- Centene Corporation (New York, NY)
- …administering, and analyzing clinical coding training and auditing programs. The Senior Clinical Coding Auditor & Trainer will conduct audits ... for Fidelis Care and assist in development of training and audit tools. The Senior Clinical Coding Auditor & Trainer position is primarily remote with… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42910BR** **Extended Job Title:** Medical Coding Auditor **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for ... maintaining compliance with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers, and other departmental… 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 Officer...and billing and/or compliance field required 5 year of clinical experience and/or knowledge and understanding of Medical Records… more
- Geisinger (Danville, PA)
- …physicians and non-physician practitioners, as determined appropriate. + Serves as a clinical coding subject matter expert for multiple assigned specialties and ... Job Summary The Compliance Auditor position is responsible for supporting the organization's Revenue Management Compliance department in developing, implementing,… more
- Datavant (Honolulu, HI)
- …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and ... purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity...to the table: + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue Auditor for the ... managed care. + Expected to stay updated on current medical billing and coding processes, clinical procedures, and relevant disease states. + Demonstrated… more
- University of Washington (Seattle, WA)
- …noted for diversity, intellectual excitement, artistic pursuits, and natural beauty. The senior healthcare auditor is responsible for the completion of internal ... audits within the clinical integrated parts of the University of Washington/UW Medicine...based primary care clinics, and an air medical transport. Senior healthcare auditors are also expected to be familiar… more
- Humana (Corpus Christi, TX)
- …caring community and help us put health first** The Home Health Quality Auditor ensures clinical documentation meets CMS regulations, OASIS accuracy, and ... accuracy, and completeness, helping reduce audit risk and billing delays. The auditor monitors QA metrics, identifies trends, and collaborates with leadership to… more
- Dartmouth Health (Lebanon, NH)
- …and compliance objectives. Performs complex professional and facility (DRG or APC) coding and billing audits across all clinical specialties. Responsibilities * ... performs auditing and monitoring projects at the request of Senior Management and the Audit and Compliance Committee of...and/or professional or facility chart abstraction, CPT and ICD-9 coding and clinical documentation education required. *… more
- Texas Health Resources (Arlington, TX)
- …Ability to provide clear and constructive feedback to coders, non-coders, and senior leadership, translating complex coding rules into actionable insights. ... Manager Compliance Coding _Are you looking for a rewarding career...establishing management correction plans when necessary. Additionally, the Compliance Auditor Manager effectively communicates audit findings through reports, presentations,… more
- University of Southern California (Alhambra, CA)
- …conducts meetings to evaluate department charge processes to improve charge capture and coding compliance. The Senior RI Specialist also coordinates with Keck ... the billing system and CDM management tools . The Senior RI Specialist shall ensure that the Chargemaster (CDM)...field required. Related experience may include a combination of clinical service delivery (nursing or allied health), coding… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …adherence to government, payer, and institutional billing guidelines as well as national coding guidelines. The Senior Reviewer will assist in the development ... MA, RI, CT)** Reporting to the Director of Billing Compliance, the Senior Billing Compliance Reviewer ensures the integrity, accuracy, and regulatory compliance of… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …preferred. + A minimum of five years of experience working as a medical coder, coding auditor , and/or coding educator. + Certified in Healthcare Compliance ... , with an emphasis on Evaluation and Management (E/M) services, procedural coding , and clinical documentation improvement. + Participate in provider orientation… more
- Option Care Health (Bannockburn, IL)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... to summarize and communicate complex findings effectively. Reporting to the Senior Manager, Compliance Auditing, Monitoring and Analytics, this individual assists in… more