- University of Washington (Seattle, WA)
- …intellectual excitement, artistic pursuits, and natural beauty. The senior healthcare auditor is responsible for the completion of internal audits within the ... clinical integrated parts of the University of Washington/UW Medicine...Responsibilities** Audit Examinations - . Independently prepares audit planning documentation for all assigned audits. This includes an in-depth… more
- Houston Methodist (WA)
- …appropriate, utilizing the established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS-DRG ... At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in...and procedure to outpatient and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance… more
- Highmark Health (Harrisburg, PA)
- …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
- Covenant Health Inc. (Knoxville, TN)
- …CPC, or CPMA. Apply/Share Job Title CODING AUDITOR -EDU-CLINIC ID 4382326 Facility Covenant Medical Management Department Name Clinical Doc Integty ... Overview Coding Educator, Clinical Document Integrity Full Time, 80 Hours Per...coders, CDI staff, and assisting with physician coding and documentation education. Maintains all organizational and professional ethical standards… more
- MD Anderson Cancer Center (Houston, TX)
- As a *Nurse Defense Auditor * in our *Hospital Billing & Collections* department, your expertise ensures accurate reimbursement and supports patient access to ... life-saving care. This role combines clinical knowledge, insurance expertise, and critical thinking to resolve...Case Management and providers to ensure all medical necessity documentation is captured. * Coordinate appeal or audit processes… 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
- Bozeman Health (Bozeman, MT)
- …auditing, or a related field. + Intermediate knowledge and experience reviewing clinical documentation , billing, and coding for compliance. + Intermediate ... Position Summary: The Compliance Auditor supports an effective compliance program by planning...and OIG work plan priorities. + Conducts audits of clinical documentation , billing, coding, and operational processes… more
- Guthrie (Sayre, PA)
- Option to be Hybrid/Remote. Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and procedures ... Physician coding and billing and/or compliance field required 5 year of clinical experience and/or knowledge and understanding of Medical Records auditing process… 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
- Albany Medical Center (Albany, NY)
- …assess compliance with related rules and regulatory requirements, and to identify clinical documentation improvement opportunities. + Identify trends based on ... Salary Range: $60,367.47 - $90,551.20 This position has remote opportunity Professional Coding Auditor will apply an advanced professional coding skill set to act as… more