- Nuvance Health (Danbury, CT)
- …findings for educational programs for both coding personnel and clinical staff.Requires advanced expertise in medical terminology, anatomy, physiology, ... policies, State and Federal regulatory and reimbursement guidelines, maintains compliance while optimizing appropriate revenue opportunities 3.QA activities including… more
- Albany Medical Center (Albany, NY)
- …Day (United States of America) Salary Range: $60,367.47 - $90,551.20 Professional Coding Auditor will apply an advanced professional coding skill set to act as a ... ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines. Provide… more
- Insight Global (Houston, TX)
- …A large healthcare employer in Houston, TX is seeking a Physician Educator & Auditor to join their growing team. This team will consist of provider auditors and ... to ensure the documentation is correct and effective from a coding and clinical perspective. The ideal candidate needs to be comfortable building rapport with… more
- UC Health (Cincinnati, OH)
- …an inclusive, equitable and diverse place of employment. The Charge Master Auditor is responsible for executing charge related audits. They assist in evaluating ... compliance related services that resolve charging discrepancies and provide...charging discrepancies and provide charging related outreach education to clinical departments on charging processes and procedures. Instrumental in… more
- Houston Methodist (Houston, TX)
- …TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and ... based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines. This position… more
- US Tech Solutions (Newark, NJ)
- …with potential extends or Convert** **Job Description:** + The HEDIS Nurse Auditor is responsible for conducting quality audits related to state audits, HEDIS ... Conduct on-site reviews at provider offices to assess record quality and compliance with documentation standards. + Prepare reports summarizing findings and provide… more
- Dartmouth Health (Lebanon, NH)
- …coding, billing, reimbursement, efficiency and effectiveness of operations and compliance with rules and regulations. Researches, analyzes and interprets laws ... control theory to evaluate systems and processes supporting operational and compliance objectives. Performs complex professional and facility (DRG or APC) coding… more
- Northwell Health (Westbury, NY)
- …a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Conducts Home Health Resource Group (HHRG) Validation to ensure the ... reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. + Applies coding rules and… more
- Fresenius Medical Center (Malvern, PA)
- …and presents reports including, but not limited to, Medical Record Delinquency Rates, Clinical Pertinence, H & P Compliance , Operative Note Compliance ... data quality audits of outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical … more
- Centene Corporation (Jefferson City, MO)
- …the auditing of corporate, health plan, and specialty company staff related to clinical systems entry and/or processes + Develop and maintain the audit process and ... the use of audit process and tools + Facilitate compliance with the auditing process + Act as a...auditing outcomes and system maintenance with the Sr. + Clinical Systems Specialist to resolve or enhance clinical… more