- Centene Corporation (New York, NY)
- …highly preferred.** **Position Purpose:** Lead medical record audits, monitor and analyze clinical documentation , and modify business processes to measure member ... outcomes. Assess provider performance and quality of care through clinical case reviews. + Lead clinical audits...care through clinical case reviews. + Lead clinical audits for provider medical records both remotely via… more
- UPMC (Pittsburgh, PA)
- …is strongly preferred. + Knowledge of key revenue cycle processes, and clinical documentation is strongly preferred. + Proficiency with associated technology ... **Join UPMC Corporate Compliance as a Senior Compliance Auditor !** Are you passionate about ensuring accuracy and...you passionate about ensuring accuracy and compliance in healthcare documentation and billing? Do you thrive in a dynamic… more
- Catholic Health (Kenmore, NY)
- …Demonstrated ability to work closely with CH associates, medical staff, Clinical Documentation Improvement (CDI) leadership and staff, department managers, ... consistent, accurate, and meets data integrity for use in billing, reimbursement, clinical outcomes, and for SPARCS reporting. The Educator/ Auditor will monitor… more
- Healthfirst (NY)
- …identified, classified, and fully resolved in a compliant manner. + Review clinical documentation for accuracy, completeness identifying any discrepancies or ... of information; including job aids, regulatory requirements, and case documentation including eligibility, claims, authorizations, faxes, and any additional… more
- BayCare Health System (Clearwater, FL)
- …on a foundation of trust, dignity, respect, responsibility and clinical excellence. **Position Details:** **Location:** Clearwater, FL (Hybrid) **Status:** Full ... Time and Salaried **Shift Hours:** 8-4 **The Auditor Sr. is responsible for:** + Perform risk assessments...ensure compliance. + Communicate with audit customers by preparing documentation and report findings to support audit results. Prepare,… more
- BayCare Health System (Tampa, FL)
- …BayCare Health System HIM Coding Department. + Interacts directly with coders, clinical personnel including Clinical documentation specialists, and/or ... PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. _Sign on bonuses...on a foundation of trust, dignity, respect, responsibility, and clinical excellence. Our team members focus on tomorrow by… more
- Addiction Recovery Care (Lexington, KY)
- …and stewardship are key elements of everything we do! We are hiring a Compliance Auditor for our growing team! The Compliance Auditor works under the direction ... not limited to privacy practices, provision of care, proper documentation of services, and the billing and coding of...and the billing and coding of claims. The Compliance Auditor assists the VP of Compliance and other Compliance… more
- R1 RCM (Boise, ID)
- …analytics, AI, intelligent automation, and workflow orchestration. As our Hospital Coding Auditor , you will review hospital charges against medical record and all ... applicable documentation to determine appropriate code assignments on services provided...appropriate code assignments on services provided (CPT/HCPCS codes). The Auditor must have a comprehensive understanding of medical terminology,… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …years of experience as an intensive care unit , emergency department or documentation specialist nurse auditor . Experience with health information systems and ... Job Summary With direction from the Director, the Nurse Auditor /Revenue Integrity Specialist is responsible for auditing itemized charges versus the patient medical… more
- TEKsystems (New Orleans, LA)
- …into the coding and abstracting system. + Works collaboratively with the Clinical Documentation Specialists and Coaches to communicate opportunities for ... Inpatient Medical Coding Auditor Needs to be strong in DRG (Diagnoses...accurate, complete, and compliant documentation . + Completes production coding when needed and assigned… more