- Sharp HealthCare (San Diego, CA)
- …and employer business practices. *This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the ... Functions** + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of performing… more
- University of Southern California (Los Angeles, CA)
- …with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded ... AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also,...management. + CODING AUDITING 1. Performs monthly internal coding audits to evaluate accuracy of… more
- Humana (Sacramento, CA)
- …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 ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- CVS Health (Sacramento, CA)
- …healthcare providers in the office and/or facility setting. + Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as ... policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and...and directives. + Conducts self- process audits to ensure compliance with internal policies and procedures as… more
- Cedars-Sinai (Los Angeles, CA)
- …other related encounter data collection points. Auditors evaluate compliance with all coding guidelines including but not limited to: Internal Coding ... **What will I be doing in this role?** The Coding Auditor works under the general direction...based on recommendations + Maintains appropriate open communication with internal and external partners and peer departments such as… more
- Sharp HealthCare (San Diego, CA)
- …issues.Schedules and provides 1:1 training to provider to ensure maximum coding compliance guidelines are followed.Evaluates the inpatient and outpatient ... support to SRS management, physicians, administrative and support staff for coding , documentation and compliance .Provides support with TES/CM edit resolution… more
- UCLA Health (Los Angeles, CA)
- …Support compliance excellence at UCLA Health by joining our team as a Compliance Auditor , MAPD, focused on Medicare Advantage (Part C) and Prescription Drug ... for a strong foundation in CMS guidelines, managed care compliance , and effective collaboration with both internal ...equivalent experience. + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS), highly desired. + 5 or more… more
- Stanford Health Care (Palo Alto, CA)
- …require extensive research, interpretation and application of laws and regulations. Charge Auditor evaluates the adequacy and effectiveness of internal and ... and guidelines related to professional or facility and documentation, charging, coding and billing, including federal and state regulations and guidelines, CMS… 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 ... to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement. The… more
- Quantum-Si (San Diego, CA)
- …accurate manner. + Support the Procure-to-Pay (P2P) process as needed, including invoice coding , approval workflows, and vendor compliance . + Ensure adherence to ... SOX compliance requirements by maintaining proper documentation, supporting internal control testing, and implementing process improvements to strengthen the… more