- Elevance Health (Indianapolis, IN)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The ** Provider Auditor ** conducts on-site ... ** Provider Auditor ** _This position will work...** Provider Auditor ** _This position will work a hybrid model...or any combination of education and experience, which would provide an equivalent background. RN, LPN or medical… more
- CVS Health (IN)
- …CRC ( Certified Risk Adjustment Coder) required **Preferred Qualifications** + CPMA ( Certified Professional Medical Auditor ), CDEO ( Certified ... Summary** Responsible for performing quality inter-rater review audits of medical records coded by internal team (CDQA and Sr...+ Leads dispute resolution. + Acts as mentor to provide education to internal staff based on audit findings;… more
- Highmark Health (Indianapolis, IN)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with ... related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding,… more
- Elevance Health (Indianapolis, IN)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR ** is responsible for ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines,… more
- Cognizant (Indianapolis, IN)
- **About the role** As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... and regulatory guidelines + Complete reports as requested + Provide ICD-10-CM and ICD-10-PCS education and mentoring to Company's...Federal, state and payer regulations + Capable of interpreting medical records reports and chart entries + Able to… more
- Datavant (Indianapolis, IN)
- …As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate ... severity of a patient's health stats, **You will:** + Provide education through detailed feedback within audits. + ...+ High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified… more
- CVS Health (IN)
- …and every day. **Position Summary** Responsible for performing audit and abstraction of medical records ( provider and/or vendor) to identify and submit ICD codes ... evidence and tools. + Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare… more
- Sedgwick (Indianapolis, IN)
- …+ Provides daily updates to client manager. + Modifies activity if required. + Provide client updates. + Manages auditor expenses: + Reviews and approves ... achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work(R) Fortune Best Workplaces in… more
- Humana (Indianapolis, IN)
- …+ Bachelor's Degree + Advanced certification such as Certified Public Accountant, Certified Information Systems Auditor , or Certified Internal Auditor ... Please be aware that applicants may be asked to provide their Social Security Number, if it is not...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Cardinal Health (Indianapolis, IN)
- …certifications such as CIPT ( Certified Information Privacy Technologist), CISA ( Certified Information Systems Auditor ), CISSP ( Certified Information ... CAH) is a global healthcare services and products company. We provide customized solutions for hospitals, healthcare systems, pharmacies, ambulatory surgery centers,… more
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