- St Croix Hospice (Mendota Heights, MN)
- …be part of an extraordinary team of caregivers, then come work where you matter. Compliance Auditor (Clinical) Position Overview The Compliance Auditor ... potential risks and working cross-functionally to implement corrective actions. The Compliance Auditor will lead risk assessments, internal audits and… more
- Hartford HealthCare (Hartford, CT)
- …invite you to become part of Connecticut's most comprehensive healthcare network. The Revenue Compliance Auditor contributes to the success of the Office of ... clinical documentation, coding and billing audits as assigned or scheduled. The Revenue Compliance Auditor performs independent reviews to assess compliance … more
- Northwell Health (Lake Success, NY)
- **Req Number** 174853 Lead Compliance Auditor - Heavy Anesthesia & Healthcare Expertise Needed. This is a HYBRID position- MUST be in the office located in ... your expertise can make a real impact? FlexStaff is seeking a dynamic, detail-oriented Lead Compliance Auditor to join our client's team and lead the charge in… more
- Cedars-Sinai (Los Angeles, CA)
- …America's Best Hospitals. **What you be doing in this role:** The Physician Compliance Auditor is responsible for reviewing and auditing claims, medical records, ... the use of Teams or other remote meeting platforms. The Physician Compliance Auditor identifies issues and/or risks associated with documentation, coding,… more
- UCLA Health (Los Angeles, CA)
- …Support compliance excellence at UCLA Health by joining our team as a Compliance Auditor , MAPD, focused on Medicare Advantage (Part C) and Prescription ... role, you will conduct Risk Adjustment Data Validation (RADV) audits, compliance risk-based audits, support external audit coordination, and ensure alignment with… more
- Humana (Columbus, OH)
- …our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct ... coding guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor 's work assignments are varied and frequently require interpretation and independent… more
- Saint Francis Health System (Tulsa, OK)
- …**to login and apply.** Full Time Days Job Summary: The Compliance Nurse Auditor assists with and supports the ... Registered Nurse License. Work Experience: Minimum 3 years of healthcare compliance clinical auditing experience within a hospital setting. Deep understanding of… 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 Mount ... payment. This position plays a key role in ensuring the financial health and compliance of the organization and bridges the gap between clinical care and medical… 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 auditing ... medical records to ensure accurate coding and compliance with regulatory requirements. This role ensures continuous quality improvement in coding practices while… more
- Humana (Columbus, OH)
- …caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis… 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
- Covenant Health Inc. (Knoxville, TN)
- …and analysis of charges, CPT coding, modifiers and billing processes to ensure compliance with Medicare , Medicaid guidelines and other insurance payors and to ... Overview Revenue Integrity Auditor Full Time, 80 Hours Per Pay Period,...managers, providers, and billing staff to maximize reimbursement within compliance guidelines for Medicare , Medicaid and other… more
- Sharp HealthCare (San Diego, CA)
- …of CPT, ICD-10 and HCPCS codes is required. + Thorough understanding of Medicare , insurance documentation, and compliance and coding requirements. + Expert ... standards by clinical providers as established by SHC Corporate Compliance in accordance to the CMS and local MAC... in accordance to the CMS and local MAC ( Medicare Administrative Contractor) requirements. **Required Qualifications** + 3 Years… more
- MedKoder (Mandeville, LA)
- …services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare , Medicaid, and third-party payer ... work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty… more
- Marshfield Clinic (Marshfield, WI)
- …to support the most exciting missions in the world!** **Job Title:** Claims Auditor (Remote - WI or MN) **Cost Center:** 682891379 SHP-Claims **Scheduled Weekly ... (United States of America) **Job Description:** **JOB SUMMARY** The Claims Auditor is responsible for performing payment, procedural accuracy, turnaround time, … more
- Humana (Topeka, KS)
- …caring community and help us put health first** The Inpatient Medical Coding Auditor reviews a variety of medical records and to determine appropriate procedural ... terminology and medical codes (eg, ICD-10-CM, CPT.) The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the… more
- Covenant Health Inc. (Knoxville, TN)
- …research and analysis of CPT coding, modifiers and billing processes to ensure compliance with Medicare , Medicaid guidelines and other insurance payers and to ... OIG advisory opinions, and other publications relative to coding, billing and reimbursement compliance in order to ensure compliance . + Reviews information from… more
- Atlantic Health System (Morristown, NJ)
- …assure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines and provide ongoing feedback and analysis of ... + Audit charts for accurate and correct coding and compliance within documentation guidelines and AHS policies + Prepares...and billing department + Provides clarification on coding and compliance policies Required: * CPC Certification * Minimum 6… more
- UCLA Health (Los Angeles, CA)
- …next level. You can do all this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily audit of all examiners assigned to the ... auditor . You will review claims (paid, pending, and denied)...services, contract interpretation, Division of Financial Responsibility (DOFR), and application/ compliance with policies and procedures. You will: + Research… more
- Intermountain Health (Murray, UT)
- …coding knowledge and critical thinking skills to work collaboratively with internal compliance to research medical records procedures and testing accuracy for ... Medicare Cost Report. **Join a nationally recognized Transplant Unit...We're looking for a compassionate, sharp, and collaborative RN Auditor ready to make an impact in a fast‑paced,… more