- Premera Blue Cross (Mountlake Terrace, WA)
- …and provider billing investigation. This role requires a deep understanding of medical claims adjudication, coding compliance , and regulatory guidelines. ... the Special Investigation Unit and Payment Integrity Specialists. This role requires medical coding experience, analytical skills, solid written and oral… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …improper payments due to billing errors, coding discrepancies, and policy non- compliance . Audits include reviewing medical records, applying clinical and ... Investigation Unit and Payment Integrity Specialists. This role requires medical coding experience and solid written and...entry-level audits of professional and facility claims to ensure coding accuracy and compliance with contractual, … more
- Geisinger (Danville, PA)
- … requirements. Determines the adequacy of medical record documentation, coding , and billing, using established compliance auditing and research guidelines ... Job Summary The Compliance Auditor position is responsible for... compliance audits to determine the adequacy of medical record documentation, billing, and coding , utilizing… more
- Catholic Health (Buffalo, NY)
- …from Overtime: Exempt: Yes Work Schedule: Days Hours: 8a-4:30p Summary: The Auditor /Educator will work cooperatively with CH coding associates, Clinicians, ... Corporate Compliance , Ancillary departments and private clients to ensure coding is consistent, accurate, and meets data integrity for use in billing,… more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. *This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the ... Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the...Case Management, Quality, etc.) in developing SHC's standardized documentation, medical necessity, coding and billing policies and… more
- Catholic Health Initiatives (Chattanooga, TN)
- **Job Summary and Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding ... needs are met at the highest level. The Sr Coding Compliance Auditor 's primary focus...(AAPC) as a Certified Professional Coder (CPC) required. Professional Medical Auditor Certification (CPMA) (CMAS)-preferred but not… more
- Texas Health Resources (Arlington, TX)
- Senior Compliance Coding Auditor -...drive improvements and ensure accuracy to complex tasks. Experienced medical coding auditor with advanced ... Oversight and Leadership Provide direction and oversight to the compliance coding audit team, fostering collaboration and...Degree 6 Years Req Experience 6 Years Experience in medical coding (inpatient, outpatient and evaluation and… more
- Humana (Boise, ID)
- **Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Guthrie (Sayre, PA)
- Option to be Hybrid/Remote. Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and ... procedures and accepted guidelines for medical coding . Works closely with the Compliance Officer and Compliance coding Audit Coordinator to perform… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Ongoing mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, ... participates in continuing education opportunities to remain current with billing and coding compliance best practices (ie, conferences, workshops, and other… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …provide guidance, training, and education to ensure high standards of coding compliance . The Coding Auditor must demonstrate excellent customer service ... this incredible work. What Will you Do? As a Coding Auditor at Pine Rest, you'll be...They also will help ensure the accuracy, completeness and compliance of coding and documentation throughout the… more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- …in auditor role. Certified Professional Coder (AAPC, AHIMA)- Required Certified Medical Auditor Certification (AAPC)-Preferred or obtained within 1 year of ... JOB TITLE: Professional Coding Educator/ Auditor DEPARTMENT: Billing Department STATUS:...SHIFT/CORE HOURS: Monday-Friday 8:30AM-5:00PM Exciting Careers Await at Premier Medical Group! Who We Are We are a physician-owned,… more
- HCA Healthcare (Caldwell, ID)
- …you to apply! **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a...policy + Demonstrates and applies expert level knowledge of medical coding practices and concepts + Participates… more
- MedKoder (Mandeville, LA)
- About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding ... work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and...pay, and flexible scheduling year-round * Internal network of Medical Coding Industry Leaders - CEO is… more
- AdventHealth (Maitland, FL)
- **Risk Adjustment Coding Auditor AdventHealth PHSO Resources** **All the benefits and perks you need for you and your family:** + Benefits from Day One + Paid ... Remote **The role you'll contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports...as well as supporting on-going quality assurance needs for coding staff. They will review medical records… more
- Cleveland Clinic (Cleveland, OH)
- …college + Two years of progressive on-the-job experience as a coding quality auditor in a health care environment and/or medical office setting + Inpatient ... most respected healthcare organizations in the world. As a Coding Quality Auditor , you will be responsible...you will serve as a subject matter expert in coding , offering guidance and support to ensure compliance… more
- Albany Medical Center (Albany, NY)
- …reviews/audits for AMHS, including reviewing medical record documentation and coding to assess compliance with related rules and regulatory requirements, ... States of America) Salary Range: $60,367.47 - $90,551.20 Professional Coding Auditor will apply an advanced professional...ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal… more
- Avera (Sioux Falls, SD)
- … coding review, DRG and APC reimbursement, and coordination of information between medical record and billing departments. A successful Auditor assists in the ... our patients. Work where you matter.** **A Brief Overview** Assists HIM/ Coding leadership in providing consultant services to health information management… more
- AdventHealth (Altamonte Springs, FL)
- …: Remote **The role you will contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator is responsible for supporting ... onboarding process and supports ongoing quality assurance needs for coding staff. In addition, this position reviews medical...findings and trends from the quality audits to the HIM/ Coding leadership + Reports any compliance and/or… more
- Atlantic Health System (Morristown, NJ)
- …new providers throughout the year + Audit charts for accurate and correct coding and compliance within documentation guidelines and AHS policies + Prepares ... staff, providers, and billing department + Provides clarification on coding and compliance policies Required: * CPC...Work Experience in the business of healthcare which includes: Medical Terminology and Coding and billing experience… more
