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Certified Risk Adjustment Coder, RN (Remote)

VNSNY New York New York United States
(No Timezone Provided)

OverviewQuality Reviewer/Auditor will be responsible for establishing and administering the Quality Assurance Programs in Risk Adjustment for internal coders and external vendor coders.ResponsibilitiesThe Auditor will develop and lead the risk adjustment coding audit processes. Functions of this rol...

Coding Quality Expert (Inpatient Auditor) - REMOTE - SIGN-ON BONUS!!

CorroHealth None null United States
(No Timezone Provided)

Overview The Coding Quality Auditor will be responsible for performing Diagnostic Related Group (DRG) validation and ensuring the coding quality of charts reviewed by the Physician Teams, a two-person team consisting of an MD Reviewer and a Coding Quality Expert (CQE). Coding Quality Auditor will do...

IP Coding Auditor - Remote

CoxHealth Springfield Missouri United States
(No Timezone Provided)

Summary Job Summary The Inpatient Coding Auditor/Trainer will work with the Inpatient Coder Trainee, Inpatient Coder I, II and III to ensure that their coding is meeting Quality accuracy based on Coding Guidelines and other rules set forth to govern Coding practices. This includes the Offic...

CoxHealth IP Coding Auditor - Remote

CoxHealth Springfield Missouri United States
(No Timezone Provided)

Summary Job Summary The Inpatient Coding Auditor/Trainer will work with the Inpatient Coder Trainee, Inpatient Coder I, II and III to ensure that their coding is meeting Quality accuracy based on Coding Guidelines and other rules set forth to govern Coding practices. This includes the Offic...

Coding Prebill Auditor (Remote)

WellStar Atlanta Georgia United States
(No Timezone Provided)

JOB DESCRIPTION Overview How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every p...

Senior Compliance Auditor II - Remote

Atrium Health Charlotte North Carolina United States
(No Timezone Provided)

Job SummaryTrains team members and performs coding audits. Reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD9/10-CM and CPT 4 codes for billing internal and external reporting, research and regulatory compliance. Assists Coding Director, C...

Coding Compliance Auditor/Educator-Remote, Must be based in CA

Memorial Care Fountain Valley California United States
(No Timezone Provided)

Purpose Statement / Position Summary Under the direction of the Coding Compliance Manager, the Coding Compliance Auditor/Educator will play a key role in reviewing and analyzing post claim data for accuracy and compliance with federal and state coding guidelines and regulations. The Coding Complianc...

REMOTE- Professional Coding Auditor

Tower Health West Reading Pennsylvania United States
(No Timezone Provided)

Responsibilities REMOTE- Professional Coding Auditor The Professional Coding Auditor provides quality documentation review and analysis to support accuracy of coding documentation. Reviews professional encounters to compare CPT E/M levels and ICD-10 diagnosis codes to the physicians’ docum...

Compliance Auditor - Remote

Parexel Traverse City Michigan United States
(No Timezone Provided)

SUMMARYThe Compliance Auditor is well versed in healthcare regulations, policies, and procedures, and serves as a protector of revenue for the Munson Healthcare System (Munson) through the completion of formal audits and the provision of various advisory/consultative services. These audits include m...

Compliance Auditor - Remote

Munson Medical Center Traverse City Michigan United States
(No Timezone Provided)

SUMMARY The Compliance Auditor is well versed in healthcare regulations, policies, and procedures, and serves as a protector of revenue for the Munson Healthcare System (Munson) through the completion of formal audits and the provision of various advisory/consultative services. These audits include ...

IP Coding Auditor - Remote

CoxHealth Springfield Missouri United States
(No Timezone Provided)

Summary Job Summary The Inpatient Coding Auditor/Trainer will work with the Inpatient Coder Trainee, Inpatient Coder I, II and III to ensure that their coding is meeting Quality accuracy based on Coding Guidelines and other rules set forth to govern Coding practices. This includes the Official Codin...

