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Coding Services Technology Auditor
Cedars-Sinai Medical Center
Certified Coding Spec Phys, Certified Coding Specialist, Certified Professional Coder, Registered Health Info Admin or Registered Health Info Tech required upon hire. In this role you work…
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Inpatient Hospital Auditor II
Horizon Healthcare Services, Inc
…solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this…
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Registered Nurse Clinical Documentation Improvement Auditor-Full Time-Days
Riverside Hospital, Inc.
The Clinical Documentation Improvement (CDI) Auditor will facilitate improvement system-wide in the overall quality, completeness, and accuracy of the medical record documentation through…
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Coding Auditor and Educator Professional Fee
Mountain Region Out of State Staffing
As our Coding Auditor and Educator Professional Fee, you will utilize ICD-10-CM, HCPCS, and CPT-4 classification systems to support the professional fee coding team. You will serve as a key…
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Medical Claims Auditor
Clover Health
As a Medical Claims Auditor within our Special Investigations Unit, you will play a critical role in ensuring that Clover is able to continue to build and scale a compliant, effective FWA…
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Remote CPMA Educator & Auditor
Presbyterian System Services
With minimal supervision directly supports the following responsibilities of the Coding and documentation quality assurance (CDQA) team: implementation of and compliance to enterprise-wide…
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Remote CPMA Educator & Auditor
Presbyterian System Services
With minimal supervision directly supports the following responsibilities of the Coding and documentation quality assurance (CDQA) team: implementation of and compliance to enterprise-wide…
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Director, Coding Quality Assurance and Education
SYSTEM West Virginia University Health System
The Director leads the coding quality and education function, including assigned managers, Coding Auditor/Educator staff, and other quality resources, and serves as a senior partner to…
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Facility Outpatient Auditor - ED, SDS, OBS, I&I
Jobgether
In this role, you will help ensure the accuracy, quality, and compliance of hospital outpatient coding and billing across emergency department (ED), same-day surgery (SDS), observation…
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Clinical Validation Auditor (CVA) Auditor
Jobgether
…and fairness of healthcare claims. As a Clinical Validation Auditor, you’ll review inpatient medical records and assess whether Diagnosis-Related Group (DRG) codes are supported by clinical…
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Senior Auditor (Healthcare)
Health Services Advisory Group, Inc.
The Senior Auditor conducts complex healthcare performance measure validation (PMV) activities. This position applies Healthcare Effectiveness Data and Information Set® (HEDIS) Compliance…
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Medical Review Nurse II - SNF/MDS Auditor
Machinify
Experience with and deep knowledge of ICD-9, ICD-10, HCPCS coding.
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Revenue Cycle Compliance Auditor
Jobgether
The Revenue Cycle Compliance Auditor plays a vital role in strengthening healthcare compliance, billing accuracy, and risk management across clinical and hospital services. In this role,…
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Clinical Auditor/Analyst (Remote)- Fraud, Waste and Abuse
UPMC - Pittsburgh Medical Center
The Clinical Auditor/Analyst is an integral part of the Special Investigations Unit (SIU) and is responsible for conducting clinical audits and reviews regarding the analysis of care and…
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Inpatient Medical Coding Auditor
Humana Insurance Company
The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT)…
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Medicaid Auditor (Full-time, Remote)
Integrity Management Services, Inc.
In this role, the Medicaid Auditor will be responsible for performing and reporting on Medicaid Managed Care Plans and providers to identify potential fraud, waste, and abuse; issue…
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Coding Auditor Educator
West Penn Allegheny Health System
Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and…
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Senior Auditor Appeals - OPSP
Cotiviti
The auditor is also proficient in using AI-enabled tools to improve the speed, consistency, and quality of appeals work. The auditor remains accountable for every final determination and…
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Expert: Healthcare (Contract, Remote)
Patronus AI, Inc.
Medical coding, billing and payer operations. Medical coders, billers and claims examiners who assign ICD-10 and CPT codes, prepare and submit claims, and review and adjudicate them against…
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Lead Professional Coder
Rogers Memorial Hospital, Inc.
…procedures, training new employees, providing ongoing training on coding, data integrity, quality, regulatory updates, Electronic Health Records (EHR) and related applications, leading…
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Associate / Senior Associate - HTS
Berkeley Research Group, LLC
We are looking to make you into a great Healthcare Compliance Auditor within the Healthcare Transactions and Strategy (HTS) group. HTS performs regulatory, reimbursement, data analytics,…
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Compliance Audit Specialist
(Mosaic Shared Services) Millennium Healthcare Management Serv LLC
…assignments, incorrect E/M ser-vice levels, improper procedure coding, and documentation deficiencies. The auditor documents findings, communicates results to healthcare providers, and…
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Enterprise Security Engineer
DoorDash USA
Operate the day-to-day security stack, spanning endpoint detection and response (EDR), zero-trust network access, identity-aware proxies, browser security, and data loss prevention (DLP).
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Medicaid Auditor/Investigator
Peraton
Knowledge of the healthcare industry and medical coding concepts and/or experience analyzing health care claims data is preferred
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Lead Facility Outpatient & Profee Internal Coding Auditor
e4health
The Outpatient Auditor is responsible for completing quality assurance reviews on internal and/or external outpatient coding specialists or external providers. The facility-based chart…