- Premera Blue Cross (Mountlake Terrace, WA)
- …that we serve through our Healthsource blog: https://healthsource.premera.com/ . The **Medical Coding Auditor ** plays a crucial role in ensuring the accuracy ... and compliance of diagnostic coding within medical records....and documentation deficiencies. In addition to auditing, the Medical Coding Auditor conducts quality assurance (QA) reviews… more
- Stanford Health Care (Palo Alto, CA)
- …is a Stanford Health Care job.** **A Brief Overview** The Charge Auditor performs auditing activities, including complex cases that require extensive research, ... interpretation and application of laws and regulations. Charge Auditor evaluates the adequacy and effectiveness of internal and operational controls designed to… more
- Quantum-Si (San Diego, CA)
- …accurate manner. + Support the Procure-to-Pay (P2P) process as needed, including invoice coding , approval workflows, and vendor compliance . + Ensure adherence to ... part in managing the integrity of our financial reporting process, ensuring compliance with US GAAP and SOX requirements, and supporting key operational areas… more
- University of Southern California (Los Angeles, CA)
- …with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded ... Coding Guidelines, AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also, provide detailed reports, Excel spreadsheets, … more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. *This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the ... + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of performing all audits… more
- Northwell Health (Lake Success, NY)
- **Req Number** 177401 FlexStaff - Anesthesia Head Coding Manager & Compliance Auditor Are you a seasoned coding professional with a passion for accuracy, ... client's anesthesia and procedural coding efforts! The Anesthesia Head Coding Manager & Compliance Auditor play a pivotal role in ensuring the… more
- Cedars-Sinai (Los Angeles, CA)
- …environment that fuels innovation. **Req ID** : 13920 **Working Title** : Physician Coding Compliance Auditor **Department** : CSRC PB Rev Integrity ... **What you be doing in this role:** The Physician Compliance Auditor is responsible for reviewing and...and auditing claims, medical records, and charges to ensure compliance with applicable documentation, coding , and billing… more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ... guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor 's work assignments are varied and...CPT/HCPCS Procedure reviews + Conduct peer reviews to ensure compliance with coding guidelines and provide reports… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Ongoing mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, ... participates in continuing education opportunities to remain current with billing and coding compliance best practices (ie, conferences, workshops, and other… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42910BR** **Extended Job Title:** Medical Coding Auditor **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for ... auditing medical records to ensure accurate coding and compliance with regulatory requirements. This... with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers, and… more
- Humana (Columbus, OH)
- …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 ... (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- MedKoder (Mandeville, LA)
- …Full-time, 40 hour work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and accurately coding ... Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder's internal … more
- Atlantic Health System (Morristown, NJ)
- …new providers throughout the year + Audit charts for accurate and correct coding and compliance within documentation guidelines and AHS policies + Prepares ... office staff, providers, and billing department + Provides clarification on coding and compliance policies Required: * CPC Certification * Minimum 6 months… more
- Covenant Health Inc. (Knoxville, TN)
- …certifications are acceptable-RHIT/RHIA/AAPC, CPC, or CPMA. Apply/Share Job Title CODING AUDITOR -EDU-CLINIC ID 4382326 Facility Covenant Medical Management ... fraud alerts, OIG advisory opinions, and other publications relative to coding , billing and reimbursement compliance in order to ensure compliance . + Reviews… more
- Tufts Medicine (Burlington, MA)
- **Professional Coding Auditor and Educator - Remote** **Job Profile** **Summary** This role focuses on activities related to revenue cycle operations such as ... coding education, evaluation of denials, and ensuring regulatory compliance . The coder will share feedback to providers to...etc. 2. Audits provider medical records and charges for compliance with coding and documentation standards to… more
- WelbeHealth (Salt Lake City, UT)
- …is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring ... audits and participate in provider education programs to ensure compliance with CMS risk adjustments diagnosis coding ...ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work closely with Coding … more
- Humana (Topeka, KS)
- …of our caring community and help us put health first** The Inpatient Medical Coding Auditor reviews a variety of medical records and to determine appropriate ... and medical codes (eg, ICD-10-CM, CPT.) The Inpatient Medical Coding Auditor work assignments involve moderately complex...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Elevance Health (Norfolk, VA)
- **JR171732 Coding Auditor Sr** CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health ... of life through homecare and community-based services. The CareBridge Coding Auditor Sr is responsible for auditing...physician and hospital medical records to ensure proper ICD-9 coding and compliance with risk adjustment requirements.… more
- UNC Health Care (Chapel Hill, NC)
- …processes. Ability to interpret federal and state regulations as they relate to coding and compliance . Must possess strong communication skills, both written and ... shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may...and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and… more
- WellSpan Health (York, PA)
- …employees. **Duties and Responsibilities** **Essential Functions:** + Performs proactive or reactive coding compliance reviews as needed to identify or quantify ... action and performs follow up reviews where necessary. + Assists with coding compliance implementation throughout the WellSpan. + Assists in the development and… more
