- Insight Global (Houston, TX)
- Job Description A healthcare employer in Houston, TX is seeking a Surgical Coding Auditor to join their growing team. This position is remote but candidates ... the coders based on auditing results. They will be focused on surgical coding within the following specialties: Urology, Bariatrics, Interventional Cardiology,… more
- Tufts Medicine (Burlington, MA)
- **Professional Coding Auditor and Educator - Remote** **Job Profile** **Summary** This role focuses on activities related to revenue cycle operations such as ... up to 25 pounds. **Skills & Abilities:** 1. Extensive knowledge of coding surgical procedures, applicable modifiers in multi-specialty setting. 2. Understands… more
- University of Southern California (Los Angeles, CA)
- …accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded ... AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also, provide detailed...(5) -years of experience in ICD-9 & ICD-10 (combined) coding and auditing of Professional charges, E/M, surgical… more
- Rush University Medical Center (Chicago, IL)
- …and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications * ... a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of...coding experience, including evaluation & management (E/M) and surgical coding experience, may be considered contingent… more
- FlexStaff (Chappaqua, NY)
- **Req Number** 172252 Surgical Anesthesia Compliance AuditorCompliance Auditor MUST HAVE CPC CERTIFICATON This is a HYBRID position- MUST be in the office ... located in Chappaqua, NY 3 days a week. Surgical Anesthesia Compliance Auditor - Hybrid position- Chappaqua, NY- $100K-$115K Are you passionate about healthcare… more
- Cedars-Sinai (Los Angeles, CA)
- …ID** : 13340 **Working Title** : Outpatient Surgical and Claims Edit Auditor **Department** : CSRC Coding Audit **Business Entity** : Cedars-Sinai Medical ... one of America's Best Hospitals. **What will I be doing in this role?** The Coding Auditor works under the general direction of the Coding Supervisor. A … more
- WMCHealth (Valhalla, NY)
- … coding E/M levels to identify trends requiring further education + Monitors coding surgical procedures in practice and hospital settings to identify trends ... Network Practice Coder/ Auditor Company: NorthEast Provider Solutions Inc. City/State: Valhalla,...and/or auditing in a large multispecialty practice setting, including surgical speacialties is required. HCC Risk adjustment Coding… more
- BJC HealthCare (St. Louis, MO)
- …is a plus! + Previous auditing experience of evaluation and management and surgical procedures is preferred! + Working knowledge of EXCEL and MS Publisher. ... instruction on federal and state regulations, documentation guidelines, and coding training in a way that ensures compliance with...and/or concerns as a result of serving as lead auditor . + Support the HIPAA liaison by tracking and… more
- St. Luke's University Health Network (Allentown, PA)
- …+ Participate in Administrative Law Judge (ALJ) hearings and/or formal meetings with auditor or payor representatives in defense of coding appeals, as needed. ... Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure properly assigned… more
- SUNY Upstate Medical University (Syracuse, NY)
- …health system environment. + Strong background in OB/GYN inpatient, outpatient, and surgical coding . + Experience educating providers or leading documentation ... Position Overview Responsible for the accurate and compliant coding of inpatient, outpatient, and professional OB/GYN encounters. This position serves as a key… more
- NCH (Naples, FL)
- …potential missed opportunities for documentation clarification, act as a liaison between coding and CDI to resolve DRG or other code discrepancies, collaborate with ... process and/or provider education. The QI-CDIS will collaborate closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, Quality Department… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as ... discussions with Medical Directors and/or clinical consultants. + Serves as an internal auditor /peer reviewer for new clinical staff, as needed. + Mentors (to others… more