, Southwest Healthcare is a comprehensive network of care with convenient hospital and ambulatory care/outpatient locations... community. Southwest Healthcare is comprised of five acute care hospitals and several non-hospital access points, including...
Performs internal audits of hospital accounts; processes routine insurance audits; audits accounts as requested... diploma or GED required. Alabama nursing license (RN or LPN) preferred. Prior clinical or coding experience...
information and promote organizational growth. Essential Functions Manage high-quality, timely coding of diagnoses... with physicians, technicians, insurance companies, and other integral parties to uncover and discuss coding analysis results Develop...
, GA Description: The Senior Compliance Auditor - Healthcare Provider provides expert leadership in evaluating and strengthening the... and Medicaid billing rules Clinical documentation and coding standards HIPAA Privacy and Security Rules Physician compensation...
Description The Senior Compliance Auditor - Healthcare Provider provides expert leadership in evaluating... and Medicaid billing rules Clinical documentation and coding standards HIPAA Privacy and Security Rules Physician compensation...
) Auditor provides support for timely, accurate and inclusive charge capture, coding, billing functions and revenue routing...GENERAL SUMMARY: Reporting to the Manager, Revenue Integrity, the Revenue Integrity Auditor must have a comprehensive...
Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Outpatient Coder Auditor Trainee finalizes the... effective partnering relationships with physicians, nurse staff, coding staff and hospital management staff. Ability to work...
Coder Auditor Trainee finalizes the coding and abstracting of the medical record upon ensuring the assignment... staff, coding staff and hospital management staff. Ability to work independently in a time-oriented environment. Computer...
assurance, or recovery auditing...ideally in a Clinical Validation Audit setting or a hospital environment. Coding... auditor will be responsible for communicating with the initial auditor when there are differing decisions on the audit...
Auditor, Sr. Specialist who is responsible for performing on-going quality assurance audits of the accuracy and consistency... of work performed by clinical and coding staff. Responsibilities include performing DRG validation (clinical/coding) reviews...
DRG Coder / Clinical Auditor 📍 Remote | Full-Time | 🏥 Healthcare | Clinical Documentation & Coding About the Role... of recent DRG auditing experience in a hospital or health plan setting. Inpatient ICD-10 coding experience required. CDI...
to our affiliated Universal Health Services hospitals. The Atlantic Region CBO is seeking a dynamic and talented DRG Nurse Auditor... party payers to obtain a clear understanding of audited diagnosis codes and underlying payer clinical/coding rationale...
and mentoring the auditor and providing documented and validated findings. Encourage critical thinking and discussion among team..., Readmissions, Outpatient and Specialty Review Types. Train Clinicians with coding certifications on DRG coding principles. Confer...
Auditor, Sr. Specialist who is responsible for performing on-going quality assurance audits of the accuracy and consistency... of work performed by clinical and coding staff. Responsibilities include performing DRG validation (clinical/coding) reviews...
' experience performing hospital business office billing, coding, or reimbursement. LICENSURE OR CERTIFICATION: Certified Revenue...PFS - Revenue Cycle Auditor Job CategoryProfessional ScheduleFull time Shift1 - Day Shift SUMMARY: The...
Anticipated End Date: 2026-03-09 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG..., AP-DRG and APR-DRG) Job Description: Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP...
of professional and hospital outpatient coding/auditing experience, including infusion, surgical, and interventional radiology cases...Vaco has an immediate need for a Remote Certified Outpatient Auditor. This is a direct hire opportunity. All equipment...
) with an active license. 5+ years of acute care experience (hospital setting preferred) Experience in DRG audits or coding... and a passion for getting the details right? Join EXL as a Clinical Validation Auditor and help ensure medical claims are coded...
Health! As a Remote Certified Outpatient Auditor, you'll leverage your deep knowledge of CPT coding, outpatient guidelines...+ years of professional and hospital outpatient coding/auditing experience, including infusion, surgical, and interventional...
Auditor, you’ll bring your expert knowledge of outpatient coding, CPT coding guidelines, and reimbursement methodologies... credentials 3+ years of professional and hospital outpatient coding experience, including expertise in AHA and CPT Coding...