- UNC Health (Chapel Hill, NC)
- …Analyzes audit findings and reports/tracks results for one-on-one or group feedback. Performs billing audits and ensures correct coding and billing ... as coding , clinical documentation, charge capture, and EPIC. The auditor should be familiar with clinical documentation and charge capture methodologies.2.… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …conducting audits The Professional Auditor will be a subject matter expert regarding coding and billing . The Professional Auditor , under the direction of ... true colors to blue. About the Role: The Professional Auditor is responsible for post-pay review to verify the...to verify the accuracy of claims reimbursement, clinical significance, coding , and billing in accordance with the… more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- JOB TITLE: Professional Coding Educator/ Auditor DEPARTMENT: Billing Department STATUS: Full Time (Non- Exempt Hourly) LOCATION: 696 Dutchess Turnpike ... Coding Educator/ Auditor provides educational and physician support for coding and billing practices, performs annual provider audits, and provides… more
- HCA Healthcare (Chattanooga, TN)
- …you to apply! **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... of each individual is recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Ongoing mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, and ... education for professional billing , coding and documentation programs that confirm compliance, identifies reimbursement implications, and provides billing … more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …and are honored to be a part of this incredible work. What Will you Do? As a Coding Auditor at Pine Rest, you'll be part of tight-knit team that believes in the ... be responsible for overseeing the daily operations of the coding team. The Coding Auditor ...coding regulations and best practices. + Collaborate with coding , billing , and compliance teams to develop… 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 ... payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to... coding and guidelines by the AMA, ICD-10-CM coding and guidelines, and Medicare and Medicaid billing… more
- Elevance Health (Richmond, VA)
- **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This role enables associates to work virtually full-time, with the exception of required in-person training ... to recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …to help you flourish and leaders who care about your success. The Coding Auditor -Educator is an advanced level position utilizing ICD-10-CM, ICD-10 PCS, ... the facility and Coding Service Center. Responsible for answering coding and billing questions, onboarding and training new staff, performing coding … more
- Highmark Health (Nashville, TN)
- … audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs and HCPCS ... with CDMP and compliance programs to improve documentation which supports compliant coding . Interacts with external consultants regarding billing , coding … more
- Guthrie (Sayre, PA)
- Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and procedures and accepted guidelines ... payer guidelines and requirements. + Minimum 1-year experience in Physician coding and billing and/or compliance field required 5 year of clinical experience… more
- Robert Half Accountemps (Cincinnati, OH)
- Description We are looking for a detail-oriented Medical Coding Auditor to join our team in Cincinnati, Ohio. In this Contract-to-Permanent position, you will ... with coding standards and regulatory requirements to support accurate billing and reimbursement. * Collaborate with healthcare providers and other team members… more
- Nuvance Health (Danbury, CT)
- …NH, NJ, NY, OH, PA, SC, TN, TX, VA* Summary: *Purpose:*Provides clinician practice coding , billing , and documentation auditing for professional coding at ... such as CMS, Medicare, NGS, AAPC etc. and third-party payers for coding and billing guidelines and regulations, professional peer organizations'… more
- Avera (Sioux Falls, SD)
- …and our patients. Work where you matter.** **A Brief Overview** The Senior Coding Auditor is responsible for auditing technical and professional services. The ... individual will communicate performance results to coders, coding leaders, revenue cycle leaders, clinic managers, other executives and/or physicians to collaborate… more
- Albany Medical Center (Albany, NY)
- …Work Shift: Day (United States of America) Salary Range: $60,367.47 - $90,551.20 Professional Coding Auditor will apply an advanced professional coding skill ... set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding /charging/denials… more
- Atlantic Health System (Morristown, NJ)
- …education needs for the providers and staff; also responsible for assisting with coding inquiries from providers, charge posters, billing staff, etc. Principal ... as a resource to the office staff, providers, and billing department + Provides clarification on coding ...and billing department + Provides clarification on coding and compliance policies Required: * CPC Certification *… more
- Virtua Health (Mount Laurel, NJ)
- … Coding -related Issues: Working closely with VMG Practices and third party billing company to resolve coding and reimbursement issues, serves as an ... on meetings with clinicians. Job Summary: Responsible for professional fee (pro-fee) coding quality and audits, education and training, etc. for CPT, ICD-10-CM, and… more
- University at Buffalo (Buffalo, NY)
- Position Title: Coding Educator and Auditor , Department of Medicine Posting Number: U240097 Employer: University Affiliates FTE: 1.00 Preferred Qualifications: + ... Bachelor's Degree. + Solid understanding of billing processes and experience with electronic health records ( EHR ) systems. + In-depth knowledge of policies,… more
- Humana (Phoenix, AZ)
- …3 or more years of healthcare experience in revenue cycle management (related to billing , coding , collections for Medicare and Medicaid claims) + Experience with ... federal and/or state requirements related to Provider Clinic operations, billing , investigations, and processes. Coordinates site visits for regulators, coordinates… more
- Rush University Medical Center (Chicago, IL)
- …of federal, state, and payer-specific regulations and policies pertaining to documentation, coding , and billing , with demonstrated ability to interpret such ... and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications * Experience… more
