- Bozeman Health (Bozeman, MT)
- Position Summary: The Compliance Auditor supports an effective compliance program by planning and executing risk-based audits, monitoring adherence to ... field. + Intermediate knowledge and experience reviewing clinical documentation, billing, and coding for compliance . + Intermediate knowledge and experience with… more
- HCA Healthcare (Nashville, TN)
- …**Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews ... like family! Jump-start your career as a DRG Validation Auditor today with Parallon. **This position is a fully...Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC… more
- Sanford Health (WI)
- …40.00 **Salary Range:** 19.00 - 30.50 **Job Summary** Responsible for conducting internal audits and monitors to ensure that the organization's processes and ... operations are in compliance with laws, corporate guidelines, best practices, and contractual...processes, and the subsequent activities, as they relate to internal audits. Demonstrates the ability to interpret Federal rules… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …trends in coding errors, and informing coding education material for internal and external audiences. The Auditor II plays a critical role in identifying ... investigation. This role requires a deep understanding of medical claims adjudication, coding compliance , and regulatory guidelines. You will be responsible for… more
- Surgery Care Affiliates (Birmingham, AL)
- …ensure compliance with regulatory requirements , as well as support SCA Health 's compliance program . The Compliance Auditor will work with all Support ... compliance and compliance related principles + Understanding of regulatory compliance proce sses and internal controls + Excellent planning, analytical,… more
- Capital One (Mclean, VA)
- …Certifications related to or pursuing certification related to Auditing, such as Certified Internal Auditor (CIA), or Certified Information Systems Auditor ... Principal Auditor - Cyber, Risk and Analysis Technology Audit...and efficiency of Capital One's governance, risk management, and internal control processes. + You possess a relentless focus… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …audits The Professional Auditor will be a subject matter expert regarding coding and billing. The Professional Auditor , under the direction of Audit manager, ... true colors to blue. About the Role: The Professional Auditor is responsible for post-pay review to verify the...a plus + Experience reviewing medical record documentation for compliance of billing and coding for Outpatient/ASC… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …post-payment claim audits to identify improper payments due to billing errors, coding discrepancies, and policy non- compliance . Audits include reviewing medical ... do:** + Conduct entry-level audits of professional and facility claims to ensure coding accuracy and compliance with contractual, coding , payment policy,… more
- SUNY Upstate Medical University (Syracuse, NY)
- …trends and aberrations. Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding , and billing guidelines. ... Job Summary: Position Summary: Under the direction of the Compliance Officer the main duties for this position include:...main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …, billing and claims processing policies and procedures for the development of compliance internal monitors and audit protocols and the prevention of fraud, ... coding , and trending of non-compliant activities to enhance compliance proficiency and competency, understanding of standards and the consequences of… more