- 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
- Prime Healthcare (Ontario, CA)
- …assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Inpatient Coder Auditor Trainee finalizes the ... Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5...to join our corporate team! Responsibilities The Inpatient Coder Auditor Trainee reviews and analyzes documentation present in the… 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 ... reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. +...State license. + Certified Professional Coder required. + Certified Outpatient Coder (COC; formerly CPC-H) required within 1 year… more
- Molina Healthcare (Iowa City, IA)
- …and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules ... principles and state specific policies and regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing… more
- Trinity Health (Ann Arbor, MI)
- …and applicable appeal data gathering. Responsible for retrospective charge reviews, and Outpatient CDI reviews and assistance with third party charge audits. May ... Knowledge of and experience in case management and utilization management. Outpatient CDI experience preferred. Knowledge of insurance and governmental programs,… more
- Houston Methodist (Houston, TX)
- …professional teaching/training experience **LICENSES AND CERTIFICATIONS - REQUIRED** + For inpatient/ outpatient coding : RHIT, RHIA, or CCS certification from ... fee coding ); and ICD-10-CM, ICD-10-PCS and HCPCS (includes CPT) (for inpatient/ outpatient coding ) coding classification systems + For inpatient/… more
- Texas Health Resources (Arlington, TX)
- …human anatomy and physiology, pathophysiology, and pharmacology. Expertise in office and outpatient coding , report preparation, data analysis, and proficiency in ... Coding & Documentation Review - Assist the audit team with inpatient, outpatient , and provider coding assessments to ensure assigned codes are supported by… more
- HCA Healthcare (Falls Church, VA)
- …of our team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... (routine, pre-bill, policy driven and incentive plan driven) for inpatient and/or outpatient coding across multiple HSCs + Assists in ensuring HSC coding … more
- St. Luke's University Health Network (Allentown, PA)
- …Professional Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth knowledge of ICD CM, ICD PCS and ... coding systems. Must be proficient in DRG/APC structure, National Correct Coding Initiatives, ICD CM/PCS Official Guidelines, Outpatient Prospective Payment… more
- UNC Health Care (Chapel Hill, NC)
- …such as coding , clinical documentation, charge capture, and EPIC. The auditor should be familiar with clinical documentation and charge capture methodologies. 2. ... advanced ability to listen carefully and follow directions. The Auditor should ask for clarification and seek guidance when...advanced knowledge of CPT, ICD 9 and ICD 10 coding . Interprets both inpatient and outpatient services… more