- Atlantic Health System (Morristown, NJ)
- …providers, and billing department + Provides clarification on coding and compliance policies Required: * CPC Certification * Minimum 6 months experience in ... responsible for assisting with coding inquiries from providers, charge posters, billing staff, etc. Principal Accountabilities: Coordinates, schedules, performs the … more
- Humana (Providence, RI)
- …business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance , by ... data requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional , you will develop and/or evaluate compliance … more
- St. Luke's University Health Network (Allentown, PA)
- …Luke's Providers, Leadership, and Support Staff, Coders, and Billing Staff around professional coding and compliance . The Coding and Compliance Educator ... ability to pay for health care. The Provider Services Auditor & Educator is a certified medical coder who...a candidate who is proactive, mature, dynamic, consistent with professional appearance and demeanor, and has the ability to… more
- Catholic Health (Kenmore, NY)
- …8-4pm Summary: The Catholic Health (CH) Health Information Management (HIM) Educator/ Auditor is responsible for providing Provider Coding education, including but ... with physicians and mid-level providers, Physician Enterprise leadership, provider billing leadership and others to ensure that CHS/Trinity-employed providers… more
- Elevance Health (Mason, OH)
- …and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete reimbursement to the health ... + Serves as a resource to hospital departments regarding compliance with billing regulations and trends in...Nurse holding a valid Compact State license. + Certified Professional Coder required. + Certified Outpatient Coder (COC; formerly… more
- Highmark Health (Harrisburg, PA)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code… more
- Children's Mercy Kansas City (Kansas City, MO)
- …of children beyond the walls of our hospital. Overview The Charge Capture Auditor /Educator is directly responsible for establishing and monitoring day to day ... trends and charge capture processes for assigned clinical departments to ensure compliance with federal regulations and CMH charge capture protocols. At Children's… more
- Trinity Health (Boise, ID)
- …required to perform essential functions. Epic experience preferred. 15. Fast-paced professional central billing environment requiring flexibility to adapt to ... **Employment Type:** Full time **Shift:** Day Shift **Description:** The Coding Auditor & Educator performs medical record audits including analysis of medical… more
- UNC Health Care (Chapel Hill, NC)
- …Abilities Requirements:** * Strong knowledge of ICD-10/PCS/CPT/HCPCS coding and billing compliance (MS-DRGs/IPPS, APC/OPPS) with excellent analytical and ... and appeals insurance coding denials. This position analyzes coded records for compliance with federal, state and third party insurer rules and regulations and… more