- Dayton Children's Hospital (Dayton, OH)
- Facility:Work From Home - OhioDepartment:Payer Enrollment AdministrationSchedule:Full timeHours:40Job Details:The Internal Coding Auditor plays a pivotal ... involved in coding processes for facility and professional services. The Internal Coding Auditor regularly conducts detailed coding audits and… more
- Humana (Columbus, OH)
- …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 ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- Highmark Health (Columbus, OH)
- …require Inpatient (AHIMA) credentials._** **GENERAL OVERVIEW:** Performs all related internal , concurrent, prospective and retrospective coding audit activities. ... Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier… more
- Cognizant (Columbus, OH)
- **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 ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance + Perform Peer Reviews of...minimum accuracy rate of at least 98% while meeting internal productivity standards set by company + Maintain productivity… more
- CVS Health (OH)
- …by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. + Proven ability to support coding judgment ... providers in the office and/or facility setting. + Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical… more
- Elevance Health (Mason, OH)
- **Clinical Provider Auditor II** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, ... unless an accommodation is granted as required by law. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that may pose… more
- Elevance Health (Columbus, OH)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Coinbase (Columbus, OH)
- …on the importance of controls, an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of executing projects ... Excel, Word and PowerPoint. * Basic scripting experience in coding languages such as Python, Ruby, etc. *Nice to...or comprehensive working knowledge of the Chartered Institute of Internal Auditor practice. * Understanding of international… more
- CVS Health (OH)
- …for conducting complex audits, reviews and assessments of medical records coded by internal teams prior to the submission to the Centers of Medicare and Medicaid ... documentation in accordance with all State and Federal regulations and internal policies and procedures. Contributes to compliance reporting and documentation,… more
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