- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... minimal direction and receives guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct CPT coding… more
- Catholic Health (Buffalo, NY)
- …Evidence of coding competency + Thorough knowledge of ICD-10-CM, CPT-4, Evaluation and Management (E/M), anatomy and physiology, medical terminology, APC's, ... Exempt: Yes Work Schedule: Days Hours: 8a-4:30p Summary: The Auditor /Educator will work cooperatively with CH coding ...software of coded data based on documentation in the medical record and through these audits will ensure that… more
- MedKoder (Mandeville, LA)
- …Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty services including evaluation and management, ... About Us MedKoder, LLC is a full-service medical coding management services provider based...payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to… more
- UNC Health Care (Chapel Hill, NC)
- …that have opted into shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may travel from entity to entity ... the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education as well as… more
- Queen's Health System (Honolulu, HI)
- …o Knowledge of CPT-4, ICD-9 and ICD-10 CM coding . o Knowledge of medical terminology and abbreviates. o Proficient in Evaluation and Management coding . ... or Certified Coding Specialist -Physician based (CCS-P) required. * Certification as Medical Auditor (CPMA) preferred. B. EXPERIENCE: * Minimum two (2) years… more
- Veterans Affairs, Veterans Health Administration (Roseburg, OR)
- …experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding , and the structure and format of a health ... information management (eg, courses in medical terminology, anatomy and physiology, medical coding , and introduction to health records); OR, (3) Completion… more
- Community Health Systems (Franklin, TN)
- …policies and standards. **Qualifications** + HS Diploma or GED required + Other Medical Coding Program preferred + Associate Degree Health Information Management ... discharge disposition, and any other relevant data to ensure coding accuracy. The auditor is also responsible...references for CHS hospitals via scanned, electronic and hybrid medical records. Based on review findings, writes appeal letters… more
- UPMC (Pittsburgh, PA)
- …(CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified ... **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and...preferred. + 3 or more years of experience in medical coding , billing, auditing and compliance. +… more
- UPMC (Pittsburgh, PA)
- …(CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified ... **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about...diploma is preferred. + 1 year of experience in medical coding , auditing, billing and compliance. +… more
- University of Washington (Seattle, WA)
- …**Desired Qualifications** . Master's Degree in business, accounting or related discipline . Medical coding knowledge or experience . RN or equivalent provider ... intellectual excitement, artistic pursuits, and natural beauty. The senior healthcare auditor is responsible for the completion of internal audits within the… more
- Dartmouth Health (Lebanon, NH)
- …audit and monitor completeness, accuracy and timeliness of documentation, coding , billing, reimbursement, efficiency and effectiveness of operations and compliance ... compliance objectives. Performs complex professional and facility (DRG or APC) coding and billing audits across all clinical specialties. Responsibilities * Plans… more
- Paramount (New York, NY)
- …in the media & entertainment industry) or a consulting firm with business process evaluation experience. + BS or MS in Accounting from a competitive university is ... tools such as Excel, ACL, Tableau etc. Python or coding is preferred but not required. + Willingness to...and education. The benefits available for this position include medical , dental, vision, 401(k) plan, life insurance coverage, disability… more
- Rush University Medical Center (Chicago, IL)
- …communication and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding ... Health Information Technician (RHIT) certification in conjunction with physician based coding experience, including evaluation & management (E/M) and surgical… more
- Houston Methodist (Houston, TX)
- …Instructor (AAPC) -- (CBO Coders only) **OR** + CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders only) **KNOWLEDGE, SKILLS, AND ABILITIES** ... APR DRG and APC assignment systems + Official coding guidelines and coding compliance + Working knowledge of medical terminology, anatomy and physiology,… more
- Texas Health Resources (Arlington, TX)
- …Local, and THR policies. Coding Audit Team Management - Lead the coding audit team, including training and performance evaluation , to maintain high standards ... APC, ICD-10-CM/PCS, CPT, HCPCS coding , modifiers, NCCI edits, and official coding guidelines. Strong understanding of medical terminology, human anatomy and… more
- Veterans Affairs, Veterans Health Administration (Reno, NV)
- …experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding , and the structure and format of a health ... information management (eg, courses in medical terminology, anatomy and physiology, medical coding , and introduction to health records); or, Completion of an… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …documents including, but not limited to provider contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding ... Directors and/or clinical consultants. + Serves as an internal auditor /peer reviewer for new clinical staff, as needed. +...within one year of hire date. + Knowledge of medical record coding conventions (eg CPT, DRG,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …compliance role is preferred. + A minimum of five years of experience working as a medical coder, coding auditor , and/or coding educator. + Certified in ... training programs for providers and other stakeholders to ensure accurate and compliant coding , with an emphasis on Evaluation and Management (E/M) services,… more
- AdventHealth (Maitland, FL)
- …CCI edits and Universal Billing Guidelines + Extensive knowledge of Registration, Medical Records Coding , Government, and Managed Care billing rules, coverage, ... (eg LPN, Radiologic Technologist, Respiratory Therapist, etc.), **OR** + Professional coding certification (eg CPC) **Preferred:** + Bachelors degree + Extensive… more
- The County of Los Angeles (Los Angeles, CA)
- …assets. Reviews trial balances of accounts and reconciles to the Auditor -Controller's Countywide Accounting and Purchasing System (eCAPS) and subsidiary ledgers and ... accounting work such as posting to ledgers, journals and registers; coding documents; preparing deposits; and reconciling differences incidental to performing… more