- University of Southern California (Los Angeles, CA)
- …with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded ... Coding Guidelines, AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also, provide detailed reports, Excel spreadsheets, … more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. *This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the ... + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of performing all audits… more
- Humana (Sacramento, CA)
- …part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ... direction and receives guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct CPT coding assignments.… more
- Sharp HealthCare (San Diego, CA)
- …issues.Schedules and provides 1:1 training to provider to ensure maximum coding compliance guidelines are followed.Evaluates the inpatient and outpatient ... support to SRS management, physicians, administrative and support staff for coding , documentation and compliance .Provides support with TES/CM edit resolution… more
- Datavant (Sacramento, CA)
- …you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding ... workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...of reviews, using appropriate assignment of codes and other coding -related elements using MS DRG or APR DRGs. +… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ... is complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require interpretation and… more
- Datavant (Sacramento, CA)
- …you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding ... Seeking a profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Will Do:** + Performs Professional Fee … more
- Datavant (Sacramento, CA)
- …you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding ... the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma...strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and… more
- University of Southern California (Los Angeles, CA)
- …conducts meetings to evaluate department charge processes to improve charge capture and coding compliance . The Senior RI Specialist also coordinates with Keck ... to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement. The… more
- Providence (Oakland, CA)
- …billing and coding practices; and providing education related to coding , medical record documentation requirements, healthcare compliance and fraud, waste ... Healthcare Fraud Investigator (AHFI) upon hire. + Certification as an Internal Auditor or Healthcare Compliance certification upon hire. + Clinical background.… more
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