- Robert Half Accountemps (Alhambra, CA)
- Description We are currently seeking a meticulous Chart Auditor responsible primarily for verifying, rectifying, and finalizing edits in the Patient Accounting ... System or claims editing system. The Chart Auditor will occasionally conduct insurance audits...Organize and carry out extensive defense audits of patient medical records with insurance company representatives. * Correct charges… more
- Robert Half Accountemps (Los Angeles, CA)
- …and changes in regulations as required. Requirements * Experience Clinical Documentation Specialist or Medical Chart Auditor . * Current CPC or CCS Coding ... discharge instructions, progress notes, and billing codes. * Collaborating with medical professionals to gather, analyze, and clarify patient information. *… more
- UPMC (Pittsburgh, PA)
- **UPMC is hiring a full-time Senior Medical Auditor to join their Department of Pediatrics team! This position will join our Pediatrics administrative team, ... defend external coding audits when requested.** As the Senior Medical Auditor , you will provides technical expertise...practice discussion. + Perform internal retrospective, concurrent or prospective medical chart audits to assure that CPT… more
- UPMC (Pittsburgh, PA)
- …and revises better best practice within the department. The Intermediate Clinical Auditor Analyst reviews medical records, creates, maintains, and analyzes ... 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
- Catholic Health Initiatives (Chattanooga, TN)
- …Coders (AAPC) as a Certified Professional Coder (CPC) required. Professional Medical Auditor Certification (CPMA) (CMAS)-preferred but not required. CRC ... **Overview** **CHI Memorial Mountain Management** CHI Memorial Medical Group (Mountain Management Services), now part of...**Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- Summary With direction from the Patient Financial Services Director, the Nurse Auditor / Revenue Integrity/ CDM Analyst is responsible for performing audits of ... itemized charges versus the patient medical record and other applicable hospital documentation, assigning modifiers...staff of appropriate HCPCS codes and modifiers. The Nurse Auditor / Revenue Integrity/ CDM Analyst works directly with revenue… more
- Legacy Treatment Services (Marlton, NJ)
- …in establishing and meeting AR Metrics and KPI's The Revenue Cycle Management Auditor Perform chart reviews as necessary for designated programs. Collect, input ... Revenue Cycle Management Auditor Job Details Level Entry Job Location Administration...of Paid Time Off during the first year + Medical , vision, dental and life insurance + 403(b) employee… more
- Providence (OR)
- …must empower them._** **Providence Health Plan is calling a Coding Quality Auditor , HEDIS who will:** + Be responsible for conducting clinical quality ... improvement within the HEDIS project + Collect data by way of chart extraction, using objective specifications for the Healthcare Effectiveness and Data Information… more
- Providence (WA)
- …we must empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor , HEDIS who will:** + Be responsible for conducting clinical quality audits for ... improvement within the PHP network + Collect data by way of chart extraction, using objective specifications for the Healthcare Effectiveness and Data Information… more
- Omaha Children's Hospital (Omaha, NE)
- …disabilities. **A Brief Overview** Responsible for auditing and reconciling Hospital accounts to medical record at 3 days post discharge to ensure accuracy and in ... complete audits to ensure that the clinical documentation contained within the patient chart supports items and services included on the patient bill and identifies… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Staff Auditor II Augusta , Maine , United States | Auditor | Full-time | Partially remote Apply by: Nov. 27, 2024 Apply with Linkedin Apply Department of Health ... to its staff. ABOUT THE POSITION: As a Staff Auditor II you will: + Perform independent and complex...premiums ($10,523.28-$12,380.40 annual value), depending on salary. Use this chart to find the premium costs for you and… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Staff Auditor I Augusta , Maine , United States | Auditor | Full-time | Partially remote Apply by: Nov. 27, 2024 Apply with Linkedin Apply Department of Health ... to its staff. ABOUT THE POSITION: As a Staff Auditor I you will: + Perform professional audit work...premiums ($10,523.28-$12,380.40 annual value), depending on salary. Use this chart to find the premium costs for you and… more
- Elevance Health (Morristown, NJ)
- …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure… more
- Sharp HealthCare (San Diego, CA)
- …methods for resolution that satisfy regulatory and SCMG compliance requirements.Performs medical chart audits meeting minimum department productivity standards. ... Years experience working as a HCC risk adjustment coding auditor . + Experience with medical billing and...followed to allow for maximum reimbursement through appropriate coding.Performs chart audits, to provide education to providers and staff… more
- Williams Adley (Washington, DC)
- …Information Systems, Cybersecurity, Accounting, or equivalent experience working as an IT Auditor or Consultant for a public accounting firm or a professional ... mentoring, professional membership/subscription dues, and professional development opportunities, you can chart a unique and fulfilling career path on your own… more
- Atlantic Health System (Morristown, NJ)
- …reported 3. Audits codes and professional fee services performed by providers from medical records according to ICD-10, CPT, HCPCS, and CMS guidelines 4. Responsible ... coding such as appropriate documentation, accurate coding, coding trends found during chart reviews, third party audit findings, and annual coding updates. 6.… more
- Ascension Health (Austin, TX)
- …Coordinate payer denials and appeals, respond to insurance company requests for medical records, and perform medical record reviews. + Review ... licensure at time of hire. **Additional Preferences** + Must be RN + Chart auditing experience and/or experience reviewing or working with electronic medical … more
- Baystate Health (Springfield, MA)
- …to transfer and discharge. Explains and obtains signatures for Medicare forms. Organizes chart for Medical Records, faxes or copies records as needed. Sends ... OF WORKING WITH BAYSTATE!** + Excellent Compensation High-quality, low-cost medical , dental and vision insurance + Generous PTO -...C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor , People Soft and Staples and Kronos access if… more
- Baystate Health (Palmer, MA)
- …labels pages with patients name. Prepares record prior to transfer and discharge. Organizes chart for Medical Records, faxes or copies records as needed. Sends ... OF WORKING WITH BAYSTATE!** + Excellent Compensation High-quality, low-cost medical , dental and vision insurance + Generous PTO -...C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor , People Soft and Staples and Koronos access if… more
- Molina Healthcare (MI)
- …is responsible for the implementation, monitoring, and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment, Risk Adjustment ... supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position would oversee management of training for… more