- UNC Health Care (Chapel Hill, NC)
- …Management, Nursing or related field. * Successful completion of the Clinical Documentation Specialist Proficiency Test. **Licensure/Certification ... entity to entity across the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during… more
- Mohawk Valley Health System (Utica, NY)
- …Department: CLINICAL DOCUMENTATION IMPROVE Job Summary The CDI III Educator Auditor ( Clinical Documentation Specialist ) functions as a subject ... development, and provider education. Core Job Responsibilities Provider Interaction and Clinical Documentation Review + Creates and standardizes comprehensive… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- …This is not a virtual position Position Description/PD#: Health Systems Specialist ( Integrity and Compliance Auditor )/PD170010 Requirements Conditions of ... and verification enrollment; eligibility; utilization review; pre-certification/certification; billing, coding, documentation ; audits, reviews, inquiries, and remediation; accounts receivable and… more
- Elevance Health (Costa Mesa, CA)
- …Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role...is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
- Trinity Health (Syracuse, NY)
- …the clinical utilization reviews with the facilitiesPer Diem- Insurance Specialist to assist with authorizations for Substance abuse and Mental Health Service ... **Employment Type:** Full time **Shift:** Day Shift **Description:** + **Insurance Specialist - St. Josephs Health Syracuse NY** **Position Summary:** The Insurance … more
- Molina Healthcare (Phoenix, AZ)
- **Job Description** **JOB SUMMARY:** The Senior Specialist , Quality Program Management & Performance RNensures quality monitoring audits and investigations are ... settings + Monitors and ensures that key quality activities that involve clinical decision-making are completed on time and accurately to present results to… more
- Veterans Affairs, Veterans Health Administration (Vancouver, WA)
- …certification is required for all positions above the journey level; however, for clinical documentation improvement specialist assignments, a clinical ... modifier usage for outpatient health records. Audit function includes evaluation of clinical documentation to support optimal code assignment. Reviews coding and… more
- Fairview Health Services (St. Paul, MN)
- …certifications, examples include: + Certified Risk Adjustment Coder (CRC), Certified Documentation Expert Outpatient (CDEO), Clinical Documentation ... provide documentation and compliance educational sessions to senior leadership, clinical staff, providers, revenue cycle leadership and staff, audit and monitor… more
- Rush University Medical Center (Chicago, IL)
- …and documentation performed by RUMG & ROPPG providers. 2. Evaluates clinical documentation to identify inconsistency or improvement opportunities that could ... and documentation adequacy. The professional will work collaboratively with clinical providers to improve revenue cycle integrity while seeking and identifying… more
- Baylor Scott & White Health (Hartford, CT)
- …elements into the coding and abstracting system. Works collaboratively with the Clinical Documentation Specialists and Coaches to communicate opportunities for ... **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of...accurate, complete, and compliant documentation . Completes production coding when needed and assigned by… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …certification is required for all positions above the journey level; however, for clinical documentation improvement specialist assignments, a clinical ... Summary The Health Information Section (HIMS) Coding Auditor is responsible for coding and provider audits....to coding services and identify risk areas to improve clinical documentation and coding accuracy. Produces audit… more
- Elara Caring (Dallas, TX)
- …include, but are not limited to eligibility, billing, coding, and clinical documentation . Duties of the Billing Compliance Auditor include but are not ... and/or Hospice with coding experience is preferred + Certified Homecare Coding Specialist (HCS-D) and/or Certified OASIS Specialist - Clinical (COS-C) is… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …modifier usage for outpatient health records. Audit function includes evaluation of clinical documentation to support optimal code assignment. Reviews coding and ... AHIMA or AAPC. (2) Mastery Level Certification through AHIMA or AAPC. (3) Clinical Documentation Improvement Certification through AHIMA or ACDIS. May qualify… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- …modifier usage for outpatient health records. Audit function includes evaluation of clinical documentation to support optimal code assignment. Reviews coding and ... AHIMA or AAPC. (2) Mastery Level Certification through AHIMA or AAPC. (3) Clinical Documentation Improvement Certification through AHIMA or ACDIS. GS-09 Medical… more
- Elevance Health (Norfolk, VA)
- …a Certified Coding Specialist , CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). + Requires minimum of 10 years ... **DRG Coding Auditor Principal** _Virtual: This role enables associates to...Clinics, and the ICD-10 Alphabetic and Tabular Indices), complex clinical guidelines and maintaining objectivity in the performance of… more
- Elevance Health (St. Louis, MO)
- …for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues ... **DRG CODING AUDITOR ** **Location** : _This position will work virtually._...and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical… more
- Houston Methodist (GA)
- …appropriate, utilizing the established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS-DRG ... TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …assignment, and abstracted data POA, Discharge Disposition. + Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder ... **Description** We are seeking an experienced **Inpatient DRG Coding Auditor ** to extract data from patient encounters ensuring the...the CDS team to educate physicians, nursing, and other clinical staff to improve documentation . + Review… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and foster relationships with internal coders and managers and 3rd party clinical reviewers and leads training on proper documentation for facility/professional ... documentation requirements, Federal and State regulations, medical necessity, clinical best practices, and facility/professional billing issues. **JOIN OUR TEAM… more
- Highmark Health (Oklahoma City, OK)
- …Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier ... Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding… more