- UnitedHealth Group (Minnetonka, MN)
- … compliance audits, including but not limited to regulatory agencies, Quality metrics, and coding compliance . The Auditor will monitor changes to laws and ... regulations to ensure compliance with State and Federal laws, regulations and mandates....challenges. Primary Responsibilities: Maintain and demonstrate expert knowledge of coding , coding operations, coding review… more
- St. Luke's University Health Network (Allentown, PA)
- …issues. Participate in Administrative Law Judge (ALJ) hearings and/or formal meetings with auditor or payor representatives in defense of coding appeals, as ... made by the government or commercial payors, or their auditor representative. Facilitate clinical chart reviews to assist with...HIM field helpful, with focus on MS-DRG reimbursement, AHA coding guidelines, and compliance or direct Clinical… more
- SKLD (Bloomfield Hills, MI)
- …requirements. *Participate in QAPI processes in centers that relate to accurate coding , clinical reimbursement, and compliance . Assure that established infection ... resident and provide the necessary documentation to support MDS coding and plan of care. *Assign primary ICD-10 code...meet Medical necessity per Medicare guidelines. Review Medicaid LOCD compliance during UR meeting and discuss with IDT any… more
- EvenUp Inc (San Francisco, CA)
- …collections, and cash application. Ensure billing accuracy and revenue recognition compliance in alignment with contract terms. Collaborate with Sales, Legal, and ... reimbursements, and corporate card expenses. Review payment runs, enforce proper coding and approval workflows, maintain vendor relationships, and monitor AP aging… more
- KeyBank (Cleveland, OH)
- …analysis, and/or reporting typically achieved through work as a: business, data, operations, compliance , or risk analyst; internal auditor ; or role that includes ... Ohio 44144 About the Job As part of Key's second line of defense Compliance Risk Management function, the Risk Evaluation and Assurance Program (the "REA Program")… more
- HCA Healthcare (Nashville, TN)
- …analysis using Capturis data and other relevant emission source data Perform coding reviews of utilities consumption and service cost fluctuations using Capturis ... process and technology enhancements Stays abreast of reporting and regulatory compliance standards; supports the implementation of new disclosures and/or processes… 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, ... participates in continuing education opportunities to remain current with billing and coding compliance best practices (ie, conferences, workshops, and other… more
- Sharp HealthCare (San Diego, CA)
- …requirements for the position, and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of ... + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of performing all audits… more
- Atlantic Health System (Morristown, NJ)
- …new providers throughout the year + Audit charts for accurate and correct coding and compliance within documentation guidelines and AHS policies + Prepares ... office staff, providers, and billing department + Provides clarification on coding and compliance policies Required: * CPC Certification * Minimum 6 months… more
- Trinity Health (Columbus, OH)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Position Purpose:** Coding and Compliance Specialist monitors and evaluates coding and ... Specialists. Maintains monthly statistical reports to monitor the Physician Coding process and compliance . **What You Will...to monitor the Physician Coding process and compliance . **What You Will Do:** + Responsible for coordinating… more
- Humana (Providence, RI)
- …about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and ... validate the mitigation of compliance risk across the organization. This team ensures that...healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience… more
- Dayton Children's Hospital (Dayton, OH)
- …within the organization comply with these regulations, thereby minimizing the risk of non- compliance . The Internal Coding Auditor must have a thorough ... From Home - OhioDepartment:Payer Enrollment AdministrationSchedule:Full timeHours:40Job Details:The Internal Coding Auditor plays a pivotal role in ensuring… more
- AdventHealth (Altamonte Springs, FL)
- …Full-Time, Monday-Friday **The role you will contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of the ... achieve industry best practice levels of performance. The Quality Auditor will adhere to AdventHealth's Compliance standards,...findings and trends from the quality audits to the HIM/ Coding leadership. Reports any compliance and/or risk… 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
- BayCare Health System (Tampa, FL)
- …_Sign on bonuses available!_ **Responsibilities** + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related ... 3:30 PM + **Days:** Monday - Friday The **Inpatient** ** Coding Auditor ** is a full-time remote position....facility Inpatient claims. + Acts as the Liaison for coding issues with the BayCare Compliance Department… more
- Kaleida Health (Buffalo, NY)
- ** Coding Auditor ** **Location:** Larkin Bldg @ Exchange Street **Location of Job** : US:NY:Buffalo **Work Type** : Full-Time **Shift 1** **Job Description** ... **The Physician Coding Auditor is a member of the...medical necessity of services, reimbursement overpayments and underpayments, and compliance with other documentation, coding and billing… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Inpatient Coding Auditor and Educator, Centralized Coding Full-Time, 80 Hours per pay period, Day Shift Covenant Health Overview: Covenant Health is ... for Inpatient/Outpatient and/or physician office accounts. Work involves leading or conducting coding and compliance audit projects for Covenant Health entities… 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 ... different locations within our network as needed. POSITION SUMMARY: The Professional Coding Educator/ Auditor provides educational and physician support for … more
- HCA Healthcare (Brentwood, TN)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking a Profee Coding Auditor for our team to ensure that we continue to provide ... meaningful as we do. We want you to apply! **Job Summary and Qualifications** The Coding Auditor is responsible for performing quality reviews and audits of the… more
- Highmark Health (Harrisburg, PA)
- … as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding ... and compliance programs to improve documentation which supports compliant coding . Interacts with external consultants regarding billing, coding and/or… more
