- Humana (Washington, DC)
- …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 (Washington, DC)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation… more
- Trinity Health (Silver Spring, MD)
- …from Washington DC and Baltimore, MD. **Description:** + Monday-Friday The Professional Coding Auditor Educator performs medical record audits including ... **Employment Type:** Full time **Shift:** **Description:** **Job Title:** Coding Auditor and Educator (Remote) **Employment Type:** Full-Time **Shift:** Days… 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...and abstracting function. Strong knowledge of anatomy, physiology, and medical terminology. Demonstrated competency of the use of computer… 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...a full-service, 254-bed teaching hospital, the Ascension Saint Agnes Medical Group, Ascension Saint Agnes Imaging Center and Ascension… more
- Johns Hopkins University (Baltimore, MD)
- …billing requirements. Using auditing and analysis techniques, determines the adequacy of medical records documentation, coding and billing for all providers ... other clinical information systems. + Seven years of experience. + Additional coding certifications. Classified Title: Sr. Billing Compliance Auditor Job Posting… more
- 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 -RN** **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. + ... **Clinical Provider Auditor I** **Supports Payment Integrity & Behavioral Health**...Requires a AA/AS and minimum of 1 year related medical coding /auditing experience; or any combination of… more
- TEKsystems (Towson, MD)
- … Coder in the Baltimore area! + MUST HAVE: 1-2+ years related experience in a Medical Coding role + Must have outpatient coding experience + Auditing ... Qualifications High School Diploma or GED required. 1-2+ years related experience in a Medical Coding role Must have outpatient coding experience Auditing… more
- TEKsystems (Baltimore, MD)
- …School Diploma or GED required. + 1-2+ years of related experience in an Outpatient Medical Coding role. + Auditing experience preferred. + Must have CPC, COC, ... for the patient and assigns ICD-10CM/PCS codes to those diagnoses/procedures for outpatient coding . Tasks: + Review the entire medical record for codable… 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 ... including 1 year of experience in test scripting or testing coding (writing, reviewing, or assessing) **Preferred Qualifications:** + Certifications related to… 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)
- … 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
- 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