- Monster (Allentown, PA)
- …appeals process may include collaboration with the Claim Editing Manager, Physician , Specialty Coder, AR specialist or Auditor /Educator.Demonstrate the ability ... cause issues.Performs searches of governmental, payor-specific, guidelines to identify and coding and billing requirements to make recommendations Review TCM… more
- MedKoder (Mandeville, LA)
- …Classification: Full-time, 40 hour work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and ... third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected... coding and guidelines by the AMA, ICD-10-CM coding and guidelines, and Medicare and Medicaid billing… more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- …SUMMARY: The Professional Coding Educator/ Auditor provides educational and physician support for coding and billing practices, performs annual ... JOB TITLE: Professional Coding Educator/ Auditor DEPARTMENT: Billing ...information and training on regulatory updates and standards to physician , providers, and centralized billing staff. +… more
- HCA Healthcare (Chattanooga, TN)
- …you to apply! **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... payment compliance, credentialing, health information management, customer service, payroll and physician billing . We also provide full-service revenue cycle… 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
- 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, ... for Life Colorado TM , telehealth and over 240 physician practices and clinics offer endless opportunities! Here, you...and Coding Service Center. Responsible for answering coding and billing questions, onboarding and training… more
- Nuvance Health (Danbury, CT)
- …NH, NJ, NY, OH, PA, SC, TN, TX, VA* Summary: *Purpose:*Provides clinician practice coding , billing , and documentation auditing for professional coding at ... surgical specialties. *Essential Responsibilities* 1.Conducts high volume internal audits of physician practice medical records for documentation and coding … more
- Highmark Health (Nashville, TN)
- …Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or auditing, as well as, education techniques and methods. ... activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II… more
- Rush University Medical Center (Chicago, IL)
- …origin, disability, veteran status, and other legally protected characteristics. **Position** Physician Billing & Coding Educator **Location** US:IL:Chicago ... * Bachelor's Degree * Certified Professional Coder (CPC) or Certified Coding Specialist- Physician Based (CCS-P) * Registered Health Information… more
- Atlantic Health System (Morristown, NJ)
- …education needs for the providers and staff; also responsible for assisting with coding inquiries from providers, charge posters, billing staff, etc. Principal ... reimbursement + Serves as a resource to the office staff, providers, and billing department + Provides clarification on coding and compliance policies Required:… more
- Virtua Health (Mount Laurel, NJ)
- … Coding -related Issues: Working closely with VMG Practices and third party billing company to resolve coding and reimbursement issues, serves as an ... than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies,… more
- University at Buffalo (Buffalo, NY)
- …+ In-depth knowledge of policies, procedures, and government regulations related to physician billing , payer processes, guidelines, and compliance standards. ... Position Title: Coding Educator and Auditor , Department of...Preferred Qualifications: + Bachelor's Degree. + Solid understanding of billing processes and experience with electronic health records (… more
- BJC HealthCare (St. Louis, MO)
- …scheduled reviews of BJCMG specialty providers' documentation involved with professional fee billing for accuracy of coding and physical presence; reviews ... serves as mentor to fellow coordinators related to the audit process, coding , billing and compliance; identifies and notifies management educational… more
- UPMC (Pittsburgh, PA)
- …to join our team. This role is crucial in maintaining the integrity of our coding and billing processes, ensuring they meet state and federal regulations. **Key ... **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about...found during audits and will be based on documentation, coding , and billing rules set forth by… more
- Guthrie (Sayre, PA)
- … systems and guidelines, payer guidelines and requirements. + Minimum 1-year experience in Physician coding and billing and/or compliance field required 5 ... Summary: A senior level compliance coding auditor conducting assessments in accordance...educating and training providers and staff in relation to coding , billing and compliance issues + Assists… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- …level certifications include: Certified Coding Specialist (CCS), Certified Coding Specialist - Physician -based (CCS-P), Registered Health Information ... medical data from patient health records in the hospital setting, and/or physician -based settings, such as physician offices, group practices, multi-specialty… more
- Veterans Affairs, Veterans Health Administration (Sioux Falls, SD)
- …level certifications include: Certified Coding Specialist (CCS), Certified Coding Specialist - Physician -based (CCS-P), Registered Health Information ... from patient health records in the hospital setting, and/or physician -based settings, such as physician offices, group...Reviews assigned codes from the current version of several coding systems to include current versions of the International… more
- St. Luke's University Health Network (Allentown, PA)
- …In doing so, works with providers and their office staff, as well as the Coding and SLPG Billing Department. JOB DUTIES AND RESPONSIBILITIES: + Perform quality ... to pay for health care. The Network Provider Services Auditor performs audits as part of the Documentation and...auditing software program. + Is a resource to the coding department, SLPG practices, providers, and billing … more
- Methodist Health System (Dallas, TX)
- …Certified Professional Coder ( **CPC** ) certification from AAPC **or** Certified Coding Specialist - Physician -based ( **CCS-P** ) certification from AHIMA ... audits for areas of concern to assure documentation standards are being met for billing / coding purposes. **_Duty 4_** : Assist in training and education of… more
- Banner Health (AZ)
- …bring your experience and skills to BPN. As a Health Plan Compliance Auditor , your primary responsibility is to conduct audits by comparing provider medical record ... hold either the Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) credentials, issued by either AAPC or...or AHIMA.** 4+ years of experience in claims processing, billing , or healthcare compliance. 4+ years of experience in… more
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