- Dayton Children's Hospital (Dayton, OH)
- …From Home - OhioDepartment:Payer Enrollment AdministrationSchedule:Full timeHours:40Job Details:The Internal Coding Auditor plays a pivotal role in ensuring ... processes for facility and professional services. The Internal Coding Auditor regularly conducts detailed coding...experience preferred + Previous training experience preferred Certifications + CPC , COC, CIC, CRC, CCS or … more
- Highmark Health (Columbus, OH)
- …(Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist ( CCS ) + AAPC Credentials (Outpatient): Certified ... Professional Coder ( CPC ), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or… more
- CVS Health (Columbus, OH)
- … CPC . + CPC (Certified Professional Coder) or CCS -P (Certified Coding Specialist-Physician) required. **Preferred Qualifications** + Computer proficiency ... internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and...+ Completion of AAPC/AHIMA training program for core credential ( CPC , CCS -P) with associated work history/on the… more
- Datavant (Columbus, OH)
- …experience + High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS ) or AAPC certified credentials ( CPC , CPC -H, COC, CIC or ... to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical...to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing… more
- Elevance Health (Mason, OH)
- …Documentation Improvement Practitioner (CDIP), Certified Professional Coder ( CPC ) or Inpatient Coding Credential such as CCS or CIC. + Experience with third ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
- Datavant (Columbus, OH)
- …+ High school diploma or GED equivalent required + AHIMA certified credentials (RHIA, RHIT, CCS ) or AAPC certified credentials ( CPC , CPC -H, COC, CIC or CRC) ... We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been...by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked… more
- Elevance Health (Mason, OH)
- …education and experience, which would provide an equivalent background. + Requires coding certification ( CPC , CCS , CPMA). **Preferred Skills, Capabilities, ... **Clinical Provider Auditor II** **Virtual:** This role enables associates to...aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations.… more
- Elevance Health (Mason, OH)
- …of education and experience, which would provide an equivalent background. + Requires coding certification ( CPC , CCS , CPMA). For candidates working in ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations.… more
- Molina Healthcare (Cincinnati, OH)
- …License, Certification, Association** Active and unrestricted Coding Certification, Active CCS , CCS -P, or CPC credential **Preferred Education** ... payment in all markets * Performs monthly audit on internal Molina Coding Specialists * Audits external Molina Vendors. **Job Qualifications** **Required Education**… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …current and emerging challenges among affected parties and entities. **Qualifications** + CCS , CPC , RHIT, or RHIA required. + Auditing Experience, Experience ... Job Functions** + Assists in the review of Bon Secours Mercy Health coding , billing and claims processing policies and procedures for the development of compliance… more