- Tenethealth (Frisco, TX)
- …physician queries, etc.) to appropriate personnel for follow-up and resolution. Professional Development: Stays current with AHA Official Coding and ... audits of inpatient admissions and outpatient encounters to validate coding assignment is in compliance with the official ...coding assignment is in compliance with the official coding guidelines as supported by clinical documentation in health… more
- Monster (Alhambra, CA)
- Job Description: Claims Auditor will be responsible for auditing claims processed by Claims Examiners. Responsibilities include, but not limited to: Maintain ... care industry Must be familiar with ICD-10, HCPCS, CPT coding , APC, ASC, and DRG pricing. Must be familiar...DRG pricing. Must be familiar with facility (UB-04) and professional (CMS-1500) claim billing practices. Must have good written… more
- Monster (Allentown, PA)
- …Administrator (RHIA); Certified Professional Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth ... The incumbent will also review and validate coded medical records of the Professional Coding (PC) staff to determine data quality and accuracy of coding ,… more
- Monster (Allentown, PA)
- …Medical Coder who ensures clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs ... across the network. Utilizes provider documentation and queries, coding software tools and Insurance carrier medical and reimbursement policies during the claim… more
- Monster (Findlay, OH)
- PURPOSE OF THIS POSITION The primary purpose of the Professional Coding Integrity Specialist (PCIS) is to review, enter and/or modify charges as appropriate, ... entered by the Revenue Integrity Validation team; collaborate with clinical areas, coding , PFS, etc. to support resolution of edits; trend, identify opportunities,… 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 ... with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied by… 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 ... to different locations within our network as needed. POSITION SUMMARY: The Professional Coding Educator/ Auditor provides educational and physician support… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …incentives + 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… more
- Queen's Health System (Honolulu, HI)
- …I. JOB SUMMARY/RESPONSIBILITIES: * Responsible for conducting internal audits of coding and documentation to ensure compliance with coding guidelines ... LICENSURE: * Certification as an Outpatient Physician Coder (CPC) or Certified Coding Specialist -Physician based (CCS-P) required. * Certification as Medical … more
- Dayton Children's Hospital (Dayton, OH)
- …development of all staff involved in coding processes for facility and professional services. The Internal Coding Auditor regularly conducts detailed ... Proficient with IDC-10-CM/PCS required + Auditor experience preferred + Professional and facility coding experience preferred + Previous training experience… more
- CGI Technologies and Solutions, Inc. (Knoxville, TN)
- **OP Coding Auditor ** **Category:** Analytics and Emerging Digital Technologies **Main location:** United States, Tennessee, Knoxville **Alternate Location(s):** ... J0925-0302 **Employment Type:** Full Time **Position Description:** The OP Coding Auditor is a member of the...with a minimum of five years of outpatient surgical coding experience in the facility and/or professional … more
- MedKoder (Mandeville, LA)
- …Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty services including evaluation and management, ... Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder's internal … more
- AdventHealth (Altamonte Springs, FL)
- …Location** : Remote **The role you will contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of ... close attention to detail + Epic experience + Certified Coding Specialist Required or + Certified Professional ...Technician Required **Preferred Qualifications:** 5 of inpatient or outpatient coding or Coding Quality Auditor … more
- BayCare Health System (Raleigh, NC)
- …**Shift:** 7:00 AM to 3:30 PM + **Days:** Monday - Friday The Inpatient Coding Auditor is a full-time remote position. _Sign on bonuses available!_ ... Responsibilities + The Inpatient Coding Auditor performs inpatient encounter audits and...team members focus on tomorrow by achieving personal and professional success today. That is why you will thrive… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **41281BR** **Extended Job Title:** Documentation & Coding Auditor **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Performs ... Location:** El Paso **Preferred Qualifications:** + Current and active professional coding certification required from an accredited...of which one (1) year may be as a coding auditor . + Additional job-specific education may… 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
- Nuvance Health (Danbury, CT)
- …clinician practice coding , billing, and documentation auditing for professional coding at Nuvance Health. Conducts routine quality assurance ... (QA) audits on Professional Coding team and compiles reports on...*CPC, CPC-H, or CCS-P AAPC or AHIMA required* *Certified Professional Medical Auditor (CPMA) or Certified Documentation… 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 ... inpatient/outpatient coding **OR** + CCS-P - Certified Coding Specialist Physician-based (AHIMA) -- For professional fee coding **OR** + CPC - Certified… more
- Highmark Health (Nashville, TN)
- … Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional ... OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …leadership programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor ** to extract data from patient encounters ensuring the ... **Be inspired. Be valued. Belong.** At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership… more
