- Centene Corporation (New York, NY)
- …administering, and analyzing clinical coding training and auditing programs. The Senior Clinical Coding Auditor & Trainer will conduct audits ... for Fidelis Care and assist in development of training and audit tools. The Senior Clinical Coding Auditor & Trainer position is primarily remote with… 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 ... maintaining compliance with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers, and other departmental… more
- Elevance Health (Boston, MA)
- … Auditor II** - all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. + **Claims Auditor Senior ** - all the above, plus ... including specialized claims, working independently and without significant guidance. The **Claims Auditor Senior ** is responsible for auditing of high dollar… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue Auditor for the ... managed care. + Expected to stay updated on current medical billing and coding processes, clinical procedures, and relevant disease states. + Demonstrated… 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 ... eliminate and prevent unnecessary medical-expense spending. The **Nurse Audit Senior ** will be responsible for identifying, monitoring, and analyzing aberrant… more
- St Croix Hospice (Mendota Heights, MN)
- …an extraordinary team of caregivers, then come work where you matter. Compliance Auditor ( Clinical ) Position Overview The Compliance Auditor is responsible ... + Preferred Certifications: + Certified in Healthcare Compliance (CHC) + Certified Internal Auditor (CIA) + Certified Billing and Coding Specialist (CBCS) +… more
- University of Washington (Seattle, WA)
- **Job Description** The senior healthcare auditor is responsible for the completion of internal audits within the clinical integrated parts of the University ... based primary care clinics, and an air medical transport. Senior healthcare auditors are also expected to be familiar...and conclusions drawn so other reviewers can follow the auditor 's logic and methodology. . Effectively evaluates audit results,… more
- Northwell Health (Lake Success, NY)
- …modifiers, and billing practices. + Develop and deliver targeted training for clinical staff on anesthesia coding , documentation, and regulatory requirements. + ... **Req Number** 174853 Lead Compliance Auditor - Heavy Anesthesia & Healthcare Expertise Needed....identify trends. + Exceptional communication skills for engaging with senior leadership and clinical staff. + Experience… more
- Dartmouth Health (Lebanon, NH)
- …and compliance objectives. Performs complex professional and facility (DRG or APC) coding and billing audits across all clinical specialties. Responsibilities * ... performs auditing and monitoring projects at the request of Senior Management and the Audit and Compliance Committee of...and/or professional or facility chart abstraction, CPT and ICD-9 coding and clinical documentation education required. *… more
- Guthrie (Sayre, PA)
- …policy adherence. The Analyst collaborates with cross-functional teams-including legal, clinical , IT, and administrative departments-to foster a culture of ... program. * Conduct regular audits and reviews of medical records, billing, coding , provider activity, and departmental processes to ensure compliance with regulatory… more
- Texas Health Resources (Arlington, TX)
- …Ability to provide clear and constructive feedback to coders, non-coders, and senior leadership, translating complex coding rules into actionable insights. ... Manager Compliance Coding _Are you looking for a rewarding career...establishing management correction plans when necessary. Additionally, the Compliance Auditor Manager effectively communicates audit findings through reports, presentations,… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …+ Collaborates with the medical billing team to improve the quality of clinical documentation for compliance, billing, coding , and reimbursement processes. + ... Position Information Posting NumberSRGV8219 Working TitleCOMPLIANCE CODING AND BILLING ANALYST Number of Vacancies1 LocationMcAllen, Texas DepartmentCompliance… more
- Ascension Health (Austin, TX)
- …Auditor (CPMA), Certified Documentation Expert Outpatient (CDEO), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician-based (CCS-P), ... Clinical Documentation Specialist (CCDS) + 3-5 years Medical Coding experience with at least 2 years specific to...of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision… more
- University of Southern California (Alhambra, CA)
- …conducts meetings to evaluate department charge processes to improve charge capture and coding compliance. The Senior RI Specialist also coordinates with Keck ... the billing system and CDM management tools . The Senior RI Specialist shall ensure that the Chargemaster (CDM)...field required. Related experience may include a combination of clinical service delivery (nursing or allied health), coding… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …preferred. + A minimum of five years of experience working as a medical coder, coding auditor , and/or coding educator. + Certified in Healthcare Compliance ... , with an emphasis on Evaluation and Management (E/M) services, procedural coding , and clinical documentation improvement. + Participate in provider orientation… more