processes. As a Senior Auditor, Information Technology, you’ll conduct risk-focused audits, advise business partners on internal... causes. Collaboration – Work closely with audit team members, stakeholders, and management to deliver high-quality audit...
-driven team as a Corporate Responsibility Auditor Senior, where your expertise in compliance and healthcare coding... for an Corporate Responsibility Auditor Senior role SSM Health! Preferred RN background is a plus. Job Summary: Join our mission...
Anticipated End Date: 2026-02-26 Position Title: DRG Clinical Validation Auditor (RN/Claims Reviewer...) Job Description: DRG Clinical (RN) Validation Auditor Virtual: This role enables associates to work virtually full-time...
a partnership between CDI staff, Coding staff, Quality and Clinical Program staff, and providers. Provide education for accurate..., Risk of mortality, Quality of Care, and Accurate Reporting for Clinical Programs. Utilize Official Coding Guidelines, AHA...
a partnership between CDI staff, Coding staff, Quality and Clinical Program staff, and providers. Provide education for accurate..., Risk of mortality, Quality of Care, and Accurate Reporting for Clinical Programs. Utilize Official Coding Guidelines, AHA...
documentation for quality improvement measures. Perform accurate audits using applicable coding guidelines and client protocols... to audit team and Supervisor. Perform quality assurance reviews on team members to ensure accurate coding as assigned by the...
what we do, as individuals and professionals, every day. The Outpatient Coding Educator/Auditor is an essential member of the Outpatient Coding... program which extends to all aspects of outpatient coding, including coding claim edits and performs/coordinates quality...
, and compassion - must guide what we do, as individuals and professionals, every day. The Outpatient Coding Educator/Auditor... and performs/coordinates quality assurance reviews to a high degree of coding quality within the department. In addition...
team, and The Power of Every One. Job Title Senior Internal Auditor (Clinical) Location Independence Facility... with one of the most respected healthcare organizations in the world. As a Senior Internal Auditor, you will conduct audit...
. Growing together. In this position as a Clinical DRG RN auditor, you will apply your expert knowledge of the MS-DRG and APR...-DRG coding/reimbursement methodology systems, ICD-10 Official Coding Guidelines, and AHA Coding Clinic Guidelines in the...
. Growing together. In this position as a Clinical DRG RN auditor, you will apply your expert knowledge of the MS-DRG and APR...-DRG coding/reimbursement methodology systems, ICD-10 Official Coding Guidelines, and AHA Coding Clinic Guidelines in the...
Nurse Auditor assists with and supports the compliance program activities within Saint Francis Health System (SFHS...). This role supports clinical coding and billing audit functions as well as the performance of routine and complex audits...
SUMMARY The Claims Auditor assists in the Claims Department by analyzing procedures, policies and reports; ensures... operations; medical terminology; ICD-10, RVS, and CPT coding knowledge; knowledge of Medicare and Medi-Cal guidelines; 10-key...
Risk Adjustment Auditor II Work a Hybrid schedule within Oregon, Idaho, Utah or Washington Build a career... in provider coding/documentation and works closely with Provider Education Consultants to develop intervention strategies...
, compassionate care for all. The Compliance Auditor supports Marin Community Clinics’ compliance, risk management, and quality...–4 years of experience in health-care compliance, coding/billing auditing, documentation review, or quality improvement...
Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records... accuracy of principal and secondary diagnosis (including MCC & CC) and procedure codes. Adheres to official coding guidelines...
Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records... accuracy of principal and secondary diagnosis (including MCC & CC) and procedure codes. Adheres to official coding guidelines...
. Responsibilities: As a Premium Auditor, you’ll play a critical role in ensuring accurate premium calculations and compliance... and production goals while maintaining high-quality results. This role is located in our Iriving Texas office on a hybrid schedule...
and a passion for getting the details right? Join EXL as a Clinical Validation Auditor and help ensure medical claims are coded... and coding knowledge to spot inaccuracies and identify potential overpayments. Document your findings in clear, professional...
and mentoring the auditor and providing documented and validated findings. Encourage critical thinking and discussion among team... Types to include SNF, IRF, and HH. Train Clinicians with coding certifications on coding principles. Confer...