- Capital One (New York, NY)
- …Certifications related to or pursuing certification related to Auditing, such as Certified Internal Auditor (CIA), or Certified Information Systems Auditor ... information, issues and audit progress to teammates, clients and auditor -in-charge. Perform various aspects of engagement administration, including hours and… more
- Lyric (Newtown Square, PA)
- …implement our coding logic and their oversight will ensure our internal team continues to exceed expectations. **ESSENTIAL JOB RESPONSIBILITIES & KEY PERFORMANCE ... Clinical Manager will combine their deep knowledge of CPT, HCPCS, and ICD10CM coding guidelines with strong leadership skills to guide their team in delivering… more
- Lyric (Newtown Square, PA)
- …to build proposals recommended by consultant. + Function as a Consultant to internal and external clients to introduce new concepts, estimate realistic savings, and ... adoption. + Stay abreast of all topics relevant to coding /billing/overpayment trends, changes in coding guidelines and...provide clinical support related to clinical content to both internal and external customers. + Serve as clinical content… more
- 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
- HCA Healthcare (Miami, FL)
- …**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
- Sharp HealthCare (San Diego, CA)
- …practices. *This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's ... + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of performing all audits and… 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
- Humana (San Juan, PR)
- …a part of our caring community and help us put health first** The 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 Medical Coding Auditor work assignments are varied and frequently require interpretation… 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
- University of Southern California (Los Angeles, CA)
- …as assigned by Coding management. + CODING AUDITING 1. Performs monthly internal coding audits to evaluate accuracy of coding staff to ensure a ... federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review... Dept. coders who historically/previously met the ≥ 90% internal /external audit standards of the previously held USC Job… more
- Hackensack Meridian Health (Hasbrouck Heights, NJ)
- …and serve as a leader of positive change. The **Physician Billing (PB) Coding Auditor and Educator** is responsible for auditing and educating healthcare ... providers on related applicable clinical documentation. This work supports coding and billing regulations that ensure appropriate reimbursement, public reporting,… 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
- Humana (Lincoln, NE)
- …part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ... direction and receives guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct CPT coding assignments.… more
- Highmark Health (Harrisburg, PA)
- …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
- Centene Corporation (New York, NY)
- …and analyzing clinical coding training and auditing programs. The Senior Clinical Coding Auditor & Trainer will conduct audits of inpatient coding ... Fidelis Care and assist in development of training and audit tools. The Senior Clinical Coding Auditor & Trainer position is primarily remote with a small travel… more
- Tufts Medicine (Burlington, MA)
- **Professional Coding Auditor and Educator - Remote** **Job Profile** **Summary** This role focuses on activities related to revenue cycle operations such as ... with coding and documentation standards to ensure compliance with internal and government regulations. 3. Provides continuing review and education of physician… more
- CommonSpirit Health (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
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** The Medical Claims Coding Auditor is responsible for the investigation of coding issues and recommendation for correction of the issue. ... of provider documents, medical records and applying medical rational. Uses Correct Coding Initiatives (CCI) and National Correct Coding Initiatives (NCCI) as… more
