- Veterans Affairs, Veterans Health Administration (IN)
- …experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding , and the structure and format of a health ... courses in medical terminology, anatomy and physiology, medical coding , and introduction to health records);...in this occupation and meet the criteria). Grade Determinations: Medical Records Technician (Coder) Auditor , GS-9 (Above… more
- UPMC (Pittsburgh, PA)
- …technical school diploma is preferred. + 3 or more years of experience in medical coding , billing, auditing and compliance. + Extensive knowledge of CMS, and ... Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified … more
- UPMC (Pittsburgh, PA)
- …standards, and organize multiple projects and tasks. + In-depth knowledge of medical terminology,ICD-10-CM and CPT-4 coding . Knowledge of health insurance ... 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… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …Healthcare guidelines. The Professional Auditor helps improve clinical outcomes and quality of care, to reduce medical expenses by conducting audits The ... Auditor will be a subject matter expert regarding coding and billing. The Professional Auditor , under...CPB certifications a plus. + 1-3 years' experience in medical coding and auditing - experience in… more
- UPMC (Pittsburgh, PA)
- …or comparable technical school diploma is preferred. + 1 year of experience in medical coding , auditing, billing and compliance. + Knowledge of CMS and ... Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified … more
- Methodist Health System (Dallas, TX)
- …of experience for auditing and abstracting. **_Preferred_** : Certified Professional Medical Auditor (CPMA) certification from AAPC **_Experience/Knowledge_** : ... appropriate E&M level and CPT assignment **or** 4-5 years of multispecialty coding experience. Thorough knowledge of anatomy/ medical terminology. Proficient with… more
- Elevance Health (Mendota Heights, MN)
- …is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
- Robert Half Accountemps (Boston, MA)
- Description Job Title: Medical Claims Auditor - RN Auditor Location: Massachusetts - 90% Remote Job Type: 1 Year Contract - Potential for Perm Hire Hours: 40 ... Start Date: December 1, 2025 Job Description We are seeking a qualified Auditor with healthcare experience to support Program Integrity activities for a state… more
- Insight Global (South Jordan, UT)
- …(2 years in clinical documentation) OR IF NOT A NURSE: Degree in RHIM, RHIA, RHIT with medical coding degree or just CCS is fine with strong clinical knowledge ... and APR-DRG payment systems. This position is responsible for auditing inpatient medical records and generating high- quality recoverable claims for the benefit… more
- St. Luke's University Health Network (Allentown, PA)
- … and SLPG Billing Department. JOB DUTIES AND RESPONSIBILITIES: + Perform quality audits to include reviewing medical record documentation for completeness ... to pay for health care. The Network Provider Services Auditor performs audits as part of the Documentation and...to perform education for the professional service documentation and coding audits of both office and in-patient medical… more