• Inpatient Medical Coding Auditor

    Humana (Trenton, NJ)
    …of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... medical codes (eg, ICD-10-CM/ PCS) to patient records. The Medical Coding Auditor work assignments are varied and frequently require interpretation and… more
    Humana (06/05/24)
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  • Profee Clinical Data Quality Admin (CDQA)…

    Virtua Health (Marlton, NJ)
    …distance to Marlton, NJ Job Summary: Responsible for professional fee (pro-fee) coding quality and audits, education and training, etc. for CPT, ICD-10-CM, and ... HCPCS codes for Virtua Medical Group clinicians and coding department. This includes performing internal audits, overseeing external audits, and providing education… more
    Virtua Health (05/10/24)
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  • Director of Hospital Billing Compliance,…

    Penn Medicine (Bala Cynwyd, PA)
    …Subject matter expert for hospital related content to include ICD-10/CPT/HCPCS coding , medical necessity, and appeal activity. vi) Coordinates internal medical ... assistance of legal counsel should be sought. + Directs appeals process for coding , validation, and medical necessity reviews. + Main point of contact with external… more
    Penn Medicine (06/04/24)
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