- WellSpan Health (York, PA)
- …**Duties and Responsibilities** **Essential Functions:** + Performs proactive or reactive coding compliance reviews as needed to identify or quantify potential ... action and performs follow up reviews where necessary. + Assists with coding compliance implementation throughout the WellSpan. + Assists in the development and… more
- University of Utah Health (Salt Lake City, UT)
- …are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA_ This ... position audits the accuracy and completeness of diagnosis and procedure coding , DRG assignment, and abstracted data to support that appropriate reimbursement and… more
- Elevance Health (Nashville, TN)
- **Claims Auditor I, II and Senior** **Location :** This role enables associates to work virtually full-time, with the exception of required in-person training ... for employment, unless an accommodation is granted as required by law._ The **Claims Auditor I** is responsible for pre and post payment and adjudication audits of… more
- Cedars-Sinai (Los Angeles, CA)
- …us one of America's Best Hospitals. **What will I be doing in this role?** The Coding Auditor works under the general direction of the Coding Supervisor. A ... Federal Coding Guidelines. Duties include: + Performs quality coding reviews or audits within established...13340 **Working Title** : Outpatient Surgical and Claims Edit Auditor **Department** : CSRC Coding Audit **Business… more
- Mount Sinai Health System (New York, NY)
- …and related professions). + Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist ... **Job Description** **Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue Auditor for the Mount… more
- Community Health Systems (Franklin, TN)
- …admission (POA) indicators, discharge disposition, and any other relevant data to ensure coding accuracy. The auditor is also responsible for writing and ... **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for...non-RAC accounts, reviewing patient records for accuracy in ICD-10-CM/PCS coding , DRG assignments, and supporting clinical documentation. This includes… more
- HCA Healthcare (Nashville, TN)
- …**_Note: Eligibility for benefits may vary by location._** Come join our team as a Coding Quality Audit Reviewer. We care for our community! Just last year, HCA ... Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for...personal growth, we encourage you to apply for our Coding Quality Audit Reviewer opening. We promptly… more
- FlexStaff (Chappaqua, NY)
- …reviews to ensure records are complete, accurate, and support proper billing and coding - Audit anesthesia records focusing on quality , completeness, and ... **Req Number** 172252 Surgical Anesthesia Compliance AuditorCompliance Auditor MUST HAVE CPC CERTIFICATON This is a HYBRID position- MUST be in the office located in… more
- University of Michigan (Ann Arbor, MI)
- DRG COMPLIANCE AUDITOR (DCA) **Early Site Maintenance** We are performing updates and maintenance to our applicant experience. As a result, the site will be ... and check certain inpatient records to make sure the coding is correct and follows rules for ICD-10 codes....patient care and hospital reimbursements. + Continuously check the quality of clinical documentation to find incomplete or inconsistent… more
- Humana (Corpus Christi, TX)
- …of our caring community and help us put health first** The Home Health Quality Auditor ensures clinical documentation meets CMS regulations, OASIS accuracy, and ... accuracy, and completeness, helping reduce audit risk and billing delays. The auditor monitors QA metrics, identifies trends, and collaborates with leadership to… more