- WMCHealth (Valhalla, NY)
- … System (HCPCS) and identifying opportunities for improvement as well as assuring compliance with coding and documentation guidelines. In addition the coder is ... Network Practice Coder/ Auditor Company: NorthEast Provider Solutions Inc. City/State: Valhalla,...Responsibilities: + Using the current HCPCS, ICD and CPT coding guidelines, audits medical records for coding … more
- Insight Global (Plano, TX)
- …Group (DRG) validation and quality audits on inpatient charts to ensure accurate coding and compliance with federal regulations. This is a remote opportunity ... accurately reflect the patient's clinical picture. Utilize ICD-10-CM and ICD-10-PCS coding systems to ensure proper code sequencing and accuracy. Validate Present… more
- Stanford Health Care (Palo Alto, CA)
- …lead to appropriate execution of regulatory requirements and guidelines related to professional or facility and documentation, charging, coding and billing, ... is a Stanford Health Care job.** **A Brief Overview** The Charge Auditor performs auditing activities, including complex cases that require extensive research,… more
- Guthrie (Sayre, PA)
- …billing, coding , provider activity, and departmental processes to ensure compliance with regulatory standards. * Perform risk assessments to identify areas of ... Position Summary The Healthcare Compliance Analyst & Examiner is responsible for ensuring...clinical management. * Strong knowledge of medical terminology, anatomy, coding guidelines (CPT, ICD-10/11, HCPCS), payer requirements, and reimbursement… more
- University of Washington (Seattle, WA)
- **Job Description** The senior healthcare auditor is responsible for the completion of internal audits within the clinical integrated parts of the University of ... ownership or membership interest. Senior auditors plan and conduct financial, operational, compliance and system audits. They are expected to have internal audit… more
- Intermountain Health (Murray, UT)
- **Job Description:** This position utilizes clinical expertise, expert coding knowledge and critical thinking skills to work collaboratively with internal ... compliance to research medical records procedures and testing accuracy...We're looking for a compassionate, sharp, and collaborative RN Auditor ready to make an impact in a fast‑paced,… more
- Cleveland Clinic (Cleveland, OH)
- …as RHIT, CPC, or CPA + Experience in clinical operations, revenue cycle, or compliance auditing + RHIT, CPC, or other auditing/ coding certifications + Strong ... most respected healthcare organizations in the world. As a Senior Internal Auditor , you will conduct audit procedures for assigned audits, including evaluating the… more
- Amergis (Cleveland, OH)
- …all cases in compliance with CMS policies and procedures and official coding guidelines + Keeps abreast of coding guidelines and reimbursement reporting ... independently + Engages in professional development activities to maintain professional certification + Reviews coding reference material including Medical… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete reimbursement to the health ... timely manner. + Prepares trend and other reports for compliance audits and charge processes. + Serves as a...reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. +… more
- Dartmouth Health (Lebanon, NH)
- …systems and processes supporting operational and compliance objectives. Performs complex professional and facility (DRG or APC) coding and billing audits ... issues and/or professional or facility chart abstraction, CPT and ICD-9 coding and clinical documentation education required. * An understanding of health care… more
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