- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor 's work assignments...claim/encounter information + Support and participate in process and quality improvement initiatives **What Humana Offers** We are fortunate… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… 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 ... practices while maintaining compliance with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers,… more
- Humana (Topeka, KS)
- **Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor reviews a variety of medical records and to ... medical codes (eg, ICD-10-CM, CPT.) The Inpatient Medical Coding Auditor work assignments...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… 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 ... medical records to identify opportunities for improving the quality of medical record documentation for reimbursement,...Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: HIM Coding & CDI Quality Work Type: Full… more
- MedKoder (Mandeville, LA)
- About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding ... work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and...pay, and flexible scheduling year-round * Internal network of Medical Coding Industry Leaders - CEO is… more
- Sharp HealthCare (San Diego, CA)
- …Case Management, Quality , etc.) in developing SHC's standardized documentation, medical necessity, coding and billing policies and guidelines in accordance ... a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration...program. The position provides oversight and maintenance of a high- quality , effective, best practices coding , billing, and… more
- Elevance Health (Chicago, IL)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR ** is responsible ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _...**DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company,… more
- Elevance Health (Chicago, IL)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG Coding Auditor Principal** is ... **DRG Coding Auditor Principal** **_Virtual: _** _...business, and its clients. Specializes in review of DRG coding via medical record and attending physician's… more
- Cedars-Sinai (Los Angeles, CA)
- …Research Corporation's Consumer Choice Award 19 years in a row for providing the highest- quality medical care in Los Angeles. We also were awarded the Advisory ... Compliance Auditor is responsible for reviewing and auditing claims, medical records, and charges to ensure compliance with applicable documentation, coding… 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...Medical Terminology, Anatomy & Physiology and a certified coding course + Combined education/experience can substitute for Completion… more
- Hackensack Meridian Health (Hasbrouck Heights, NJ)
- …and serve as a leader of positive change. The **Physician Billing (PB) Coding Auditor and Educator** is responsible for auditing and educating healthcare ... Specialist (CCS); or Certified Professional Coder (CPC) Certification. + Certified Professional Medical Auditor (CPMA) at hire or must obtain within one (1)… more
- Elevance Health (Norfolk, VA)
- **JR171732 Coding Auditor Sr** CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health ... of life through homecare and community-based services. The CareBridge Coding Auditor Sr is responsible for auditing...coders that diagnosis data collected from physician and hospital medical records to ensure proper ICD-9 coding … more
- Covenant Health Inc. (Knoxville, TN)
- …are acceptable-RHIT/RHIA/AAPC, CPC, or CPMA. Apply/Share Job Title CODING AUDITOR -EDU-CLINIC ID 4382326 Facility Covenant Medical Management Department Name ... Overview Coding Educator, Clinical Document Integrity Full Time, 80...in East TN. Position is remote and onsite. Covenant Medical Group is Covenant Health's employed and managed … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …leadership programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor ** to extract data from patient encounters ensuring the ... coding staff. + Coordinates remediation when required. + Coordinates with the Coding leadership, Quality nurses and the CDS team to educate physicians,… more
- Atlantic Health System (Morristown, NJ)
- Responsible for coding quality audits of all records (outpatient, inpatient, procedures, testing) to assure appropriateness and accurate code assignments in ... College a plus * Work Experience in the business of healthcare which includes: Medical Terminology and Coding and billing experience #LI-AW1 At Atlantic Health… 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)
- …will involve working in collaboration with appropriate Health Plan departments including Quality Improvement, Legal, and Medical Management to facilitate the ... Auditor /Analysts. + Provide new-hire training to Clinical Auditor /Analysts. Performing administrative appeals/preparing medical necessity appeals for… more
- Elevance Health (Boston, MA)
- …Team. + **Claims Auditor II** - all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. + **Claims Auditor Senior** - all the ... **Claims Auditor I, II and Senior** **Location :** This...various aspects of the claim including eligibility, pre-authorization, and medical necessity. + Contacts others to obtain any necessary… more
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