- Veterans Affairs, Veterans Health Administration (North Charleston, SC)
- …with coding rules and regulations; initiates various reports and analyzes data . Facilitates improved overall quality , completeness, and accuracy of coded ... Johnson VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings,… more
- Insight Global (Plano, TX)
- …(DRG) validation and quality audits on inpatient charts to ensure accurate coding and compliance with federal regulations. This is a remote opportunity and the ... healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic Related Group...reflect the patient's clinical picture. Utilize ICD-10-CM and ICD-10-PCS coding systems to ensure proper code sequencing and accuracy.… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Network Provider Services Auditor performs audits as part of the Documentation and Coding Compliance Program ... In doing so, works with providers and their office staff, as well as the Coding and SLPG Billing Department. JOB DUTIES AND RESPONSIBILITIES: + Perform quality … more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role The Quality Control Auditor , objectively, systematically, and continuously assesses, assures monitors, evaluates, and improves the quality of ... to enrollments & maintenance, claims adjudication & adjustments, member & provider data integrity in the claim, pre-certification calls & customer service calls… more
- Bozeman Health (Bozeman, MT)
- Position Summary: The Compliance Auditor supports an effective compliance program by planning and executing risk-based audits, monitoring adherence to federal and ... partners with departments across the organization to assess billing, coding , privacy/security, and operational practices; identifies vulnerabilities; and recommends… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …with coding rules and regulations; initiates various reports and analyze data . Facilitates improved overall quality , completeness, and accuracy of coded ... Atlanta VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings,… more
- University of Washington (Seattle, WA)
- …intellectual excitement, artistic pursuits, and natural beauty. The senior healthcare auditor is responsible for the completion of internal audits within the ... work performed and conclusions drawn so other reviewers can follow the auditor 's logic and methodology. . Effectively evaluates audit results, weighing the… more
- Datavant (Dover, DE)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... Datavant is a data platform company and the world's leader in...workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …Bon Secours Mercy Health, we are dedicated to continually improving health care quality , safety and cost effectiveness. Our hospitals, care sites and clinicians are ... Job Functions** + Assists in the review of Bon Secours Mercy Health coding , billing and claims processing policies and procedures for the development of compliance… more
- Rush University Medical Center (Chicago, IL)
- …special projects individually or in collaboration with other departments. 13. Track coding quality and documentation improvements to measure ROI, organizational ... and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications * Experience… more
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