- 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)
- …fast-paced team. In this role, you will play a critical part in managing the integrity of our financial reporting process, ensuring compliance with US GAAP and ... Support the Procure-to-Pay (P2P) process as needed, including invoice coding , approval workflows, and vendor compliance . +...Support external audits by preparing schedules and responding to auditor inquiries. + Assist in other ad hoc projects… more
- Cedars-Sinai (Los Angeles, CA)
- …**Req ID** : 13920 **Working Title** : Physician Coding Compliance Auditor **Department** : CSRC PB Rev Integrity and CDM **Business Entity** : ... **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
- 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
- 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 ... Overview Coding Educator, Clinical Document Integrity Full...alerts, OIG advisory opinions, and other publications relative to coding , billing and reimbursement compliance in order… more
- University of Utah Health (Salt Lake City, UT)
- …other clinical staff. The incumbent serves in an advisory and educator role for coding and regulatory compliance . Corporate Overview: The University of Utah is a ... that are committed to the values of compassion, collaboration, innovation, responsibility, integrity , quality and trust that are integral to our mission. EO/AA_ This… more
- Covenant Health Inc. (Knoxville, TN)
- …as RN with equivalent coding experience. Apply/Share Job Title REV INTEGRITY AUDITOR SR ID 4399754 Facility Covenant Health Corporate Department Name ... Overview Revenue Integrity Auditor Full Time, 80 Hours...Overview Revenue Integrity Auditor Full Time, 80 Hours Per Pay Period,...Revenue Integrity Manager works with the Chief Compliance Office relative to coding , billing and… more
- St Croix Hospice (Mendota Heights, MN)
- …Certifications: + Certified in Healthcare Compliance (CHC) + Certified Internal Auditor (CIA) + Certified Billing and Coding Specialist (CBCS) + Certified ... team of caregivers, then come work where you matter. Compliance Auditor (Clinical) Position Overview The ...Strong understanding of healthcare fraud, waste, and abuse prevention, coding compliance , and billing practices within the… 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 ... to make a meaningful impact? FlexStaff is seeking a detail-oriented and experienced Compliance Auditor to join our client's dynamic team! This hybrid position… more
- Insight Global (Plano, TX)
- …experienced DRG Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic Related Group (DRG) validation and ... quality audits on inpatient charts to ensure accurate coding and compliance with federal regulations. This...care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). -CCS Certification RN… more
- Hartford HealthCare (Hartford, CT)
- … contributes to the success of the Office of Compliance and Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned ... or scheduled. The Revenue Compliance Auditor performs...and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional, facility (inpatient and outpatient),… more
- Geisinger (Danville, PA)
- Job Summary The Senior Compliance Auditor ensures the integrity and accuracy of facility and professional compliance audits, monitoring, and provides ... for facility and professional documentation, coding , and billing. The Senior Compliance Auditor serves as a mentor for Compliance Auditors and assists… more
- Guthrie (Sayre, PA)
- …billing, coding , provider activity, and departmental processes to ensure compliance with regulatory standards. * Perform risk assessments to identify areas of ... Position Summary The Healthcare Compliance Analyst & Examiner is responsible for ensuring...clinical management. * Strong knowledge of medical terminology, anatomy, coding guidelines (CPT, ICD-10/11, HCPCS), payer requirements, and reimbursement… more
- Northwell Health (Lake Success, NY)
- **Req Number** 174853 Lead Compliance Auditor - Heavy Anesthesia & Healthcare Expertise Needed. This is a HYBRID position- MUST be in the office located in ... real impact? FlexStaff is seeking a dynamic, detail-oriented Lead Compliance Auditor to join our client's team...client's team and lead the charge in safeguarding healthcare integrity and regulatory excellence! Position Summary: As a Lead… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete ... timely manner. + Prepares trend and other reports for compliance audits and charge processes. + Serves as a...reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. +… more
- Elevance Health (Atlanta, GA)
- **Nurse Auditor Senior - Payment Integrity Complex and Clinical Audit** **Location:** This role enables associates to work virtually full-time, with the ... accommodation is granted as required by law. **Carelon Payment Integrity ** is a proud member of the Elevance Health...and works with service operations to improve processes and compliance + Notifies areas of identified problems or providers,… more
- Cedars-Sinai (Los Angeles, CA)
- …partners and peer departments such as Coding Operations, Clinical Documentation Integrity (CDI), Payor Revenue Management (PRM), and Compliance Revenue ... **What will I be doing in this role?** The Coding Auditor works under the general direction...and other related encounter data collection points. Auditors evaluate compliance with all coding guidelines including but… more
- HCA Healthcare (Nashville, TN)
- …Apply Today! **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC...coding which result in appropriate reimbursement and data integrity . You will review outcomes are communicated to the… more
- UCLA Health (Los Angeles, CA)
- …Support compliance excellence at UCLA Health by joining our team as a Compliance Auditor , MAPD, focused on Medicare Advantage (Part C) and Prescription Drug ... role, you will conduct Risk Adjustment Data Validation (RADV) audits, compliance risk-based audits, support external audit coordination, and ensure alignment with… more
