- Novant Health (Winston Salem, NC)
- …and HCPCS codes, modifiers, NCCI usage and all other applicable coding guidelines. The Coding Quality Assurance Auditor will support the coding ... statistical sampling methodologies. Medical record auditing skills and abstraction ability. Quality assurance and coding risk analysis. Job Opening ID 15319 more
- Houston Methodist (Nashville, TN)
- ** Coding Quality Auditor - 100%... coding and documentation training. + Assists with quality assurance (peer) reviews to ensure data integrity ... LA, WA State, or TX)** **$5,000 Sign-On Bonus** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code… more
- Elevance Health (Tampa, FL)
- …with vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of ... **DRG CODING AUDITOR ** **Location** : _This position...minimum of 5 years of experience in claims auditing, quality assurance , or recovery auditing. + Requires… more
- McLaren Health Care (Shelby Township, MI)
- …**Essential Functions and Responsibilities As Assigned** **:** 1. Responsible for completing quality assurance audits on professional coding specialists, ... onboarding audits and training of newly hired coding specialists, validating the coding specialist is accurately abstracting data into medical record systems,… more
- Johns Hopkins University (Baltimore, MD)
- …documentation audits are conducted as part of the School of Medicine's Billing Quality Assurance Compliance Program. Prepares reports for the Sr. Director, ... other clinical information systems. + Seven years of experience. + Additional coding certifications. Classified Title: Sr. Billing Compliance Auditor Job Posting… more
- Capital One (Mclean, VA)
- …Audit function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit ... Principal Auditor - Cyber, Risk & Analysis Technology Audit (Hybrid)...multiple priorities and tasks across the team to deliver quality results. -Coordinate with others and proactively take on… more
- Capital One (Plano, TX)
- …Audit function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit ... Principal Auditor - Cyber, Risk & Analysis Technology Audit (Hybrid)...multiple priorities and tasks across the team to deliver quality results.** **-Coordinate with others and proactively take on… more
- Elevance Health (Norfolk, VA)
- …state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance , or clinical documentation improvement, and a minimum of 5 years ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
- Mohawk Valley Health System (Utica, NY)
- …coding education initiatives. + Trains and precepts new CDI team members. Quality Assurance and Compliance + Ensures compliance with regulations, denial ... CDI III Educator Auditor - Full Time - Days Department: CLINICAL...processes and responses, maintaining compliance with regulatory guidelines and coding conventions. This role emphasizes denial management, educational program… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …Education may be substituted with experience on a one-to-one basis Preferred Experience Coding , auditing or quality assurance review experience. Bilingual ... as needed. + Collaborates with the medical billing team to improve the quality of clinical documentation for compliance, billing, coding , and reimbursement… more
- Peak Vista (Colorado Springs, CO)
- …assigned Supervision Exercised: Patient Accounts Coders, Patient Accounts Supervisor(s), and Quality Coding Auditor (s) Demonstrates strong leadership skills, ... of revenue to include ongoing training, auditing and verifying quality assurance standards are met. Essential Duties...to date knowledge of industry trends, CMS rules and coding best practices. + Identifies potential new quality… more
- Astellas Pharma (Westborough, MA)
- **Validation Lead, Quality Assurance ** Do you want to be part of an inclusive team that works to develop innovative therapies for patients? Every day, we are ... is headquartered in Massachusetts. Astellas is announcing a **Validation Lead, Quality Assurance ** opportunity at their **Astellas Institute for Regenerative… more
- Capital One (Richmond, VA)
- …Audit function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit ... multiple priorities and tasks across the team to deliver quality results. + Coordinate with others and proactively take...believe insight and objectivity are core elements to providing assurance on the effectiveness and efficiency of Capital One's… more
- Johns Hopkins University (Baltimore, MD)
- …SOM clinical department directors and administrators. Will ensure the Billing Quality Assurance compliance and training programs are appropriately coordinated ... or other related regulatory matters. + Oversees the management of the quality assurance review program to continuously assess physician and non-physician… more
- LA Care Health Plan (Los Angeles, CA)
- …reviews medical records to ensure completeness, compliance with National Committee for Quality Assurance (NCQA), California Department of Health Care Services ... HEDIS Abstractor II (Temporary) Job Category: Clinical Department: Quality Performance Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
- American Express (Phoenix, AZ)
- …enable IAG to utilize advanced data analysis capabilities, provide greater and continuous assurance , and help ensure quality products and services are provided ... to protect and enhance organizational value by providing independent, objective, risk-based assurance , advisory services and to influence the way the company manages… more
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