- Humana (Hartford, CT)
- …of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- Elevance Health (Wallingford, CT)
- **Diagnosis Related Group Clinical Validation Auditor ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Baylor Scott & White Health (Hartford, CT)
- …tracks results and identifies trends and deficiencies for follow-up + Researches complex coding HCC issues and keeps abreast of coding and compliance changes ... knowledge with co-workers, as directed + Assists Risk Adjustment Auditor 2 or Manager with educator duties in the...**KEY SUCCESS FACTORS** + Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and… more
- Sevita (Hartford, CT)
- …people we serve and for our employees. **Summary** The Clinical Compliance Auditor is responsible for collaborating with Operations and Revenue Cycle in ... the audit plan while testing compliance with pertinent billing and coding requirements; internal policies and procedures; and external accreditation standards.… more
- Elevance Health (Wallingford, CT)
- Nurse Auditor Senior - Carelon Payment Integrity **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a ... to recover, eliminate, and prevent unnecessary medical-expense spending. The Nurse Auditor Senior is responsible for identifying, monitoring, and analyzing aberrant… more
- Baylor Scott & White Health (Hartford, CT)
- …healthcare clinical operations, hospital revenue cycle systems, hospital billing and coding , and healthcare compliance issues and requirements. Working knowledge of ... other disciplines outside own area of expertise, including clinical disciplines, registration, billing and collections, HIM / Medical Records management, and information technology. Capable of producing and communicating highly-sensitive documentation and… more