- Northwell Health (Lake Success, NY)
- …relevant experience required. Preferred + Prior experience with multispecialty inpatient & outpatient coding . + Experience with External Audits and Provider ... **Req Number** 143068 Job Description Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes.… more
- AdventHealth (Altamonte Springs, FL)
- …organizational impact . Assists with the facilitation of scheduled external audits . Responds to inpatient or outpatient coding questions from assigned ... **Monday-Friday** **Remote** **The role you'll contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the… more
- Nuvance Health (Danbury, CT)
- …Federal, State, and third party payer guidelines. Conducts inpatient and/or outpatient coding audits and provides educational programs based on auditing results. ... Officer (SACO) Physician Audit & Billing, the Senior Inpatient Professional Auditor providesHospital Inpatient and Outpatient coding , billing, and documentation… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …reviews medical record documentation and billing data for all pertinent internal and external audits . + Collaborates with clinical and administrative staff and ... Ongoing mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, and… more
- UCLA Health (Los Angeles, CA)
- Description As the Outpatient Coding Auditor , you will be instrumental in maintaining coding accuracy and compliance within our outpatient services. ... Coding , your primary responsibilities include conducting rigorous departmental and interdepartmental coding audits to ensure adherence to Federal and State… more
- Columbus Regional Hospital (Columbus, IN)
- …systems, utilizing Optum. + Assists Manager with monitoring, coordinating and responding to external audits and questions. + The hourly range for this position ... about this position: + Responsible for evaluating and auditing provider coding and documentation compliance to determine appropriate code assignments for diagnoses… more
- HonorHealth (Phoenix, AZ)
- …experience Required Licenses and Certifications Certified Professional Coder (CPC) Professional coding certification Required Professional coding Auditor ... Job Summary Under the direction of senior leadership, the Audit and Coding Consultant audits , develops educational materials, educates providers and coders… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and executes audit, monitoring, and education for inpatient hospital billing, coding and documentation programs that ensure compliance with regulatory standards. ... a resource for providers and caregivers on hospital/clinical billing and coding . **Primary duties and responsibilities:** + Prepares and oversees inpatient… more
- Insight Global (Charlottesville, VA)
- …expertise to the Councils. Presents findings and recommendations from internal and external audits to clinical departments and recommends solutions for ... Job Description Insight global is seeking a remote Professional Coding Educator for a healthcare system in Virginia. The...changes. Conducts internal reviews and provides quality review of external billing quality audits . Works with providers… more
- UPMC (Pittsburgh, PA)
- …on revenue enhancement initiatives and to help defend external coding audits when requested.** As the Senior Medical Auditor , you will provides technical ... or required with PSD executive management regarding internal and external audits and the results thereof. +...audits and the results thereof. + Directs Medical Auditor , Junior Medical Auditor and Auditor… more
- Medical Mutual of Ohio (OH)
- …**_and/or_** **_hospital bill auditing experience._** **Responsibilities** **Medicare Clinical Auditor ** + ** Audits outpatient, inpatient and professional ... levels to implement changes.** + **Interacts with internal or external auditors or vendors on claim coding ...+ **Performs other duties as assigned.** **Senior Medicare Clinical Auditor ** + ** Audits outpatient, inpatient and professional… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …of experience as an intensive care unit, emergency department or documentation specialist nurse auditor or an LPN with a combined coding and auditing background. ... Summary With direction from the Patient Financial Services Director, the Nurse Auditor / Revenue Integrity/ CDM Analyst is responsible for performing audits of… more
- Martin's Point Health Care (Portland, ME)
- …will be responsible for developing and processing audits , as assigned. The nature of audits that can be assigned to the Auditor II will range from basic to ... departments, and monitoring provider notification initiatives associated with audit activities. + External Liaison: The Auditor II will be responsible, as… more
- HCA Healthcare (Nashville, TN)
- …and coding information to national and local coverage determination. Audits the appropriateness of patient charges, and Charge Description Master (CDM) assigned ... hours volunteering in our communities. As a Revenue Integrity Auditor RN with Parallon you can be a part...you will do in this role: + Perform corporate audits of charging, coding , or clinical documentation… more
- Mohawk Valley Health System (New Hartford, NY)
- …Job Summary The Internal Auditor - Compliance will oversee the internal and external compliance audits for the Mohawk Valley Health System ("MVHS") audit and ... assess the organization's compliance with the requirements. + Conduct or assist in external and internal audits and reviews. Track findings and corrective… more
- UPMC (Pittsburgh, PA)
- …a clinical opinion for special projects and other auditing activities. + Complete audits by utilizing standard coding guidelines and principles and coding ... UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team! This role will work standard daylight hours, Monday -… more
- Hackensack Meridian Health (Hackensack, NJ)
- …this includes compliance with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency ... + Validates the (International Classification of Diseases 10th Diagnosis & Procedure Coding System) ICD-10-CM codes, DRG group appropriateness, audits for missed… more
- Tennant Company (Eden Prairie, MN)
- Senior IT Internal Auditor With more than $1B in revenue, Tennant Company is a globally recognized leader in the cleaning equipment industry. For the past 150 years, ... with business stakeholders across our global organization. The Senior IT Internal Auditor reports directly to the Manager, Internal Audit. In this role, we… more
- Intermountain Health (Murray, UT)
- **Job Description:** This position documents and audits SelectHealth Health Services caregivers and delegated entities on the execution of care and utilization ... individuals and use of company financial resources.This position documents and audits SelectHealth Health Services caregivers and delegated entities on the execution… more
- UNC Health Care (Morrisville, NC)
- …of new policies and procedures and audit tools. Performs E/M and Procedural coding audits . Analyzes audit findings and reports/tracks results for one-on-one or ... group feedback. Performs billing audits and ensures correct coding and billing...coding , clinical documentation, charge capture, and EPIC. The auditor should be familiar with clinical documentation and charge… more