- Baylor Scott & White Health (Washington, DC)
- **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing ... feedback to coders. The Coding Auditor 1 utilizes the International Classification...and abstracting function. Strong knowledge of anatomy, physiology, and medical terminology. Demonstrated competency of the use of computer… more
- Highmark Health (Washington, DC)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
- Elevance Health (Washington, DC)
- …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 -RN** **Location:** This position will work a hybrid...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
- Capital One (Mclean, VA)
- Principal Auditor - Cyber, Risk & Analysis Technology Audit (Hybrid) Capital One's Audit function is a dedicated group of professionals focused on delivering ... information, issues and audit progress to teammates, clients and auditor -in-charge. -Perform various aspects of engagement administration, including hours and… more
- Baylor Scott & White Health (Washington, DC)
- …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
- Elevance Health (Washington, DC)
- …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
- CVS Health (Washington, DC)
- … Coding Certification - Certified Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk ... Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard… more
- Capital One (Mclean, VA)
- …understanding of data, innovation, and technology will only make you a better auditor . This will require leveraging the power of data analytics and furthering your ... patterns, and anomalies, including experience in testing scripting or coding (writing, reviewing, or assessing) **Preferred Qualifications:** + Certified Internal… more
- Gama-1 Technologies (Greenbelt, MD)
- …and financial statements + Maintain the general ledger, ensuring accurate coding and classification of transactions + Support the preparation of financial ... cost proposal preparation and indirect rate calculations + + Certified Internal Auditor + Record Analysis + Financial Record Analysis + Administer Accounting… more