- University of Washington (Seattle, WA)
- …**Desired Qualifications** . Master's Degree in business, accounting or related discipline . Medical coding knowledge or experience . RN or equivalent provider ... intellectual excitement, artistic pursuits, and natural beauty. The senior healthcare auditor is responsible for the completion of internal audits within the… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Officer the main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or guidelines and professional ... coding and billing audits. Duties/Responsibilities: Analysis of ...guidelines and apply standards. Familiarity with health information and/or medical records. Able to organize work, prioritize assignments and… more
- Humana (Corpus Christi, TX)
- …community and help us put health first** The Home Health Quality Auditor ensures clinical documentation meets CMS regulations, OASIS accuracy, and Medicare ... accuracy, and completeness, helping reduce audit risk and billing delays. The auditor monitors QA metrics, identifies trends, and collaborates with leadership to… more
- New York State Civil Service (New York, NY)
- …sampling and/or advanced statistical training.* Knowledge of the healthcare industry and medical coding concepts (CPT, ICD-9 / 10, DRGs) and/or experience ... HELP No Agency Attorney General, Office of the Title Forensic Auditor : Investigate Complex Medicaid Fraud (6414) Occupational Category Financial, Accounting,… more
- Sharp HealthCare (San Diego, CA)
- …Administrative Contractor) requirements. **Required Qualifications** + 3 Years experience auditing coding and medical record documentation in an ambulatory care ... guidelines and procedures to assist in provider's understanding of requirements for medical documentation and coding .Performs training for new providers with… more
- Amergis (Cleveland, OH)
- …by the American Health Information Management Association + Adheres to Official Coding guidelines, CMS policies and regulations and Medical Center's policies ... in professional development activities to maintain professional certification + Reviews coding reference material including Medical Center specific coding… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete ... regulations and trends in denials of services due to medical necessity or appropriateness of services. + Conducts compliance,...reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. +… more
- CIBC (IL)
- …assurance for our technology and business processes. As a Senior Auditor , Information Technology, you'll conduct risk-focused audits, advise business partners on ... component. CIBC offers a full range of benefits and programs, including Medical , Dental, Vision, Health Savings Account, Life Insurance, Disability, Paid Time Off,… more
- Datavant (Dover, DE)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...EMRs. **What We Offer:** + Benefits for Full-Time employees: Medical , Dental, Vision, 401k Savings Plan w/match, 2 weeks… more
- Dartmouth Health (Lebanon, NH)
- …audit and monitor completeness, accuracy and timeliness of documentation, coding , billing, reimbursement, efficiency and effectiveness of operations and compliance ... compliance objectives. Performs complex professional and facility (DRG or APC) coding and billing audits across all clinical specialties. Responsibilities * Plans… more