7 compliance auditor i jobs found

A healthcare provider in Chicago is seeking a Compliance Auditor to perform audits on provider documentation and coding. Responsibilities include managing compliance issues and communicating effectively with providers regarding results. Candidates should have a Bachelor's Degree and relevant certifications like RHIA or CPC. Strong interpersonal skills and experience in healthcare compliance are preferred. This role offers competitive benefits and opportunities for professional growth. #J-18808-Ljbffr

Medical Records - Coder I - Full Time - Days Under the general direction of the Director CDI/Coding or designee, the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International Classification of Disease system- 10 (ICD), CM, and PCS codes according to AHA AMA Guidelines, CMS and NGS. Core Job Responsibilities Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer Audit charges and establish proper coding in collaboration with providers Initiate and follow up on queries with providers Assist departments with diagnostic and procedural coding Respond to Insurance, compliance and RAC denials Review and assist in the maintenance of coding related policies and procedures Perform other duties as required. Education/Experience Requirements Required: AS in Health Information Management, a related degree or equivalent experience Knowledge of EMR, Coding Software,...

Job Description Job Description We're seeking an experienced Inpatient Coder to join our remote Health Information Management team. This advanced coding role functions with a high degree of independence and requires strong analytical skills, coding accuracy, and clinical understanding across a wide variety of specialties. You'll be responsible for accurately assigning ICD-10-CM/PCS diagnosis and procedure codes and MS-DRGs for inpatient hospital services across complex medical and surgical cases. This includes specialties such as Neurology, Oncology, Urology, Transplant, OB/Newborn, Orthopedics, Cardiology, and Critical Care — including trauma and acutely ill patients. This position offers the opportunity to work in a collaborative, quality-driven environment where coders partner closely with Clinical Documentation Improvement (CDI) teams and providers to ensure complete and compliant medical records. Key Responsibilities Assign accurate ICD-10-CM/PCS diagnosis and...

Medical Coder I (On-Site) - Coding Northwest Specialty Hospital is seeking a detail-oriented Medical Coder I to join our Coding Team! We need someone with a professional demeanor, who can work well under stress, provide great customer service, and can multitask! In this role, you will be responsible for assuring that outpatient medical records are coded and abstracted according to established criteria utilizing available resources both automated and manual based on documentation in the medical record provided by the attending, consulting physicians, and clinical information. Duties are accurately performed in completion of, but not limited to, the following areas: use of the available automated systems and the 3M system or other automated systems and enter coded documentation in the medical records on a daily basis. You will stay informed from federal and state organizations to validate the coding process and assure compliance to prevent fraud and abuse related to coding and...

Address Home Office Remote, KY 40601 Shift First Shift (United States of America) Job Description Summary TBD Job Description WE ARE HIRING! Location: 100% Remote About Us UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians’ academic and community physicians care for all ages and stages of life, from pediatrics to geriatrics with compassion and expertise. UofL Physicians academic providers are professors and researchers at the UofL School of Medicine, teaching tomorrow’s physicians, leading research in medical advancements and bringing the most progressive, state‑of‑the‑art health care to every patient. With more than 13,000 team members – physicians, surgeons, nurses, pharmacists and other highly‑skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate,...

# **Primary Location:**Work From Home - KY - ULP - AMG# **Address:**Home OfficeRemote, KY 40601# **Shift:**First Shift (United States of America)# **Job Description Summary:**TBD# **Job Description:****WE ARE HIRING!**Location: 100% Remote**JOB SUMMARY**The team member performs highly technical and specialized functions for the Central Business Office. The team member reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. The primary function of this position is to perform ICD-9-CM (soon to be ICD-10), CPT and HCPCS coding for reimbursement. The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation...