- Atlantic Health System (Morristown, NJ)
- …new providers throughout the year 9. Audit charts for accurate and correct coding and compliance within documentation guidelines and AHS policies 10. Prepares ... office staff, providers, and billing department 14. Provides clarification on coding and compliance policies Required: 1. CPC Certification 2. Minimum 6 months… 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 ... *Responsibilities:* 1. Under the leadership of the SACO, conducts high volume of coding compliance audits across all Nuvance Hospitals in accordance with the… more
- Covenant Health Inc. (Knoxville, TN)
- …by Forbes as a Best Employer. Position Summary: Performs or reviews complex level internal coding audit work for i npatient accounts. Work involves leading or ... conducting coding and compliance audit projects for Covenant...certifications are acceptable-RHIT/RHIA/AAPC, CPC, or CPMA. Apply/Share Job Title CODING OFF AUDITOR -EDU ID 3865895 Facility Covenant… more
- UTMB Health (Galveston, TX)
- Auditor , Coding and QA - Revenue Cycle...CMS Preferred **JOB SUMMARY:** To provide internal coding quality reviews to ensure compliance with official ... optimal reimbursement from all third-party payers. **ESSENTIAL JOB FUNCTIONS:** Performs internal coding and documentation quality reviews of coded Ambulatory… more
- Sharp HealthCare (San Diego, CA)
- …as a certified coder. + 2 Years experience working as a HCC risk adjustment coding auditor . + Experience with medical billing and with medical terminology. + ... potential compliance risk and notify management immediately.Identifies anomalies in coding .Identifies ways to avoid errors and issues and creates safeguards to… more
- Houston Methodist (Fort Worth, TX)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... coding guidelines. **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding /DRG requests. Responds promptly to Business… more
- UNC Health Care (Chapel Hill, NC)
- …other applicable codes. Analyzes information for optimal and proper reimbursement, including coding denial resolution. Ensures compliance with all appropriate ... coded records for multiple specialties. Analyzes coded records for compliance with federal, state and third party insurer rules...to physicians and other health care staff regarding current coding practices and changes in 3rd party, state and… more
- Queen's Health System (Honolulu, HI)
- …I. JOB SUMMARY/RESPONSIBILITIES: * Responsible for conducting internal audits of coding and documentation to ensure compliance with coding guidelines ... LICENSURE: * Certification as an Outpatient Physician Coder (CPC) or Certified Coding Specialist -Physician based (CCS-P) required. * Certification as Medical … more
- Northwell Health (Lake Success, NY)
- …and regulatory risk assessments. + Acts as the internal expert on coding issues to ensure compliance with state and federal regulations. + Research, ... compliance risk. Job Responsibility + Reviews data, such as claims detail, coding and medical record documentation to determine compliance with appropriate … more
- UNC Health Care (Chapel Hill, NC)
- …appeals insurance coding denials. This position analyzes coded records for compliance with federal, state and third party insurer rules and regulations and note ... . **Knowledge/Skills/and Abilities Requirements:** * Strong knowledge of ICD-10/PCS/CPT/HCPCS coding and billing compliance (MS-DRGs/IPPS, APC/OPPS) with… more
- Insight Global (Charlottesville, VA)
- …training and education sessions for physicians, allied health professionals, residents, and coding and billing staff to support compliance with third party ... Job Description Insight global is seeking a remote Professional Coding Educator for a healthcare system in Virginia. The educator will provide consulting services to… more
- Northwell Health (Garden City, NY)
- …reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. 5.Applies coding rules and ... - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical.** Validates Acute Inpatient coded… more
- Northwell Health (Garden City, NY)
- …are maintained in compliance with Federal and State regulations. + Applies coding rules and regulations to the validation review process. + Reviews codes on ... or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home...Medicare/non-Medicare charts for compliance to rules and conventions. + Instructs professional staff… more
- Sevita (Baltimore, MD)
- …audit plan while testing compliance with pertinent billing and coding requirements; internal policies and procedures; and external accreditation standards. ... for the people we serve and for our employees. **Summary** The Clinical Compliance Auditor is responsible for collaborating with Operations and Revenue Cycle… more
- Hackensack Meridian Health (Hackensack, NJ)
- …**Ambulatory Payment Classification (APC) Auditor ** performs all related internal , concurrent, prospective and retrospective coding audit activities across ... Recovery Audit Program (RAC) Statement-of-Work (SOW), Office of Inspector General (OIG) Coding Compliance Plan and Correct Coding Initiative Guidelines.… more
- SUNY Upstate Medical University (Syracuse, NY)
- …trends and aberrations. Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding , and billing guidelines. ... Job Summary: Position Summary: Under the direction of the Compliance Officer the main duties for this position include:...main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …Charge Capture Auditor works closely with clinical departments to ensure compliance with government, payer, and internal charge capture policies; provides ... as required to keep current with Medicare and Medi-Cal coding and compliance guidelines as they pertain...abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new… more
- CIBC (Atlanta, GA)
- …audits; advising business units on the design, implementation, and maintenance of internal controls; and promoting compliance with CIBC policies and procedures, ... legal entity reports to key stakeholders. The IT Senior Auditor works with business units to assess the adequacy...members to plan and execute risk-based audits. Participate in internal projects to improve and simplify audit processes. +… more
- Insight Global (Houston, TX)
- …from AAPC Knowledge of coding compliance policies, official coding guidelines, regulatory requirements and internal policies and procedures affecting the ... in Houston, TX is seeking a Physician Educator & Auditor to join their growing team. This team will...ensure the documentation is correct and effective from a coding and clinical perspective. The ideal candidate needs to… more
- Insight Global (Houston, TX)
- …from AAPC Knowledge of coding compliance policies, official coding guidelines, regulatory requirements and internal policies and procedures affecting the ... A healthcare employer in Houston, TX is seeking a Coding Auditor to join their growing team....NE. This position will audit and educate our coders ( internal and onsite coders approx.. 40+ coders). The person… more