IP Coding Auditor - Remote

CoxHealth Springfield Missouri United States
(No Timezone Provided)

Summary* Job Summary* The Inpatient Coding Auditor/Trainer will work with the Inpatient Coder Trainee, Inpatient Coder I, II and III to ensure that their coding is meeting Quality accuracy based on Coding Guidelines and other rules set forth to govern Coding practices. This includes the Official Cod...

Remote Outpatient Auditor - Hospital

Joseph Michaels International Atlanta Georgia United States
(No Timezone Provided)

Seeking a Remote Outpatient Coding Auditor (Hospital) to join our elite team of Auditors with a background in hospital coding, billing, and reimbursement. Strong written and verbal communication skills a must! The culture embraces those that demonstrate a deep passion for solving the problems of h...

Remote Outpatient Auditor - Hospital

SearchStars Atlanta Georgia United States
(No Timezone Provided)

Seeking a Remote Outpatient Coding Auditor (Hospital) to join our elite team of Auditors with a background in hospital coding, billing, and reimbursement. Strong written and verbal communication skills a must! The culture embraces those that demonstrate a deep passion for solving the problems of h...

Remote Outpatient Auditor - Hospital

Tri-S Recruiters, Inc. Atlanta Georgia United States
(No Timezone Provided)

Seeking a Remote Outpatient Coding Auditor (Hospital) to join our elite team of Auditors with a background in hospital coding, billing, and reimbursement. Strong written and verbal communication skills a must! The culture embraces those that demonstrate a deep passion for solving the problems of h...

Remote Outpatient Auditor - Hospital

Alan N. Daum And Associates Atlanta Georgia United States
(No Timezone Provided)

Seeking a Remote Outpatient Coding Auditor (Hospital) to join our elite team of Auditors with a background in hospital coding, billing, and reimbursement. Strong written and verbal communication skills a must! The culture embraces those that demonstrate a deep passion for solving the problems of h...

Remote Outpatient Auditor - Hospital

CMA Midwest Atlanta Georgia United States
(No Timezone Provided)

Seeking a Remote Outpatient Coding Auditor (Hospital) to join our elite team of Auditors with a background in hospital coding, billing, and reimbursement. Strong written and verbal communication skills a must! The culture embraces those that demonstrate a deep passion for solving the problems of h...

Remote Outpatient Auditor - Hospital

Enterprise Search Associates Atlanta Georgia United States
(No Timezone Provided)

Seeking a Remote Outpatient Coding Auditor (Hospital) to join our elite team of Auditors with a background in hospital coding, billing, and reimbursement. Strong written and verbal communication skills a must! The culture embraces those that demonstrate a deep passion for solving the problems of h...

Remote Outpatient Auditor - Hospital

Precisionmachining.jobs Atlanta Georgia United States
(No Timezone Provided)

Seeking a Remote Outpatient Coding Auditor (Hospital) to join our elite team of Auditors with a background in hospital coding, billing, and reimbursement. Strong written and verbal communication skills a must! The culture embraces those that demonstrate a deep passion for solving the problems of h...

Remote Coding Compliance Auditor

Conifer Health Solutions Frisco Texas United States
(No Timezone Provided)

Description :As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities an...

REMOTE Inpatient Coder

Sigma Systems Inc Longview Texas United States
(No Timezone Provided)

Job Description - Inpatient Auditor -Coding Specialist - Irving, TX - 13-week Contract Sigma Inc. is currently looking for Inpatient Auditor -Coding Specialist to work onsite in Irving. POSITION: Inpatient Auditor -Coding Quality Specialist REPORTS TO: Billing Manager EMPLOYEE STATUS: Contract POSIT...

Senior Coding Specialist

Livanta Annapolis Junction Maryland United States
(No Timezone Provided)

Summary Senior Coding Specialist Livanta is expanding its Medicare QIO operations! Multiple full and part time openings available! Searching for qualified senior coding specialist (SCSs) with experience validating assignments of Medicare Severity Diagnosis Related Groups (MS-DRGs) that are used by...

