- Insight Global (Houston, TX)
- Job Description A large hospital system in Houston, TX is seeking a Hospital Auditor to join their Profee team. The Hospitalist Auditor is responsible for ... reviewing provider documentation for accuracy and compliance with coding and billing guidelines. This role ensures proper capture of professional fees and identifies… more
- University of Michigan (Ann Arbor, MI)
- DRG COMPLIANCE AUDITOR (DCA) **Early Site Maintenance** We are performing updates and maintenance to our applicant experience. As a result, the site will be ... and check certain inpatient records to make sure the coding is correct and follows rules for ICD-10 codes....Detail** **Job Opening ID** 271520 **Working Title** DRG COMPLIANCE AUDITOR (DCA) **Job Title** Medical Coder Compliance Spec **Work… more
- Capital One (New York, NY)
- Principal Auditor - Cyber, Risk and Analysis Technology Audit Capital One's Audit function is a dedicated group of professionals focused on delivering top-quality ... Capital One is seeking an energetic, self-motivated Principal Technology Auditor with experience evaluating and analyzing technology and cybersecurity risks… more
- Covenant Health Inc. (Knoxville, TN)
- …current clinical license/registration in the State of Tennessee as RN with equivalent coding experience. Apply/Share Job Title REV INTEGRITY AUDITOR SR ID ... Overview Revenue Integrity Auditor Full Time, 80 Hours Per Pay Period,...for Covenant Health entities as they relate to charging, coding , documentation and billing compliance. This would include E/M,… more
- Hartford HealthCare (Hartford, CT)
- …become part of Connecticut's most comprehensive healthcare network. The Revenue Compliance Auditor contributes to the success of the Office of Compliance and ... Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The...billing audits as assigned or scheduled. The Revenue Compliance Auditor performs independent reviews to assess compliance with federal,… more
- Humana (Springfield, IL)
- …of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ... and diagnosis coding for services rendered is complete, compliant and accurate...compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require… more
- Elevance Health (Seattle, WA)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Catholic Health (Kenmore, NY)
- …8-4 Summary: The Catholic Health (CH) Health Information Management (HIM) Educator/ Auditor is responsible for providing Provider Coding education, including ... CHS/Trinity-employed providers appropriate code the medical services that are provided. The Educator/ Auditor will introduce new providers to the coding program… more
- Insight Global (Plano, TX)
- …DRG Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic Related Group (DRG) validation and quality audits on ... inpatient charts to ensure accurate coding and compliance with federal regulations. This is a...care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). -CCS Certification RN… more
- WMCHealth (Valhalla, NY)
- Network Practice Coder/ Auditor Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info ... Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS) and identifying opportunities for improvement as well… more