- Humana (Columbus, OH)
- …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 (Columbus, OH)
- **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
- Elevance Health (Mason, OH)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG Coding Auditor ** is responsible ... **DRG Coding Auditor (DIAGNOSTIC RELATED GROUP)** _This...and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's… more
- Baylor Scott & White Health (Columbus, OH)
- **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
- Elevance Health (Independence, OH)
- …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 -** **Registered Nurse** **Location:** This position will work...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …Job Functions** + Assists in the review of Bon Secours Mercy Health coding , billing and claims processing policies and procedures for the development of compliance ... Mercy Health's public status. + Develops educational content on documentation, coding , and trending of non-compliant activities to enhance compliance proficiency and… more
- Trinity Health (Columbus, OH)
- …to make a difference and do the right thing. **Position Purpose:** Coding and Reimbursement Specialist, responds to post-payment inquiries from providers regarding ... equivalent preferred + Minimum of 5 years experience in claims auditing, billing and/or coding . + Must possess an in-depth knowledge of current Medicare coding … more
- CVS Health (Columbus, OH)
- … 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