7 (CPMA) Certified Professional Medical Auditor jobs

Job Description This role will be responsible for conducting reviews to ensure coding accuracy and adherence to current policies and procedures. This individual would report to the Revenue Cycle Manager. There will be a strong focus on accuracy and compliance. We are looking for a detailed oriented and high organized colleague. This individual must be able to manage multiple priorities and have flexibility at our fast-growing company. We want someone who will thrive in a fast-paced environment with a willingness to learn and grow. We also want someone who will be an excellent team player and deliver great service to colleagues. Our providers and other staff are based all over the United States, so we are looking for someone who has the flexibility to communicate effectively - verbally and in writing - with colleagues around the country. Key Responsibilities: * Analyze coder's selection of diagnosis (ICD-10) and procedure (CPT I and II, HCPCS) codes to ensure accuracy and...

Job Description Job Title: Medical Auditor FLSA Status: Non-Exempt Medical Auditor - Physicians East PA, Arlington We are looking for an exceptional Medical Auditor to join our family! Physicians East, PA is a multi-specialty, multi-campus group based out of Greenville, NC offering a wide range of specialties. In addition to primary care the practice offers pulmonary and critical care medicine, rheumatology, dermatology, oncology, endocrinology, cardiology, obstetrics and gynecology, gastroenterology, surgery, urology, and urgent care. Our 102 providers and over 600 employees provide services for thousands of patients in a 29-county region. Our specialists are on staff at ECU Health, a 900+ bed, level one trauma center and the primary teaching hospital for the East Carolina University Brody School of Medicine (ECU-BSOM). Located in the coastal plain area, only one hour from the Atlantic Ocean, Greenville is the vital center of business, industry, culture, education, and health...

Job Title: Medical Auditor FLSA Status: Non-Exempt Medical Auditor - Physicians East PA, Arlington We are looking for an exceptional Medical Auditor to join our family! Physicians East, PA is a multi-specialty, multi-campus group based out of Greenville, NC offering a wide range of specialties. In addition to primary care the practice offers pulmonary and critical care medicine, rheumatology, dermatology, oncology, endocrinology, cardiology, obstetrics and gynecology, gastroenterology, surgery, urology, and urgent care. Our 102 providers and over 600 employees provide services for thousands of patients in a 29-county region. Our specialists are on staff at ECU Health, a 900+ bed, level one trauma center and the primary teaching hospital for the East Carolina University Brody School of Medicine (ECU-BSOM). Located in the coastal plain area, only one hour from the Atlantic Ocean, Greenville is the vital center of business, industry,...

Job Summary Conducts chart audits. The audit process consists of reviewing documentation in the patient's record regarding orders, medications, supplies used and procedures performed and ensuring that all have been charged appropriately. Makes adjustments to the patient's account either adding or removing charges as supported by documentation. Conducts education sessions one on one or with groups to improve charging accuracy. Performs chart audits in a timely and accurate manner. Records existing charging weaknesses and notifies internal department of deficiencies and trends. Contacts necessary staff for additional documentation needed to support charge(s) billed. Attends professional development seminars/inservices to remain up-to-date in clinical procedures and medical documentation required to support them. Submits analysis of audit results and recommendations to department management. Provides hospital personnel with inservices to increase their awareness of...

R-303842 Description Healthcare isn’t just about health anymore. It’s about caring for family, friends, finances, and personal life goals. It’s about living life fully. At Conviva and CenterWell a wholly-owned subsidiaries of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we’re seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole. Responsibilities The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural...

Summary The Director, Health Information Management ("HIM") identifies, plans, monitors, and directs all opportunities and activities to meet the information and fiscal requirements of the Cancer Center’s inpatient and outpatient (hospital) and provider based (professional practice) functional areas consistent with the regulatory and compliance framework. This includes: Oversee all health information coding (HIM) functions, including technical and professional coding, clinical documentation improvement and HIM operations, to ensure timely and compliant coding processes and identify corrective action as appropriate. Develop, monitor, and distribute metrics, score cards, financial reporting and dashboards to establish decision making based on analytics. Identify, develop and review policies and procedures related to coding. Review and implement coding automated and innovated solutions. Lead quality and regulatory efforts related with coding....

Job Summary The Coding Auditor/Educator is fully competent to independently code the most complex inpatient and/or outpatient service types. Responsible for auditing coding accuracy and providing detailed feedback. Responsible for training new and existing employees. Provides educational feedback to coding department, clinical staff, and other departments as needed. Investigates and responds to coding related questions and denials.    Minimum Job Qualifications Licensure or other certifications: Certified Coding Specialist (CCS). Certified Professional Medical Auditor (CPMA), Certified Evaluation and Management Coder (CEMC) or other Nationally recognized healthcare auditing certification required at hire or required to obtain within six (6) months of hire. Educational Requirements: Associate Degree Minimum Experience: Minimum combined five (5) years of hospital-based coding/auditing/chart review experience to include complex CPT surgical coding...