• Inpatient Medical Coding Auditor

    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 ... 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
    Humana (05/03/25)
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  • Coding Auditor Educator

    Highmark Health (Raleigh, NC)
    … as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding ... Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal , concurrent, prospective and retrospective coding audit activities.… more
    Highmark Health (02/07/25)
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  • Medical Coder Auditor - Physician Rev Cycle…

    UNC Health Care (Chapel Hill, NC)
    …other applicable codes. Analyzes information for optimal and proper reimbursement, including coding denial resolution. Ensures compliance with all appropriate ... coded records for multiple specialties. Analyzes coded records for compliance with federal, state and third party insurer rules...to physicians and other health care staff regarding current coding practices and changes in 3rd party, state and… more
    UNC Health Care (03/06/25)
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  • Clinical Documentation Specialist Auditor…

    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
    UNC Health Care (04/29/25)
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  • Medical Coder Auditor - Physician Rev Cycle…

    UNC Health Care (Chapel Hill, NC)
    …other applicable codes. Analyzes information for optimal and proper reimbursement, including coding denial resolution. Ensures compliance with all appropriate ... coded records for multiple specialties. Analyzes coded records for compliance with federal, state and third party insurer rules...to physicians and other health care staff regarding current coding practices and changes in 3rd party, state and… more
    UNC Health Care (04/19/25)
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  • Compliance Auditor

    Novant Health (Charlotte, NC)
    …the ability to work independently, with minimum supervision. The Compliance Auditor is also responsible for maintaining internal documents to support the ... Job Summary The Compliance Auditor is responsible for conducting...is responsible for conducting provider documentation audits to assess compliance with documentation, coding , and billing guidelines… more
    Novant Health (03/18/25)
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  • Clinical Provider Auditor II

    Elevance Health (Winston Salem, NC)
    **Clinical Provider Auditor II** _Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live ... recover, eliminate and prevent unnecessary medical-expense spending. The Clinical Provider Auditor II is responsible for identifying issues and/or entities that may… more
    Elevance Health (05/02/25)
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  • Physician Compliance Analyst

    UNC Health Care (Morrisville, NC)
    …regard to listening, communicating and presenting materials. Demonstrates and teaches professional compliance and billing and coding compliance to others. ... we serve. **Summary:** Responsible for assisting Compliance management in compliance activities which could include reviewing internal processes, documents… more
    UNC Health Care (04/17/25)
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  • Special Investigation Unit Manager Clinical…

    CVS Health (Raleigh, NC)
    …costs. This role involves leading a team of CPC's, working closely with internal and external stakeholders and ensuring compliance with regulatory requirements. ... Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard… more
    CVS Health (04/23/25)
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  • IT Audit Project Manager Sr.

    First Horizon Bank (Charlotte, NC)
    …and identify the full range of risks related to processes, regulatory compliance , organization, policy, and technology, + evaluate control design adequacy in complex ... supervise control testing, and + document work performed in conformance with internal audit methodology. **Essential Duties and Responsibilities** + Leads a team… more
    First Horizon Bank (02/18/25)
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