- R1 RCM (Detroit, MI)
- R1 is currently seeking a Physician Billing Coding Auditor with a background in Physician coding , billing , and reimbursement guidelines. The ... CPC, CPMA, RHIA, RHIT, CCS-P, and/or CCS certification: + >1 year of physician coding and auditing experience, multi-specialty experience preferred + Knowledge… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 07/01/2024 **Requisition Number** PRN39028B **Job Title** Coding Auditor **Working Title** Quality Assurance Coding Auditor **Job ... too. We are looking for an experienced **Quality Assurance Coding Auditor ** to join our team. As...Physical Therapists, Midwives), support staff and administration. Auditors monitor coding and billing activities to ensure activities… more
- Health Advocates Network (Phoenix, AZ)
- Contract to Hire **Job # 24218 Coding Auditor /Educator** **Acclivity Healthcare - Your personable, proven partner!** Since 1999, Acclivity Healthcare has served ... value of better talent. **Compensation and Schedule for the Coding Auditor /Educator** Coding Auditor...when requested by clinical departments to research and resolve coding issues related to billing - Participate… more
- Covenant Health Inc. (Knoxville, TN)
- …experience in acute care coding , both inpatient and out-patient and/or physician practice. Good working knowledge of healthcare billing , Medicare/Medicaid ... projects for Covenant Health entities as they relate to coding , documentation , and billing compliance. Also...CDI staff, Quality and Case Managers, Decision Support and physician office personnel regarding coding questions. Maintains… more
- United Musculoskeletal Partners (Atlanta, GA)
- …the Coding Quality Auditor and Educator: + Conducts coding , billing , and documentation monitoring audits within established timeframe. Identifies need ... of service. + Identifies documentation gaps (lacking documentation, missed physician queries, etc.) that impact coding accuracy....+ 2+ years of relevant experience in a professional coding auditor and/or coding educator… more
- Nuvance Health (Danbury, CT)
- …to the Special Associate Compliance Officer (SACO) Physician Audit & Billing , the Senior Inpatient Professional Auditor provides Hospital Inpatient and ... Senior Compliance Coding Auditor - Inpatient Location: Danbury,...Outpatient coding , billing , and documentation auditing and education to the NUVANCE… more
- Hackensack Meridian Health (Hackensack, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Coding Quality Auditor ** is responsible for monitoring compliance with applicable ... clinical documentation to support coding and billing regulations to insure appropriate...audits.** **Responsibilities** A day in the life of a ** Coding Quality Auditor ** at Hackensack Meridian Health… more
- Highmark Health (Jefferson City, MO)
- …Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or auditing, as well as, education techniques and methods. ... activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II… more
- ProMedica Health System (Toledo, OH)
- …of Experience: Minimum of 3 years coding experience with physicians coding . Experience performing physician coding audits. Certification: CPC, RHIT, ... 1. Develop and coordinate an educational plan that encompasses accurate documentation, coding and billing procedures based on specialty. 2. Provide regular… more
- UNC Health Care (Chapel Hill, NC)
- … denials and appeals. Reviews coding insurance denials and refers clinical coding denials to the CDI Physician Advisors. 4. Resolves insurance denials that ... sound arguments and based on coding guidelines and conventions. 6. Generates coding appeals as a result of CDI Physician Advisor reviews suggesting appeal.… more
- LifePoint Health (Marquette, MI)
- UP Health System - Marquette / Physician Compliance Auditor , Central Billing Office, 1.0DV/ *Who We Are:* People are our passion and purpose. Come work where ... Information Management/ Coding * **Organization:** **UP Health System - Marquette Physician Practices* **Title:** * Physician Compliance Auditor *… more
- Medical Mutual of Ohio (OH)
- …and provider appeals from a clinical coding perspective, applying coding guidelines. Analyzes provider billing for abnormalities, questionable billing ... professional claims from a clinical and coding perspective applying coding guidelines and edits. Assesses for inappropriate billing combinations, inherent… more
- Johns Hopkins University (Baltimore, MD)
- …third party regulations with emphasis on Medicare billing , teaching physician regulations, Current Procedural Terminology, ICD-9-CM Coding , and professional ... preferred. + Additional coding certifications preferred. Classified Title: Billing Compliance Auditor Job Posting Title (Working Title): Compliance… more
- Johns Hopkins University (Baltimore, MD)
- …third party regulations with emphasis on Medicare billing , teaching physician regulations, Current Procedural Terminology, ICD-9-CM Coding , and professional ... Trainer_** who will provide on-going training and support to physicians, non- physician providers, professional fee billing staff, clinic staff, administrators,… more
- LifePoint Health (Marquette, MI)
- …**Job:** ** Billing /Collections* **Organization:** **UP Health System - Marquette Physician Practices* **Title:** *Manager, Coding Revenue Cycle, Central ... UP Health System - Marquette Manager - Coding Revenue Cycle, Central Billing Office,...Certified Hematology & Oncology Coder (CHONC) Certified Professional Medical Auditor (CPMA) Certified Coding Associate (CCA) Registered… more
- Guthrie (Sayre, PA)
- … systems and guidelines, payer guidelines and requirements. Minimum 1-year experience in physician coding and billing and/or compliance field required. 3 ... Position Summary: A compliance auditor conducting assessments in accordance with The Guthrie...educating and training providers and staff in relation to coding , billing and compliance issues 5. Assists… more
- Trinity Health (Boise, ID)
- …charging and billing requirements are met. + Maintains working knowledge of coding and billing regulations for all payors. Keeps current on regulatory ... care. We are looking for a new **Revenue Integrity Auditor ** to join our team, working in coordination with...detailed audits of charges to ensure that documentation supports billing and is in compliance with documentation, and applicable… more
- Waystar (AR)
- …Validate code and DRG assignment and supporting clinical documentation based on physician documentation, UHDDS guidelines and official coding guidelines using ... **ABOUT THIS POSITION** We are looking for a Revenue Integrity DRG Auditor who has a comprehensive understanding of hospital Revenue Cycle Management. Significant… more
- Trinity Health (Des Moines, IA)
- …Consider joining our team as a Coder. This person will be responsible for coding and abstracting patients' medical records for billing and statistical purposes. ... coding and abstracting patients' records for professional billing . + Reviews patient medical records retrospectively and concurrently...within three (3) months of hire. + Knowledge of physician EM coding desired + Working knowledge… more
- Trinity Health (Mason City, IA)
- …or "review." + Works with the Coding Supervisor and /or Clinic Coding Auditor /Educator to resolve any on-going issues with provider documentation or ... coding requirements, questions, and concerns. + Notifies Coding Supervisor or Clinic Coding Auditor...required + Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified… more