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Quality Medical Auditor
BlueCross and BlueShield of South Carolina
…technician (RHIT) OR Certified Professional Coder (CPC) OR Certified Inpatient Coder (CIC) OR Certified Professional Medical Auditor (CPMA) OR, active, unrestricted RN licensure from the…
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Senior Coding Compliance Auditor - Outpatient
Ensemble RCM LLC
The Senior Coding Compliance Auditor will assist with the development and execution of the Annual Compliance Workplan including the Auditing and Monitoring Workplans. They will lead &…
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Senior Coding Compliance Auditor - Inpatient
Ensemble RCM LLC
The Senior Coding Compliance Auditor will assist with the development and execution of the Annual Compliance Workplan including the Auditing and Monitoring Workplans. They will lead &…
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DRG Validation Auditor
Clover Health
As an DRG Validation Auditor at Clover Health, you will play a key role ensuring that Clover is able to continue to build and scale a compliant, efficient and profitable program. You will…
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Revenue Cycle CDI Specialist
CommonSpirit Health
…obtain appropriate provider documentation that supports accurate DRG assignment, severity of illness, risk of mortality, and complexity of care.Every day you will apply clinical expertise…
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Revenue Cycle CDI Specialist
CommonSpirit Health
…obtain appropriate provider documentation that supports accurate DRG assignment, severity of illness, risk of mortality, and complexity of care.Every day you will apply clinical expertise…
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Inpatient Coding Quality Manager
Jobgether
…applications and next steps. Our partner is looking for an Inpatient Coding Quality Manager based in the United…
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Medical Records Technician (CDIS Outpatient)
Veterans Health Administration
Audits accuracy and completeness of assigned ICD-10-CM and ICD-10-PCS codes, MS-DRG, POA status, and discharge disposition values for inpatient health records. Audits accuracy and…
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Med Rec Tech (Med Coder)
Veterans Health Administration
Audits accuracy and completeness of assigned ICD-10-CM and ICD-10-PCS codes, MS-DRG, POA status, and discharge disposition values for inpatient health records. Audits accuracy and…
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Inpatient Coding Quality Manager
HMS Huron Managed Services LLC
The US Inpatient Coding Quality Manager is responsible for the day-to-day operations and oversight of coding processes to ensure timely, accurate, and compliant assignment of diagnosis and…
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Inpatient Coding Auditor
AMN Healthcare
POSITION DUTIES – Performs advanced inpatient coding quality reviews and auditing activities, including peer reviews, CDI reconciliation, code and DRG validation, query compliance…
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HIM Coding Auditor/Educator
CCMC Cook Children's Medical Center
Must have strong knowledge of Coding regulations and regulatory compliance experience
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Inpatient Coding Compliance Auditor
GeBBS Healthcare Solutions, Inc.
GeBBS Healthcare Solutions is seeking an experienced Inpatient Coding Compliance Auditor to join our remote team!
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Inpatient/Outpatient Internal Quality Reviewer
AMN Healthcare
for Inpatient and Outpatient Coders as well as Revenue Cycle Solutions
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Director of Quality Audit Coding
Healthrise
Validate inpatient coding accuracy, including MS-DRG and APR-DRG assignment, principal diagnosis selection, POA indicators, and SOI/ROM capture.
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Associate Auditor (Analyst)
R1 RCM Holdco Inc.
As our DRG Associate Auditor (Analyst), you will validate coding updates that can affect the diagnosis-related group on a claim and result in additional reimbursement or coding compliance…
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Inpatient Hospital Auditor II
Horizon Healthcare Services, Inc
Must have effective verbal and written communication skills and demonstrate the ability to work well within a team · Must have strong PC skills experience with MICROSOFT office programs: excel, word and power point
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IP Auditor (Full-time and Part-time)
HCCS
Active AHIMA or AAPC coding certification required · CCS, RHIT, or RHIA certification is required
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Inpatient Medical Coding Auditor
Humana Insurance Company
The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims…
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Coding Auditor Educator
West Penn Allegheny Health System
Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify patterns, trends and…
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Medical Review Nurse - Commercial DME Auditor
Machinify
Auditing claims for medically appropriate services provided in both inpatient and outpatient settings while applying appropriate medical review guidelines, policies and rules.
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Clinical DRG Auditor
Alaffia Health
Alaffia is seeking an experienced Clinical DRG Auditor to join our Payment Integrity team. In this role, you will perform inpatient Diagnosis-Related Group (DRG) validation audits and…
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CERTIFIED INPATIENT MEDICAL CODER -- FULLY REMOTE (23350)
LTSi - Laredo Technical Services, Inc.
…the professional and institutional (facility) components of Inpatient, External Resource Sharing Agreement (ERSA), Ambulatory Procedure Visit (APV), Observation, Emergency Department (ED),…
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Coding Inpatient Auditor
Team Member Services
Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, and overall coding accuracy retrospectively and concurrently.
