- St. Luke's University Health Network (Allentown, PA)
- …AND EXPERIENCE: Minimum five (5) years RN/licensed provider experience in adult inpatient medical -surgical or critical care with thorough understanding of ... The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of...Administrative Law Judge (ALJ) hearings and/or formal meetings with auditor or payor representatives in defense of coding… more
- Humana (Madison, WI)
- …a part of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety ... requires an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis… more
- Humana (Montgomery, AL)
- …develop educational materials. This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts ... Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper… more
- UCLA Health (Los Angeles, CA)
- Description As an Inpatient Coding Auditor with a... inpatient coding policies with the Coding Management Team + Representing the Medical ... DRG payment reviews, you will conduct thorough audits of inpatient coding to ensure compliance with Federal...Federal and State regulations. Reporting to the Director of Medical Coding , your role will involve evaluating… more
- AdventHealth (Tampa, FL)
- …Stroke Association as a Primary Stroke Center. **The ro** **le you'll contribute:** The Inpatient Coding Quality Auditor , under general supervision of the ... care tower which will ensure state of the art medical and surgical car for generations to come .Awarded...is responsible for the daily auditing of records. The Inpatient Coding Quality Auditor works… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …mentorship, development, leadership programs and more! **Description** We are seeking an experienced ** Inpatient DRG Coding Auditor ** to extract data from ... encounters ensuring the accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and pre-bill;… more
- AdventHealth (Maitland, FL)
- … Quality Manager, the Data Quality Reviewer is responsible for validating the coding performed by inpatient or outpatient coders. Random and/or target samples ... feedback to the individual coder. Assist with educating all coders and Medical Staff members while demonstrating a willingness to educate throughout the organization… more
- AdventHealth (Altamonte Springs, FL)
- …Monday-Friday **The role you will contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of the ... issues relating to medical record documentation and coding . May participate in Iodine Retrospect inpatient ...experience. Five years of inpatient or outpatient coding experience or Coding Quality Auditor… more
- Sharp HealthCare (San Diego, CA)
- …the position, and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's ... **Required Qualifications** + 5 Years experience in acute care inpatient /outpatient coding or professional E/M coding... ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of… more
- UNC Health Care (Chapel Hill, NC)
- …**Professional Experience Requirements:** * If Associate's degree: Five (5) years of experience in medical coding or acute care consisting of both IP and OP ... communities we serve. Summary: This position trains and audits medical coders, both inpatient and outpatient across...High School Diploma: Nine (9) years of experience in medical coding or acute care consisting of… more
- Houston Methodist (Houston, TX)
- …must live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of ... and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body… more
- Elevance Health (Grand Prairie, TX)
- …eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _...and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's… more
- MedKoder (Mandeville, LA)
- …health systems, providers, and payers. Founded and led by a medical coding veteran, the company offers services including inpatient and outpatient facility ... About Us MedKoder, LLC is a full-service medical coding management services provider based...work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and… 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 ... a Best Employer. Position Summary: Performs or reviews complex level internal coding auditing work for Inpatient /Outpatient and/or physician office accounts.… more
- ManpowerGroup (St. Paul, MN)
- Our client, a leader in healthcare innovations, is seeking an Inpatient Auditor to join their team. As an Inpatient Auditor , you will be part of the ... improvement, which will align successfully within the organization. **Job Title:** Inpatient Auditor **Location:** Remote **Pay Range:** $58-62 per hour… more
- Highmark Health (Harrisburg, PA)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
- R1 RCM (Chicago, IL)
- …our Inpatient Production Auditor , you will be responsible for auditing inpatient cases and reviewing inpatient medical records for validation while ... validation process while evaluating claim reimbursement potential based on coding assignment. To thrive you must be detail-oriented and... inpatient cases for DRG validation + Review inpatient medical records for validation of DRG… 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, ... and CPT-4 Coding Classification systems who supports the facility and ...hospital visits/admits with a high degree of skill in inpatient and outpatient expertise is required. + 2 years'… more
- UNC Health Care (Chapel Hill, NC)
- …the unique communities we serve. Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities ... shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may...and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and… 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 ... Accountabilities: Coordinates, schedules, performs the professional services documentation and coding audits of outpatient, inpatient , procedures and testing… more
