- Humana (San Juan, PR)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor extracts clinical information from a variety of medical ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Medical Coding Auditor work assignments are varied and frequently require interpretation… more
- Humana (San Juan, PR)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... minimal direction and receives guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct CPT coding… more
- Datavant (San Juan, PR)
- …As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability… more
- Humana (San Juan, PR)
- …and independent determination of the appropriate courses of action. The Nurse Auditor 2 validates and interprets medical record documentation to ensure ... part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record… more
- Datavant (San Juan, PR)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...EMRs. **What We Offer:** + Benefits for Full-Time employees: Medical , Dental, Vision, 401k Savings Plan w/match, 2 weeks… more
- Datavant (San Juan, PR)
- …Seeking a profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Will Do:** + Performs Professional Fee ... coding audits of medical records and abstracts...auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Need to Succeed:**… more
- Datavant (San Juan, PR)
- …software experience strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more