- BJC HealthCare (St. Louis, MO)
- …scheduled reviews of BJCMG specialty providers' documentation involved with professional fee billing for accuracy of coding and physical presence; reviews ... mentor to fellow coordinators related to the audit process, coding , billing and compliance; identifies and notifies...and/or concerns as a result of serving as lead auditor . + Support the HIPAA liaison by tracking and… more
- Stanford Health Care (Palo Alto, CA)
- …requirements and guidelines related to professional or facility and documentation, charging, coding and billing , including federal and state regulations and ... is a Stanford Health Care job.** **A Brief Overview** The Charge Auditor performs auditing activities, including complex cases that require extensive research,… more
- HCA Healthcare (Nashville, TN)
- …Apply Today! **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... like family! Jump-start your career as a DRG Validation Auditor today with Parallon. **Benefits** Parallon offers a total...vary by location._** Come join our team as a Coding Quality Audit Reviewer. We care for our community!… more
- Elevance Health (Chicago, IL)
- …Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding … more
- Cedars-Sinai (Los Angeles, CA)
- …and therapeutic procedures) + Daily follow-up with providers, clinical staff, the Coding department, Billing Compliance, and Revenue Integrity. + Review and ... the general direction of the Manger or Associate Director, the Revenue Auditor Service Line performs audits of medical records against submitted professional… more
- Hartford HealthCare (Hartford, CT)
- …of the Office of Compliance and Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The Revenue Compliance ... Auditor performs independent reviews to assess compliance with federal,...as intended. . Stays up to date on documentation, coding and billing regulations and requirements via… more
- St. Luke's University Health Network (Allentown, PA)
- …In doing so, works with providers and their office staff, as well as the Coding and SLPG Billing Department. JOB DUTIES AND RESPONSIBILITIES: + Perform quality ... to pay for health care. The Network Provider Services Auditor performs audits as part of the Documentation and...auditing software program. + Is a resource to the coding department, SLPG practices, providers, and billing … more
- Insight Global (South Jordan, UT)
- Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have an extensive background in ... either facility-based nursing, clinical documentation, and/or inpatient coding and has a high level of understanding of reimbursement guidelines specifically an… more
- Bozeman Health (Bozeman, MT)
- …The role partners with departments across the organization to assess billing , coding , privacy/security, and operational practices; identifies vulnerabilities; ... Position Summary: The Compliance Auditor supports an effective compliance program by planning...field. + Intermediate knowledge and experience reviewing clinical documentation, billing , and coding for compliance. + Intermediate… more
- Northwell Health (Lake Success, NY)
- …experience with a heavy focus on anesthesia. + Deep knowledge of anesthesia coding , billing , and documentation standards, including CPT, ICD-10, HCPCS, and ... **Req Number** 174853 Lead Compliance Auditor - Heavy Anesthesia & Healthcare Expertise Needed....complex anesthesia-specific compliance audits, including CPT, ICD-10, modifiers, and billing practices. + Develop and deliver targeted training for… more
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