- Houston Methodist (Houston, TX)
- …appropriate, utilizing the established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS-DRG ... TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and… more
- Waystar (Atlanta, GA)
- …financial performance goals + Validate code and DRG assignment and supporting clinical documentation based on physician documentation , UHDDS guidelines ... In depth knowledge related to coding hospital inpatient record types, clinical documentation , payer reimbursement methodology, medical necessity criteria,… more
- Nuvance Health (Danbury, CT)
- …*CPC, CPC-H, or CCS-P AAPC or AHIMA required* *Certified Professional Medical Auditor (CPMA) or Certified Documentation Expert Outpatient (CDEO) required* ... TN, TX, VA* Summary: *Purpose:*Provides clinician practice coding, billing, and documentation auditing for professional coding at Nuvance Health. Conducts routine… more
- Highmark Health (Helena, MT)
- …Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier ... Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …assignment, and abstracted data POA, Discharge Disposition. + Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. + ... **Description** We are seeking an experienced **Inpatient DRG Coding Auditor ** to extract data from patient encounters ensuring the...the CDS team to educate physicians, nursing, and other clinical staff to improve documentation . + Review… more
- Insight Global (Houston, TX)
- …rapport with providers and able to help educate them on the best practices for clinical documentation and be able to answer any questions and explain their ... in Houston, TX is seeking a Physician Educator & Auditor to join their growing team. This team will...who work closely with the providers to ensure the documentation is correct and effective from a coding and… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete ... adherence to regulatory requirements related to billing and supporting documentation , as well as facilitates the completion of appeals...focus audits and reports findings. + Serves as a clinical resource for coding / denial management and customer… more
- AdventHealth (Daytona Beach, FL)
- …**The role you'll contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of the inpatient or outpatient coding ... assurance needs for coding staff. They will review medical records and documentation for coding accuracy, providing feedback, and delivering additional education to… more
- FlexStaff (Chappaqua, NY)
- …Proven experience in medical billing and coding * Experience with auditing and monitoring clinical records and documentation In this role you will be reviewing ... **Req Number** 166292 FlexStaff is seeking an experienced Compliance Auditor with experience in physician medical billing and coding...and monitoring medical documentation to ensure compliance with all applicable state and… more
- Albany Medical Center (Albany, NY)
- …assess compliance with related rules and regulatory requirements, and to identify clinical documentation improvement opportunities. + Identify trends based on ... Day (United States of America) Salary Range: $60,367.47 - $90,551.20 Professional Coding Auditor will apply an advanced professional coding skill set to act as a… more