- Premera Blue Cross (Mountlake Terrace, WA)
- …post-payment claim audits to identify improper payments due to billing errors, coding discrepancies, and policy non- compliance . Audits include reviewing medical ... do:** + Conduct entry-level audits of professional and facility claims to ensure coding accuracy and compliance with contractual, coding , payment policy,… more
- UNC Health (Morrisville, NC)
- … Program requirements. Must be able to understand, demonstrate, and teach professional compliance , billing and coding compliance to others. Ability to ... serve. Summary: Responsible for assisting Compliance management in all compliance activities which could include reviewing internal processes, documents and… 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 ... office staff, providers, and billing department + Provides clarification on coding and compliance policies Required: * CPC Certification * Minimum 6 months… more
- Dayton Children's Hospital (Dayton, OH)
- …comply with these regulations, thereby minimizing the risk of non- compliance . The Internal Coding Auditor must have a thorough understanding of ... Facility:Work From Home - OhioDepartment:Payer Enrollment AdministrationSchedule:Full timeHours:40Job Details:The Internal Coding Auditor plays a pivotal… more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. *This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the ... Functions** + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of performing… 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 ... for medical coding . Works closely with the Compliance Officer and Compliance coding ...and reports coding audits based on the Internal Audit and Compliance Work Plan including… 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
- HCA Healthcare (Miami, FL)
- …**Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews ... recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a...Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC… more
- MedKoder (Mandeville, LA)
- …payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder's internal coding /auditing ... Full-time, 40 hour work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and accurately coding … more
- CVS Health (Indianapolis, IN)
- …to appropriate departments and management. + Conducts process audits to ensure compliance with internal policies and procedures and existing CMS regulations. ... and documentation requirements. + Conducts process audits to ensure compliance with internal policies and procedures as...the office and/or facility setting. + Thorough knowledge of coding guidelines and regulations to meet compliance … 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 ... require Inpatient (AHIMA) credentials._** **GENERAL OVERVIEW:** Performs all related internal , concurrent, prospective and retrospective coding audit activities.… more
- Humana (Oklahoma City, OK)
- …part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ... direction and receives guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct CPT coding assignments.… more
- UTMB Health (Galveston, TX)
- …Requisition # 2505953 **JOB SUMMARY:** To implement and provide internal coding and documentation quality review to ensure compliance with documentation ... QA Auditor Inpatient & Provider - RCO Coding...approved by department leadership. **ESSENTIAL JOB FUNCTIONS:** * Develops internal coding and documentation auditing programs to… more
- Houston Methodist (Katy, TX)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... coding guidelines. **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding /DRG requests. Responds promptly to Business… more
- UNC Health Care (Chapel Hill, NC)
- …processes. Ability to interpret federal and state regulations as they relate to coding and compliance . Must possess strong communication skills, both written and ... 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
- Queen's Health System (Honolulu, HI)
- …I. JOB SUMMARY/RESPONSIBILITIES: * Responsible for conducting internal audits of coding and documentation to ensure compliance with coding guidelines ... LICENSURE: * Certification as an Outpatient Physician Coder (CPC) or Certified Coding Specialist -Physician based (CCS-P) required. * Certification as Medical … more
- Carle Health (Champaign, IL)
- …and coding team members. Auditors work closely with HIM leadership and Compliance to assure Carle providers and coding team members are following all ... code assignment. Auditors help identify training needs through ongoing internal provider and staff audits and assist with remediation...team to establish coding guidelines and assure coding team audits are completed timely Report compliance… more
- Northwell Health (Westbury, NY)
- …reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. 5.Applies coding rules and ... BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Job Responsibility 1.Leverages clinical… more
- CVS Health (Harrisburg, PA)
- …healthcare providers in the office and/or facility setting. + Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as ... policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and...and directives. + Conducts self- process audits to ensure compliance with internal policies and procedures as… more
- Northwell Health (Westbury, NY)
- …are maintained in compliance with Federal and State regulations. + Applies coding rules and regulations to the validation review process. + Reviews codes on ... or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home...Medicare/non-Medicare charts for compliance to rules and conventions. + Instructs professional staff… more
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