- Veterans Affairs, Veterans Health Administration (IN)
- …workload, accepted nomenclature, and proper sequencing. They directly consult with the clinical staff for clarification of conflicting or ambiguous clinical ... accepted nomenclature, and proper sequencing. Directly consults with the professional staff for clarification of conflicting or ambiguous clinical data.… more
- Atlantic Health System (Morristown, NJ)
- …feedback and analysis of the education needs for the providers and staff ; also responsible for assisting with coding inquiries from providers, charge posters, ... billing staff , etc. Principal Accountabilities: Coordinates, schedules, performs the professional...records for physician practices. + Evaluates the quality of clinical documentation to identify incomplete or inconsistent documentation that… more
- Dignity Health (Phoenix, AZ)
- **Job Summary and Responsibilities** The Charge Auditor performs a clinical audit of the accuracy and completeness of all patient charges across the Surgical ... Services division bolstering management's control structure the organization's compliance function and internal audit's effectiveness. The clinical charge audit… more
- Bristol Myers Squibb (Princeton, NJ)
- …in their personal lives. Read more: careers.bms.com/working-with-us . Position Summary The Senior Auditor in GIA will work in a team environment to plan and execute ... processes, and key third-party outsourcing arrangements. Throughout the audits, the Senior Auditor will have the opportunity to interact with senior management and… more
- AdventHealth (Orlando, FL)
- …you'll contribute:** The Surgical and Procedural Services Safety and Regulatory Compliance Auditor evaluates the surgical and procedural environment, policies, ... and procedures to ensure compliance with all regulatory standards and regulations. Responsible for...and regulations. Responsible for performing routine readiness rounding in clinical areas to identify areas of opportunity and prepare… more
- Albany Medical Center (Albany, NY)
- …processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance ... Day (United States of America) Salary Range: $60,367.47 - $90,551.20 Professional Coding Auditor will apply an advanced professional coding skill set to act as a… more
- CVS Health (Topeka, KS)
- … clinical expertise in either written or verbal forms including communication with clinical or coding staff , federal regulators and vendor coding resources. + ... risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal...+ Acts as mentor to provide education to internal staff based on audit findings; provides general education on… more
- Highmark Health (Nashville, TN)
- …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... works with external resources to present final audit findings to department staff , physicians and appropriate individuals. (20%) + Validates the ICD-CM, ICD-PCS, CPT… more
- Bristol Myers Squibb (Indianapolis, IN)
- …planning, executing, and reporting on internal and external audits to ensure compliance with applicable GxP regulations (GMP, GLP, GCP), internal procedures, and ... and service providers in accordance with the audit program. + Evaluate compliance with applicable regulatory requirements (eg, FDA, EMA, ICH), internal SOPs, and… more
- Nuvance Health (Danbury, CT)
- …on audit findings for educational programs for both coding personnel and clinical staff .Requires advanced expertise in medical terminology, anatomy, physiology, ... policies, State and Federal regulatory and reimbursement guidelines, maintains compliance while optimizing appropriate revenue opportunities 3.QA activities including… more