- Plante Moran (Chicago, IL)
- …and correct coding errors. Lead CDI initiatives to improve the quality and completeness of clinical documentation. Work closely with physicians and clinical ... more
- HCA Healthcare (Brownsville, TX)
- **Description** **Introduction** Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer ? At Parallon, you come first. ... more
- Trinity Health (Livonia, MI)
- …coding and DRG or APC assignment. Develops coder education based on results of coding quality reviews, audit results, and regulatory changes. Provides a ... more
- AdventHealth (Daytona Beach, FL)
- …AHA Coding Clinic, CMS guidelines, NCCI guidance, etc. Provides outcomes of coding quality audit reviews with leadership Maintains current knowledge of ... more
- Elevance Health (Richmond, VA)
- …based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims ... more
- Zelis (St. Petersburg, FL)
- …role with production and quality metric goals. What you'll do: + Review provider disputes for DRG Coding and Clinical Validation (MS and APR), ... more
- City of New York (New York, NY)
- …THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with ... more
- City of New York (New York, NY)
- …all statutory, regulatory and contractual standards. Within AO, is the Office of Quality Assurance & Fiscal Integrity conducts complex internal audits and quality ... more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …journey. We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding / Audit Reviewer is a physician facing position and must have ... more
- City of New York (New York, NY)
- …IN THE PRINCIPLE ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The Office of Quality Assurance & Fiscal Integrity ensures the integrity, efficiency, and regulatory ... more
- St. Luke's University Health Network (Allentown, PA)
- …be responsible for performing internal, concurrent, prospective and retrospective coding audit activities. The incumbent will also review and validate coded ... more
- Houston Methodist (Houston, TX)
- …specific practices. Serves a subject matter expert. + Effectively communicates audit results to faculty and staff. ** QUALITY /SAFETY ESSENTIAL FUNCTIONS** ... more
- HCA Healthcare (Tampa, FL)
- …Do you want to join an organization that invests in you as a Pro Fee Coding Quality Review Educator? At Parallon, you come first. HCA Healthcare has ... more
- Virtua Health (Mount Laurel, NJ)
- …depending on meetings with clinicians. Job Summary: Responsible for professional fee (pro-fee) coding quality and audits, education and training, etc. for CPT, ... more
- Highmark Health (Pittsburgh, PA)
- …to CMS for reimbursement.Oversee operations to track and validate multi-pass quality review of validation leading up to external audit of Highmark Inc. ... more
- Banner Health (OH)
- …teams with different focuses (Facility vs Profee)._ In this **Inpatient Facility-based HIMS Coding Quality Associate** position, you bring your **5 years of ... more
- R1 RCM (Chicago, IL)
- …you will experience working as a Coding QA Mentor:** + Perform monthly quality reviews for established coders; review audits performed by our global ... more
- Independent Health (Buffalo, NY)
- …a clinical setting or utilizing a coding system (ICD-10 or PCS) required. Coding audit experience in an inpatient setting preferred. + Knowledge of ICD-10-CM ... more
- CVS Health (Hartford, CT)
- …with heart, each and every day. Aetna's Revenue Integrity team is hiring Senior Coding Data Quality Auditors to support our growing risk adjustment efforts. This ... 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 ... more
