- 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
- 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
- Datavant (Dover, DE)
- …mouse, headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship ... you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding … 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
- Texas Health Resources (Arlington, TX)
- Manager Compliance Coding _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates like ... Resources + Core work hours: Monday - Friday; 8:00a-5:00p; Position Summary The Coding Compliance Manager oversees and manages auditing and monitoring activities… more