- University Hospital New Jersey (Newark, NJ)
- Responsibilities The primary purpose of the Inpatient Coding Data Quality Auditor / Educator is to ensure the consistent processing of claims and collection of ... services. Audits inpatient coded records, provides continuing education of all inpatient coding staff and facilitates the inpatient coding work flow.… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …the Role:Job SummaryCoding Education & Quality Auditors (CEQA) conduct coding /billing/documentation audits of all NGPG/NGHS Providers to determine organizational ... integrity of coding /billing for professional services, including detection and correction of...for professional services, including detection and correction of documentation, coding and billing errors. Audits consist of evaluation of… more
- Blanchard Valley Hospital (Findlay, OH)
- …charge capture which is supported by clinical documentation. Coordinate with the Professional Coding Integrity Auditor / Educator to research coding ... process, training and education of associates in conjunction with the professional coding integrity auditor / educator when needed, coordinate staff schedules,… more
- Blanchard Valley Hospital (Findlay, OH)
- …processes; collaborate with CDI Specialist, Claims Resolution Specialist, Revenue Integrity Auditor , Revenue Integrity Educator , clinical area, and other areas ... PURPOSE OF THIS POSITION The primary purpose of the Professional Coding Integrity Specialist (PCIS) is to review, enter and/or modify charges as appropriate,… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** **Description:** **General Summary:** The Professional Coding Auditor Educator performs medical record audits ... ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and...(CMS). Monitors accuracy of centralized coders' charge capture and coding with proper ICD-10, CPTs, as well as proper… more
- United Musculoskeletal Partners (Atlanta, GA)
- The Coding Quality Auditor and Educator conducts risk-based coding quality audits of provider services encounters to validate code assignment follows ... official coding guidelines and regulatory requirements, as supported by clinical...includes performing internal audits, overseeing external audits, and delivering coding /documentation education and training to providers and coders. Responsible… more
- Highmark Health (Jefferson City, MO)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs...Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician… more
- Trinity Health (Mason City, IA)
- …"audit" or "review." + Works with the Coding Supervisor and /or Clinic Coding Auditor / Educator to resolve any on-going issues with provider documentation ... to coding requirements, questions, and concerns. + Notifies Coding Supervisor or Clinic Coding Auditor regarding special education needs for providers or… more
- AdventHealth (Altamonte Springs, FL)
- …**Job Location** : **Remote** **The role you'll contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/ Educator supports the ... **EDUCATION AND EXPERIENCE REQUIRED:** . Five (5) years of inpatient or outpatient coding or Coding Quality Auditor experience . Completion of a coding … more
- Centene Corporation (Columbia, SC)
- …**Position Purpose:** Conduct provider medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure ... the provider and market level. + Subject matter experts for proper risk adjustment coding and CMS data validation + Work in conjunction with other departments to… more
- Centene Corporation (Carson City, NV)
- …in coding with knowledge of Medicare risk adjustment (HCC Coding ). Required experience- teaching, training or educator /instructor. Provider education ... **Position Purpose:** Conduct provider medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure… more
- Centene Corporation (Yuma, AZ)
- …**Position Purpose:** Conduct provider medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure ... level. + Subject matter experts for proper risk adjustment coding and CMS data validation + Work in conjunction...assurance auditing (ie ensure appropriateness and accuracy of ICD-9/ICD-10 coding ) for WellCare's Medical Coding Specialists. +… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and summary of findings. + Attends monthly coding in-services provided by the Inpatient Coding Educator . + Assists the coding staff when needed. + Keeps ... and serve as a leader of positive change. The ** Coding Quality Auditor ** is responsible for monitoring compliance with applicable clinical documentation… 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 ... following certifications are acceptable-RHIT/RHIA/AAPC, CPC, or CPMA. Apply/Share Job Title CODING OFF AUDITOR -EDU ID 3865895 Facility Covenant Health Corporate… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Coding Educator Full time, 80 hours per pay period, Day shift Covenant Medical Group is Covenant Health's employed and managed medical practice ... certifications are acceptable-RHIT/RHIA/AAPC, CPC, or CPMA. Apply/Share Job Title CODING AUDITOR -EDU-CLINIC ID 3977770 Facility Covenant Medical Management… more
- Sutter Health (San Francisco, CA)
- …process for efficient final DRG assignment + In conjunction with the CDI Educator / Quality Auditor , utilizes commonly encountered SLR request subject matter, ... with CDI Leadership and Educates CDI Staff on missed SLR coding opportunities. Works in collaboration with CDI Educator and Coding Quality Team to design and… more
- St. Luke's University Health Network (Allentown, PA)
- …with the Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor / Educator . Demonstrate the ability to formulate an appeal rationale based ... to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who...clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO,… more
