- UnitedHealth Group (Minneapolis, MN)
- …will directly improve health outcomes by connecting people with the care, pharmacy benefits, data , and resources they need to feel their best. Here, you will find a ... . In this position as a DRG CVA RN Auditor , you will apply your expert knowledge of...apply your expert knowledge of the MS-DRG and APR-DRG coding /reimbursement methodology systems, ICD-10 Official Coding Guidelines,… more
- CVS Health (Jefferson City, MO)
- …with heart, each and every day. **Position Summary** **Responsible for performing quality inter-rater review audits of medical records coded by internal team (CDQA ... to demonstrate proficiency in the following:** **Proven ability to support coding .** **Judgment and decisions using industry standard evidence and tools.** **Ability… more
- CVS Health (Springfield, IL)
- …all with heart, each and every day. Position Summary Responsible for performing quality inter-rater review audits of medical records coded by internal team (CDQA and ... opportunity to demonstrate proficiency in the following: Proven ability to support coding . Judgment and decisions using industry standard evidence and tools. Ability… more
- AdventHealth (Altamonte Springs, FL)
- …years of experience. Five years of inpatient or outpatient coding experience or Coding Quality Auditor experience. Completion of a coding certificate ... **The role you will contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator...coding guidelines, practices, and proper documentation techniques, and data quality improvements. Provides input on which… more
- Houston Methodist (Houston, TX)
- …remote must live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code ... data quality review to ensure data integrity, coding accuracy, and revenue preservation....relative to job function. Contributes ideas to help improve quality of coding data and… more
- Sharp HealthCare (San Diego, CA)
- …the position, and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's ... program. The position provides oversight and maintenance of a high- quality , effective, best practices coding , billing, and... ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of… more
- AdventHealth (Tampa, FL)
- …Association as a Primary Stroke Center. **The ro** **le you'll contribute:** The Inpatient Coding Quality Auditor , under general supervision of the Inpatient ... responsible for the daily auditing of records. The Inpatient Coding Quality Auditor works in...data , the education and training of the inpatient coding staff, as well as being a resource to… more
- Highmark Health (Harrisburg, PA)
- …and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation ... and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …leadership programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor ** to extract data from patient encounters ensuring ... audits the accuracy and completeness of diagnosis and procedure coding , DRG assignment, and abstracted data POA,...+ Coordinates remediation when required. + Coordinates with the Coding leadership, Quality nurses and the CDS… 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 ... the providers and staff; also responsible for assisting with coding inquiries from providers, charge posters, billing staff, etc....identify incomplete or inconsistent documentation that could impact the quality of data being reported + Audits… more
- McLaren Health Care (Shelby Township, MI)
- …and other pertinent materials. 2. Optimizes prospective payment reimbursement and facilitates data quality by creating consistency and efficiency in physician ... Functions and Responsibilities As Assigned** **:** 1. Responsible for completing quality assurance audits on professional coding specialists, onboarding audits… more
- Humana (Madison, WI)
- …caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and ... moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. **Responsibilities** The Senior… more
- PeaceHealth (Vancouver, WA)
- …Information Systems Auditor . + Registered Health Information Administrator (for Coding Auditor ), Registered Health Information Technician (for Coding ... Auditor ), Certified Professional Coder (for Coding Auditor ), Certified Coding Specialist Physician (for Coding Auditor ),Certified Professional… more
- AdventHealth (Daytona Beach, FL)
- …Daytona Beach, FL 32117 **The role youll contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of ... application of coding guidelines, practices, and proper documentation techniques, and data quality improvements. Provides input on which quality audit… more
- Veterans Affairs, Veterans Health Administration (Murfreesboro, TN)
- …identify areas of non-compliance in coding . They facilitate improved overall quality , completeness, and accuracy of coded data . They provide recommendations ... reports. They assist in the development of guidelines for data quality , consistency, and monitoring for compliance...for appointment as a Medical Records Technician (MRT) (Coder) Auditor performing medical coding in the Veterans… more
- UPMC (Pittsburgh, PA)
- …and HCPCS codes to ensure consistency and efficiency in claims processing, data collection, and quality reporting. . **Regulatory Compliance:** Conduct audits ... **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and… more
- Veterans Affairs, Veterans Health Administration (Sioux Falls, SD)
- …improvements related to coding . Assists in the development of guidelines for data quality , consistency, and monitoring for compliance to improve the ... with coding rules and regulations; initiates various reports and analyze data . Facilitates improved overall quality , completeness and accuracy of coded … more
- Capital One (Plano, TX)
- …you a better auditor . This will require leveraging the power of data analytics and furthering your technical expertise.** **-You're a teacher. You do the right ... Principal Auditor - Cyber, Risk & Analysis Technology Audit (Hybrid)...is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit… more
- UPMC (Wexford, PA)
- …and DRG assignment appropriateness to ensure consistency and efficiency in claims processing, data collection, and quality reporting. + Conduct audits on other ... their best selves? UPMC Children's Community Pediatrics is hiring a Full-Time Compliance Auditor , Intermediate to support the office Remotely. Must live in the state… more
- CHS (Clearwater, FL)
- **Overview** ** ** **Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... and work with the MPS Call Center Manager/Supervisor/Team Lead and analyze the data for training purposes. + Identifies patterns, trends, and variances related to… more
