experience in a medical Coding Auditor role focused on provider and outpatient services preferred Licenses and Certifications... of our incredible teams. Want to learn more? Responsibilities Responsible for conducting medical records and coding related reviews...
as a Coding Auditor and shall: Monitor coding compliance through prebill and retrospective reviews or audits of ICD and/or CPT... innovation. Req ID : 14862 Working Title : Inpatient Coding Auditor Department : CSRC Coding Audit Business Entity : Cedars...
Coding Auditor contributes to AHF by conducting comprehensive reviews of medical documentation, coding, and billing to ensure... (AI) workflows, reviewing claims held by the AI, validating coding recommendations, and ensuring appropriate resolution. The auditor...
. Job Summary: Performs quality reviews and audits to ensure compliance with DRG validation, ICD-10/PCS, and CPT coding guidelines... as a subject matter expert (SME) in national coding guidelines for hospital inpatient and/or outpatient and will ensure compliance...
. Job Summary: Performs quality reviews and audits to ensure compliance with DRG validation, ICD-10/PCS, and CPT coding guidelines... as a subject matter expert (SME) in national coding guidelines for hospital inpatient and/or outpatient and will ensure compliance...
& auditor workload, set coding turnaround time expectations and deliverables. Oversee weekly scheduling of contract coders...(k) with company match to help plan for your future Purpose: The Manager of Facility Coding & Audit is an exempt, full-time remote...
The Senior HIM Coding Denials Management Specialist is a seasoned inpatient coding professional or coding auditor... and outpatient coding-related insurance claim denials, rejections, and DRG downgrades in compliance with all applicable federal...
Scheduled Bi-Weekly Hours 80 Work Shift Day: 8 hours Job Description The HIM PB Coding Manager is responsible for day...-to-day management, oversight, and quality assurance of professional billing coding operations, providing leadership...
Auditor PFS (Non RN) Location: Fountain Valley Department: Audit & Charge Capture Status: Full-time Shift: Days... and their staff and provide daily support to the Business Office and Coding Department. Essential Functions and Responsibilities...
Anticipated End Date: 2026-02-13 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG..., AP-DRG and APR-DRG) Job Description: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG...
: Southwest Healthcare is seeking a Full-Time RN Clinical Documentation Auditor/Educator who will support staff development... a partnership between CDI staff, Coding staff, Quality and Clinical Program staff, and providers. Provide education for accurate...
: Southwest Healthcare is seeking a Full-Time RN Clinical Documentation Auditor/Educator who will support staff development... a partnership between CDI staff, Coding staff, Quality and Clinical Program staff, and providers. Provide education for accurate...
Lead Auditor - Professional Fee Services Full-Time, Remote Why Join Us? At Managed Resources, were more than just... documentation for quality improvement measures. Perform accurate audits using applicable coding guidelines and client protocols...
SUMMARY The Claims Auditor assists in the Claims Department by analyzing procedures, policies and reports; ensures... operations; medical terminology; ICD-10, RVS, and CPT coding knowledge; knowledge of Medicare and Medi-Cal guidelines; 10-key...
), Certified Coding Specialist (CCS), or Certified Professional Medical Auditor (CPMA) Certified in Healthcare Compliance (CHC..., compassionate care for all. The Compliance Auditor supports Marin Community Clinics’ compliance, risk management, and quality...
Description Support compliance excellence at UCLA Health by joining our team as a Compliance Auditor, MAPD, focused... and/or equivalent experience. Certified Professional Coder (CPC) or Certified Coding Specialist (CCS), highly desired. 5 or more years...
clients, the auditor leverages deep clinical and coding expertise to identify improper payments, ensure documentation...Purpose The DRG Auditor Clinical Appeals is responsible for conducting comprehensive retrospective reviews...
. What will I be doing in this role? The Coding Auditor works under the general direction of the Coding Supervisor. A Coding Auditor... innovation. Req ID : 13340 Working Title : Outpatient Surgical and Claims Edit Auditor Department : CSRC Coding Audit...
schedules, coding guidelines, healthcare regulations and medical compliance. Monitors billing for trends. Communicates... designations such as coding certifications from AHIMA/AAPC/CMAS. Maintains strong written and verbal communication and negotiation...
Familiar with Medi0Cal and/or managed care claims processing. Knowledge of CPT, HCPC procedure coding, and ICD -9/ICD10... diagnostic coding. Typing speed 30 wpm and proficient use of 10-key calculator. Familiar with AMISYS or similar claims systems...