VA Remote Inpatient Professional Fee Coder

Cooper Thomas Washington Washington DC United States
(No Timezone Provided)

Remote VA Experienced Inpatient Professional Fee Medical CodersSummaryAs a result of recent new contracts awarded under the new 5-year VHA National Medical Coding BPA, Cooper Thomas, LLC, a leading provider of medical coding services to the Department of Veterans Affairs (VA), has immediate openings...

Coder Auditor II - Telecommute

UnitedHealth Group Saint Petersburg Florida United States
(No Timezone Provided)

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care dat...

Compliance Auditor - Partially REMOTE

Lexington Medical Center Columbia South Carolina United States
(No Timezone Provided)

Job Summary Analyze and audit LMC systems of the Physician Network and the hospital medical record data to determine if charges billed are supported by appropriate medical documentation. Monitors risk areas and conducts focused audits as identified by the Compliance Audit Manager. Prepares repo...

Senior Coding Audit Analyst, SIU (Remote)

Oscar Health New York New York United States
(No Timezone Provided)

Hi, we're Oscar. We’re hiring a Senior Coding Audit Analyst to join our SIU team.  Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we wou...

Clinical Validation Auditor - Remote (anywhere US)

Change Healthcare Washington District of Columbia United States
(No Timezone Provided)

The Clinical Review Auditor is responsible for performing accurate Clinical Validation Audits of inpatient medical records to validate diagnoses. The Clinical Review Auditor also screens claim data and responds to provider appeals. The Clinical Review Auditor works closely with DRG Analysts and p...

Clinical Validation Auditor - Remote (anywhere US)

Change Healthcare None California United States
(No Timezone Provided)

The Clinical Review Auditor is responsible for performing accurate Clinical Validation Audits of inpatient medical records to validate diagnoses. The Clinical Review Auditor also screens claim data and responds to provider appeals. The Clinical Review Auditor works closely with DRG Analysts and p...

Clinical Validation Auditor - Remote (anywhere US)

Change Healthcare None Georgia United States
(No Timezone Provided)

The Clinical Review Auditor is responsible for performing accurate Clinical Validation Audits of inpatient medical records to validate diagnoses. The Clinical Review Auditor also screens claim data and responds to provider appeals. The Clinical Review Auditor works closely with DRG Analysts and p...

Clinical Validation Auditor - Remote (anywhere US)

Change Healthcare None Nebraska United States
(No Timezone Provided)

The Clinical Review Auditor is responsible for performing accurate Clinical Validation Audits of inpatient medical records to validate diagnoses. The Clinical Review Auditor also screens claim data and responds to provider appeals. The Clinical Review Auditor works closely with DRG Analysts and p...

Clinical Validation Auditor - Remote (anywhere US)

Change Healthcare None Rhode Island United States
(No Timezone Provided)

The Clinical Review Auditor is responsible for performing accurate Clinical Validation Audits of inpatient medical records to validate diagnoses. The Clinical Review Auditor also screens claim data and responds to provider appeals. The Clinical Review Auditor works closely with DRG Analysts and p...

Clinical Validation Auditor - Remote (anywhere US)

Change Healthcare Maine Maine United States
(No Timezone Provided)

The Clinical Review Auditor is responsible for performing accurate Clinical Validation Audits of inpatient medical records to validate diagnoses. The Clinical Review Auditor also screens claim data and responds to provider appeals. The Clinical Review Auditor works closely with DRG Analysts and p...

Coding Quality Senior Auditor - Remote

Tenet Health Frisco Texas United States
(No Timezone Provided)

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the bus...

CRC Coding Auditor - Remote (Flexible Scheduling)

Conifer Health Solutions Frisco Texas United States
(No Timezone Provided)

Description As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succee...

CRC Coding Auditor - Remote (Flexible Scheduling)

Tenet Health Frisco Texas United States
(No Timezone Provided)

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the bus...

Audit & Coding Consultant - Remote Work (must reside in AZ)

HonorHealth Phoenix Arizona United States
(No Timezone Provided)

Overview:HonorHealth is a non-profit, local community healthcare system serving an area of 1.6 million people in the greater Phoenix area. The network encompasses six acute-care hospitals, an extensive medical group, outpatient surgery centers, a cancer care network, clinical research, medical educa...

