- Houston Methodist (GA)
- …remote must live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code ... and procedures, and coding and documentation training. + Assists with quality assurance (peer) reviews to ensure data integrity and accuracy of coding ,… more
- Elevance Health (Chicago, IL)
- …with vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of ... **DRG CODING AUDITOR ** **Location** : _This position...minimum of 5 years of experience in claims auditing, quality assurance , or recovery auditing. + Requires… more
- Elevance Health (Norfolk, VA)
- …with vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad, deep and niche ... **DRG Coding Auditor Principal** _Virtual: This role...minimum of 15 years of experience in claims auditing, quality assurance , or recovery auditing. + Requires… more
- Cognizant (Washington, DC)
- …mentoring to clients on coding , billing, and compliance best practices. - **Support Quality Assurance and Peer Review** . Perform peer reviews of coding ... a critical role in ensuring the accuracy, compliance, and quality of ICD-10-CM and ICD-10-PCS coding for...staff to maintain high standards of coding quality and consistency, ensuring a minimum accuracy rate of… more
- McLaren Health Care (Shelby Township, MI)
- …**Essential Functions and Responsibilities As Assigned** **:** 1. Responsible for completing quality assurance audits on professional coding specialists, ... onboarding audits and training of newly hired coding specialists, validating the coding specialist is accurately abstracting data into medical record systems,… more
- Novant Health (Winston Salem, NC)
- Job Summary Quality Assurance Auditor I + Conduct audits of revenue cycle team members' work across departments to ensure accuracy and compliance; provide ... being self-motivated. Proven analytical ability and organizational skills necessary to organize/assess quality assurance based on data analysis. Ability to act… more
- Capital One (Plano, TX)
- …Audit function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit ... Principal Auditor - Cyber, Risk & Analysis Technology Audit (Hybrid)...multiple priorities and tasks across the team to deliver quality results.** **-Coordinate with others and proactively take on… more
- Elevance Health (Costa Mesa, CA)
- …state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance , or clinical documentation improvement, and a minimum of 5 years ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
- CHS (Clearwater, FL)
- …diploma or equivalent is required + Experience in medical customer service, quality assurance , or insurance training is preferred. **Certificates, Licenses, ... **Overview** ** ** **Claims and Call Auditor (Call Center QC) - Clearwater, FL** **...Reviews Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) to determine proper category for benefit… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …Education may be substituted with experience on a one-to-one basis Preferred Experience Coding , auditing or quality assurance review experience. Bilingual ... as needed. + Collaborates with the medical billing team to improve the quality of clinical documentation for compliance, billing, coding , and reimbursement… more
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