- Marshfield Clinic (Marshfield, WI)
- …Revenue Integrity is responsible for reviewing medical records to facilitate proper professional and/or facility coding of assigned specialties performed within ... allied providers, managers, and staff in regard to various coding and/or Medicare/Medicaid policy issues. The Nurse Auditor...Nurse license awarded by the State of Wisconsin. + Coding certification awarded by American Academy of Professional… more
- Sanford Health (WI)
- …Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC) or ... to ensure that the organization's processes and operations are in compliance with laws, corporate guidelines, best practices, and contractual agreements.… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …investigation. This role requires a deep understanding of medical claims adjudication, coding compliance , and regulatory guidelines. You will be responsible for ... Mountlake Terrace, Washington.** **What you'll do:** + Perform intermediate-level audits of professional and facility claims including more complex coding and… more
- Veterans Affairs, Veterans Health Administration (Cheyenne, WY)
- …coded information for the full spectrum of services provided by the VAMC. Timely compliance with coding changes is crucial to the accuracy of the facility ... guidance to various levels of staff to promote consistency in practice and compliance with coding rules and regulations; initiates various reports and analyzes… more
- Surgery Care Affiliates (Birmingham, AL)
- …ensure compliance with regulatory requirements , as well as support SCA Health 's compliance program . The Compliance Auditor will work with all Support ... in healthcare compliance (CHC) Other considerations (not requirements): + Project management experience + Coding experience USD $60,000.00/Yr. USD $70,000.00/Yr. more
- Capital One (Mclean, VA)
- Principal Auditor - Cyber, Risk and Analysis Technology Audit Capital One's Audit function is a dedicated group of professionals focused on delivering top-quality ... a dynamic and challenging atmosphere for both personal growth and professional opportunity. Capital One is seeking an energetic, self-motivated Principal Technology… more
- Veterans Affairs, Veterans Health Administration (IN)
- …coded information for the full spectrum of services provided by the VAMC. Timely compliance with coding changes is crucial to the accuracy of the facility ... a MRT (Coder). Auditors serve as experts of current coding conventions and guidelines related to professional ...Auditors perform audits of encounters to identify areas of non- compliance in coding . They facilitate improved overall… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Compliance 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...and aberrations. Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding , and… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …+ Conduct entry-level audits of professional and facility claims to ensure coding accuracy and compliance with contractual, coding , payment policy, and ... audits to identify improper payments due to billing errors, coding discrepancies, and policy non- compliance . Audits include...education and experience. + (1) year of related medical coding or auditing experience. + Certified Professional … more
- St. Luke's University Health Network (Allentown, PA)
- …Provider Services Auditor performs audits as part of the Documentation and Coding Compliance Program for professional services billed by providers ... and meet with providers to perform education for the professional service documentation and coding audits of...+ Assisting with the development of training materials for compliance education and training modules. Provides training classes to… more