- Insight Global (Houston, TX)
- Job Description A healthcare employer in Houston, TX is seeking a Surgical Coding Auditor to join their growing team. This position is remote but candidates ... the coders based on auditing results. They will be focused on surgical coding within the following specialties: Urology, Bariatrics, Interventional Cardiology,… 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 ... codes (eg, ICD-10-CM, CPT) to patient records. The Medical Coding Auditor work assignments are varied and...the last 5 years. Experience needs to include CPT surgical coding and auditing. . Certified Medical… more
- MedKoder (Mandeville, LA)
- …Full-time, 40 hour work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and accurately coding ... payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to...Must be a subject matter expert on E&M and Surgical coding . Must have expert knowledge of… more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- JOB TITLE: Professional Coding Educator/ Auditor DEPARTMENT: Billing Department STATUS: Full Time (Non- Exempt Hourly) LOCATION: 696 Dutchess Turnpike ... different locations within our network as needed. POSITION SUMMARY: The Professional Coding Educator/ Auditor provides educational and physician support for … more
- Rush University Medical Center (Chicago, IL)
- …and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications * ... a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of...coding experience, including evaluation & management (E/M) and surgical coding experience, may be considered contingent… more
- Nuvance Health (Danbury, CT)
- …optimizing appropriate revenue opportunities 3.QA activities including auditing levels of service of surgical coding performed by Outpatient Coding team for ... attendance. 10.Performs other duties as required. *Requirements:* *Must have strong surgical auditing coding background in multiple specialties such as… more
- FlexStaff (Chappaqua, NY)
- **Req Number** 172252 Surgical Anesthesia Compliance AuditorCompliance Auditor Surgical Anesthesia Compliance Auditor - Hybrid position- Chappaqua, NY- ... a meaningful impact? FlexStaff is seeking a detail-oriented and experienced Compliance Auditor to join our client's dynamic team! This hybrid position offers the… more
- Albany Medical Center (Albany, NY)
- …CDI specialists and providers. 4. Collaborating extensively with providers, and medical coding staff to improve quality and completeness of documentation of care ... providers on the subject of accurate and ethical E/M coding and documentation. 12. Submitting appeals for clinical validation...of PSIs and HACs and on reviewing mortalities. CDI Auditor Job Description Summary This supervisory position will lead… more
- Trinity Health (Fresno, CA)
- …within nine (9) months of hire. **SKILLS:** * Extensive knowledge of coding surgical procedures, applicable modifiers in multi-specialty setting. * Knowledge ... chart abstraction and is liaison to documentation improvement and optimization of physician coding practices. Surgical abstraction coding is defined as… more
- BJC HealthCare (St. Louis, MO)
- …is a plus! + Previous auditing experience of evaluation and management and surgical procedures is preferred! + Working knowledge of EXCEL and MS Publisher. ... instruction on federal and state regulations, documentation guidelines, and coding training in a way that ensures compliance with...and/or concerns as a result of serving as lead auditor . + Support the HIPAA liaison by tracking and… more
- St. Luke's University Health Network (Allentown, PA)
- …+ Participate in Administrative Law Judge (ALJ) hearings and/or formal meetings with auditor or payor representatives in defense of coding appeals, as needed. ... Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure properly assigned… more
- SUNY Upstate Medical University (Syracuse, NY)
- …health system environment. + Strong background in OB/GYN inpatient, outpatient, and surgical coding . + Experience educating providers or leading documentation ... Position Overview Responsible for the accurate and compliant coding of inpatient, outpatient, and professional OB/GYN encounters. This position serves as a key… more
- NCH (Naples, FL)
- …potential missed opportunities for documentation clarification, act as a liaison between coding and CDI to resolve DRG or other code discrepancies, collaborate with ... process and/or provider education. The QI-CDIS will collaborate closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, Quality Department… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as ... discussions with Medical Directors and/or clinical consultants. + Serves as an internal auditor /peer reviewer for new clinical staff, as needed. + Mentors (to others… more