- HCA Healthcare (Richmond, VA)
- **Description** **Introduction** Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer ? At Work from Home, you come ... of our team. **Job Summary and Qualifications** As a Coding Quality Audit Reviewer...result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to… more
- LifePoint Health (Denver, CO)
- …coding /auditing Pro-Fee experience required * Minimum 3 years experience in coding audit or quality review work required * CPMA certification within ... would be working in a team environment with guidance from the Quality Supervisor and Manager, Coding Quality . This position also works closely with the… more
- Elevance Health (Tampa, FL)
- …based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims ... medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review...information to make audit determinations and generate audit findings letters. + Maintains accuracy and quality… more
- Ascension Health (Austin, TX)
- …or management experience preferred. **Additional Preferences** + 5 years RN or 3-5 coding quality audit experience strongly preferred + Prior adult ... **Details** + **Department: Coding Documentation** + **Schedule: M-F** + **Hospital: Seton...mix index, MS DRG and value-based purchasing reimbursement, and quality /outcomes and compliance requirements. + Manage the review… more
- City of New York (New York, NY)
- …with all statutory, regulatory, and contractual standards. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with ... Administrative Associate, who will function as a Senior Case Reviewer : - Conduct legally mandated case reviews to comply...(Reynolds, Lovely H., MKB, Dajour, Davila, Brown, etc). Convert audit findings into reports that is presented to Family… more
- City of New York (New York, NY)
- …all statutory, regulatory and contractual standards. Within AO, is the Office of Quality Assurance & Fiscal Integrity conducts complex internal audits and quality ... identify areas of programmatic deficiencies. Within that area is the Process Evaluation Review Team (PERT). The unit analyzes error trends and determines the need… more
- City of New York (New York, NY)
- …IN THE PRINCIPLE ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The Office of Quality Assurance & Fiscal Integrity ensures the integrity, efficiency, and regulatory ... legal and federal, state and city regulatory requirements. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with… more
- R1 RCM (Detroit, MI)
- …. **Here's what you will experience working as a** **(** **Inpatient Coding Quality Reviewer ** **):** + Review inpatient coded cases for coding ... analytics, AI, intelligent automation, and workflow orchestration. The **Inpatient Coding Quality Reviewer ** will be...+ Audit records as defined in the coding quality review plan. +… more
- Kaleida Health (Buffalo, NY)
- …and execute quality audits, perform data analysis, trending, presentation of audit / review findings, and identify opportunities and develop a training plan ... ** Coding Quality Coordinator** **Location:** Larkin Bldg...the audit analysis, trending, and presentation of audit / review findings, potential issues and identifies opportunities… more
- HCA Healthcare (Nashville, TN)
- …billing audits for physicians, urgent care centers, and oncology centers. The Outpatient Services Coding Audit Manager position will work on various audit ... guidance in the development of, as well as the review of, the detailed audit / review ...as a RHIA, RHIT or CPC preferred + Physician coding and/or coding quality monitoring… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Inpatient Coding Audit Manager? At HCA Healthcare, you come first. HCA Healthcare has committed ... a difference. We are looking for a dedicated Inpatient Coding Audit Manager like you to be...fieldwork; and proposing modifications to current procedures to improve audit effectiveness and efficiency. + Performs quality … more
- Independent Health (Buffalo, NY)
- …a clinical setting or utilizing a coding system (ICD-10 or PCS) required. Coding audit experience in an inpatient setting preferred. + Knowledge of ICD-10-CM ... knowledge and auditing skills evidenced by their ability to train others, to identify coding patterns and share knowledge and audit tips across the team. The… more
- Atlantic Health System (Morristown, NJ)
- Responsible for coding quality audits of all records (outpatient, inpatient, procedures, testing) to assure appropriateness and accurate code assignments in ... coding trends found during chart reviews, third party audit findings, and annual coding updates. 6....rejections from recurring. 7. Meets with the providers to review the audit findings and to recommend… more
- University of Washington (Seattle, WA)
- …and content expert for current documentation and coding guidelines + Perform coding audits, analyze results and create audit reports and provide education ... and training on the results of internal audits and partner with Compliance on external audit education + Review DRG and CPT claim denials for commercial payers… more
- Dignity Health (Phoenix, AZ)
- …. + Identify coding trends and recommend new processes to help improve coding quality of DHMG Physician Coding Department. + When requested, help ... and Data Entry staff to ensure staff are meeting quality requirements set by Physician Coding Leadership...Leadership within their probationary period with DHMG. + Generates audit reports for each member of the coding… more
- Banner Health (Remote, OR)
- …RHIT or RHIA Coding Certification, and make a difference!** **This is a Quality position, not a day-to-day coding production role but does require coding ... Coding experience.** This position is task-production-oriented ensuring quality in the Inpatient Facility Coding department....audit of clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that … more
- R1 RCM (Salt Lake City, UT)
- …open lines of communication regarding potential coding quality concerns. The Coding Liaison assists with coding review inquiries related to ICD-10, ... customers and collaborative partners noted above to determine if coding quality issues exist. Review ...in hospital Clinical Documentation Improvement + Inpatient or outpatient coding audit experience For this US-based position,… more
- Corewell Health (Southfield, MI)
- …and Coding Audit ; Inpatient, Outpatient, Emergency and Professional Coding Performs quality and compliance audits. Reviews medical record documentation ... HIM Management, service line coders, office staff and physicians. (Facility and Professional coding ), review of denials and rejections including HIM work queues,… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …over read assignments. May support vendor discussions and feedback related to quality audit findings. Presents results and learning opportunities to the ... coding . This position is responsible for risk adjustment coding and quality assurance validation for the...retrieving medical records from providers to the plan for review , data element verification, ICD-9-CM / ICD-10-CM coding… more
- Tidelands Health (Myrtle Beach, SC)
- …and accurate assignment of present on admission (POA) indicators. + Consistently meets coding quality and productivity standards established by the coding ... review documentation and serve as department expert on coding questions. + Gathers and verifies all information required...with the Compliance/ Quality Team when alerted to coding quality issues found via internal or… more