- Humana (Raleigh, NC)
- …part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ... guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor 's work assignments are varied and...CPT/HCPCS Procedure reviews + Conduct peer reviews to ensure compliance with coding guidelines and provide reports… more
- Humana (Raleigh, NC)
- …of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- WelbeHealth (Raleigh, NC)
- …is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring ... audits and participate in provider education programs to ensure compliance with CMS risk adjustments diagnosis coding ...ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work closely with Coding … more
- UNC Health Care (Chapel Hill, NC)
- …processes. Ability to interpret federal and state regulations as they relate to coding and compliance . Must possess strong communication skills, both written and ... shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may...and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and… more
- CGI Technologies and Solutions, Inc. (Charlotte, NC)
- …**Employment Type:** Full Time **Position Description:** CGI is seeking a high-caliber MS-DRG Auditor to join our Healthcare Compliance Team. In this role, you ... **Remote Senior Inpatient Auditor - MS-DRG & Clinical Validation** **Category:** Analytics...payment accuracy, reviewing complex medical records to ensure that coding and reimbursements for Commercial and Government health plans… more
- Capital One (Charlotte, NC)
- Principal Auditor - Cyber, Risk and Analysis Technology Audit Capital One's Audit function is a dedicated group of professionals focused on delivering top-quality ... Capital One is seeking an energetic, self-motivated Principal Technology Auditor with experience evaluating and analyzing technology and cybersecurity risks… more
- Capital One (Charlotte, NC)
- Senior Auditor - Cyber, Risk & Analysis Technology Audit (Hybrid) Capital One's Audit function is a dedicated group of professionals focused on delivering top-quality ... understanding of data, innovation, and technology will only make you a better auditor . This will require leveraging the power of data analytics and furthering your… more
- Datavant (Raleigh, NC)
- …you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding ... workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...of reviews, using appropriate assignment of codes and other coding -related elements using MS DRG or APR DRGs. +… more
- Capital One (Charlotte, NC)
- …information, issues and audit progress to teammates, clients and auditor -in-charge. + Perform various aspects of engagement administration, including hours ... innovation, and technology will only make you a better auditor . This will require leveraging the power of data...including 1 year of experience in test scripting or coding (writing, reviewing, or assessing) + At least 2… more
- Truist (Charlotte, NC)
- …of complex data system and End User Computing Tools. 6. Knowledge of coding , data tools and platforms used for managing, storing, querying, testing, loading, and ... Teradata, Spotfire, Tableau, etc.). 7. Familiarity with enterprise Governance Risk and Compliance (eGRC) platforms and tools (eg, RSA Archer). 8. Professional risk… more