- Veterans Affairs, Veterans Health Administration (IN)
- …parenthetical titles. Titles include: (a) Medical Records Technician (Coder-Outpatient); Medical Records Technician (Coder) Auditor . The MRT (Coder) ... Auditor assignment is a position above the journey level. Grade Determination: Medical Records Technician (Coder) Auditor , GS-9 (a) Auditor … more
- Veterans Affairs, Veterans Health Administration (Fredericksburg, VA)
- …Central Virginia VA Health Care System (CVHCS). MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or ... with the clinical staff for clarification of conflicting or ambiguous clinical data. Applies comprehensive knowledge of medical terminology, anatomy &… more
- Elevance Health (Columbus, OH)
- …Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions ... **Diagnosis Related Group Clinical Validation Auditor ** **Location:** This position...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
- Providence (OR)
- …Set (HEDIS) program + Conduct Audits, which include review of outpatient medical records , hospital records , clinical lab and pharmacy records + ... must empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor , HEDIS who will:** +...prior to performing chart abstractions + Maintain all collected records in a confidential manner + Performall duties in… more
- Providence (Spokane, WA)
- **Description** The Clinical Auditor -Surgical Services is responsible for reviewing perioperative and anesthesia documentation, as well as patient charging ... records for Surgery, Endoscopy, SAU and PACU. Responsibilities include...completeness and accuracy; auditing and verifying patient charges. The Clinical Auditor is expected to identify charting… more
- Elevance Health (Columbus, OH)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The ** Clinical Provider Auditor II** is ... ** Clinical Provider Auditor II** **Supports the...control. + Reviews and conducts analysis of claims and medical records prior to payment and uses… more
- Sevita (Baltimore, MD)
- …completeness and accuracy. + Coordinates and executes pre- and post-payment audits of medical records and associated clinical documentation to ensure proper ... opportunities for the people we serve and for our employees. **Summary** The Clinical Compliance Auditor is responsible for collaborating with Operations and… more
- Intermountain Health (Columbus, OH)
- … clinical documentation and diagnostic coding practices. Job Essentials Reviews medical records documentation for reimbursement, severity of illness and risk ... **Job Description:** The goal of the Clinical Documentation Specialist- Auditor is to improve...of mortality, identifies opportunities for improving the quality of medical record documentation, and confers with the caregiver regarding… more
- The County of Los Angeles (Los Angeles, CA)
- HEAD CONTRACT PROGRAM AUDITOR / EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4448498) Apply HEAD ... CONTRACT PROGRAM AUDITOR / EMERGENCY APPOINTMENT HOMELESSNESS Salary $100,478.16 - $135,409.20...of funds and provision of services. + Consults with clinical , administrative, and program planning staff in developing contract… more
- Henry Ford Health System (Troy, MI)
- …HFHS personnel. + Knowledge of medical coding (facility and professional), related medical terminology, use of medical records , billing claim forms, and ... Reporting to the Manager, Revenue Integrity, the Revenue Integrity (RI) Auditor must have a comprehensive understanding of medical terminology, coding, charge… more
- Molina Healthcare (Dallas, TX)
- …+ Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member ... Team (MAT), Health Management (HM), and/or Disease Management (DM). + Monitors key clinical staff for compliance with NCQA, CMS, State and Federal requirements. May… more
- Rush University Medical Center (Chicago, IL)
- …resolving accounts * Collaborates with operational departments to ensure accurate and complete medical records and charges * Meets or exceeds accuracy, quality ... **Job Description** **Location:** Chicago, IL **Hospital:** RUSH University Medical Center **Department:** Revenue Cycle Revenue Integrit **Work Type:** Full Time… more
- Rising Medical Solutions (Chicago, IL)
- …by giving clients the information they need to determine case value based on evaluation of medical records and medical billing statements, and will: + Audit ... business was born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor...medical and billing records to determine if services provided are reasonable, appropriate… 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 ... We are seeking a **_Sr. Compliance Auditor Trainer_** who will provide on-going training and...medical record documentation standards and requirements related to clinical services billing. + Keeps current with third party… more
- Hackensack Meridian Health (Hackensack, NJ)
- …serve as a leader of positive change. The **Diagnosis Related Group (DRG) Auditor ** is responsible for auditing clinical documentation that supports code ... Meridian** **_Health_** includes: + Performs data quality reviews on Inpatient Clinical Documentation Improvement (CDMP) records . + Validates the (International… more
- Providence (MT)
- …Set (HEDIS) program + Conduct Audits inclusive of review of outpatient medical records , hospital records , clinical lab and pharmacy records + ... them._** **Providence Health Plan is calling a Coding Quality Auditor , HEDIS who will:** + Be responsible for conducting... auditing experience + 3+ years' experience with extracting clinical data points from medical records… more
- Dignity Health (Phoenix, AZ)
- …Posting + Ability to determine correct systems to locate pertinent info: *IDX * Medical Records Systems *Insurance Payor Websites *Code Correct Web Site *Vendor ... IDX and Cerner. + Certified Professional Coder (CPC) or Certified Professional Medical Auditor (CPMA) **PREFERRED** + Previous auditing experience. + Certified… more
- RWJBarnabas Health (Oceanport, NJ)
- FT Internal Auditor Senior II (Remote- Hybrid)Req #:0000158945 Category:Professional / Management Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate ... risks to the organization. Work assigned to the Internal Auditor Senior II will often be well-defined but may...provide for the confidential treatment of all communications and records required + Must be adept at problem-solving, including… more
- Hackensack Meridian Health (Edison, NJ)
- …healthcare and serve as a leader of positive change. The Research Compliance Auditor is a key contributor to HMH's Research Compliance Audit and Monitoring Program ... with applicable policies, regulations, and best practices. The Research Compliance Auditor is also responsible for identifying and developing resources to support… more
- Elevance Health (Indianapolis, IN)
- …**DIAGNOSTIC RELATED GROUP CODING AUDITOR ** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the ... **DRG (DIAGNOSTIC RELATED GROUP) CODING AUDITOR ** **Location** : This position will work a...of business, and its clients. Also responsible for performing clinical reviews of medical records … more