- 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
- 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
- FlexStaff (Chappaqua, NY)
- **Req Number** 166292 FlexStaff is seeking an experienced Compliance Auditor with experience in physician medical billing and coding for one of our clients, ... Professional Coder or equivalent._ * Proven experience in medical billing and coding * Experience with auditing and monitoring clinical records and documentation In… more
- HCA Healthcare (Chattanooga, TN)
- …**Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews ... recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a...Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC… more
- MedKoder (Mandeville, LA)
- …payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder's internal coding /auditing ... Full-time, 40 hour work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and accurately coding … more
- Sharp HealthCare (San Diego, CA)
- …certified coder. + 2 years' experience working as an HCC risk adjustment coding auditor . + Experience with medical billing, medical terminology, understanding of ... and employer business practices. **What You Will Do** Provides administrative and coding support to management, the department, and internal or external… more
- Highmark Health (Helena, MT)
- … as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding ... Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal , concurrent, prospective and retrospective coding audit activities.… more
- Nuvance Health (Danbury, CT)
- …by Outpatient Coding team for accuracy. 4.Work closely with the Compliance department on audits, reporting, complaint coding issues etc. 5.Research CMS ... practices/policies/guidelines to help keep Nuvance physician practices current with coding and regulatory requirements and accepted compliance practices.… 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 ... coding guidelines. **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding /DRG requests. Responds promptly to Business… more
- UNC Health Care (Chapel Hill, NC)
- …processes. Ability to interpret federal and state regulations as they relate to coding and compliance . Must possess strong communication skills, both written and ... 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
- 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
- Humana (Phoenix, AZ)
- …the PCO compliance workplan throughout the year. + Regularly conducts compliance related audits to assess internal controls, examining healthcare records and ... 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… more
- Virtua Health (Mount Laurel, NJ)
- …CPT, ICD-10-CM, and HCPCS codes for Virtua Medical Group clinicians and coding department. This includes performing internal audits, overseeing external audits, ... from being processed appropriately. Responsible for developing, implementing and maintaining compliance plan for pro-fee coding and abstracting. Position… more
- Northwell Health (Garden City, NY)
- …reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. 5.Applies coding rules and ... BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Job Responsibility 1.Leverages clinical… more
- Northwell Health (Westbury, NY)
- …are maintained in compliance with Federal and State regulations. + Applies coding rules and regulations to the validation review process. + Reviews codes on ... or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home...Medicare/non-Medicare charts for compliance to rules and conventions. + Instructs professional staff… more
- UPMC (Pittsburgh, PA)
- **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare ... Compliance ** is seeking a dedicated and detail-oriented **Intermediate Compliance Auditor ** to join our team! This...+ 3 or more years of experience in medical coding , billing, auditing and compliance . + Extensive… more
- Guthrie (Sayre, PA)
- Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and procedures and accepted ... for medical coding . Works closely with the Compliance Officer and Compliance coding ...and reports coding audits based on the Internal Audit and Compliance Work Plan including… more
- FlexStaff (Chappaqua, NY)
- **Req Number** 165727 FlexStaff Compliance Auditor - Hybrid position- Chappaqua, NY- $105K *THIS IS A HYBRID POSITION- YOU MUST RESIDE LOCALLY* Are you ... meaningful impact? FlexStaff is seeking a detail-oriented and experienced Compliance Auditor to join our client's dynamic...internal departments - Identify and address billing and coding gaps, including issues related to Time, Place of… more
- Sanford Health (WI)
- …40.00 **Salary Range:** 19.00 - 30.50 **Job Summary** Responsible for conducting internal audits and monitors to ensure that the organization's processes and ... operations are in compliance with laws, corporate guidelines, best practices, and contractual...processes, and the subsequent activities, as they relate to internal audits. Demonstrates the ability to interpret Federal rules… more
- SUNY Upstate Medical University (Syracuse, NY)
- …trends and aberrations. Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding , and billing guidelines. ... Job Summary: Position Summary: Under the direction of the Compliance Officer the main duties for this position include:...main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or… more
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