- Elevance Health (Mason, OH)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR ** is responsible ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _...a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a… more
- Highmark Health (Columbus, OH)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with ... (AHIMA) + AHIMA Credentials (Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials… more
- UC Health (Cincinnati, OH)
- UC Health is hiring a Full Time Coding Quality Auditor for the Corporate Coding Services department The Auditor performs ongoing coding audits, ... for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, University of Cincinnati Physicians and UC Health… more
- Datavant (Columbus, OH)
- …As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...+ High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified… more
- CVS Health (Columbus, OH)
- …recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + CPC ( Certified Professional Coder) or CCS-P ( ... every day. Aetna's Revenue Integrity team is hiring Senior Coding Data Quality Auditors to support our growing risk...for performing second level quality inter-rater review audits of medical records coded by internal team, as well as… more
- Humana (Columbus, OH)
- …years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and ... care and risk adjustment, pharmacy knowledge a plus + Certified Coder (CPC, CRC, and/or CMC) + Experience with...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Elevance Health (Mason, OH)
- …on task forces and committees. **Minimum Requirements:** Requires either a BA/BS degree, medical coding certification and a minimum of 2 years' relevant work ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Provider Auditor ** conducts on-site reviews of… more
- Elevance Health (Mason, OH)
- …is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
- Datavant (Columbus, OH)
- …vision for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in...by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked… more
- MetroHealth (Cleveland, OH)
- …of the Compliance Supervisor - Audit (Doc and Coding ) Services, conducts coding and documentation audits of MetroHealth (MHS) medical records to assess ... **Location:** **METROHEALTH MEDICAL CENTER** **Biweekly Hours:** **80.00** **Shift:** **8a-4:30pm** **The...execution of an effective compliance program, including training on coding and documentation rules. Upholds the mission, vision, values,… more