- FlexStaff (Chappaqua, NY)
- **Req Number** 172252 Surgical Anesthesia Compliance AuditorCompliance Auditor MUST HAVE CPC CERTIFICATON This is a HYBRID position- MUST be in the office located in ... Chappaqua, NY 3 days a week. Surgical Anesthesia Compliance Auditor - Hybrid position- Chappaqua, NY- $100K-$115K Are you passionate about healthcare compliance and… 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) compliance ... Functions** + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of performing all audits and … more
- Providence (MT)
- …must empower them._** **Providence Health Plan is calling a Coding Quality Auditor , HEDIS who will:** + Be responsible for conducting clinical quality ... the HEDIS project + Collect data by way of chart extraction, using objective specifications for the Healthcare Effectiveness...posting is for multiple openings of a Coding Quality Auditor , HEDIS** + **This position is affiliated with Providence… more
- University of Michigan (Ann Arbor, MI)
- DRG COMPLIANCE AUDITOR (DCA) Apply Now **Job Summary** Review and check certain inpatient records to make sure the coding is correct and follows rules for ICD-10 ... on coding compliance, including proper documentation, accurate coding, trends found in chart reviews, audit findings, and regular coding updates. + Identify and… more
- Insight Global (Plano, TX)
- …DRG Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic Related Group (DRG) validation and quality audits on ... based on the candidates years of experience. Key Responsibilities: Conduct thorough chart reviews to validate that assigned codes accurately reflect the patient's… more
- Elevance Health (Roanoke, VA)
- **DRG Coding Auditor Principal** **_Virtual: _** _ _ This role enables associates to work virtually full-time, with the exception of required in-person training ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG Coding Auditor Principal** is responsible for auditing inpatient medical records on… more
- Elevance Health (Washington, DC)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Cognizant (Topeka, KS)
- **About the role** As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... Federal, state and payer regulations + Capable of interpreting medical records reports and chart entries + Able to work independently and as a team member + Capable… more
- Williams Adley (Washington, DC)
- …Information Systems, Cybersecurity, Accounting, or equivalent experience working as an IT Auditor or Consultant for a public accounting firm or a professional ... mentoring, professional membership/subscription dues, and professional development opportunities, you can chart a unique and fulfilling career path on your own… more
- Providence (WA)
- **Description** The Revenue Cycle Auditor is responsible for providing patient focused, standardized, compliant revenue cycle support that will assist Providence St ... Joseph Health in meeting financial objectives. - Conduct audits (individual chart /bill audits, focus audits, compliance audits, payer defense audits, patient… more
- AdventHealth (Orlando, FL)
- …The Surgical and Procedural Services Safety and Regulatory Compliance Auditor evaluates the surgical and procedural environment, policies, and procedures ... line level. Reporting findings to leaders on a regular basis. + Conducts chart reviews in the Electronic Medical Record (EMR) as directed to assure documentation… 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 ... accuracy. Below are the key responsibilities for this role: Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of… more
- Albany Medical Center (Albany, NY)
- …Salary Range: $60,367.47 - $90,551.20 This position has remote opportunity Professional Coding Auditor will apply an advanced professional coding skill set to act as ... development and maintenance documentation. + Perform timely medical record chart reviews (which could include prospective, concurrent & retrospective auditing)… more
- Dartmouth Health (Lebanon, NH)
- …competency in working with regulatory/clinical issues and/or professional or facility chart abstraction, CPT and ICD-9 coding and clinical documentation education ... and reimbursement guidelines required. * Knowledge of professional or facility chart abstraction, CPT and ICD-9 coding and clinical documentation highly desired.… more
- Banner Health (AZ)
- …Medical Management Team** . This assignment-based role focuses on independent chart review and clinical assessment. **Key Responsibilities** : + Independently review ... patient medical charts to assess whether the care provided may have contributed to the cause of death. + Make initial determinations based on clinical findings and documentation. + Forward reviewed charts to the broader Medical Management Team for further… more
- Williams Adley (Washington, DC)
- …mentoring, professional membership/subscription dues, and professional development opportunities, you can chart a unique and fulfilling career path on your terms. ... Give Back to Your Community - Williams Adley believes in giving our time, treasures, and talents back to our community so that it can be a place for all people to thrive. Our Community Service Program, the Williams Adley Foundation, works with our employees to… more
- Amergis (Cleveland, OH)
- …and/or PT? FT Testing Required IP Interview Amergis End Date / Duration Ongoing Specialties/ Chart Types (Required & Preferred) IP auditing + Minimum of 2 years of ... inpatient facility coding experience + Minimum of 2 years inpatient facility auditing experience + Excellent oral and written communication skills + Knowledge of Microsoft Word and Excel + Computer savvy and ability to shift priorities to meet tight deadlines… more
- Atlantic Health System (Morristown, NJ)
- …coding such as appropriate documentation, accurate coding, coding trends found during chart reviews, third party audit findings, and annual coding updates. + ... Evaluates and provides appropriate documentation for the third party payer CPT denials to maintain the original CPT assignment, and when necessary, implement corrective action plan and/or educational programs to prevent similar denials and rejections from… more
- St. Luke's University Health Network (Allentown, PA)
- …or coding determination made by the government or commercial payors, or their auditor representative. + Facilitate clinical chart reviews to assist with ... + Participate in Administrative Law Judge (ALJ) hearings and/or formal meetings with auditor or payor representatives in defense of coding appeals, as needed. +… more
- Catholic Health Initiatives (Little Rock, AR)
- …ethics in their chart reviews and provider interactions. Use the weekly auditor 's roundtable to challenge each other and expand our knowledge on the most ... and risk for the value hub. + Through Risk Management/ Auditor Manager, implements a risk adjustment coding department in...guidelines for these new processes. + Support the Risk Auditor Manager of closely working with the HCC Risk… more