- Prime Healthcare (Ontario, CA)
- … Coding (CAC) software. The Inpatient Coder Auditor Trainee finalizes the coding and abstracting of the medical record upon ensuring the assignment of ... to join our corporate team! Responsibilities The Inpatient Coder Auditor Trainee reviews and analyzes documentation present in the...for DRG validation/accuracy, primary role in assisting CDS and medical staff members with improving quality of… more
- CHS (Clearwater, FL)
- …experience is preferred + Knowledge of medical terminology + Knowledge of medical coding systems + Knowledge of Medicaid/Medicare Guidelines + Knowledge of ... Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance claims and...school diploma or equivalent is required + Experience in medical customer service, quality assurance, or insurance… more
- Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
- …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);...audits of encounters to identify areas of non-compliance in coding . They facilitate improved overall quality , completeness,… more
- Bozeman Health (Bozeman, MT)
- …compliance with applicable laws, regulations, payer rules, and internal policies. + Reviews medical and billing records for coding accuracy and medical ... Position Summary: The Compliance Auditor supports an effective compliance program by planning and executing risk-based audits, monitoring adherence to federal and… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …MS Office and other health record management systems. + Knowledge of quality management methodologies, medical record documentation, compliance requirements and ... + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance...regulations and trends in denials of services due to medical necessity or appropriateness of services. + Conducts compliance,… more
- Surgery Care Affiliates (Birmingham, AL)
- …systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy. What sets SCA Health apart isn't just what we ... make is rooted in seven core values: + Clinical quality + Integrity + Service excellence + Teamwork +...your health, well-being, and financial future. Our offerings include medical , dental, and vision coverage, 401k plan with company… more
- SSM Health (MO)
- …**Worker Type:** Regular **Job Highlights:** Exciting opportunity for an Corporate Responsibility Auditor Senior role SSM Health! Preferred RN background is a plus. ... Appeals denials which are found to be unsubstantiated through review of the medical record and/or billing information. Tracks assigned cases and enters data of audit… more
- Baystate Health (Springfield, MA)
- …None Listed **THE ADVANTAGES OF WORKING WITH BAYSTATE!** + Excellent Compensation High- quality , low-cost medical , dental and vision insurance + Generous PTO ... for performing a variety of diversified duties in connection with reviews of medical record documentation for professional billing to ensure it meets the AMA and… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …Bon Secours Mercy Health, we are dedicated to continually improving health care quality , safety and cost effectiveness. Our hospitals, care sites and clinicians are ... Job Functions** + Assists in the review of Bon Secours Mercy Health coding , billing and claims processing policies and procedures for the development of compliance… more
- HCA Healthcare (Falls Church, VA)
- …current Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical resources to ... join an organization that invests in you as a Coding Quality Audit Reviewer? At Parallon, you...Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for… more