- R1 RCM (Boise, ID)
- …and cash flows while reducing operating costs and enhancing the patient experience. The Coding Denial Auditor will be responsible for reviewing denial ... completeness and accuracy. This person will identify potential coding and DRG errors, researches appropriate guidelines to support...involved on a timely basis. The Reviewer provides expert coding advice to coding staff and relays… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor /Educator. Demonstrate the ability to formulate an appeal rationale...for single or low volume errors. Report high volume coding denial trends to the coordinator +… more
- Catholic Health Initiatives (Chattanooga, TN)
- …hospital, connect with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for ... needs are met at the highest level. The Sr Coding Compliance Auditor 's primary focus will be...portion of time focused on provider communication, and claims denial resolutions. Communicates denial trends to leadership… more
- Nuvance Health (Danbury, CT)
- …closely with all business units and provides recommendations toward continuing improvement of coding compliance and coding denial management, while ensuring ... Officer (SACO) Physician Audit & Billing, the Senior Inpatient Professional Auditor providesHospital Inpatient and Outpatient coding , billing, and documentation… more
- Columbus Regional Hospital (Columbus, IN)
- …about this position: + Responsible for evaluating and auditing provider coding and documentation compliance to determine appropriate code assignments for diagnoses ... and departments, one-on-one and in a group setting, on all aspects of coding and documentation utilizing both oral and written direction. + Prepares training and… more
- Atlantic Health System (Morristown, NJ)
- Responsible for coding quality audits of all records (outpatient, inpatient, procedures, testing) to assure appropriateness and accurate code assignments in ... for the providers and staff; also responsible for assisting with coding inquiries from providers, charge posters, billing staff, etc. Principal Accountabilities:… more
- HCA Healthcare (Nashville, TN)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Revenue Integrity Auditor RN with Parallon you can be a part of an organization that is ... to succeed in our organization. We are looking for an enthusiastic Revenue Integrity Auditor RN to help us reach our goals. Unlock your potential! **Job Summary and… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …general nature, level and purpose of the job. The Senior Charge Capture Auditor works closely with clinical departments to ensure compliance with government, payer, ... and taking corrective action. Specific role duties + Accurate charge capture, primary coding changes liaison + Build and charge appropriately in epic for all… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Revenue Integrity Nurse Auditor - Remote - St. Peter's Hospital - FT Days** If you are looking ... for third party charge audits and trauma reviews. + Coordinates denial management processes (ie, clinical and administrative/technical accounts) for Revenue… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …and special focus audits and reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. + Participates as a ... + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete… 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 ... review and analysis of Bon Secours Mercy Health hospital claims denial reports, operational assessment reports, internal quality control reviews, internal and… more
- Johns Hopkins University (Middle River, MD)
- … denials, edit-related questions, and provide guidance disseminating information regarding coding -related denial concerns as necessary. + Perform charges ... Professional Coding (CPC) certification required, with additional certification as Auditor (CPMA), Approved Instructor or other specialty (CANPC, CEMC, CIC, COC)… more
- Columbus Regional Hospital (Columbus, IN)
- …coding related denials. + This position is responsible for acting as a liaison for denial communication between coding and billing teams. + The PB Coding ... What you need to know about the position: + The Professional Billing Coding Reimbursement Specialist provides the coding staff with the necessary support for … more
- R1 RCM (Boise, ID)
- …analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse** , you will help review and interpret medical ... and underpaid claims. Every day you will review medical records to ensure appropriate coding of removed or revised diagnosis and procedure codes. Then you will draft… more