- Trinity Health (Fresno, CA)
- …Day Shift **Description:** Reporting to the Nurse Manager*, Cath Lab, the Nurse Auditor performs thorough chart review of Electronic Medical Records (EMR) ... documentation for inaccuracies, omissions, misspellings, and charge review. As needed, facilitates documentation correction with appropriate staff. **Requirements** 1. Bachelor's degree in healthcare or a related field or combination of equivalent experience… more
- University of Washington (Seattle, WA)
- …+ Certification in at least one of the following: certified healthcare chart auditor , certified professional in utilization review (or utilization management ... case manager, certified documentation specialist, certified coder, certified professional medical auditor + Previous experience working as an RN + Extensive… more
- Ochsner Health (Slidell, LA)
- …resource management. + Serves as resource to Medical Staff. + Serves as the chart auditor for all quality review in department. + Ensures appropriate ... and communicates with physicians and supporting clinicians. Actively participates in chart audits and continuous quality improvement, as well as assists with… more
- Northwell Health (Lake Success, NY)
- **Req Number** 172252 Surgical Anesthesia Compliance AuditorCompliance Auditor MUST HAVE CPC CERTIFICATON This is a HYBRID position- MUST be in the office located in ... Chappaqua, NY 3 days a week. Surgical Anesthesia Compliance Auditor - Hybrid position- Chappaqua, NY- $100K-$115K Are you passionate about healthcare compliance and… more
- Sharp HealthCare (San Diego, CA)
- …*This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance ... Functions** + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of performing all audits and … more
- Providence (CA)
- …must empower them._** **Providence Health Plan is calling a Coding Quality Auditor , HEDIS who will:** + Be responsible for conducting clinical quality ... the HEDIS project + Collect data by way of chart extraction, using objective specifications for the Healthcare Effectiveness...posting is for multiple openings of a Coding Quality Auditor , HEDIS** + **This position is affiliated with Providence… more
- Insight Global (Plano, TX)
- …DRG Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic Related Group (DRG) validation and quality audits on ... based on the candidates years of experience. Key Responsibilities: Conduct thorough chart reviews to validate that assigned codes accurately reflect the patient's… more
- Tufts Medicine (Burlington, MA)
- **Professional Coding Auditor and Educator - Remote** **Job Profile** **Summary** This role focuses on activities related to revenue cycle operations such as ... of ICD-10-CM diagnosis codes. The coder will focus on chart reviews, the detailed physician chart abstraction,...focus on chart reviews, the detailed physician chart abstraction, related coding education, evaluation of denials, and… more
- Elevance Health (Chicago, IL)
- **DRG Coding Auditor Principal** **_Virtual: _** _ _ This role enables associates to work virtually full-time, with the exception of required in-person training ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG Coding Auditor Principal** is responsible for auditing inpatient medical records on… more
- Elevance Health (Los Angeles, CA)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Elevance Health (Norfolk, VA)
- **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This role enables associates to work virtually full-time, with the exception of required in-person training ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating… more
- Insight Global (South Jordan, UT)
- Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have an extensive background in ... accuracy. Below are the key responsibilities for this role: Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of… more
- Saint Francis Health System (Tulsa, OK)
- …**to login and apply.** Full Time Days Job Summary: The Compliance Nurse Auditor assists with and supports the compliance program activities within Saint Francis ... audits to ensure that the clinical documentation contained within the patient chart supports items and services included on claims and accurately supports reasons… more
- Williams Adley (Washington, DC)
- …Information Systems, Cybersecurity, Accounting, or equivalent experience working as an IT Auditor or Consultant for a public accounting firm or a professional ... mentoring, professional membership/subscription dues, and professional development opportunities, you can chart a unique and fulfilling career path on your own… more
- Dartmouth Health (Lebanon, NH)
- …competency in working with regulatory/clinical issues and/or professional or facility chart abstraction, CPT and ICD-9 coding and clinical documentation education ... and reimbursement guidelines required. * Knowledge of professional or facility chart abstraction, CPT and ICD-9 coding and clinical documentation highly desired.… more
- Williams Adley (Washington, DC)
- …mentoring, professional membership/subscription dues, and professional development opportunities, you can chart a unique and fulfilling career path on your terms. ... Give Back to Your Community - Williams Adley believes in giving our time, treasures, and talents back to our community so that it can be a place for all people to thrive. Our Community Service Program, the Williams Adley Foundation, works with our employees to… more
- Banner Health (AZ)
- …Medical Management Team** . This assignment-based role focuses on independent chart review and clinical assessment. **Key Responsibilities** : + Independently review ... patient medical charts to assess whether the care provided may have contributed to the cause of death. + Make initial determinations based on clinical findings and documentation. + Forward reviewed charts to the broader Medical Management Team for further… more
- Amergis (Cleveland, OH)
- …and/or PT? FT Testing Required IP Interview Amergis End Date / Duration Ongoing Specialties/ Chart Types (Required & Preferred) IP auditing + Minimum of 2 years of ... inpatient facility coding experience + Minimum of 2 years inpatient facility auditing experience + Excellent oral and written communication skills + Knowledge of Microsoft Word and Excel + Computer savvy and ability to shift priorities to meet tight deadlines… more
- Atlantic Health System (Morristown, NJ)
- …coding such as appropriate documentation, accurate coding, coding trends found during chart reviews, third party audit findings, and annual coding updates. + ... Evaluates and provides appropriate documentation for the third party payer CPT denials to maintain the original CPT assignment, and when necessary, implement corrective action plan and/or educational programs to prevent similar denials and rejections from… more
- St. Luke's University Health Network (Allentown, PA)
- …or coding determination made by the government or commercial payors, or their auditor representative. + Facilitate clinical chart reviews to assist with ... + Participate in Administrative Law Judge (ALJ) hearings and/or formal meetings with auditor or payor representatives in defense of coding appeals, as needed. +… more