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Registered Nurse Coding Auditor Jobs

Rn-Nurse Auditor With Coding Credentials – Work From Home
By UASI - United Audit Systems, Inc. At , Remote
Strong computer skills (experience with Epic preferred)
RN or LPN required and CMAS certification preferred
Previous clinical experience in a hospital acute care facility
Knowledge of hospital patient financial systems is preferred
Training opportunities and reimbursement for professional certifications
RN-Nurse Auditor with Coding Credentials – Work from Home
Coding Quality Auditor (Fully Remote)
By Cleveland Clinic At , Cleveland, 44195 $27.65 an hour
Specific training related to CPT procedural coding and ICD-10 diagnostic coding through continuing education programs/seminars and/or community college preferred.
In depth knowledge of ICD-10-CM/PCS coding principles, CPT coding principles, DRG assignment, APC assignment, and modifier assignment.
Working knowledge of human anatomy and physiology, disease processes.
Demonstrated knowledge of medical terminology.
Knowledge of auditing concepts and principles.
A minimum of 5 years professional coding experience required.
Auditor, Quality Assurance - Registered Nurse
By LeMaitre At , Fox River Grove
Responsible for making sure company adheres to Quality Management System (QMS) and all documents associated with program.
Other duties as assigned by Manager.
Possible 2-Day work from home, after 6 months
LPN or Registered Nurse(RN)experience preferred. Quality experience QA/QC in healthcare/pharma/biotech. Experience reviewing medical charts a plus.
Responsible for quality review of documents generated during recovery, processing, cryopreservation, labeling, storage and distribution of tissue.
Communications to recovery groups including, but not limited to, request for additional records/clarifications or recovery records.
Medical Coding Auditor Jobs
By AmeriHealth Caritas At , Remote

Your career starts now. We’re looking for the next generation of health care leaders.

Inpatient Documentation & Coding Auditor
By County of Riverside At Riverside, CA, United States
Annual Leave for Unrepresented Management Attorneys:
The ideal candidate for this position will possess at least three years of previous experience coding inpatient
This experience must include at least two (2) years of lead or supervisory experience.
Interview, hire, train, and evaluate the performance of divisional subordinate staff; represent the department or Agency on grievances and disciplinary matters.
Nurse Auditor (Administrator I)
By State of Maryland At , Baltimore, 21215, Md $33.50 an hour
View rates on the Department of Budget & Management website, State Employees, Health Benefits, Contractual/Variable rates.
***This is a Contractual Position With Limited Benefits***
Education: Graduation from an accredited high school or possession of a high school equivalency certificate.
Experience: Four years of administrative staff or professional work.
Working knowledge and understanding of medical terminology.
Working knowledge and understanding of medical documentation and ability to read and review.
Medical Coding Auditor Ii - Outpatient
By Performant Corp At United States
Intelligent management of financial assets
Typing skills, comfortable navigating and using desktop technology, as well as working knowledge of MS Office applications (Outlook, Word, Excel).
Possess knowledge of CMS rules and regulations
Thorough working knowledge of CPT/HCPCs/ICD-9/ICD-10, MS-DRG coding
Reimbursement policy and/or claims software analyst experience
Ability to multi-task effectively and work independently in a remote setting
Nurse Auditor Jobs
By Ensemble Health Partners At United States
3-4 years experience in healthcare industry.
Experience in physician and hospital operations, compliance and provider relations preferred.
Working knowledge of CPT/HCPCS/Revenue codes, charge capture and billing best practices, and government and non-government reimbursement guidelines.
Experience in physician and hospital operations, compliance and provider relations
Active RN or LPN License
Highly motivated and self-starter with ability to complete assignments within time constraints and deadlines.
Coding Auditor Jobs
By Ensemble Health Partners At United States
Communicate with management regarding clinical, coding, and reimbursement issues as needed.
Provides education to our coding associates and leaders as required by the deliverables of our SLA
Function in a professional, efficient, and positive manner with strong critical thinking and decision-making skills.
Completes daily production log and daily time keeping requirements.
Completes coding continuing education and maintains auditing credentials.
5+ years of coding experience.
Coding Compliance Auditor (Remote)
By University of Maryland Medical System At Baltimore, MD, United States

