- FlexStaff (Chappaqua, NY)
- **Req Number** 166292 FlexStaff is seeking an experienced Compliance Auditor with experience in physician medical billing and coding for one of our clients, ... the Compliance Officer's guidance, focusing on completeness, quality, and billing accuracy, with an emphasis on correct coding. Communicate results to anesthesia… more
- UPMC (Pittsburgh, PA)
- … Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and billing ? Do you thrive in a dynamic ... Compliance ** is seeking a dedicated and detail-oriented **Intermediate Compliance Auditor ** to join our team! This...3 or more years of experience in medical coding, billing , auditing and compliance . + Extensive knowledge… more
- UPMC (Pittsburgh, PA)
- **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about ensuring compliance in healthcare? **UPMC ... Corporate Finance** is looking for a dedicated and meticulous ** Compliance Auditor , Associate** to join our team....+ 1 year of experience in medical coding, auditing, billing and compliance . + Knowledge of CMS… more
- Hartford HealthCare (Hartford, CT)
- …documentation, coding and billing audits as assigned or scheduled. The Revenue Compliance Auditor performs independent reviews to assess compliance with ... invite you to become part of Connecticut's most comprehensive healthcare network. The Revenue Compliance Auditor contributes to the success of the Office of … more
- FlexStaff (Chappaqua, NY)
- **Req Number** 165727 FlexStaff Compliance Auditor - Hybrid position- Chappaqua, NY- $105K *THIS IS A HYBRID POSITION- YOU MUST RESIDE LOCALLY* Are you ... to make a meaningful impact? FlexStaff is seeking a detail-oriented and experienced Compliance Auditor to join our client's dynamic team! This hybrid position… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, and education ... dates. + Leads focused audits and reviews to assess adherence with professional billing compliance policies, legal and regulatory requirements, and to identify… more
- Guthrie (Sayre, PA)
- Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and procedures and accepted guidelines ... and requirements. + Minimum 1-year experience in Physician coding and billing and/or compliance field required 5 year of clinical experience and/or knowledge and… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …current knowledge of billing and coding requirements, risks and billing compliance requirements. Regularly reviews JH-MAC website and Texas Medicaid ... **41281BR** **Extended Job Title:** Documentation & Coding Auditor **Org Level 1:** Texas Tech Unv Hlth...necessary. Research payer policies to accurately and completely address billing compliance questions. Participate in coding/ billing… 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 ... within our network as needed. POSITION SUMMARY: The Professional Coding Educator/ Auditor provides educational and physician support for coding and billing… more
- Sedgwick (Annapolis, MD)
- …provided to insurance carriers, corporate legal departments and government entities. The auditor will apply client specified billing guidelines and/or Generally ... Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and...Ability to effectively communicate with law firms to discuss compliance with client's billing requirements. + Effectively… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …conjunction with other third party vendors to detect and trend potential claims and billing compliance issues relative to revenue cycle risk areas + Assists in ... for clinical and operational excellence. **Summary** Works collaboratively with the Compliance Manager on creating auditing protocols which align with Bon Secours… more
- HCA Healthcare (Chattanooga, TN)
- …Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance , credentialing, ... recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home position.** **This… more
- SUNY Upstate Medical University (Syracuse, NY)
- …trends and aberrations. Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding, and billing guidelines. ... Job Summary: Position Summary: Under the direction of the Compliance Officer the main duties for this position include: analysis of professional coding and … more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …as provide guidance, training, and education to ensure high standards of coding compliance . The Coding Auditor must demonstrate excellent customer service and ... incredible work. What Will you Do? As a Coding Auditor at Pine Rest, you'll be part of tight-knit...coding regulations and best practices. + Collaborate with coding, billing , and compliance teams to develop and… more
- Baystate Health (Springfield, MA)
- …diversified duties in connection with reviews of medical record documentation for professional billing to ensure it meets the AMA and CMS (Medicare) guidelines for ... interacts with employees at all levels. The incumbent has an understanding of compliance audit concepts. This includes but is not limited to relaying confidential… more
- CHS (Clearwater, FL)
- **Overview** ** ** **Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... claims and customer service calls to ensure validity, accuracy, and compliance with appropriate policies, procedures, and regulations + **Health, Dental, Vision, and… more
- MedKoder (Mandeville, LA)
- …work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty ... including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to… more
- Ochsner Health (New Orleans, LA)
- … billing regulations and medical necessity guidelines (which includes compliance with applicable laws and regulations), business risk, effective risk management ... This job assists with maintaining an effective auditing and compliance program. Independently completes assignments, manages projects, performs research, audits,… more
- Humana (Phoenix, AZ)
- …about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and ... validate the mitigation of compliance risk across the organization. This team ensures that...federal and/or state requirements related to Provider Clinic operations, billing , investigations, and processes. Coordinates site visits for regulators,… more
- Atlantic Health System (Morristown, NJ)
- …providers, and billing department + Provides clarification on coding and compliance policies Required: * CPC Certification * Minimum 6 months experience in ... for assisting with coding inquiries from providers, charge posters, billing staff, etc. Principal Accountabilities: Coordinates, schedules, performs the professional… more