- BJC HealthCare (St. Louis, MO)
- …giving instruction on federal and state regulations, documentation guidelines, and coding training in a way that ensures compliance with governmental regulations. ... Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding , denials, and billable services identified as part of...and/or concerns as a result of serving as lead auditor . + Support the HIPAA liaison by tracking and… more
- Crouse Hospital (Syracuse, NY)
- … experience required. + Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified Coding Specialist (CCS) preferred. + ... case mix, secondary diagnoses). + Ability to integrate clinical and coding processes to improve Crouse Health's health record integrity, regulatory compliance,… more
- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- …offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records and assign ... alpha-numeric codes for each diagnosis and procedure. Auditor and CDIS. Responsibilities Responsible for reviewing the overall quality and completeness of clinical… more
- Datavant (Washington, DC)
- …Seeking a profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Will Do:** + Performs Professional Fee ... Seeking a profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Need to Succeed:** + 5+ years of… more
- St. Luke's University Health Network (Allentown, PA)
- …+ Participate in Administrative Law Judge (ALJ) hearings and/or formal meetings with auditor or payor representatives in defense of coding appeals, as needed. ... Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure properly assigned… more
- Datavant (Honolulu, HI)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma...strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and… more
- Catholic Health Initiatives (Little Rock, AR)
- …all things quality and risk for the value hub. + Through Risk Management/ Auditor Manager, implements a risk adjustment coding department in appropriate Arkansas ... may be involved. + Supports quality, clinical practice, safety, risk coding , compliance, patient experience and Health Information Management functions within the… more
- The County of Los Angeles (Los Angeles, CA)
- …such work involves (1) performing all of the following tasks: sorting, coding , verifying, and filing financial documents, posting by hand, machine or, through ... at least some of the following: locating and tracing both posting and coding errors; listing errors and required adjustments; taking trial balances; assisting in the… more
- University of Southern California (Alhambra, CA)
- …Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. This includes ... meetings to evaluate department charge processes to improve charge capture and coding compliance. The Senior RI Specialist also coordinates with Keck Medical Center… more
- WMCHealth (Valhalla, NY)
- …internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding . Specific duties include performing concurrent and retrospective reviews of ... documentation and coding and working with providers and staff to ensure...(CRC), Certified Professional Coder certification (CPC), Certified Professional Medical Auditor (CPMA) or Certified Clinical Documentation Specialist (CCDS) credential(s).… more