- Virtua Health (Mount Laurel, NJ)
- …on meetings with clinicians. Job Summary: Responsible for professional fee (pro-fee) coding quality and audits, education and training, etc. for CPT, ICD-10-CM, and ... HCPCS codes for Virtua Medical Group clinicians and coding department. This includes performing internal audits, overseeing external audits, and providing education… more
- Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
- …management. Demonstrated Knowledge, Skills, and Abilities (KSAs) Advanced knowledge of current outpatient coding classification systems such as ICD, CPT, and ... to deal with individuals at all organizational levels. Preferred Experience: Outpatient /Inpatient coding experience References: VA Handbook 5005/122 Appendix G57… more
- HCA Healthcare (Nashville, TN)
- …Apply Today! **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... like family! Jump-start your career as a DRG Validation Auditor today with Parallon. **This position is a fully...policy driven and incentive plan driven) for inpatient and/or outpatient coding across multiple HSCs + Assists… 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-Option to work remote or hybrid.** The Clinical Revenue … more
- UPMC (Pittsburgh, PA)
- …APC, APG or ICD10-CM, HCPCS, CPT, Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient / outpatient , DRG prospective payment ... **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and… more
- Veterans Affairs, Veterans Health Administration (IN)
- …of the patient. Ability to accurately perform the full scope of outpatient coding , including ambulatory surgical cases, diagnostic studies and procedures, ... meet the criteria). Grade Determinations: Medical Records Technician (Coder) Auditor , GS-9 (Above journey level): Experience: One year of...and outpatient encounters, and inpatient facility coding , including… more
- UPMC (Pittsburgh, PA)
- …APC, APG or ICD10-CM, HCPCS, CPT, Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient / outpatient , DRG prospective payment ... **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about...role is crucial in maintaining the integrity of our coding and billing processes, ensuring they meet state and… more
- UPMC (Pittsburgh, PA)
- …review the assigned HCC diagnosis codes and apply the appropriate inpatient or outpatient coding guidelines, AHA coding clinics, ICD-10-CM or government ... has an exciting opportunity for a Risk Adjustment Clinical Auditor /Analyst position in the Medicare department. This is a...are supported within the audit year, and utilize AHA Coding clinics, ICD-10-CM Coding Guidelines, CPT … more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …audits The Professional Auditor will be a subject matter expert regarding coding and billing. The Professional Auditor , under the direction of Audit manager, ... true colors to blue. About the Role: The Professional Auditor is responsible for post-pay review to verify the...reviewing medical record documentation for compliance of billing and coding for Outpatient /ASC claims preferred + Microsoft… more
- Hartford HealthCare (Hartford, CT)
- …and coding audits may include professional, facility (inpatient and outpatient ), home health and skilled nursing facilities. The Revenue Compliance Auditor ... become part of Connecticut's most comprehensive healthcare network. The Revenue Compliance Auditor contributes to the success of the Office of Compliance and… more