- 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
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- Are you passionate about ensuring accuracy and compliance in clinical coding ? The Professional and Ancillary Audit Department at BCBST is seeking a dedicated ... Coding Auditor to join our team and perform thorough claims payment quality and clinical coding compliance audits\. Your role will be pivotal in… 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
- 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
- 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
- Elevance Health (Atlanta, GA)
- **Nurse Auditor Senior - Payment Integrity Complex and Clinical Audit** **Location:** This role enables associates to work virtually full-time, with the exception of ... and works with service operations to improve processes and compliance + Notifies areas of identified problems or providers,...and a working knowledge of CPT/HCPCS and ICD 9 coding and medical policy guidelines strongly preferred + BA/BS… more
- US Tech Solutions (Whittier, CA)
- …date: Immediately** **Contract length: 3 months** **POSITION SUMMARY** The Claims Auditor assists in the Claims Department by analyzing procedures, policies and ... Knowledge of HMO/or IPA operations; medical terminology; ICD-10, RVS, and CPT coding knowledge; knowledge of Medicare and Medi-Cal guidelines; 10-key skills by… more
- CIBC (IL)
- …assurance for our technology and business processes. As a Senior Auditor , Information Technology, you'll conduct risk-focused audits, advise business partners on ... internal controls, and help ensure compliance with CIBC policies, accounting standards, and regulatory requirements....degree in** Accounting, Finance, or Information Systems, and a professional designation such as CISA, CRISC, or CPA, or… more