- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …healthcare? Bring your true colors to blue. About the Role: The Professional Auditor is responsible for post-pay review to verify the accuracy of claims ... the Plans' provider agreements and the National Healthcare guidelines. The Professional Auditor helps improve clinical outcomes and quality of care, to reduce… more
- Houston Methodist (Houston, TX)
- …division, numerous physician practices and several free-standing emergency rooms and outpatient facilities . Overall, Houston Methodist employs more than 27,000 ... At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in...accuracy in code assignment of diagnosis and procedure to outpatient and/or inpatient encounters based upon documentation within the… more
- BayCare Health System (Raleigh, NC)
- …Our network consists of 16 community-based hospitals, a long-term acute care facility , home health services, outpatient centers and thousands of physicians. ... PM + **Days:** Monday - Friday The Inpatient Coding Auditor is a full-time remote position. _Sign on bonuses...etc. + Performs special audits for specific issues within facility Inpatient claims. + Acts as the Liaison for… more
- Veterans Affairs, Veterans Health Administration (IN)
- …coding, including ambulatory surgical cases, diagnostic studies and procedures, and outpatient encounters, and inpatient facility coding, including inpatient ... coding changes is crucial to the accuracy of the facility database as well as all cost recovery programs...codes, including appropriate E/M assignment and modifier usage for outpatient health records. Audit function includes evaluation of clinical… more
- Houston Methodist (Houston, TX)
- …division, numerous physician practices and several free-standing emergency rooms and outpatient facilities . Overall, Houston Methodist employs more than 27,000 ... At Houston Methodist, the Sr. Internal Auditor is responsible for independently planning, coordinating, and...- State Licensure **OR** + CIA - Certified Internal Auditor (IIA) **OR** + CFE - Certified Fraud Examiner… more
- Avera (Sioux Falls, SD)
- …and presentation of educational workshops and seminars for Avera, including non-Avera facilities A successful Auditor also assists leadership with monitoring and ... management (coding) in acute, long term, and ambulatory care facilities . **What you will do** + Audits hospital/clinic coded...of Professional Coders (AAPC) Upon Hire or + Certified Outpatient Coder (COC) - American Academy of Professional Coders… more
- Rush University Medical Center (Chicago, IL)
- …on the circumstances of each case. **Summary:** The Billing Coding Auditor uses advanced knowledge of billing, coding, auditing, documentation requirements, and ... accurate and timely capture of all chargeable procedures. The Billing Coding Auditor also monitors interfaces and ancillary software related to charging, and codes,… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Risk Adjustment Clinical Auditor /Analyst position in the Medicare department. This is a full time position working ... Monday through Friday daylight hours and will be fully remote.. The Clinical Auditor /Analyst is an integral part of the Risk Adjustment Department and is responsible… more
- Robert Half Accountemps (Cincinnati, OH)
- Description We are looking for a detail-oriented Medical Coding Auditor to join our team in Cincinnati, Ohio. In this Contract-to-Permanent position, you will play a ... critical role in ensuring the accuracy and compliance of outpatient medical coding processes. This role is ideal for professionals with a strong background in… more
- CVS Health (IN)
- …Coder) required **Preferred Qualifications** + CPMA (Certified Professional Medical Auditor ), CDEO (Certified Documentation Expert Outpatient ) or CPC-I ... for physicians and other qualified healthcare providers in the office and/or facility setting. + Thorough knowledge of coding guidelines and regulations to meet… more