IV. Knowledge, Skills And Abilities

II. Principal Responsibilities And Tasks

Coding Data Quality Auditor
By CVS Health At , Raleigh, Nc $18.50 - $34.60 an hour
Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity.
Expertise in medical documentation requirements
Computer proficiency including experience with Microsoft Office products (Word, Excel, Access, PowerPoint, Outlook, industry standard coding applications).
Experience with International Classification of Disease (ICD) codes required.
Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC) preferred.
Minimum of 3 years recent and related experience in medical record documentation review, diagnosis coding, and/or auditing.
Registered Nurse Coding Auditor
By Northwell Health At , Lake Success, 11020, Ny $90,000 - $145,000 a year
Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.
Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations.
Applies coding rules and regulations to the validation review process.
Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions.
Instructs professional staff in code changes, as needed.
Assists clinical staff and nursing supervisors in providing appropriate documentation in the Medical Record.
Coding Auditor Jobs
By University of Utah At , , Ut $32 - $37 an hour
Conducts education and training to department staff and clinical employees in correct documentation processes and coding guidelines.
At least 4 years of coding experience, including at least two surgical specialty areas.
Proficient and confident in writing, communication, and presentation skills.
Experience and understanding of Federal regulations and payer policies with the ability to interpret the information.
Problem solving skills with the ability to identify and analyze root causes.
is a remote department and this role will be performed remotely, interested applicants should note the following:
Coding Quality Auditor Jobs
By Agilon Health At , Remote
Take personal responsibility for personal growth including acquiring new skills, knowledge, and information.
Performs coding audits providing expert coding and documentation education, timely feedback and coaching.
Performs expert level review of submitted visit notes; identifies gaps in clinical documentation that may require additional education.
Other duties as assigned by manager
Conducts review and communicates feedback to professionals such as Clinical Chart Reviewers, market coders and third-party vendors.
Responds to coding questions submitted by market coders.
Remote - Nurse Auditor
By Mosaic Life Care At , $57,512 - $92,019 a year

Pay Range: $57512.00 - $92019.00 / year

This position is employed by ....

Registered Nurse Coding Auditor
By Northwell Health At , New York, 10060, Ny $90,000 - $145,000 a year
Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.
Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations.
Applies coding rules and regulations to the validation review process.
Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions.
Instructs professional staff in code changes, as needed.
Assists clinical staff and nursing supervisors in providing appropriate documentation in the Medical Record.
Outpatient Coding Auditor - Remote
By UnitedHealth Group At , Minneapolis, 55421, Mn $67,800 - $133,100 a year
Knowledge of Evaluation & Management Guidelines for Professional Services
Knowledge of leveling facility evaluation and management codes
Provide feedback and education as appropriate depending on findings
Research, develop and present education to coders based on individual and team audit analysis
5+ years Outpatient Facility Coding Experience, including ICD-10 - CM and CPT procedure coding
5+ years of Professional Services Coding Experience
Coding Data Quality Auditor
By CVS Health At , , Ks $18.50 - $34.60 an hour
Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity.
Expertise in medical documentation requirements
Computer proficiency including experience with Microsoft Office products (Word, Excel, Access, PowerPoint, Outlook, industry standard coding applications).
Experience with International Classification of Disease (ICD) codes required.
Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC) preferred.
Minimum of 3 years recent and related experience in medical record documentation review, diagnosis coding, and/or auditing.
Nurse Auditor Jobs
By Ensemble Health Partners At , Remote
3-4 years experience in healthcare industry.
Experience in physician and hospital operations, compliance and provider relations preferred.
Working knowledge of CPT/HCPCS/Revenue codes, charge capture and billing best practices, and government and non-government reimbursement guidelines.
Experience in physician and hospital operations, compliance and provider relations
Active RN or LPN License
Highly motivated and self-starter with ability to complete assignments within time constraints and deadlines.
Nurse Auditor Prn Jobs
By Parkland Health and Hospital System At , Dallas, 75201, Tx
Excellent organizational and project management skills to permit handling of large workload.
Knowledge of treatment protocols, medical and surgical procedures and other healthcare practices
Working knowledge of patient and financial accounting systems.
Must have effective oral and written communication skills, including advanced presentation skills.
Background in managed care contract operations and /or billing compliance highly desired.
Must have current, valid LVN license or temporary LVN license from the Texas Board of Nursing; or, valid Compact LVN license.