- 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
- Huron Consulting Group (Chicago, IL)
- …phone, email, and instant messaging with various client teams and payers. The Medical Coding Representative will report to the Huron Managed Services Domestic ... Coding team. The Medical Coding ... Coding team. The Medical Coding Analyst will report to the...and appeals. + 2+ years of experience as a coding auditor with proven accuracy and compliance.… more
- Houston Methodist (Houston, TX)
- …Instructor (AAPC) -- (CBO Coders only) **OR** + CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders only) **KNOWLEDGE, SKILLS, AND ABILITIES** ... assignment systems + Official coding guidelines and coding compliance + Working knowledge of medical ...and coding compliance + Working knowledge of medical terminology, anatomy and physiology, disease processes and pharmacology… more
- Trinity Health (Albany, NY)
- … & Audit to develop and implement provider documentation improvement plans. Ensures medical documentation and coding compliance with Federal, State and Private ... claim is submitted to payers. . Demonstrate a solid understanding of ICD-10-CM coding and medical terminology, Hierarchical Condition Category (HCC), and MEAT… more
- St. Luke's University Health Network (Allentown, PA)
- … coding audit activities. The incumbent will also review and validate coded medical records of the Professional Coding (PC) staff to determine data quality ... Professional Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth knowledge of ICD CM, ICD PCS and… more
- Texas Health Resources (Arlington, TX)
- …APC, ICD-10-CM/PCS, CPT, HCPCS coding , modifiers, NCCI edits, and official coding guidelines. Strong understanding of medical terminology, human anatomy and ... Manager Compliance Coding _Are you looking for a rewarding career...establishing management correction plans when necessary. Additionally, the Compliance Auditor Manager effectively communicates audit findings through reports, presentations,… more
- BJC HealthCare (St. Louis, MO)
- …preferred! + Working knowledge of EXCEL and MS Publisher. **Overview** **BJC Medical Group** is the multi-specialty physician-led organization of BJC HealthCare and ... who are affiliated with top-ranked hospitals in the Midwest region. Since 1994, BJC Medical Group has provided access to extraordinary care in over 145 locations and… more