- Premera Blue Cross (Mountlake Terrace, WA)
- …serve through our Healthsource blog: https://healthsource.premera.com/ . As a **Payment Integrity Auditor I** , you will support the overall objectives of the ... claim audits to identify improper payments due to billing errors, coding discrepancies, and policy non-compliance. Audits include reviewing medical records, applying… more
- UNC Health (Morrisville, NC)
- …such as coding , clinical documentation, charge capture, and EPIC. The auditor should be familiar with clinical documentation and charge capture methodologies. 2. ... or other standards. Provides one-on-one and/or group meetings with providers regarding coding /compliance education . Assists with the development and delivery of… 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 ... this incredible work. What Will you Do? As a Coding Auditor at Pine Rest, you'll be...service and have enthusiasm about the program and the Pine Rest organization. Our … more
- HCA Healthcare (Miami, FL)
- …you to apply! **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... of each individual is recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home… more
- MedKoder (Mandeville, LA)
- …Full-time, 40 hour work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and accurately coding ... payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to...including supporting documentation; + Prepare and present audit follow-up education to clients; + Prepare and present customized … more
- Sharp HealthCare (San Diego, CA)
- …practices. *This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's ... + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of performing all audits and… 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 ... different locations within our network as needed. POSITION SUMMARY: The Professional Coding Educator/ Auditor provides educational and physician support for … 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 ... procedures and accepted guidelines for medical coding . Works closely with the Compliance Officer...Required to sit for CPC exam within one year. Education : + Associates degree required; Bachelor's preferred Licenses/Certifications: +… more
- AdventHealth (Altamonte Springs, FL)
- …: Remote **The role you will contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator is responsible for supporting ... addition, this position reviews medical records and documentation for coding accuracy, providing feedback and additional education ...and experiences you'll need to succeed:** Completion of a coding certificate program 5 years experience … more
- Highmark Health (Harrisburg, PA)
- …With technical direction and assistance from management, designs and implements coder education program , continuing education programs and Medical Staff ... + Develops audit detail summary spreadsheets and reports to address any coding , documentation, financial impact and profitability. Conducts education /training or… more
- UTMB Health (Galveston, TX)
- …to coders and providers to eliminate any discrepancies. This position provides a standardized coding education program to Coders. **REQUIRED EDUCATION / ... QA Auditor Inpatient & Provider - RCO Coding...to coders in a timely manner. * Ensures that coding education standards are updated appropriately to… more
- CVS Health (Indianapolis, IN)
- …to demonstrate proficiency in the following: + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Ability ... written or verbal forms including communication with clinical or coding staff, federal regulators and vendor coding ...Leads dispute resolution. + Acts as mentor to provide education to internal staff based on audit findings; provides… more
- Houston Methodist (Katy, TX)
- …Patient Access and Business Office. + Participates and provides good feedback during coding section meetings, coding education in-services, and coder/CDMP ... At Houston Methodist, the Coding Quality Auditor position is responsible...physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS-DRG and APR-DRG assignment, sequencing… more
- UNC Health Care (Chapel Hill, NC)
- …through and complete the CDS training modules. 3. Provides ongoing documentation and coding education to CDI Physician Advisers and CDS staff. 4. Provides ... shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may...and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and… more
- Geisinger (Danville, PA)
- Job Summary The Compliance Auditor position is responsible for supporting the organization's Revenue Management Compliance department in developing, implementing, ... and administering an effective compliance program . Accurately audits and provides compliance research support to physicians, non-physician practitioners, leadership,… more
- Centene Corporation (New York, NY)
- …Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor & Trainer position is primarily remote with a small travel ... needed analysis to determine specific training needs for clinical and coding staff + Identifies, selects, or develops appropriate training programs, including… more
- WellSpan Health (York, PA)
- …of education and training processes for the employees regarding coding compliance related activities. + Assists with any investigations in accordance with ... recommendations to correct issues to management. Develops and disseminates education and training programs to employees. **Duties and Responsibilities** **Essential… more
- AdventHealth (Maitland, FL)
- …to succeed** **:** + High School Grad or Equiv and two years of coding education (medical coding certificate program , diploma or 2-year HIM program ), ... reviews in conjunction with the CDI team. + Provides continuing education to individual coders and the coding staff concerning changes in the coding and… 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 ... and Medicaid (CMS) guidelines and provide ongoing feedback and analysis of the education needs for the providers and staff; also responsible for assisting with … more
- CVS Health (Harrisburg, PA)
- …regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient ... providers in the office and/or facility setting. + Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical… more
