- Dayton Children's Hospital (Dayton, OH)
- Facility:Work From Home - OhioDepartment:Payer Enrollment AdministrationSchedule:Full timeHours:40Job Details:The Internal Coding Auditor plays a pivotal ... involved in coding processes for facility and professional services. The Internal Coding Auditor regularly conducts detailed coding audits and… more
- Atlantic Health System (Morristown, NJ)
- Responsible for coding quality audits of all records (outpatient, inpatient, procedures, testing) to assure appropriateness and accurate code assignments in ... for the providers and staff; also responsible for assisting with coding inquiries from providers, charge posters, billing staff, etc. Principal Accountabilities:… more
- Humana (Boise, ID)
- …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
- HCA Healthcare (Caldwell, ID)
- …**Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews ... is recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home position.** **This… more
- MedKoder (Mandeville, LA)
- …payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder's internal coding /auditing ... work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and...time off, holiday pay, and flexible scheduling year-round * Internal network of Medical Coding Industry Leaders… more
- Rush University Medical Center (Chicago, IL)
- …Offers may vary depending on the circumstances of each case. **Summary:** The Billing Coding Auditor uses advanced knowledge of billing, coding , auditing, ... to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay...and timely capture of all chargeable procedures. The Billing Coding Auditor also monitors interfaces and ancillary… 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 ... (National Coverage Determinations), insurance companies) + Performs, and reports coding audits based on the Internal Audit...and reports coding audits based on the Internal Audit and Compliance Work Plan including completing other… more
- CVS Health (IN)
- …Responsible for performing quality inter-rater review audits of medical records coded by internal team (CDQA and Sr CDQA) to ensure the ICD-10 codes that are ... in accordance with all State and Federal regulations and internal policies and procedures. In this position you will...proficiency in the following: + Proven ability to support coding judgment and decisions using industry standard evidence and… more
- Highmark Health (Nashville, TN)
- …require Inpatient (AHIMA) credentials._** **GENERAL 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 and HCPCS Level II code and modifier… 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, ... inpatient and outpatient expertise is required. + 2 years' experience in internal auditing and/or coding education; prefer multi-healthcare setting experience +… 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, and ... feedback to providers and professional coders. Manages and fosters relationships with internal professional coders, coding educators and managers and third-party… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... coding guidelines. **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding /DRG requests. Responds promptly to Business… more
- Nuvance Health (Danbury, CT)
- …NJ, NY, OH, PA, SC, TN, TX, VA* Summary: *Purpose:*Provides clinician practice coding , billing, and documentation auditing for professional coding at Nuvance ... Health. Conducts routine quality assurance (QA) audits on Professional Coding team and compiles reports on their accuracy for leadership. Makes recommendations based… more
- UNC Health Care (Chapel Hill, NC)
- …that have opted into shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may travel from entity to entity ... the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education as well as… more
- Queen's Health System (Honolulu, HI)
- RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: * Responsible for conducting internal audits of coding and documentation to ensure compliance with coding ... LICENSURE: * Certification as an Outpatient Physician Coder (CPC) or Certified Coding Specialist -Physician based (CCS-P) required. * Certification as Medical … more
- Cognizant (Nashville, TN)
- **About the role** As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... and ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance + Perform Peer Reviews of...minimum accuracy rate of at least 98% while meeting internal productivity standards set by company + Maintain productivity… more
- Virtua Health (Mount Laurel, NJ)
- …CPT, ICD-10-CM, and HCPCS codes for Virtua Medical Group clinicians and coding department. This includes performing internal audits, overseeing external audits, ... 7am- 7pm depending on meetings with clinicians. Job Summary: Responsible for professional fee (pro-fee) coding quality and audits, education and training, etc. for… more
- Northwell Health (Lake Success, NY)
- **Req Number** 167589 Job Description Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. ... Prepares coding guidelines; implements coding changes. Job Responsibility 1.Demonstrates comprehensive knowledge of coding guidelines and principals;… more
- Centene Corporation (Cheyenne, WY)
- …**ed States. AMISYS experience highly preferred.** **Position Purpose:** Audit medical record coding to ensure high dollar claims are processed appropriately and to ... and procedures support uniform processing. + Audit high dollar claim processing by coding analysts for accuracy and completeness + Prepare and draft audit reports of… more
- Northwell Health (Westbury, NY)
- …BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Job Responsibility 1.Leverages clinical ... 2.Full review of CDI suggested code changes 3.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.… more