- UCLA Health (Los Angeles, CA)
- …Support compliance excellence at UCLA Health by joining our team as a Compliance Auditor , MAPD, focused on Medicare Advantage (Part C) and Prescription Drug ... healthcare, or a related field and/or equivalent experience. + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS), highly desired. +… more
- Stanford Health Care (Palo Alto, CA)
- …is a Stanford Health Care job.** **A Brief Overview** The Charge Auditor performs auditing activities, including complex cases that require extensive research, ... interpretation and application of laws and regulations. Charge Auditor evaluates the adequacy and effectiveness of internal and operational controls designed to… more
- SUNY Upstate Medical University (Syracuse, NY)
- …professional OB/GYN encounters. This position serves as a key liaison between coding , clinical, and compliance departments ensuring that all documentation and ... ongoing education to OB/GYN providers and clinical staff on documentation quality, coding updates, and best practices to optimize compliance and reimbursement.… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete reimbursement to the health ... timely manner. + Prepares trend and other reports for compliance audits and charge processes. + Serves as a...reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. +… more
- Datavant (Dover, DE)
- …you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding ... workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in… more
- Texas Health Resources (Arlington, TX)
- Manager Compliance Coding _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates like ... Resources + Core work hours: Monday - Friday; 8:00a-5:00p; Position Summary The Coding Compliance Manager oversees and manages auditing and monitoring activities… more
- Rush University Medical Center (Chicago, IL)
- …information:** **Required Job Qualifications:** * Bachelor's Degree * Certified Professional Coder (CPC) or Certified Coding Specialist- Physician Based (CCS-P) ... and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications * Experience… more
- Trinity Health (Albany, NY)
- …and implement provider documentation improvement plans. Ensures medical documentation and coding compliance with Federal, State and Private payer regulations. ... Category (HCC), and MEAT standards. . Exercise thorough understanding of ICD-10-CM coding guidelines, payer regulations, compliance and reimbursement and the… more
- Houston Methodist (Houston, TX)
- …inpatient/outpatient coding : MS-DRG, APR DRG and APC assignment systems + Official coding guidelines and coding compliance + Working knowledge of medical ... programs for new hires and current staff to enhance coding skills as well as to ensure compliance...AND CERTIFICATIONS - PREFERRED** + CPC-I - Certified Professional Coder Instructor (AAPC) -- (CBO Coders only) **OR** +… more
- St. Luke's University Health Network (Allentown, PA)
- …Administrator (RHIA); Certified Professional Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth ... a patient's ability to pay for health care. The Coding Audit & Education Coordinator will be responsible for...system, and identify areas of opportunity or assess potential compliance risks. + Assists with training and onboarding of… more