- Chandler Asset Management (San Diego, CA)
- …Responsible for the maintenance and integrity of the general ledger, chart of accounts, category codes, and organizational hierarchy. Prepare monthly, quarterly, ... invoicing. Support relationships with financial institutions, ESOP administrator, and auditor . Ensure compliance with GAAP, firm policies, and regulatory… more
- Guthrie (Sayre, PA)
- 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 and...guidelines and TGC policies Experience: + Working knowledge of medical terminology, anatomy and physiology, and coding guidelines including… more
- FlexStaff (Chappaqua, NY)
- **Req Number** 165727 FlexStaff Compliance Auditor - Hybrid position- Chappaqua, NY- $105K *THIS IS A HYBRID POSITION- YOU MUST RESIDE LOCALLY* Are you passionate ... a meaningful impact? FlexStaff is seeking a detail-oriented and experienced Compliance Auditor to join our client's dynamic team! This hybrid position offers the… more
- FlexStaff (Chappaqua, NY)
- **Req Number** 166292 FlexStaff is seeking an experienced Compliance Auditor with experience in physician medical billing and coding for one of our clients, a ... medical administration practice, located in Chappaqua, NY. Qualifications: *...+ Responsibilities include, but not limited to:* Conduct anesthesia chart reviews under the Compliance Officer's guidance, focusing on… more
- Elevance Health (Richmond, VA)
- …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance ... formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR ** is responsible for… more
- Elevance Health (Hanover, MD)
- …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure… more
- Sharp HealthCare (San Diego, CA)
- …methods for resolution that satisfy regulatory and compliance requirements.Performs medical chart audits meeting minimum department productivity standards. ... coder. + 2 years' experience working as an HCC risk adjustment coding auditor . + Experience with medical billing, medical terminology, understanding… more
- Weyerhaeuser (Seattle, WA)
- …procedures * Up to 3 years experience as an internal, external auditor , or specific industry accounting/finance experience, and the ability to walkthrough and ... be offered coverage under our comprehensive employee benefits plan, which includes medical , dental, vision, short and long-term disability, and life insurance. We… more
- AdventHealth (Tampa, FL)
- …six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come .Awarded the Get With The Guidelines - ... Center. **The ro** **le you'll contribute:** The Inpatient Coding Quality Auditor , under general supervision of the Inpatient Operations Manager, is responsible… more
- Virtua Health (Mount Laurel, NJ)
- …If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than ... etc. for CPT, ICD-10-CM, and HCPCS codes for Virtua Medical Group clinicians and coding department. This includes performing...and AMA 2021 Evaluation and Management guidelines. Auditing: Performing chart audits to review CPT, ICD-10- CM and HCPCS… more
- Insight Global (South Jordan, UT)
- …assignment accuracy. Below are the key responsibilities for this role: Integrates medical chart coding principles, clinical guidelines, and objectivity in the ... Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100%...payment systems. This position is responsible for auditing inpatient medical records and generating high-quality recoverable claims for the… more
- Fresenius Medical Center (Malvern, PA)
- …and staff on best practices, methodology, and tools for accurately coding. + Chart Analysis, OP Coding Data auditing and validation: Reviews medical records ... diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA/AAPC). Reviews medical records for the determination of accurate assignment of all documented… 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
- Molina Healthcare (Albuquerque, NM)
- …**Required Education** Associates degree. **Required Experience** 3 Years in coding and medical record chart review and experience with risk adjustment data ... validation related activities, including, but not limited to: progress tracking, chart retrieval, file transmissions, and adherence to applicable timelines * Support… more
- Atlantic Health System (Morristown, NJ)
- …reported + Audits codes and professional fee services performed by providers from medical records according to ICD-10, CPT, HCPCS, and CMS guidelines + Responsible ... coding such as appropriate documentation, accurate coding, coding trends found during chart reviews, third party audit findings, and annual coding updates. +… more
- Trinity Health (Ann Arbor, MI)
- …optimization. Investigates denials and root causes, which includes performing thorough chart reviews, providing education to clinical colleagues, and tracking of ... care contracts and coordination of benefits is required. Working knowledge of medical terminology, and medical record coding experience (ICD-9, CPT, HCPCS)… more
- Chart Industries (The Woodlands, TX)
- Supplier Quality Engineer **Location:** The Woodlands, TX, United States, 77381 **Company:** Chart Industries **_Ensuring Chart 's Success _** "Cooler By Design" ... too. Also, we're problem solvers. Customers don't come to Chart with an equipment specification, they come to ...release + Certified Quality Engineer and certified ISO 9001 auditor with supplier audit experience strongly preferred + Knowledge… more
- Medical Mutual of Ohio (OH)
- Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million ... To include data documentation, compilation, reconciliation, and research.Works directly external HEDIS/NCQA auditor to resolve any items on Issue Log. + Reviews data… more
- Molina Healthcare (St. Petersburg, FL)
- …is responsible for the implementation, monitoring, and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment, Risk Adjustment ... supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position would oversee management of training for… more
- Baystate Health (Springfield, MA)
- …to transfer and discharge. Explains and obtains signatures for Medicare forms. Organizes chart for Medical Records, faxes or copies records as needed. Sends ... rotating holidays required **LOCATION** : + Baystate Main Campus, Medical /Neuro ICU Unit + Springfield, MA **THE ADVANTAGES OF...C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor , People Soft and Staples and Kronos access if… more
