- Sharp HealthCare (San Diego, CA)
- …within specified timeframe. **Essential Functions** + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the ... and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the...the electronic health record to identify potential coding and billing compliance issues. Prepares written reports of… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Reporting to the Director, Compliance Audit and Analysis, the Sr. Compliance Auditor will develop and execute audit, monitoring, and education for ... that ensure compliance with regulatory standards. Continuously evaluate facility/professional billing compliance activities to assess compliance with the… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …for compliance audits and charge processes. + Serves as a resource to hospital departments regarding compliance with billing regulations and trends in ... Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete reimbursement...to five years of case management utilization review, or compliance related work experience in a hospital … more
- Covenant Health Inc. (Knoxville, TN)
- …for Covenant Health entities as they relate to coding, documentation and billing compliance . Also provides consulting services to the organization's management ... Overview Inpatient Coding Auditor and Educator, Centralized Coding Full-Time, 80 Hours...OIG advisory opinions, and other publications relative to coding, billing and reimbursement compliance in order to… more
- Kaleida Health (Buffalo, NY)
- …codes, medical necessity of services, reimbursement overpayments and underpayments, and compliance with other documentation, coding and billing standards. Will ... **Coding Auditor ** **Location:** Larkin Bldg @ Exchange Street **Location...is a member of the Internal Audit and Corporate Compliance Department. Responsible for audits to determine organizational integrity… more
- HCA Healthcare (Brentwood, TN)
- …services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance , credentialing, ... spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal… 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
- Nuvance Health (Hollywood, FL)
- …PA, SC, TN, TX, and VA. *Job Title: Senior Professional Facility Auditor * *Company: Nuvance Health* *Department: Facility Charging and Coding* *Location: Remote* ... Role* Nuvance Health is seeking a detail-oriented and experienced *Senior Professional Facility Auditor * to join our Facility Charging and Coding team. In this role,… more
- Catholic Health (Kenmore, NY)
- Salary: 61,503.00-92,274.00 USD Facility: Kenmore Mercy Hospital Shift: Shift 1 Status: Full Time FTE: 1.000000 Bargaining Unit: ACE Associates Exempt from Overtime: ... 8-4pm Summary: The Catholic Health (CH) Health Information Management (HIM) Educator/ Auditor is responsible for providing Provider Coding education, including but… more
- Children's Mercy Kansas City (Kansas City, MO)
- …that we can improve the lives of children beyond the walls of our hospital . Overview The Charge Capture Auditor /Educator is directly responsible for ... US News & World Report as a top pediatric hospital , for eleven consecutive years. Children's Mercy is in...charge capture processes for assigned clinical departments to ensure compliance with federal regulations and CMH charge capture protocols.… more
- Highmark Health (Harrisburg, PA)
- …Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding ... activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- …skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, ... full spectrum of services provided by the VAMC. Timely compliance with coding changes is crucial to the accuracy...Such efforts are conducted to ensure the accuracy of billing denials and prevention against fraud and abuse and… more
- UCLA Health (Los Angeles, CA)
- Description As an Inpatient Coding Auditor with a specialization in DRG payment reviews, you will conduct thorough audits of inpatient coding to ensure compliance ... accuracy for inpatient services and providing coding expertise to various hospital departments. Additional responsibilities include: + Conducting quality and DRG… more
- Virtua Health (Mount Laurel, NJ)
- …accurate data for billing and state data collection as well as hospital statistical requirements.* Identifies and resolves problems with the assistance of IS and ... with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics. Location: 100% Remote Currently Virtua welcomes… more
- BJC HealthCare (St. Louis, MO)
- …as mentor to fellow coordinators related to the audit process, coding, billing and compliance ; identifies and notifies management educational opportunities ... Experience with analyzing provider data and training on current billing guidelines to identify trends is a plus! +...well-being of the communities we serve. The Quality and Compliance Department provides support to the strategic and operational… more
- NHS Management, LLC (Luverne, AL)
- …and/or required by Administrator, Financial Specialists, Financial Specialist Consultants, Internal Auditor , or any other corporate or regulatory compliance ... and/or required by Administrator, Financial Specialists, Financial Specialist Consultants, Internal Auditor , or any other corporate or regulatory compliance … more
- Rush University Medical Center (Chicago, IL)
- … (CPMA) and/or Surgical Coding certifications * Experience working in a Teaching Hospital setting. * Prior experience with billing and claims processing. * ... 9. Assists with claim denial reports to ensure optimal reimbursement 10. Analyzes billing trends to identify areas of non- compliance and prepares regular reports… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …that EHC adheres to relevant laws, regulations, and industry standards, focusing on compliance risk areas and billing practices, while also providing ongoing ... coder, coding, auditor , and/or coding educator. + Certified in Healthcare Compliance (CHC or CPCO) preferred. + If no certification, must obtain one within… more
- Hoffman Construction Company (Queen Creek, AZ)
- …to owner representatives and auditors. + They also ensure that subcontractor billing is accurate and in compliance with contractual agreements. Development ... the client's direction, and that all subcontractors remain in compliance with local and project specific financial requirements. This...according to contract. + Work with client and third-party auditor to resolve any billing concerns. +… more
- HCA Healthcare (Nashville, TN)
- …Outpatient Coding Experience Specific Testwork Performed: + Inpatient and outpatient hospital coding compliance + Clinical documentation improvement (CDI) ... you want to join an organization that invests in you as a Inpatient Coding Auditor ? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300… more
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