all providers across all clinical specialties. Works… more
- Elevance Health (Hanover, MD)
- **Clinical Provider Auditor I - Carelon Payment Integrity** **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and will ... recover, eliminate, and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor I** is responsible for identifying issues and/or entities that… more
- Elevance Health (Hanover, MD)
- **Clinical Provider Auditor I** **Supports Payment Integrity & Behavioral Health** _Location: This position will work a hybrid model (remote and office). The ideal ... and insightful analytics to improve the delivery of care. The **Clinical Provider Auditor I** is responsible for identifying issues and/or entities that may pose… more
- TEKsystems (Baltimore, MD)
- …queries as appropriate and adheres to the query policy. Follows-up on queries and updates coding and the query as appropriate and in a timely manner. + Assigns the ... appropriate APR/DRG. + Is familiar with and follows the Coding Compliance plan. + Abstracts predetermined information from inpatient, day surg, ER, and outpatient… more
- DCCA (Columbia, MD)
- …organizational goals and risk tolerance. . (DESIRED) Develop and maintain secure coding standards, security checkpoints, and automated security controls that can be ... Security Manager (CISM) required. . (DESIRED) Certified Information Systems Auditor (CISA) desired. Education Requirements: (REQUIRED) Computer Science degree or… more
- DCCA (Columbia, MD)
- …organizational goals and risk tolerance. s Develop and maintain secure coding standards, security checkpoints, and automated security controls. s Analyze current ... Certified Information Security Manager (CISM) required . Certified Information Systems Auditor (CISA) desired . Splunk, SecurityHub, Snyk, BurpSuite or comparable… more