- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- CenterWell (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor extracts clinical information from a variety of medical ... medical codes (eg, ICD-10-CM, CPT) to patient records. The ** Medical Coding Auditor ** work assignments are varied and frequently require interpretation… more
- Cognizant (Trenton, NJ)
- **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 ... and ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance + Perform Peer Reviews of...Federal, state and payer regulations + Capable of interpreting medical records reports and chart entries + Able to… more
- Highmark Health (Trenton, NJ)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
- WelbeHealth (Trenton, NJ)
- …is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring ... in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole… more
- Virtua Health (Mount Laurel, NJ)
- …education and training, etc. for CPT, ICD-10-CM, and HCPCS codes for Virtua Medical Group clinicians and coding department. This includes performing internal ... Audit Response: Conducts Trains new coders to utilize the medical record, clinical, coding and abstracting systems, in conjunction with UHDDS and other rules… more
- Datavant (Trenton, NJ)
- …As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability… more
- Atlantic Health System (Morristown, NJ)
- …College a plus * Work Experience in the business of healthcare which includes: Medical Terminology and Coding and billing experience #LI-AW1 At Atlantic Health ... Responsible for coding quality audits of all records (outpatient, inpatient,...codes and professional fee services performed by providers from medical records according to ICD-10, CPT, HCPCS, and CMS… more
- CVS Health (Trenton, NJ)
- …**Required Qualifications** + Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + CPC ... every day. **Position Summary** Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that… more
- Elevance Health (Woodbridge, NJ)
- …is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
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