HB Coding Educator/Auditor - Remote

LCMC Health New Orleans Louisiana United States
(No Timezone Provided)

POSITION TITLE: HB CODING EDUCATOR/AUDITOR - REMOTE This position has the possibility to be remote after training. The Coding Educator and Auditor will coordinate coding audits and education functions of LCMC system coding services. This individual will be responsible for managing and working the ed...

PB Coding Educator/Auditor - Remote

LCMC Health New Orleans Louisiana United States
(No Timezone Provided)

POSITION TITLE: PB CODING EDUCATOR/AUDITOR This position has the potential to be remote after training. The Coding Educator and Auditor will coordinate coding audits and education functions of LCMC system coding services. This individual will be responsible for managing and working the edit and deni...

Coder Auditor II - Telecommute

UnitedHealth Group None Florida United States
(No Timezone Provided)

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care dat...

Inpatient DRG Coding Auditor Remote (Must reside in AZ)

HonorHealth Phoenix Arizona United States
(No Timezone Provided)

Overview:HonorHealth is a non-profit, local community healthcare system serving an area of 1.6 million people in the greater Phoenix area. The network encompasses six acute-care hospitals, an extensive medical group, outpatient surgery centers, a cancer care network, clinical research, medical educa...

Coder Auditor II - Telecommute

UnitedHealth Group Atlanta Georgia United States
(No Timezone Provided)

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care dat...

Coding Operations Supervisor (OPS/Specialty/Edits) Remote

Spectrum Health Grand Rapids Michigan United States
(No Timezone Provided)

CURRENT SPECTRUM HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Spectrum Health team members only.Job DescriptionRemote work for this position may be approved based on policy and business considerations.Job SummaryReports to th...

Coding Compliance Auditor - Remote

Tenet Health Frisco Texas United States
(No Timezone Provided)

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the bus...

Coding Compliance Auditor - Remote

Conifer Health Solutions Frisco Texas United States
(No Timezone Provided)

Description As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succee...

Senior Coding Quality Auditor *Telecommute*

Providence Health & Services Irvine California United States
(No Timezone Provided)

Description:Providence St. Joseph Health is calling a Senior Coding Quality Auditor (Full-Time, Days) to work remotely within our footprint states: AK, CA, MT, NV, OR, TX and/or WA.We are seeking a Senior Coding Quality Auditor to perform quality analysis of ICD and CPT codes as well as MS-DRG and A...

DRG Coding and Clinical Validation RN Auditor - Remote

Optum Hopkins Minnesota United States
(No Timezone Provided)

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, yo...

REMOTE- Professional Coding Auditor

Reading Hospital Reading Pennsylvania United States
(No Timezone Provided)

Responsibilities REMOTE- Professional Coding AuditorThe Professional Coding Auditor provides quality documentation review and analysis to support accuracy of coding documentation. Reviews professional encounters to compare CPT E/M levels and ICD-10 diagnosis codes to the physicians' documentation to...

REMOTE- Professional Coding Auditor

Reading Health System Reading Pennsylvania United States
(No Timezone Provided)

Responsibilities:REMOTE- Professional Coding AuditorThe Professional Coding Auditor provides quality documentation review and analysis to support accuracy of coding documentation. Reviews professional encounters to compare CPT E/M levels and ICD-10 diagnosis codes to the physicians documentation to ...

PB Coding Educator/Auditor - Remote

LCMC Health New Orleans Louisiana United States
(No Timezone Provided)

POSITION TITLE: PB CODING EDUCATOR/AUDITORThis position has the potential to be remote after training.The Coding Educator and Auditor will coordinate coding audits and education functions of LCMC system coding services. This individual will be responsible for managing and working the edit and denial...

DRG Coding and Clinical Validation RN Auditor - Remote

UnitedHealth Group Eden Prairie Minnesota United States
(No Timezone Provided)

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, yo...