- Baylor Scott & White Health (Annapolis, MD)
- **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing ... feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System… more
- Elevance Health (Hanover, MD)
- **DRG CODING AUDITOR ** **Location** : _This position will work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR ** is ... clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding … more
- TEKsystems (Annapolis, MD)
- …experience in APR, SOI (severity of illness), and ROM (risk of mortality) Description + The Coding Auditor 1 is proficient in various types of coding and is ... quality audits and providing feedback to coders. + The Coding Auditor 1 utilizes the International Classification of Diseases (ICD-10-CM/PCS), Healthcare Common… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** **Description:** **Job Title:** Coding Auditor and Educator (Remote) **Employment Type:** Full-Time **Shift:** Days ... from Washington DC and Baltimore, MD. **Description:** + Monday-Friday The Professional Coding Auditor Educator performs medical record audits including but not… more
- Highmark Health (Annapolis, MD)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs...Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician… more
- Ascension Health (Halethorpe, MD)
- …Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation. + Audit specified number ... of records per coder as defined in the system coding audit plan. + Prepare audit reports that are...+ Develop corrective action plans to address opportunities for coding , billing and documentation improvement. + Identify trends and… more
- Humana (Annapolis, MD)
- …This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement,… more
- Johns Hopkins University (Baltimore, MD)
- …other clinical information systems. + Seven years of experience. + Additional coding certifications. Classified Title: Sr. Billing Compliance Auditor Job Posting ... and analysis techniques, determines the adequacy of medical records documentation, coding and billing for all providers across all clinical specialties. Works… more
- Elevance Health (Hanover, MD)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Elevance Health (Hanover, MD)
- **Clinical Provider Auditor I** **Supports Payment Integrity & Behavioral Health** _Location:_ This field-based role enables associates to primarily operate in the ... and insightful analytics to improve the delivery of care. The **Clinical Provider Auditor I** is responsible for identifying issues and/or entities that may pose… more
- Elevance Health (Hanover, MD)
- **Clinical Provider Auditor Senior** **Supports Payment Integrity line of business** _Lo_ _cation: This is a field position expected to be in clinic 60% of the time ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor Senior** is responsible for identifying issues and/or entities that… more
- CVS Health (Annapolis, MD)
- …Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard ... Stay informed about changes in the industry practices related to healthcare coding . Provide training opportunities for staff to maintain their CEUs. Assist in… more
- Johns Hopkins University (Baltimore, MD)
- …knowledge and accuracy of professional fee billing medical record documentation and coding to adequately represent services billed to third-party insurers. + Plans ... to external auditing activities by the federal government, the university's external auditor , or third-party insurers as related to billing compliance. + Performs… more