- Mount Sinai Health System (New York, NY)
- …Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified ... **Job Description** **Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days-Option to work remote or hybrid.** The Clinical Revenue … more
- UPMC (Pittsburgh, PA)
- …APC, APG or ICD10-CM, HCPCS, CPT, Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient /outpatient, DRG prospective payment ... and with other departments. **Licensure, Certifications, and Clearances:** (Preferred) + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC) +… more
- Elevance Health (Mendota Heights, MN)
- …(CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + ... is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure… more
- UPMC (Pittsburgh, PA)
- …rules. Accurately review the assigned HCC diagnosis codes and apply the appropriate inpatient or outpatient coding guidelines, AHA coding clinics, ICD-10-CM ... has an exciting opportunity for a Risk Adjustment Clinical Auditor /Analyst position in the Medicare department. This is a...are supported within the audit year, and utilize AHA Coding clinics, ICD-10-CM Coding Guidelines, CPT … more
- Insight Global (South Jordan, UT)
- …should have an extensive background in either facility-based nursing, clinical documentation, and/or inpatient coding and has a high level of understanding of ... Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100%...knowledge (DRG & ICD-10) Registered Nurse RN (must be inpatient ) WITH coding /clinical documentation certification (2 years… more
- Hartford HealthCare (Hartford, CT)
- …state and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional, facility ( inpatient and outpatient), ... become part of Connecticut's most comprehensive healthcare network. The Revenue Compliance Auditor contributes to the success of the Office of Compliance and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …documentation improvement practices. + Thorough knowledge and understanding of hospital inpatient billing, coding , and documentation requirements, Federal and ... Reporting to the Director, Compliance Audit and Analysis, the Sr. Compliance Auditor will develop and execute audit, monitoring, and education for both facility… more
- Molina Healthcare (Iowa City, IA)
- …and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules ... principles and state specific policies and regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing… more
- Datavant (Providence, RI)
- …allowing you to help shape the future of healthcare from your own workspace! Preferred: Inpatient auditor with 3-5 years of experience at a Trauma Level 1 ... facility. SMART software experience preferred. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate … more
- Houston Methodist (Houston, TX)
- …professional teaching/training experience **LICENSES AND CERTIFICATIONS - REQUIRED** + For inpatient /outpatient coding : RHIT, RHIA, or CCS certification from ... fee coding ); and ICD-10-CM, ICD-10-PCS and HCPCS (includes CPT) (for inpatient /outpatient coding ) coding classification systems + For inpatient… more