- Humana (Washington, DC)
- …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
- 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 of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System… 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
- Elevance Health (Hanover, MD)
- **Clinical Provider Auditor Senior** **Supports Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). The ideal ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor Senior** is responsible for identifying issues and/or entities that… more
- Capital One (Mclean, VA)
- …information, issues and audit progress to teammates, clients and auditor -in-charge. + Perform various aspects of engagement administration, including hours ... innovation, and technology will only make you a better auditor . This will require leveraging the power of data...and anomalies, including 1 year experience in test scripting, coding (writing, reviewing, or assessing) or a combination +… 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 ... to identify trends, patterns, and anomalies, including experience in test scripting, coding (writing, reviewing, or assessing) or a combination** + **At least 4… more
- CVS Health (Washington, DC)
- …Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard ... Stay informed about changes in the industry practices related to healthcare coding . Provide training opportunities for staff to maintain their CEUs. Assist in… 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
- Chenega Corporation (Washington, DC)
- …the financial management system and reports, identify errors in coding structures, develop corrective recommendations, and provide OBFM management recommendations. ... of agency financial resources. + Understanding deficiencies communicated by the client's auditor or internal control teams, tracking audit provided by client (PBC)… 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