- US Tech Solutions (Columbia, SC)
- …**Responsibilities:** + Determines methodology to identify cases for validation review . + Conducts validation reviews/coordinates rates adjustments with appropriate ... reports to present to each line of business providing information on records review , outcomes, trends, and savings that directly impact medical costs and contracting… more
- Humana (Columbia, SC)
- …our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct ... coding guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor 's work assignments are varied and frequently require interpretation and independent… more
- Humana (Columbia, SC)
- …evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle ... help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- Humana (Columbia, SC)
- …our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct ... coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the… more
- Datavant (Columbia, SC)
- …instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding education, and coding ... protected status. To learn more about our commitment, please review our EEO Commitment Statement here (https://www.datavant.com/eeo-commitment-statement) . Know Your… more
- Datavant (Columbia, SC)
- …in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding education, interim coding ... the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma...coding references for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding or identify… more
- Coinbase (Columbia, SC)
- …of defense to maximize meetings utility, testing efficiencies and internal controls review coverage across the organization. * Serve as a value-add and advisory ... an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of...analytical and problem solving skills, with high standards for quality , accuracy and attention to detail. * Excellent written… more
- Coinbase (Columbia, SC)
- …for strategic analysis, risk assessments, development of the audit plan, project management, quality review , report issuance and issue validation across IT and ... Integrity & IUC/IPE Governance:* Establish and enforce rigorous standards for the review and validation of Information Used in the Control (IUC) and Information… more
- Highmark Health (Columbia, SC)
- …levels, prepares reporting and other customer communications. Adheres to quality standards, configuration practices and procedures, and supports the realization ... to ensures that the system architecture balances functional, service quality and systems management requirements.Tests and validates system configurations.… more