- Premera Blue Cross (Mountlake Terrace, WA)
- …serve through our Healthsource blog: https://healthsource.premera.com/ . The **Medical Coding Auditor ** plays a crucial role in ensuring the accuracy and compliance ... leveraging a deep understanding of ICD-10 and other coding standards, the auditor reviews and researches provider diagnostic coding issues, performs detailed medical… more
- Osceola Medical Center (Osceola, WI)
- …initiatives to improve coding accuracy, productivity, and revenue integrity. The Coding Auditor Leader collaborates with clinical , compliance, and revenue cycle ... Job Description Job Description Job Description Summary: The Coding Auditor Leader is responsible for overseeing and supporting the team of medical coders to ensure… more
- Regal Medical Group (Los Angeles, CA)
- …the umbrella of the HCC industry: Requires knowledge in HCC Coding documentation guidelines. Requires technical expertise in ICD-9-CM or ICD-10-CM. Strong skills in ... audit and review. Regulatory requirements for coded data. Medical record documentation requirements. Understanding of healthcare data systems. Proficiency in MS… more
- Lyric (Newtown Square, PA)
- …as a medical coder, medical claims adjuster, medical claims processor, chart reviewer/ auditor , denial management analyst, clinical editing analyst, or payment or ... The team member serves as subject matter expert on clinical content and editing topics. This role is vital...with ClaimsXten editing best practices + Author client facing documentation to support implementation of incremental edits + Maintain… more
- Northern Light Radiology Associates, Inc (Hollywood, FL)
- …healthcare regulations (including HIPAA where applicable) Support audits by providing documentation and responding to auditor requests. Collaborate with internal ... departments such as operations and clinical leadership to resolve billing issues. Assist with process...Environment On Site - Hollywood, Florida Office Interaction with clinical , operational, and administrative teams May require handling sensitive… more
- embecta (Parsippany, NJ)
- …toward predetermined long-range goals and objectives. Creates and supports documentation . Considered functional level Subject Matter Expert. Will be assigned ... relations, PMS, complaint trending, MDR submissions, FDA regulations, GMP and clinical laboratory functions. + Knowledge of US and International regulations and… more
- National Medical Services Inc (Horsham, PA)
- …Summary: NMS Labs has developed an extensive menu of more than 2,500 Clinical and Forensic toxicology tests to support clients in healthcare, public health, and ... completed. Participates in Continuous Quality Improvement efforts. Approved to be a lead auditor in the NMS Labs Internal Audit Program. Writes reports of audit… more
- UNC Health Care (Chapel Hill, NC)
- …travel from entity to entity across the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow ... we serve. Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities that are owned or… more
- Insight Global (Plano, TX)
- …more years working in an acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). -CCS Certification RN or BSN ... policy bulletins, CMS guidelines, NCDs, and LCDs. Adhere to coding guidelines and Clinical Documentation Improvement (CDI) best practices as endorsed by ACDIS… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Clinical Auditor /Analyst Intermediate! The Clinical Auditor /Analyst Intermediate is an integral part ... establishes and revises better best practice within the department. The Clinical Auditor /Analyst Intermediate creates, maintains and analyzes auditing reports… more
