- Virtua Health (Mount Laurel, NJ)
- …education and training, etc. for CPT, ICD-10-CM, and HCPCS codes for Virtua Medical Group clinicians and coding department. This includes performing internal ... External Coding Audit Response: Conducts Trains new coders to utilize the medical record, clinical, coding and abstracting systems, in conjunction with UHDDS… more
- Datavant (Denver, CO)
- …As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability… more
- MedKoder (Mandeville, LA)
- About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding ... systems, providers, and payers. Founded and led by a medical coding veteran, the company offers services...work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and… 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 coding skill ... and insurance carrier guidelines. Provide education, instruction and training to providers and coding staff. This position is remote but does require onsite… 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… 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 ...CO, KS and NM, this position is open to remote /out of state candidates residing in only these states:… more
- UNC Health Care (Chapel Hill, NC)
- …that have opted into shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may travel from entity to entity ... the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education as well as… more
- Centene Corporation (New York, NY)
- …and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation on ... needed analysis to determine specific training needs for clinical and coding staff + Identifies, selects, or develops appropriate training programs, including… more
- Humana (Phoenix, AZ)
- …years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and ... be moving forward to next round of interviews. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
- Datavant (Santa Fe, NM)
- …vision for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in...by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked… more
- WTW (Chicago, IL)
- **Description** As a Lead Auditor you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader ... demonstrate a high level of claims administration knowledge, including experience with medical , dental, mental health and Medicare + Detailed knowledge of ICD-10 and… more
- Veterans Affairs, Veterans Health Administration (Wilkes Barre, PA)
- …Management (HIM) section at the Wilkes-Barre VA Medical Center. The Medical Records Technician ( Coding Auditor ) is responsible for abstracting ... experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding , and the structure and format of a health… 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** 165727 FlexStaff Compliance Auditor - Hybrid position- Chappaqua, NY- $105K *THIS...position offers the perfect blend of in-office collaboration and remote work, all while contributing to an organization committed… more
- Methodist Health System (Dallas, TX)
- …of experience for auditing and abstracting. **_Preferred_** : Certified Professional Medical Auditor (CPMA) certification from AAPC **_Experience/Knowledge_** : ... appropriate E&M level and CPT assignment **or** 4-5 years of multispecialty coding experience. Thorough knowledge of anatomy/ medical terminology. Proficient with… more
- Molina Healthcare (Albuquerque, NM)
- …**Job Qualifications** **Required Education** Associates degree. **Required Experience** 3 Years in coding and medical record chart review and experience with ... Required Li **Required License, Certification, Association** Active and unrestricted Coding Certification, Active CCS, CCS-P, or CPC credential **Preferred… more
- AdventHealth (Daytona Beach, FL)
- …Daytona Beach, FL 32117 **The role you'll contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of the ... process for assigned staff, as well as supporting on-going quality assurance needs for coding staff. They will review medical records and documentation for … more
- Insight Global (South Jordan, UT)
- …(2 years in clinical documentation) OR IF NOT A NURSE: Degree in RHIM, RHIA, RHIT with medical coding degree or just CCS is fine with strong clinical knowledge ... Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100%...Below are the key responsibilities for this role: Integrates medical chart coding principles, clinical guidelines, and… more
- Actalent (West Des Moines, IA)
- Nurse Auditor Job Description This role requires a thorough understanding of standard medical coding , including CPT, ICD-10, and HCPCS. The Nurse Auditor ... record review, billing, and auditing with extensive knowledge of medical coding and/or Medicare Guidelines. + Strong...hybrid schedule of 3 days in-office and 2 days remote . The work hours are Monday to Friday, 8… more
- SSM Health (MO)
- **It's more than a career, it's a calling.** MO- REMOTE **Worker Type:** Regular **Job Highlights:** Exciting opportunity for an Corporate Responsibility Auditor ... Appeals denials which are found to be unsubstantiated through review of the medical record and/or billing information. Tracks assigned cases and enters data of audit… more
- Dartmouth Health (Lebanon, NH)
- …audit and monitor completeness, accuracy and timeliness of documentation, coding , billing, reimbursement, efficiency and effectiveness of operations and compliance ... compliance objectives. Performs complex professional and facility (DRG or APC) coding and billing audits across all clinical specialties. Responsibilities * Plans… more