- Optum (San Juan, PR)
- …Inpatient Coder (CIC) Certified Outpatient Auditor (COC) Certified Professional Medical Auditor (CPMA) Certified Coding Specialist (CCS) Experience ... team members and departments Continuing education - 10% Keep up required Coding Certificate and/or Nursing Licensure Complete compliance hours as required… more
- Main Line Health (Broomall, PA)
- …federal & state coding compliance regulations and guidelines, the Compliance Auditor IPPS/OPPS performs 2nd level reviews of previously coded inpatient ... Could you be our next Compliance Auditor IPPS/OPPS with Main Line...manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and… more
- Mass General Brigham (Somerville, MA)
- …Brigham. Job Summary Perform DRG validation and quality audit on claims, providing coding expertise in the application of medical and reimbursement policies ... Perform DRG validation and quality audit on claims, providing coding expertise in the application of medical ...Strong quantitative and analytical skills. Demonstrate knowledge of and compliance with changes and updates to coding … more
- HCA Healthcare (Brentwood, TN)
- …Benefits Note: Eligibility for benefits may vary by location. We are seeking a Profee Coding Auditor for our team to ensure that we continue to provide all ... our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no...want you to apply! Job Summary and Qualifications The Coding Auditor is responsible for performing quality… more
- Trinity Health (Columbus, OH)
- Employment Type: Full time Shift: Day Shift Description: Position Purpose: Coding and Compliance Specialist monitors and evaluates coding and documentation ... Coding Specialists. Maintains monthly statistical reports to monitor the Physician Coding process and compliance . What You Will Do: Responsible for… more
- Innova solutions (Dallas, TX)
- Innova Solutions has a client that is immediately hiring for a Physician Compliance Auditor 2 Position type: Contract- Full Time Duration: 3 months with possible ... extension Location: Remote As a Physician Compliance Auditor 2, you will: Perform annual...sessions with Revenue Cycle Management (RCM) and Risk Based Coding . Coding compliance resource and… more
- Geisinger (Danville, PA)
- … requirements. Determines the adequacy of medical record documentation, coding , and billing, using established compliance auditing and research guidelines ... Job Summary The Compliance Auditor position is responsible for... compliance audits to determine the adequacy of medical record documentation, billing, and coding , utilizing… more
- Sharp HealthCare (San Diego, CA)
- …requirements for the position, and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of ... Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the...Case Management, Quality, etc.) in developing SHC's standardized documentation, medical necessity, coding and billing policies and… 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, ... participates in continuing education opportunities to remain current with billing and coding compliance best practices (ie, conferences, workshops, and other… more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- …in auditor role. Certified Professional Coder (AAPC, AHIMA)- Required Certified Medical Auditor Certification (AAPC)-Preferred or obtained within 1 year of ... JOB TITLE: Professional Coding Educator/ Auditor DEPARTMENT: Billing Department STATUS:...SHIFT/CORE HOURS: Monday-Friday 8:30AM-5:00PM Exciting Careers Await at Premier Medical Group! Who We Are We are a physician-owned,… more
- MedKoder (Mandeville, LA)
- About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding ... systems, providers, and payers. Founded and led by a medical coding veteran, the company offers services...work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and… more
- AdventHealth (Altamonte Springs, FL)
- …Full-Time, Monday-Friday **The role you will contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of the ... as well as supporting on-going quality assurance needs for coding staff. They will review medical records...achieve industry best practice levels of performance. The Quality Auditor will adhere to AdventHealth's Compliance standards,… more
- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... needed. Follows established guidelines/procedures. **Where you come in** The Medical Coding Auditor confirms correct...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Kaleida Health (Buffalo, NY)
- ** Coding Auditor ** **Location:** Larkin Bldg @ Exchange Street **Location of Job** : US:NY:Buffalo **Work Type** : Full-Time **Shift 1** **Job Description** ... **The Physician Coding Auditor is a member of the...and clinical fees, including detection and correction of documentation, coding and billing errors and/or medical necessity… more
- HCA Healthcare (Brentwood, TN)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking a Profee Coding Auditor for our team to ensure that we continue to provide ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...want you to apply! **Job Summary and Qualifications** The Coding Auditor is responsible for performing quality… more
- Atlantic Health System (Morristown, NJ)
- …new providers throughout the year + Audit charts for accurate and correct coding and compliance within documentation guidelines and AHS policies + Prepares ... staff, providers, and billing department + Provides clarification on coding and compliance policies Required: * CPC...Work Experience in the business of healthcare which includes: Medical Terminology and Coding and billing experience… more
- Trinity Health (Columbus, OH)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Position Purpose:** Coding and Compliance Specialist monitors and evaluates coding and ... Coding Specialists. Maintains monthly statistical reports to monitor the Physician Coding process and compliance . **What You Will Do:** + Responsible for… more
- Highmark Health (Harrisburg, PA)
- … as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding ... (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or… more
- CVS Health (Oklahoma City, OK)
- …setting. Thorough knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity. In depth knowledge ... process and Hierarchical Condition Categories CRC (HCC). CPMA Certified. Professional Medical Auditor ), CDEO (Certified Documentation Expert Outpatient) or CPC-I… more
- Houston Methodist (Houston, TX)
- …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 assignment of ... to outpatient and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and… more
