- Dayton Children's Hospital (Dayton, OH)
- …comply with these regulations, thereby minimizing the risk of non- compliance . The Internal Coding Auditor must have a thorough understanding of ... Facility:Work From Home - OhioDepartment:Payer Enrollment AdministrationSchedule:Full timeHours:40Job Details:The Internal Coding Auditor plays a pivotal… more
- Highmark Health (Columbus, OH)
- … 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
- CVS Health (Columbus, OH)
- …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
- Humana (Columbus, OH)
- …Inpatient medical coding , analytics, health record security and privacy, HIPAA compliance , and data governance. + Hold at least one of the following AHIMA ... caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …, billing and claims processing policies and procedures for the development of compliance internal monitors and audit protocols and the prevention of fraud, ... coding , and trending of non-compliant activities to enhance compliance proficiency and competency, understanding of standards and the consequences of… more
- Elevance Health (Mason, OH)
- **Clinical Provider Auditor II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required inperson training sessions, ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II i** s responsible for identifying issues and/or entities that… more
- Elevance Health (Mason, OH)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Virtual:** This role enables associates to work virtually full-time, with the ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Molina Healthcare (Cincinnati, OH)
- …of risk adjustment payment in all markets * Performs monthly audit on internal Molina Coding Specialists * Audits external Molina Vendors. **Job Qualifications** ... Develop and implement processes and procedures to ensure accuracy, completeness, and compliance with Centers for Medicare and Medicaid Services (CMS) regulations and… more
- CVS Health (Columbus, OH)
- …clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Contributes to compliance reporting and ... audits, reviews and assessments of medical records coded by internal teams prior to the submission to the Centers...coding and documentation requirements. + Comprehensive knowledge of coding guidelines and regulations to meet compliance … more
- KeyBank (Brooklyn, OH)
- …analysis, and/or reporting typically achieved through work as a: business, data, operations, compliance , or risk analyst; internal auditor ; or role that ... Mine, explore, and analyze data to identify trends and outliers, evaluate compliance with internal policy/procedures and/or regulatory requirements, and assess… more