- Emory Healthcare/Emory University (Atlanta, GA)
- …Reporting to the Director, Compliance Audit and Analysis, the Sr. Compliance Auditor will develop and execute audit, monitoring, and education for ... clinical reviewers and leads training on proper documentation for facility/professional billing and coding compliance . + Work with the compliance operations,… more
- Trinity Health (Syracuse, NY)
- …assessed and validated on an encounter, with notation of any invalid diagnoses. + RA Coding Auditor Educator will be the primary point of contact for Excellus ... Education if needed. Auditing Experience Posting **POSITION PURPOSE:** A Risk Adjustment Auditor Educator is responsible for ensuring accurate coding and… more
- Sanford Health (WI)
- …Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC) or an equivalent. Certified Healthcare Auditor (CHA) ... to ensure that the organization's processes and operations are in compliance with laws, corporate guidelines, best practices, and contractual agreements.… more
- TEKsystems (Orlando, FL)
- Description The Outpatient Facility Auditor is integral to maintaining coding accuracy and compliance with our standards. This role involves conducting ... educational sessions on code updates and rule changes. The auditor collaborates closely with the coding team,...Proficiency in coding software, particularly EPIC and coding compliance standards. Experience in denial analysis… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Provider Services Auditor & Educator is a certified medical coder who serves as a primary ... Leadership, and Support Staff, Coders, and Billing Staff around professional coding and compliance . The Coding and Compliance Educator position… more
- Planned Parenthood of Central and Western NY (Rochester, NY)
- …or equivalent combination of education and experience + Certified Professional/Medical Coder or Certified Professional Medical Auditor desired Experience- + ... Billing Auditor for Shared Services Fully Remote * Rochester,...accuracy, and completeness of encounters, claims and transactions in compliance with payer rules and regulations + Maintains and… more
- Children's Mercy Kansas City (Kansas City, MO)
- …the electronic charge capture process for all assigned clinical departments per coding compliance and CMH charge capture protocols by proactively identify ... + One of the following: Certified Coding Specialist, Certified Coding Specialist - Physician Based, Certified Professional Coder , Certified Outpatient… 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
- Elevance Health (Mason, OH)
- …data, and works with service operations to improve processes and compliance . Notifies areas of identified problems or providers, recommending modifications ... and control principles and a working knowledge of CPT/HCPCS and ICD 9 coding and medical policy guidelines strongly preferred . Travels to worksite and other… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …of Job Responsible for performing compliance reviews of billing and coding compliance functions and activities, compliance risk assessments, developing ... Performs monitoring and compliance reviews of medical billing and coding compliance activities, associated risk assessments, developing policies and… more
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