journey. Through compassionate care, we focus on our patient’s quality of life, empowering them to make the most of their time... where you matter. Compliance Auditor (Non-Clinical) Position Overview The Compliance Auditor is responsible for assisting with the...
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...
Auditor/Educator With minimal supervision directly supports the following responsibilities of the Coding and documentation... quality assurance (CDQA) team: implementation of and compliance to enterprise-wide and department coding policies...
and Coding Specialist (CBCS) Certified Professional Coder (CPC) Certified Professional Medical Auditor (CPMA) Certified... journey. Through compassionate care, we focus on our patient’s quality of life, empowering them to make the most of their time...
. As such, we are a leading authority in payment integrity solutions. The Outpatient Payment Integrity Coder Auditor is responsible for reviewing... outpatient medical claims to ensure coding accuracy, compliance, and appropriate payment in accordance with CMS and payer...
from audits, the CDI Educator/DRG Auditor will provide system wide education and training to CDI team, Coding team, medical...) Educator/DRG Auditor role involves reviewing inpatient medical records to identify documentation opportunities to accurately...
Auditor performs medical claim audits to identify overpaid claims, through review of billing and coding policies, provider..., provider coding and billing, payment integrity, and special investigation units. Our software-as-a service applications...
Job Category: Healthcare Auditing Job Description: In this fully remote position as an HCD Auditor.... Responsibilities: Conduct HCPCS coding reviews to verify the accuracy of the coding assignment and reimbursement on high cost drug...
Job Category: Healthcare Auditing Job Description: In this fully remote position as a Home Health Auditor... and move claims through workflow process correctly. Meet or exceed EXL established program productivity and quality goals...
processes. As a Senior Auditor, Information Technology, you’ll conduct risk-focused audits, advise business partners on internal... causes. Collaboration – Work closely with audit team members, stakeholders, and management to deliver high-quality audit...
-driven team as a Corporate Responsibility Auditor Senior, where your expertise in compliance and healthcare coding... for an Corporate Responsibility Auditor Senior role SSM Health! Preferred RN background is a plus. Job Summary: Join our mission...
a partnership between CDI staff, Coding staff, Quality and Clinical Program staff, and providers. Provide education for accurate..., Risk of mortality, Quality of Care, and Accurate Reporting for Clinical Programs. Utilize Official Coding Guidelines, AHA...
Anticipated End Date: 2026-02-26 Position Title: DRG Clinical Validation Auditor (RN/Claims Reviewer...) Job Description: DRG Clinical (RN) Validation Auditor Virtual: This role enables associates to work virtually full-time...
a partnership between CDI staff, Coding staff, Quality and Clinical Program staff, and providers. Provide education for accurate..., Risk of mortality, Quality of Care, and Accurate Reporting for Clinical Programs. Utilize Official Coding Guidelines, AHA...
documentation for quality improvement measures. Perform accurate audits using applicable coding guidelines and client protocols... to audit team and Supervisor. Perform quality assurance reviews on team members to ensure accurate coding as assigned by the...
what we do, as individuals and professionals, every day. The Outpatient Coding Educator/Auditor is an essential member of the Outpatient Coding... program which extends to all aspects of outpatient coding, including coding claim edits and performs/coordinates quality...
team, and The Power of Every One. Job Title Senior Internal Auditor (Clinical) Location Independence Facility... with one of the most respected healthcare organizations in the world. As a Senior Internal Auditor, you will conduct audit...
, and compassion - must guide what we do, as individuals and professionals, every day. The Outpatient Coding Educator/Auditor... and performs/coordinates quality assurance reviews to a high degree of coding quality within the department. In addition...
. Growing together. In this position as a Clinical DRG RN auditor, you will apply your expert knowledge of the MS-DRG and APR...-DRG coding/reimbursement methodology systems, ICD-10 Official Coding Guidelines, and AHA Coding Clinic Guidelines in the...
. Growing together. In this position as a Clinical DRG RN auditor, you will apply your expert knowledge of the MS-DRG and APR...-DRG coding/reimbursement methodology systems, ICD-10 Official Coding Guidelines, and AHA Coding Clinic Guidelines in the...