- Lyric (Newtown Square, PA)
- … editing solution, as a payment, reimbursement or medical policy analyst, medical claims processor, chart auditor /reviewer, or claims edit/denial ... managing a team of high performing Clinical Managers and Medical Content Analysts. In this intricate role, the Senior...Serve as subject matter expert on CPT, HCPCS, ICD10CM coding and claims edit logic (including NCCI,… more
- Lyric (Newtown Square, PA)
- …years or more relevant healthcare experience as a medical coder, medical claims processor medical auditor , clinical editing analyst, or payment or ... and governmental references, specialty society guidance, industry trends and paid claims data, the New Opportunity Consultant identifies areas where claim… more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** The Medical Claims Coding Auditor is responsible for the investigation of coding issues and recommendation for correction of the ... Responsible for reviewing and making payment determinations on provider medical claims for Claim Check and iHealth...gain knowledge and remain current in compliance, billing and medical coding regulations. Evaluate and identify patterns… more
- Humana (Lincoln, NE)
- …caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ... and receives guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct...Home Health, and minor procedures + Experience with the Claims Life Cycle + Experience with coding /auditing… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42934BR** **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
- Elevance Health (Hanover, MD)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR ** is responsible ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _...you will make an impact:** + Analyzes and audits claims by integrating medical chart coding … more
- Robert Half Office Team (Atlanta, GA)
- Description We are looking for a detail-oriented Medical Coding Auditor to join our team on a long-term contract basis. In this role, you will ensure the ... strict confidentiality and upholding data integrity. Requirements * Proven experience in medical coding , with a focus on interventional radiology and vascular… more
- Sharp HealthCare (San Diego, CA)
- …practices. *This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's ... ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of...and assess Sharp's potential risks using SHC's billing and coding claims data, risk assessment data, MDAudit… 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
- 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
- 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 ... Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health's employed and managed ...+ Reviews information from third party payers relative to claims charging, coding , and billing in order… more
- Robert Half Accountemps (Boston, MA)
- Description Job Title: Medical Claims Auditor - RN Auditor Location: Massachusetts - 90% Remote Job Type: 1 Year Contract - Potential for Perm Hire ... 1, 2025 Job Description We are seeking a qualified Auditor with healthcare experience to support Program Integrity activities...Qualifications + Experience with MMQ/MDS assessments + Background in claims and coding audits + Strong presentation… more
- Marshfield Clinic (Marshfield, WI)
- …come together to support the most exciting missions in the world!** **Job Title:** Claims Auditor (Remote - WI or MN) **Cost Center:** 682891379 SHP- Claims ... day shifts (United States of America) **Job Description:** **JOB SUMMARY** The Claims Auditor is responsible for performing payment, procedural accuracy,… more
- Elevance Health (Las Vegas, NV)
- …paid claims . **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and ... experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing… more
- UPMC (Pittsburgh, PA)
- …technical school diploma is preferred. + 3 or more years of experience in medical coding , billing, auditing and compliance. + Extensive knowledge of CMS, and ... Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified … more
- FlexStaff (Chappaqua, NY)
- …clinical records, ensuring accuracy, completeness, and compliance. Your expertise with medical terminology, coding , and documentation will support our mission ... **Req Number** 172252 Surgical Anesthesia Compliance AuditorCompliance Auditor Surgical Anesthesia Compliance Auditor - Hybrid position- Chappaqua, NY-… more
- UPMC (Pittsburgh, PA)
- …or comparable technical school diploma is preferred. + 1 year of experience in medical coding , auditing, billing and compliance. + Knowledge of CMS and ... Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified … more
- Covenant Health Inc. (Knoxville, TN)
- …order to ensure compliance. + Reviews information from third party payers relative to claims charging, coding , and billing in order to ensure compliance. + ... current clinical license/registration in the State of Tennessee as RN with equivalent coding experience. Apply/Share Job Title REV INTEGRITY AUDITOR SR ID… more
- Elevance Health (MD)
- …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II**...+ Requires a AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1… more
- Insight Global (South Jordan, UT)
- …with ICD-9/10CM, MS-DRG, AP-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement ... payment systems. This position is responsible for auditing inpatient medical records and generating high-quality recoverable claims ...NOT A NURSE: Degree in RHIM, RHIA, RHIT with medical coding degree or just CCS is… more
