- Premera Blue Cross (Mountlake Terrace, WA)
- …the communities that we serve through our Healthsource blog: https://healthsource.premera.com/ . The ** Medical Coding Auditor ** plays a crucial role in ... This position is essential for maintaining the integrity of Risk Adjustment and HCC coding . By leveraging...errors and documentation deficiencies. In addition to auditing, the Medical Coding Auditor conducts quality… more
- Sharp HealthCare (San Diego, CA)
- …practices. *This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's ... ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of...and assess Sharp's potential risks using SHC's billing and coding claims data, risk assessment data, MDAudit… more
- MedKoder (Mandeville, LA)
- About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding ... work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and...pay, and flexible scheduling year-round * Internal network of Medical Coding Industry Leaders - CEO is… more
- Albany Medical Center (Albany, NY)
- …America) Salary Range: $60,367.47 - $90,551.20 This position has remote opportunity Professional Coding Auditor will apply an advanced professional coding ... coding staff. Act as an expert for the HCC/ Risk adjustment coding . This position is remote...professional fee billing integrity reviews/audits for AMHS, including reviewing medical record documentation and coding to assess… more
- Hackensack Meridian Health (Hasbrouck Heights, NJ)
- …and serve as a leader of positive change. The **Physician Billing (PB) Coding Auditor and Educator** is responsible for auditing and educating healthcare ... Specialist (CCS); or Certified Professional Coder (CPC) Certification. + Certified Professional Medical Auditor (CPMA) at hire or must obtain within one (1)… more
- Guthrie (Sayre, PA)
- Option to be Hybrid/Remote. Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and ... procedures and accepted guidelines for medical coding . Works closely with the Compliance...outcomes and any need for corrective actions. + Research risk areas and compliance concerns related to coding… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Ongoing mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, and ... education for professional billing, coding and documentation programs that confirm compliance, identifies reimbursement implications, and provides billing providers… more
- Highmark Health (Harrisburg, PA)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
- Covenant Health Inc. (Knoxville, TN)
- …are acceptable-RHIT/RHIA/AAPC, CPC, or CPMA. Apply/Share Job Title CODING AUDITOR -EDU-CLINIC ID 4382326 Facility Covenant Medical Management Department Name ... Recruiter: Brittany Smithson ||###@covhlth.com Responsibilities + Identifies and evaluates company risk areas and provides coding education developing criteria,… more
- UNC Health Care (Chapel Hill, NC)
- …that have opted into shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may travel from entity to entity ... the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education as well as… more
- CVS Health (Austin, TX)
- …**Required Qualifications** + Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + CPC ... (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician) required. + CRC (Certified Risk Adjustment Coder) + Computer proficiency… more
- Mount Sinai Health System (New York, NY)
- …related professions). + Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist ... understanding of medical terminology and patient care, expertise in medical coding systems and healthcare regulations, analytical and problem-solving… more
- University of Michigan (Ann Arbor, MI)
- …years of experience with ICD-10 inpatient coding required. + Prior experience coding in an academic medical center. + Extensive knowledge of ICD-10-CM and ... and check certain inpatient records to make sure the coding is correct and follows rules for ICD-10 codes....Detail** **Job Opening ID** 271520 **Working Title** DRG COMPLIANCE AUDITOR (DCA) **Job Title** Medical Coder Compliance… more
- Covenant Health Inc. (Knoxville, TN)
- …current clinical license/registration in the State of Tennessee as RN with equivalent coding experience. Apply/Share Job Title REV INTEGRITY AUDITOR SR ID ... Overview Revenue Integrity Auditor Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare… more
- WMCHealth (Valhalla, NY)
- …Does related work as required. Responsibilities: + Using the current HCPCS, ICD and CPT coding guidelines, audits medical records for coding for accuracy + ... rules. + Reviews edits in Cerner and SSI to identify additional documentation/ coding / medical necessity trends for correction and education. Works with Clinisys… more
- Insight Global (Plano, TX)
- …chart reviews to accurately reflect the patient's condition. Stay current with medical coding guidelines and industry developments. Assist in developing training ... DRG Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic Related Group (DRG) validation and quality audits on… more
- Geisinger (Danville, PA)
- …audits, monitoring, and provides compliance education for facility and professional documentation, coding , and billing. The Senior Compliance Auditor serves as a ... Job Summary The Senior Compliance Auditor ensures the integrity and accuracy of facility...scheduled facility and/or professional audits on the adequacy of medical record documentation to support coding (DRG,… more
- Bozeman Health (Bozeman, MT)
- …compliance with applicable laws, regulations, payer rules, and internal policies. + Reviews medical and billing records for coding accuracy and medical ... Position Summary: The Compliance Auditor supports an effective compliance program by planning...supports an effective compliance program by planning and executing risk -based audits, monitoring adherence to federal and state regulations,… more
- University of Washington (Seattle, WA)
- …**Desired Qualifications** . Master's Degree in business, accounting or related discipline . Medical coding knowledge or experience . RN or equivalent provider ... intellectual excitement, artistic pursuits, and natural beauty. The senior healthcare auditor is responsible for the completion of internal audits within the… more
- Humana (Corpus Christi, TX)
- …and Discharge records for compliance, accuracy, and completeness, helping reduce audit risk and billing delays. The auditor monitors QA metrics, identifies ... community and help us put health first** The Home Health Quality Auditor ensures clinical documentation meets CMS regulations, OASIS accuracy, and Medicare… more
