• Compliance Coding Auditor (OS)

    Sharp HealthCare (San Diego, CA)
    …AAPC Certified Inpatient Hospital/Facility (CIC), or Certified Professional Coder (CPC) certification.Certified Clinical Documentation Improvement Practitioner ... Health Care Compliance (CHC) - Compliance Certification Board; Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate **Hours**… more
    Sharp HealthCare (01/16/24)
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  • Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    …of risk adjustment processes areappropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal ... to such evidence across stakeholders with varying knowledge and clinical expertise in either written or verbal forms including...) or CCS-P (Certified Coding Specialist-Physician). + CRC (Certified Risk Adjustment Coder ) must be able to… more
    CVS Health (02/24/24)
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  • Regional Manager Professional Auditor

    Trinity Health (Des Moines, IA)
    …Compliance, and/or Coding Education leadership experience. Preferred: In addition, Certified E&M Coder (CEMC), including Certified Risk Adjustment Coder ... leaders and colleagues across the organization. Responsible for Regional Professional Auditor and Educator departmental budget. Motivates staff to achieve high… more
    Trinity Health (03/26/24)
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  • Coding Auditor Educator

    Highmark Health (Harrisburg, PA)
    …AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years ... areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in… more
    Highmark Health (03/01/24)
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  • Coding Data Quality Auditor

    CVS Health (Albany, NY)
    Coder ) or CCS-P (Certified Coding Specialist-Physician) required. * CRC (Certified Risk Adjustment Coder ) preferred or certified within 6 months of ... the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical more
    CVS Health (02/29/24)
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  • Executive Director & Clinical Compliance…

    Weill Cornell Medical College (New York, NY)
    Title: Executive Director & Clinical Compliance Officer Location: Midtown Org Unit: Compliance and Privacy Office Work Days: Monday-Friday Exemption Status: Exempt ... Oversees the effectiveness, operation, administration, and management of the Clinical Compliance and Privacy programs. Provides strategic direction and oversight… more
    Weill Cornell Medical College (03/14/24)
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  • Lead Compliance Audit Analyst

    Corewell Health (Grand Rapids, MI)
    …direction, and mentorship to less experienced Compliance professionals. + Leads risk assessment and annual work plan activities. Assumes accountability for the ... area. Provides guidance to all compliance professionals on these processes. Uses risk -based methodologies, tools (CRA), and historical/current trends to assist in … more
    Corewell Health (03/22/24)
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  • Manager of Medicare Advantage Coding, Education…

    UCLA Health (Los Angeles, CA)
    Coder (CPC-I) certification, Certified Risk Adjustment (CRC) coder AAPC certification, and Certified Professional Medical Auditor (CPMA) certifications ... You will also serve as a Subject Matter Expert for Medicare Advantage risk adjustment. Note: Onsite with the consideration of flexible hybrid Salary offers are… more
    UCLA Health (03/06/24)
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  • Senior Compliance Audit Analyst

    Corewell Health (Grand Rapids, MI)
    …rules and regulations. Provides advice, guidance and recommendations to minimize risk . Identifies root causes, trends/themes and assures plans and standards are ... and direction to less experienced Compliance professionals. + Assists in the risk assessment and annual work plan activities. Assumes accountability for the… more
    Corewell Health (03/22/24)
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  • Medical Coding Coordinator - Internal Audit…

    Guthrie (Sayre, PA)
    …option upon completion. Education, License, & Cert + CPC (Certified Professional Coder ) required CPMA preferred + Will consider certifications from AHIMA (RHIA, ... Minimum one-year experience in reimbursement and/or compliance field, or 3-year clinical management experience, or a Bachelor's degree preferred Experience Working… more
    Guthrie (03/14/24)
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  • Compliance Analyst/Educator, URMC

    University of Rochester (Rochester, NY)
    Coder (CPC), Certified Professional Biller (CPB) or Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), or Certified Professional ... GENERAL PURPOSE: Oversees and supports a portfolio of clinical specialties as assigned by Director of Compliance through review, analysis, communication and training… more
    University of Rochester (02/16/24)
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