Overview This position reports to the Director of Healthcare Compliance. Responsibilities include conducting billing and coding audits, and communicating results and recommendations to providers, management, and executive administration. This role will provide training and education to providers
Coding Compliance Auditor Conducts coding compliance audits of inpatient and outpatient encounters to validate code assignment. Follows the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that are integral to appropriate payment methodology.
Data Quality Auditor Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to
divh2Senior Profee Coding Auditor/h2pInsight Global is seeking a Senior Profee Coding Auditor to support a healthcare consulting organization that partners with providers nationwide to improve coding accuracy, compliance, and revenue integrity through auditing and education services. This individual will perform physician-side
Compliance Auditor, Billing and Coding Compliance The Compliance Auditor, Billing and Coding Compliance is responsible for the oversight and management of auditing and monitoring billing and coding compliance activities, assist with internal compliance policies and procedures, completing compliance risk assessments, and
Clinical Coding Specialist At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes
We are searching for a Medical Compliance Auditor - someone who works well in a fast-paced setting. In this position, you will review and approve or deny medical claim appeals and perform clinical audits of medical records
About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to
We’re excited you’re considering joining a great place to work! Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect and is proud to be an equal opportunity employer. All qualified applicants
Palm Primary Care is seeking an MRA Educator & Auditor to join our team. The MRA Educator & Auditor is an essential member of the Managed Care team helping to ensure the accuracy of our patient’s medical records
Job Posting Title:Provider Coding Education Specialist - Hiring Department:Dell Medical School - Position Open To:All Applicants - Weekly Scheduled Hours:40 - FLSA Status:Non-Exempt from FLSA - Earliest Start Date:Immediately - Position Duration:Expected to Continue - Location:AUSTIN, TX
Healthcare Compliance Auditor At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes
Medical Compliance Auditor We are searching for a Medical Compliance Auditor - someone who works well in a fast-paced setting. In this position, you will review and approve or deny medical claim appeals and perform clinical audits of
Join Texas Mutual Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect and is proud to be an equal opportunity employer. All qualified applicants are encouraged to apply and will receive
Premium Auditor At Berkley Entertainment, we have over 25 years of underwriting risks in Entertainment & Sports. Our one focus is entertainment insurance. We bring our decades of entertainment experience together to go beyond the basics, providing
Remote MSDRG Auditor Category: Analytics and Emerging Digital Technologies Main location: United States, Georgia, Atlanta Alternate Location(s): United States, North Carolina, Charlotte United States, Tennessee, Knoxville United States, Texas, Dallas United States, Texas, Houston Position ID: J0226-0664
Internal Auditor The Internal Auditor executes independent, risk-based audits and advisory engagements across financial, operational, compliance, and technology domains, expanding beyond traditional controls testing to incorporate process modernization, data-driven audit methodologies, and audit-defensible automation. The role partners closely
Clinical Review Auditor I The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will determine correct DRG/coding as defined by review methodologies specific to the
divh2Coding Specialist/h2pIntegrative Emergency Services, LLC (IES) is seeking a Coding Specialist with emphasis on surgical services. The Coding Specialist is responsible for accurate professional fee coding and documentation review for assigned surgical service lines (URSA/NTCC/TSN). This role evaluates medical
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your