- Geisinger (Danville, PA)
- … education for facility and professional documentation, coding, and billing . The Senior Compliance Auditor serves as a mentor for Compliance ... Job Summary The Senior Compliance Auditor ensures... staff. + Serves as primary lead for facility/professional billing compliance education, including auditing, trending, providing… more
- Covenant Health Inc. (Knoxville, TN)
- …for Covenant Health entities as they relate to charging, coding, documentation and billing compliance . This would include E/M, procedure, and ICD-10 reviews, as ... or payment arrangements in relation to charging, coding and billing compliance . + Advises, educates and acts...with equivalent coding experience. Apply/Share Job Title REV INTEGRITY AUDITOR SR ID 4399754 Facility Covenant Health… more
- BJC HealthCare (St. Louis, MO)
- …located in Town & Country, MO. **Preferred Qualifications** **Role Purpose** The Senior Compliance Coordinator conducts and coordinates reviews of BJCMG ... that ensures compliance with governmental regulations. Additionally, the Senior Compliance Coordinator collaborates with departments in providing appropriate… more
- Geisinger (Danville, PA)
- Job Summary The Compliance Auditor position is responsible for supporting the organization's Revenue Management Compliance department in developing, ... Determines the adequacy of medical record documentation, coding, and billing , using established compliance auditing and research...for compliance risk mitigation as directed by Compliance or Senior Leadership. Work is typically… more
- Mount Sinai Health System (New York, NY)
- …risk of compliance violations, audits, and potential penalties related to billing errors. + Streamline charge capture processes to improve efficiency and reduce ... **Job Description** **Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue...a key role in ensuring the financial health and compliance of the organization and bridges the gap between… 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 ... payer guidelines and requirements. + Minimum 1-year experience in Physician coding and billing and/or compliance field required 5 year of clinical experience… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42910BR** **Extended Job Title:** Medical Coding Auditor **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for auditing ... medical records to ensure accurate coding and compliance with regulatory requirements. This role ensures continuous quality improvement in coding practices while… more
- HCA Healthcare (Caldwell, ID)
- …Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance , credentialing, ... want to join an organization that invests in you as an Inpatient Coding Quality Auditor ? At Parallon, you come first. HCA Healthcare has committed up to $300 million… more
- HCA Healthcare (Nashville, TN)
- …Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance , credentialing, ... integrity. We care like family! Jump-start your career as a DRG Validation Auditor today with Parallon. **Benefits** Parallon offers a total rewards package that… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …RI, CT)** Reporting to the Director of Billing Compliance , the Senior Billing Compliance Reviewer ensures the integrity, accuracy, and regulatory ... ability to establish and maintain effective relationships with providers, leadership, senior administration, colleagues, and billing compliance staff.… more
- Humana (Corpus Christi, TX)
- …for compliance , accuracy, and completeness, helping reduce audit risk and billing delays. The auditor monitors QA metrics, identifies trends, and ... community and help us put health first** The Home Health Quality Auditor ensures clinical documentation meets CMS regulations, OASIS accuracy, and Medicare… more
- Dartmouth Health (Lebanon, NH)
- … billing , reimbursement, efficiency and effectiveness of operations and compliance with rules and regulations. Researches, analyzes and interprets laws and ... complex professional and facility (DRG or APC) coding and billing audits across all clinical specialties. Responsibilities * Plans...performs auditing and monitoring projects at the request of Senior Management and the Audit and Compliance … more
- University of Southern California (Alhambra, CA)
- …and skill development of auditors to maximize available tools for Chargemaster and billing compliance . Essential Duties: + Performs maintenance to the Keck ... billing system and CDM management tools . The Senior RI Specialist shall ensure that the Chargemaster (CDM)...department charge processes to improve charge capture and coding compliance . The Senior RI Specialist also coordinates… more
- Texas Health Resources (Arlington, TX)
- …and establishing management correction plans when necessary. Additionally, the Compliance Auditor Manager effectively communicates audit findings through ... Compliance Manager oversees and manages auditing and monitoring activities related to billing and coding compliance . This role is responsible for developing… more
- V2X (Reston, VA)
- …responsibility, and professionalism. Responsibilities What You'll Do: + The Senior Manager, Corporate Accounting oversees the financial reporting and accounting ... role involves managing a team of accounting professionals, ensuring compliance with regulatory requirements, preparing financial statements, analyzing financial… more
- University of Rochester (Rochester, NY)
- …financial research compliance functions. Directs the Office of Research Compliance for clinical research billing compliance , sponsored program ... preferred **KNOWLEDGE, SKILLS AND ABILITIES** + Knowledge of third-party financial compliance regulations for research and clinical trial billing required… more
- Saint Francis Health System (Tulsa, OK)
- …**to login and apply.** Full Time Job Summary: The Senior Internal Audit Analyst plays a critical role in evaluating ... control gaps, and providing actionable recommendations to enhance efficiency and compliance . Minimum Education: Bachelor's Degree in Accounting or related field.… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Insurance Appeals Senior , Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the ... Analyzes all correspondence regarding insurance denials for the revenue integrity auditor to take appropriate action. Prepares necessary documentation for insurance… more
- Option Care Health (Bannockburn, IL)
- …to summarize and communicate complex findings effectively. Reporting to the Senior Manager, Compliance Auditing, Monitoring and Analytics, this individual ... techniques to analyze large datasets, such as related to healthcare operations, billing , claims, and patient information to support Compliance activities and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …weekly, monthly, and annual compliance & ethics reporting. + Work with Senior Compliance and Privacy Office leadership as well as other key clinical ... to relevant laws, regulations, and industry standards, focusing on compliance risk areas and billing practices, while...auditor , and/or coding educator. + Certified in Healthcare Compliance (CHC or CPCO) preferred. If no certification, must… more