• CA Pert Senior Case Reviewer

    City of New York (New York, NY)
    …IN THE PRINCIPLE ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The Office of Quality Assurance & Fiscal Integrity ensures the integrity, efficiency, and regulatory ... legal and federal, state and city regulatory requirements. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with… more
    City of New York (05/14/25)
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  • Coding Audit Training Specialist

    Intermountain Health (Broomfield, CO)
    …creates appeals for all payer and regulatory denials and downgrades and provides in-depth coding review , audit findings, and appeal strategies. + Develops ... **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides...coding patterns and trends. + Participates in hospital quality improvement initiatives to assure accurate reimbursement + Participates… more
    Intermountain Health (07/16/25)
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  • Senior Compliance Coding Analyst…

    Houston Methodist (Houston, TX)
    …specific practices. Serves a subject matter expert. + Effectively communicates audit results to faculty and staff. ** QUALITY /SAFETY ESSENTIAL FUNCTIONS** ... At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and… more
    Houston Methodist (05/30/25)
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  • Inpatient Coding Quality Associate

    R1 RCM (Jenkintown, PA)
    …expect as out Coding Quality Associate:** + Audits records as defined in the coding quality review plan. + Review cases flagged by the coding ... sophisticated analytics, AI, intelligent automation, and workflow orchestration. The **Inpatient Coding Quality Associate** will be responsible for reviewing… more
    R1 RCM (07/22/25)
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  • Pro Fee Coding Quality Review

    HCA Healthcare (Brentwood, TN)
    …Do you want to join an organization that invests in you as a Pro Fee Coding Quality Review Educator? At Parallon, you come first. HCA Healthcare has ... difference. We are looking for a dedicated Pro Fee Coding Quality Review Educator like... coding strongly preferred. + Inpatient/outpatient professional fee coding experience required. + Previous audit experience… more
    HCA Healthcare (07/12/25)
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  • Clinical Denials Coding Review

    HCA Healthcare (Dallas, TX)
    …is recognized. Submit your application for the opportunity below:Clinical Denials Coding Review SpecialistParallon. **Benefits** Parallon, offers a total rewards ... vary by location._** We are seeking a Clinical Denials Coding Review Specialist for our team to...met in compliance with departmental policies and procedures + Review Medicare Recovery Audit Contractor (RAC) recoupment… more
    HCA Healthcare (07/19/25)
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  • Coding Data Quality Auditor

    CVS Health (Jefferson City, MO)
    …all with heart, each and every day. **Position Summary** **Responsible for performing quality inter-rater review audits of medical records coded by internal team ... of 2 years recent and related experience in medical record documentation review , diagnosis coding , and/or auditing.** **Preferred Qualifications** **5 years… more
    CVS Health (07/18/25)
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  • Senior Inpatient Coding Manager

    HCA Healthcare (Nashville, TN)
    …and you have the opportunity to make a difference. We are looking for a dedicated Inpatient Coding Audit Manager like you to be a part of our team. Job Summary ... Improvement (CDI) audits, and special project reviews. The IP Coding Audit Manager position will work on...fieldwork; and proposing modifications to current procedures to improve audit effectiveness and efficiency. + Performs quality more
    HCA Healthcare (07/15/25)
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  • Facility Coding Inpatient DRG…

    Banner Health (OH)
    …teams with different focuses (Facility vs Profee)._ In this **Inpatient Facility-based HIMS Coding Quality Associate** position, you bring your **5 years of ... team that values growth and development! This is a Quality position, not a day-to-day coding production...audit of clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that … more
    Banner Health (06/15/25)
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  • Inpatient Clinical & Coding Specialist…

    Independent Health (Buffalo, NY)
    …a clinical setting or utilizing a coding system (ICD-10 or PCS) required. Coding audit experience in an inpatient setting preferred. + Knowledge of ICD-10-CM ... knowledge and auditing skills evidenced by their ability to train others, to identify coding patterns and share knowledge and audit tips across the team. The… more
    Independent Health (07/15/25)
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