, the auditor supports accurate professional coding, optimizing reimbursement, and mitigating compliance risks. Key... for professional coding services. This role involves reviewing patient records, clinical documentation, and coded data to identify...
accuracy, completeness, and compliance of medical coding and documentation for professional coding services. This role involves... professional coding, optimizing reimbursement, and mitigating compliance risks. Key responsibilities include conducting...
Job Summary: The Clinical Documentation Integrity (CDI) Auditor must be good at problem-solving, clinical and coding knowledge... audits provider documentation, CDI and coding accuracy to confirm or find ways to improve proper documentation. CDI auditor...
Anticipated End Date: 2026-03-13 Position Title: Clinical Provider Auditor I Job Description: Clinical Provider... Auditor I Location: Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration...
Anticipated End Date: 2026-03-11 Position Title: Clinical Provider Auditor Senior Job Description: Clinical... Provider Auditor Senior Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration...
Overview: Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional..., GA Description: The Senior Compliance Auditor - Healthcare Provider provides expert leadership in evaluating and strengthening the...
Description The Senior Compliance Auditor - Healthcare Provider provides expert leadership in evaluating... and Medicaid billing rules Clinical documentation and coding standards HIPAA Privacy and Security Rules Physician compensation...
, as well as internal policy coding systems to ensure account completeness. Designated as the first point of contact... prior to underwriting review; documents discrepancies and work with the premium auditor for resolution. Performs quality...
. Possess an in-depth understanding of coverages and program structures, as well as internal policy coding systems to ensure... premium auditor for resolution. Performs quality control of adjustments prior to underwriting review; documents...
: Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified Coding Specialist – Physician... and peer-to-peer data. Supports the improvement of overall coding and billing practices of the physician professional services...