- UNC Health Care (Chapel Hill, NC)
- …or GED * Successful completion of the UNC HCS SS Rev Cycle Physician Coder Auditor Proficiency Test. **Licensure/Certification Requirements:** * Must have one ... Abilities Requirements:** **Job Details** Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: Physician Rev Cycle Coding Work… more
- St. Bernard's Medical Center (Jonesboro, AR)
- …of federal, state, and payer-specific regulations and policies pertaining to physician documentation, professional coding and billing. Ability to code all types ... agencies and third party payers. Ability to interact well with physicians, physician offices, coding personnel, and others to obtain appropriate information needed… more
- Medical Mutual of Ohio (OH)
- …DRG,_** **_and/or_** **_hospital bill auditing experience._** **Responsibilities** **Clinical Auditor ** + **Audits outpatient, inpatient and professional claims from ... claim coding updates, procedure changes, etc.** + **Discusses consult findings with Physician Reviewers and reviews edit updates and questions with payment recovery… more
- LA Care Health Plan (Los Angeles, CA)
- …Oversight Clinical Auditor RN II Job Category: Clinical Department: Audit Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: ... net required to achieve that purpose. Job Summary The Delegation Oversight Clinical Auditor RN II is responsible for ensuring that delegates contracted to perform… more
- Johns Hopkins University (Baltimore, MD)
- We are seeking a **Sr. Compliance Auditor ** **Trainer** who will provide on-going training and support to physicians, non- physician providers, professional fee ... Works in close collaboration with the clinical departments, Physicians Billing Service , and the Johns Hopkins Health System Compliance Office. The documentation… more
- Rush University Medical Center (Chicago, IL)
- …8 Hr (8:00:00 AM - 4:30:00 PM) **Summary:** The Billing Coding Auditor uses advanced knowledge of billing, coding, auditing, documentation requirements, and charge ... accurate and timely capture of all chargeable procedures. The Billing Coding Auditor also monitors interfaces and ancillary software related to charging, and codes,… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Data Quality Auditor II (ALD) Job Category: Provider Relations Department: Provider Data Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... safety net required to achieve that purpose. Job Summary The Provider Data Quality Auditor II is responsible for the timely and accurate uploading of LA Care's… more
- Somatus (Mclean, VA)
- …and mental well-being + Community engagement opportunities + And more! The Quality Auditor effectively and efficiently manages a diverse workload in a fast- paced, ... rapidly growing environment. The Quality Auditor provides support to the local market teams but...interventions, member experience, as well as the quality of service provided to Somatus by any vendors. The Quality… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Inpatient Auditor and Educator Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is East Tennessee's top-performing ... 10 hospitals (http://www.covenanthealth.com/hospitals/) and over 85 outpatient and specialty services (http://www.covenanthealth.com/ services /) , and Covenant Medical Group… more
- Providence (Beaverton, OR)
- …and much more. Learn more at providence.jobs/benefits. **About the Team** Providence Shared Services is a service line within Providence that provides a variety ... them._** **Providence Health Plan is calling a Clinical Nurse Auditor , HEDIS who will:** + Be responsible for conducting...+ Perform chart audits electronically or on site in physician practices during the audit season + Successfully complete… more