- Virtua Health (Mount Laurel, NJ)
- …(TIN) to include CMS 1995, 1997 and AMA 2021 Evaluation and Management guidelines. Auditing : Performing chart audits to review CPT, ICD-10- CM and HCPCS codes ... results to clinicians and providing annual coding education. Performing chart audits to review CPT, ICD-10- CM and HCPCS...of 3 years professional fee (provider) coding and healthcare auditing experience required Professional fee auditing and… more
- CDPHP (Latham, NY)
- …and interpret CMS and State coding and documentation guidelines and apply to chart review, coding, and auditing . + Demonstrated ability to pro-actively identify ... that experience. The Risk Adjustment Coding Specialist will be responsible for the chart review and ICD-10 diagnosis coding of risk adjustment eligible members. This… more
- Centene Corporation (Carson City, NV)
- …and reporting. Respond to quality improvement inquiries. + Must reside in NV + Heavy chart monitoring and auditing of medical records + Monitor the production of ... quality results reporting; analyze, track and trend the reporting results and report them to management + Formulate and prepare ad-hoc and additional reporting requirements + Recommend, develop, and implement quality improvement plans with management + Train… more
- Mohawk Valley Health System (Utica, NY)
- …equivalent work experience. + 5 years of hospital-based inpatient and outpatient coding/ auditing / chart review experience, with a focus on advanced ICD-10-CM and ... PCS coding with at least 3 years of supervisory or leadership experience. + Experience working with high-volume/complex cases in large healthcare organizations, including specialty areas such as cardiology, Interventional Radiology (neurology / stroke related… more
- Guthrie (Sayre, PA)
- …5 year of clinical experience and/or knowledge and understanding of Medical Records auditing process preferred. + Required to sit for CPC exam within one year. ... to sit for CPC exam within one year Essential Functions: + Conducts auditing for accuracy of coding, leveling, and provider documentation in compliance with accepted… more
- University of Washington (Seattle, WA)
- …high-impact work in University Business Services. This position is responsible for auditing and mapping the Chart of Accounts, leading complex reconciliations, ... and other key financial stakeholders across the institution. **Duties & Responsibilities:** Chart of Accounts Mapping + Lead a comprehensive audit and mapping of… more
- Fresenius Medical Center (Malvern, PA)
- …and staff on best practices, methodology, and tools for accurately coding. + Chart Analysis, OP Coding Data auditing and validation: Reviews medical records ... for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA/AAPC). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures.… more
- Cedars-Sinai (Los Angeles, CA)
- …response to sponsor queries. + Schedules and participates in monitoring and auditing activities. + Responsible for compiling and reporting on each study including ... trained and certified. + Participate in centralized activities such as auditing , Standard Operating Procedure development, etc. + Plans and coordinates strategies… more
- Cardinal Health (San Juan, PR)
- …and electronic medical records. + Professional and/or hospital services auditing experience. + Exceptional Customer Service Skills. + Proven interpersonal ... with 3rd party auditors conducting audits as well as manages in-house auditing staff. + Plans professional compliance department audits to determine accuracy and… more
- Elevance Health (Richmond, VA)
- …unnecessary medical-expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims ... will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical… more