- Datavant (Frankfort, KY)
- …vision for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... a 95% quality average at a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in weekly coding project review meetings… more
- Elevance Health (Louisville, KY)
- …to recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding… more
- Elevance Health (Louisville, KY)
- …- Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required… more
- Elevance Health (Louisville, KY)
- **Internal Auditor Senior - SOX & SOC1** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... an accommodation is granted as required by law. The **Internal Auditor Senior** is responsible for responsible for conducting financial/operational audits, internal… more
- Elevance Health (Louisville, KY)
- **Internal Auditor , Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... accommodation is granted as required by law. The **Internal Auditor , Senior** is responsible for conducting financial/operationalaudits, internal control… more
- Elevance Health (Louisville, KY)
- **Clinical Provider Auditor II** **Location** **Virtual** : This role enables associates to work virtually full-time, with the exception of required in-person ... is granted as required by law. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities...+ Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to… more
- Travelers Insurance Company (Frankfort, KY)
- …in accordance with company, industry, and state regulations. As a Sr Premium Auditor Associate, you will conduct audits of increasing complexity with less direct ... customer's business operations to determine proper classifications. Review financial/accounting records that includes payroll, tax returns, general and expense… more
- Datavant (Frankfort, KY)
- …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify ... and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the… more
- Highmark Health (Frankfort, KY)
- …internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and ... Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or… more
- CVS Health (Frankfort, KY)
- …day. **Position Summary** + Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are ... and Federal regulations and internal policies and procedures. + Utilize medical records to ensure support is documented for etiology and manifestations of disease… more