- 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
- 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