- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... coding guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor 's work assignments are varied and frequently require interpretation… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor reviews a variety of medical records and to ... terminology and medical codes (eg, ICD-10-CM, CPT.) The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- Centene Corporation (New York, NY)
- …and analyzing clinical coding training and auditing programs. The Senior Clinical Coding Auditor & Trainer will conduct audits of inpatient coding ... development of training and audit tools. The Senior Clinical Coding Auditor & Trainer position is primarily...existing and new employees + Audit established guidelines for medical necessity + Analyze training needs and identify, select,… more
- WelbeHealth (Trenton, NJ)
- …is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring ... in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole… more
- Mount Sinai Health System (New York, NY)
- …related professions). + Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist ... understanding of medical terminology and patient care, expertise in medical coding systems and healthcare regulations, analytical and problem-solving… more
- Humana (Trenton, NJ)
- …Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is ... determination of the appropriate courses of action. The Nurse Auditor 2 validates and interprets medical documentation...medical documentation to ensure capture of all relevant coding . Applies clinical and coding experience to… more
- Elevance Health (Woodbridge, NJ)
- …is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
- Datavant (Trenton, NJ)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...EMRs. **What We Offer:** + Benefits for Full-Time employees: Medical , Dental, Vision, 401k Savings Plan w/match, 2 weeks… more
- Datavant (Trenton, NJ)
- …software experience strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
- Coinbase (Trenton, NJ)
- …importance of controls, an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of executing projects and internal ... Google Suite or MS Excel, Word and PowerPoint. * Basic scripting experience in coding languages such as Python, Ruby, etc. *Nice to haves:* * Professional Internal… more
- CIBC (New York, NY)
- …and metrics. + Coordinate information and data responses to internal and external auditor / regulator requests. + Be responsive and accessible to the business ... range of benefits and programs to meet our employee's needs; including Medical , Dental, Vision, Health Savings Account, Life Insurance, Disability, and Other… more
- DoorDash (New York, NY)
- …and market diligences end-to-end. + Strong nice-to-have's: Python and experience using AI- coding and analytics tools. + You think from first principles. You break ... The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here:...Colorado Healthy Families and Workplaces Act). DoorDash also offers medical , dental, and vision benefits, 11 paid holidays, disability… more
- DoorDash (New York, NY)
- …Google Workspace, Google Cloud, etc.) + Proficiency in SQL data analysis, Python coding , and other automation tooling. + Project planning and execution skills that ... The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here:...Colorado Healthy Families and Workplaces Act). DoorDash also offers medical , dental, and vision benefits, 11 paid holidays, disability… more