- 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
- 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 ... Functions** + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of performing… 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 ... AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also,...management. + CODING AUDITING 1. Performs monthly internal coding audits to evaluate accuracy of… 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
- 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 ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- MedKoder (Mandeville, LA)
- …payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder's internal coding /auditing ... Full-time, 40 hour work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and accurately 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 ... procedural terminology and medical codes (eg, ICD-10-CM, CPT.) The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- Tufts Medicine (Burlington, MA)
- …for compliance with coding and documentation standards to ensure compliance with internal and government regulations. 3. Provides continuing review and ... **Professional Coding Auditor and Educator - Remote**...coding education, evaluation of denials, and ensuring regulatory compliance . The coder will share feedback to providers to… 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
- Queen's Health System (Honolulu, HI)
- …I. JOB SUMMARY/RESPONSIBILITIES: * Responsible for conducting internal audits of coding and documentation to ensure compliance with coding guidelines ... LICENSURE: * Certification as an Outpatient Physician Coder (CPC) or Certified Coding Specialist -Physician based (CCS-P) required. * Certification as Medical … more
- Carle Health (Champaign, IL)
- …and coding team members. Auditors work closely with HIM leadership and Compliance to assure Carle providers and coding team members are following all ... code assignment. Auditors help identify training needs through ongoing internal provider and staff audits and assist with remediation...team to establish coding guidelines and assure coding team audits are completed timely Report compliance… more
- Carle Health (Champaign, IL)
- …issuesEnsure compliance with ICD-10 CM, CPT/HCPCS, and DRG guidelinesSupport internal and external audits and provide staff education on automation variancesMeet ... Overview The Autonomous Coding Implementation Analyst is responsible for supporting and...cycle goals. Auditors help identify training needs through ongoing internal provider and staff audits and assist with remediation… more
- Northwell Health (Garden City, NY)
- …reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. 5.Applies coding rules and ... Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Hybrid or Remote Job… more
- St Croix Hospice (Mendota Heights, MN)
- …+ Certified in Healthcare Compliance (CHC) + Certified Internal Auditor (CIA) + Certified Billing and Coding Specialist (CBCS) + Certified Professional ... cross-functionally to implement corrective actions. The Compliance Auditor will lead risk assessments, internal audits...IT, Quality, Billing and Coding to enhance internal controls and address and remediate compliance … more
- Northwell Health (Lake Success, NY)
- …the office located in Chappaqua, NY 3 days a week. Surgical Anesthesia Compliance Auditor - Hybrid position- Chappaqua, NY- $100K-$115K Are you passionate about ... meaningful impact? FlexStaff is seeking a detail-oriented and experienced Compliance Auditor to join our client's dynamic...internal departments - Identify and address billing and coding gaps, including issues related to Time, Place of… more
- CARMAX (Richmond, VA)
- …systems auditing experience or other relevant work experience in an IT internal audit or other IT risk/ compliance /consulting function + Detailed knowledge ... joining our CarMax Audit Services team as Senior Technology Auditor . This role will broadly support the CarMax Audit...by: + Championing a culture of risk awareness and internal controls. You will provide innovative and value-added insights… more
- Bozeman Health (Bozeman, MT)
- Position Summary: The Compliance Auditor supports an effective compliance program by planning and executing risk-based audits, monitoring adherence to ... field. + Intermediate knowledge and experience reviewing clinical documentation, billing, and coding for compliance . + Intermediate knowledge and experience with… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Clinical Auditor /Analyst Intermediate! The Clinical Auditor /Analyst Intermediate is an integral part of the ... the analysis of care and services related to clinical guidelines, coding requirements, regulatory requirements, and resource utilization. This role also acts… more
- Google (Chicago, IL)
- Technology Auditor , Internal Audit _corporate_fare_ Google _place_ Chicago, IL, USA **Mid** Experience driving progress, solving problems, and mentoring more ... Accounting, Finance or equivalent practical experience. + 4 years of experience in Internal Audit, risk or compliance roles. + Experience supporting technical… more