- Ascension Health (Halethorpe, MD)
- …Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation. + Audit specified number ... of records per coder as defined in the system coding audit plan. + Prepare audit reports that are...+ Develop corrective action plans to address opportunities for coding , billing and documentation improvement. + Identify trends and… more
- Johns Hopkins University (Baltimore, MD)
- We are seeking a **Sr. Compliance Auditor ** **Trainer** who will provide on-going training and support to physicians, non-physician providers, professional fee ... and analysis techniques, determines the adequacy of medical records documentation, coding and billing for all providers across all clinical specialties. Works… more
- Elevance Health (Hanover, MD)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Elevance Health (Hanover, MD)
- **Clinical Provider Auditor Senior** **Supports Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). The ideal ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor Senior** is responsible for identifying issues and/or entities that… more
- Johns Hopkins University (Middle River, MD)
- …Professional Coding (CPC) certification required, with additional certification as Auditor (CPMA), Approved Instructor or other specialty (CANPC, CEMC, CIC, COC) ... Assist the Sr. PUM with problem-solving issues and concerns that will impact the coding workflow of the department. + Responsible for answering coding denials,… more
- TEKsystems (Baltimore, MD)
- …the patient and assigns ICD-10CM/PCS codes to those diagnoses/procedures for outpatient coding . Tasks: * Reviews the entire medical record for codeable information. ... queries as appropriate and adheres to the query policy. Follows-up on queries and updates coding and the query as appropriate and in a timely manner. * Assigns the… more
- DCCA (Columbia, MD)
- …organizational goals and risk tolerance. . (DESIRED) Develop and maintain secure coding standards, security checkpoints, and automated security controls that can be ... Security Manager (CISM) required. . (DESIRED) Certified Information Systems Auditor (CISA) desired. Education Requirements: (REQUIRED) Computer Science degree or… more