Healthcare Careers
  • Search Jobs
  • For Employers
    • Learn More
    • Pricing
    • Post a Job
  • Sign in
  • Sign up
  • Search Jobs
  • For Employers
    • Learn More
    • Pricing
    • Post a Job

Modal title

4 (CPMA) Certified Professional Medical Auditor jobs

Advance your career with the Certified Professional Medical Auditor (CPMA®) credential. Medical auditing is a critical piece to compliant and profitable physician practices. Whether it's Recovery Audit Contractor (RAC) audits, private payer denials, or just peace of mind, more physicians plan to have audits conducted regularly. The risks of being non-compliant with documentation and coding are too great. As a CPMA, you will be able to use your proven knowledge of coding and documentation guidelines to improve the revenue cycle of nearly all healthcare practices.

AAPC Recruiting Services
Full Time
 
Medical Coding Compliance Specialist - Onsite Only
AAPC Recruiting Services Jacksonville, FL, USA
Summary: The position will reduce inpatient  facility, ambulatory procedure visit (APV), or professional services coding (PSC) backlog created by workload  surges, manning shortages, or computer system issues. This position will conduct focused audits for coding  compliance or training purposes; develop standardized coding training; deliver coding education/training to  individuals or groups; and identifying/educating on clinical documentation improvement opportunities. Knowledge and Skill: Knowledge of The International Classification of Diseases, Ninth Revision, Clinical Modification (ICDCM), procedural coding, healthcare common procedure coding system (HCPCS)/current  procedural terminology (CPT) nomenclature, medical and procedural terminology, anatomy and  physiology, pharmacology, and disease processes to perform the duties described. Knowledge of reimbursement systems, including Prospective Payment System (PPS) and Diagnostic Related  Groupings...

Jun 20, 2023
TG
Medical Auditor
The Goodkind Group Melville, NY, USA
Job Description Job Description Growing Healthcare Receivable Management Company seeking a detail oriented full time Auditor to Analyze and follow up on patient accounts. Summary of Responsibilities: Follow up and analysis on hospital patient accounts, including follow up with third party payers Responsibilities: Review/Analyze Physician/Outpatient accounts to determine issue causing denial or delay of payment; Submit written claim/payment disputes as necessary; Review denials related to ICD-10 and CPT codes Review medical necessity denials due to lack of documentation/insufficient coding. Prepare and submit appeals for authorization denials/administrative denials as necessary; Follow up on status for Physician/ Outpatient/ claims and/or denials; Communicate with other departments in order to have accounts reviewed and obtain additional information needed to dispute claims issues as needed Required Qualifications: High School Diploma or GED, required...

Sep 20, 2023
NC
Research Quality Assurance Medical Auditor
Nationwide Children's Hospital Columbus, OH, USA
The Clinical Research Quality Assurance Medical Auditor will work within the Office of Research Compliance and Integrity relying on their medical/clinical experience to conduct internal audits on clinical trials to ensure subject safety and to review research billing activity to ensure compliance with federal, state, and local regulations and internal policies and guidelines. Written reports and oral presentations of audit findings will be completed, presented to the Principal Investigator and Team, and action items followed to resolution. Train Study Team Staff on identified clinical trial compliance issues as needed. Why Nationwide Children's Hospital? The moment you walk through our doors, you feel it. When you meet our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it. Welcome to Nationwide Children’s Hospital, Where Passion Meets Purpose . Here, Diversity, Equity and Inclusion are integrated into our core...

Sep 19, 2023
CA
Medical Auditor - PRN Position
Coding Advantage, LLC Chardon, OH, USA
Job Description Job Description This is a great opportunity for someone who is detail oriented and experienced in 2023 EM coding guidelines. Although there is little to no direct provider interaction, the auditor should have excellent written communication skills to deliver clear audit results. The ideal candidate will take pride in providing the best quality of work and will be available to take on auditing projects as assigned in a timely manner. This is a remote opportunity that compensates the auditor per encounter through an independent contractor agreement. There are no set hours, just project work as business dictates. The right candidate will be a subject matter expert on EM and all the recent changes to those documentation requirements. Duties and Responsibilities: Audits medical or behavioral health record documentation to identify deficiencies in documentation in direct relationship to codes billed to carriers. Prepares reports of findings and clearly communicates...

Sep 18, 2023
  • AAPC
  • Contact
  • About Us
  • Terms & Conditions
  • Employer
  • Post a Job
  • Pricing
  • Sign in
  • Job Seeker
  • Find Jobs
  • Create Resume
  • Sign in
  • Facebook
  • Twitter
  • Instagram
  • LinkedIn