- Insight Global (South Jordan, UT)
- Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. The work authorization is not specified and the salary ... Below are the key responsibilities for this role: * Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical… more
- Banner Health (AZ)
- …including remote and hybrid opportunities. As a **Health Plans Licensed Practical Nurse (LPN) Auditor ** , you will be an integral part of the **Health Plan Quality ... Management Team** . This assignment-based role focuses on independent chart review, clinical assessment, and site visits. **Key Responsibilities:** + Independently… more
- Williams Adley (Washington, DC)
- …Information Systems, Cybersecurity, Accounting, or equivalent experience working as an IT Auditor or Consultant for a public accounting firm or a professional ... mentoring, professional membership/subscription dues, and professional development opportunities, you can chart a unique and fulfilling career path on your own… more
- Saint Francis Health System (Tulsa, OK)
- …**to login and apply.** Full Time Days Job Summary: The Compliance Nurse Auditor assists with and supports the compliance program activities within Saint Francis ... audits to ensure that the clinical documentation contained within the patient chart supports items and services included on claims and accurately supports reasons… more
- Dartmouth Health (Lebanon, NH)
- …competency in working with regulatory/clinical issues and/or professional or facility chart abstraction, CPT and ICD-9 coding and clinical documentation education ... and reimbursement guidelines required. * Knowledge of professional or facility chart abstraction, CPT and ICD-9 coding and clinical documentation highly desired.… more
- Williams Adley (Washington, DC)
- …mentoring, professional membership/subscription dues, and professional development opportunities, you can chart a unique and fulfilling career path on your terms. ... Give Back to Your Community - Williams Adley believes in giving our time, treasures, and talents back to our community so that it can be a place for all people to thrive. Our Community Service Program, the Williams Adley Foundation, works with our employees to… more
- Atlantic Health System (Morristown, NJ)
- …coding such as appropriate documentation, accurate coding, coding trends found during chart reviews, third party audit findings, and annual coding updates. + ... Evaluates and provides appropriate documentation for the third party payer CPT denials to maintain the original CPT assignment, and when necessary, implement corrective action plan and/or educational programs to prevent similar denials and rejections from… more
- Amergis (Cleveland, OH)
- …and/or PT? FT Testing Required IP Interview Amergis End Date / Duration Ongoing Specialties/ Chart Types (Required & Preferred) IP auditing + Minimum of 2 years of ... inpatient facility coding experience + Minimum of 2 years inpatient facility auditing experience + Excellent oral and written communication skills + Knowledge of Microsoft Word and Excel + Computer savvy and ability to shift priorities to meet tight deadlines… more
- St. Luke's University Health Network (Allentown, PA)
- …or coding determination made by the government or commercial payors, or their auditor representative. + Facilitate clinical chart reviews to assist with ... + Participate in Administrative Law Judge (ALJ) hearings and/or formal meetings with auditor or payor representatives in defense of coding appeals, as needed. +… more
- Baystate Health (Springfield, MA)
- …applications in daily work: C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor , People Soft and Staples and Kronos access if applicable. **3)** Unit specific ... as requested. **7)** Hospital Records and logs: Maintains patient chart in proper sequence and labels pages with patient's...record on unit. When appropriate, enter data into PCM auditor at specified times. Replenish and restock unit audit… more
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