- CVS Health (Trenton, NJ)
- …regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient ... providers in the office and/or facility setting. + Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical… more
- Virtua Health (Mount Laurel, NJ)
- …depending on meetings with clinicians. Job Summary: Responsible for professional fee (pro-fee) coding quality and audits, education and training, etc. for CPT, ... documentation and reimbursement. Policies and Procedures: Developing policies and procedures on coding , data abstraction and compliance for VMG. Documenting and… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex...to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where… more
- Highmark Health (Trenton, NJ)
- …and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation ... and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management,… more
- Datavant (Trenton, NJ)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data ... platform is powered by the largest, most diverse health data network in the US, enabling data ...to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical… more
- Atlantic Health System (Morristown, NJ)
- Responsible for coding quality audits of all records (outpatient, inpatient, procedures, testing) to assure appropriateness and accurate code assignments in ... the providers and staff; also responsible for assisting with coding inquiries from providers, charge posters, billing staff, etc....identify incomplete or inconsistent documentation that could impact the quality of data being reported + Audits… more
- Intermountain Health (Trenton, NJ)
- **Job Description:** The goal of the Clinical Documentation Specialist- Auditor is to improve the accuracy of the overall clinical picture and the representation of ... illness of patients through improved clinical documentation and diagnostic coding practices. Job Essentials Reviews medical records documentation for reimbursement,… more
- Hackensack Meridian Health (Edison, NJ)
- …advanced coding education and training with a strong foundation in E/M Coding . + Knowledge of data reporting requirements and proficiency in computer skills. ... general direction of the **Physician Billing (PB) Director of Coding and Manager of Education and Audit** , this...in a multi-specialty practice. + Minimum 3 years of quality improvement audit experience. + Exhibit strong project management… more
- Coinbase (Trenton, NJ)
- …importance of controls, an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of executing projects and internal ... * Solid analytical and problem solving skills, with high standards for quality , accuracy and attention to detail. * Excellent written and verbal communication… more
- MUFG (Jersey City, NJ)
- …control partners, and business stakeholders. + Ensure controls address data confidentiality, integrity, availability, and non-repudiation, with clear delineation of ... reports + Participate in security governance of SDLC, design reviews and secure coding standards (OWASP) + Utilize the MITRE ATT&CK framework to identify and… more
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