- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... coding guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor 's work assignments are varied and frequently require interpretation… more
- Humana (Columbus, OH)
- **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
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor reviews a variety of medical records and to ... terminology and medical codes (eg, ICD-10-CM, CPT.) The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- Elevance Health (Mason, OH)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR ** is responsible ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _...**DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's… more
- Elevance Health (Cincinnati, OH)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG Coding Auditor Principal** is ... **DRG Coding Auditor Principal** **_Virtual: _** _...**DRG Coding Auditor Principal** **_Virtual: _** _ _ This role...business, and its clients. Specializes in review of DRG coding via medical record and attending physician's… more
- WelbeHealth (Columbus, OH)
- …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
- Humana (Columbus, OH)
- …Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is ... determination of the appropriate courses of action. The Nurse Auditor 2 validates and interprets medical documentation...medical documentation to ensure capture of all relevant coding . Applies clinical and coding experience to… more
- Elevance Health (Mason, OH)
- …is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure ... **Title:** 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
- Amergis (Cleveland, OH)
- …by the American Health Information Management Association + Adheres to Official Coding guidelines, CMS policies and regulations and Medical Center's policies ... in professional development activities to maintain professional certification + Reviews coding reference material including Medical Center specific coding… more
- Elevance Health (Mason, OH)
- …accounting and control principles and a working knowledge of CPT/HCPCS and ICD 9 coding and medical policy guidelines strongly preferred + BA/BS preferred + ... **Nurse Auditor Senior - Payment Integrity Complex and Clinical...Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Nurse Audit Senior** will be responsible… more