- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ... coding guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor 's work assignments are varied and frequently require interpretation and… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex...make an impact** + Additional Job Description **WORK STYLE:** Remote /work at home. While this is a remote… more
- TEKsystems (Annapolis, MD)
- …coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), ... Description JOB SUMMARY The Coding Auditor 1 is proficient in...etc.) ESSENTIAL FUNCTIONS OF THE ROLE * Performs routine coding quality reviews on all coders including… 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 ... and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and...Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: HIM Coding & CDI Quality Work Type: Full… more
- MedKoder (Mandeville, LA)
- …Full-time, 40 hour work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and accurately coding ... Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder's internal … more
- Sharp HealthCare (San Diego, CA)
- …*This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) ... program. The position provides oversight and maintenance of a high- quality , effective, best practices coding , billing, and... ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of… more
- Cedars-Sinai (Los Angeles, CA)
- …or provide audit results feedback through the use of Teams or other remote meeting platforms. The Physician Compliance Auditor identifies issues and/or risks ... Award 19 years in a row for providing the highest- quality medical care in Los Angeles. We also were...innovation. **Req ID** : 13920 **Working Title** : Physician Coding Compliance Auditor **Department** : CSRC PB… more
- Humana (Topeka, KS)
- …of our caring community and help us put health first** The Inpatient Medical Coding Auditor reviews a variety of medical records and to determine appropriate ... and medical codes (eg, ICD-10-CM, CPT.) The Inpatient Medical Coding Auditor work assignments involve moderately complex...**Use your skills to make an impact** **WORK STYLE:** Remote , work at home. While this is a … more
- Covenant Health Inc. (Knoxville, TN)
- …certifications are acceptable-RHIT/RHIA/AAPC, CPC, or CPMA. Apply/Share Job Title CODING AUDITOR -EDU-CLINIC ID 4382326 Facility Covenant Medical Management ... Overview Coding Educator, Clinical Document Integrity Full Time, 80...Shift Must be located in East TN. Position is remote and onsite. Covenant Medical Group is Covenant Health's… more
- University of Utah Health (Salt Lake City, UT)
- …are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA_ This ... position audits the accuracy and completeness of diagnosis and procedure coding , DRG assignment, and abstracted data to support that appropriate reimbursement and… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Clinical Auditor /Analyst Intermediate! The Clinical Auditor /Analyst Intermediate is an integral part of the ... the analysis of care and services related to clinical guidelines, coding requirements, regulatory requirements, and resource utilization. This role also acts… more
- Stanford Health Care (Palo Alto, CA)
- …is a Stanford Health Care job.** **A Brief Overview** The Charge Auditor performs auditing activities, including complex cases that require extensive research, ... interpretation and application of laws and regulations. Charge Auditor evaluates the adequacy and effectiveness of internal and operational controls designed to… more
- Amergis (Cleveland, OH)
- …of all cases in compliance with CMS policies and procedures and official coding guidelines + Keeps abreast of coding guidelines and reimbursement reporting ... as needed + Abides by the Standards of Ethical Coding as set forth by the American Health Information...Center's policies and procedures + Ensures client's production and quality expectations are met + Responsible for timely review… more
- Northwell Health (Lake Success, NY)
- …reviews to ensure records are complete, accurate, and support proper billing and coding - Audit anesthesia records focusing on quality , completeness, and ... **Req Number** 172252 Surgical Anesthesia Compliance AuditorCompliance Auditor MUST HAVE CPC CERTIFICATON This is a...position offers the perfect blend of in-office collaboration and remote work, all while contributing to an organization committed… more
- Humana (Madison, WI)
- …of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ... and diagnosis coding for services rendered is complete, compliant and accurate...compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require… more
- Insight Global (Plano, TX)
- Job Description Insight Global is seeking experienced DRG Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform ... quality audits on inpatient charts to ensure accurate coding and compliance with federal regulations. This is a... and compliance with federal regulations. This is a remote opportunity and the salary for this role is… more
- Insight Global (South Jordan, UT)
- Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote . This person should have an extensive background in ... either facility-based nursing, clinical documentation, and/or inpatient coding and has a high level of understanding of reimbursement guidelines specifically an… more
- CIBC (IL)
- …assurance for our technology and business processes. As a Senior Auditor , Information Technology, you'll conduct risk-focused audits, advise business partners on ... days per week on-site, while other days will be remote ._ **How you'll succeed** + **Audit execution** - Lead...with audit team members, stakeholders, and management to deliver high- quality audit results and share best practices. + **Process… more
- Datavant (Dover, DE)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help...workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the… more
- BJC HealthCare (St. Louis, MO)
- …and relevant work experience) **Additional Information About the Role** + Remote opportunity! + Experience with analyzing provider data and training on ... Illinois areas. Our providers are nationally recognized for excellent patient satisfaction, quality health care, and improving the health and well-being of the… more