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Responsible for performing daily documentation and coding audits to ensure correct compliance billing requirements are being followed by physicians, residents, and Advanced Practice Providers. Performs record reviews to clarify missing, incomplete, or conflicting documentation to ensure accurate diagnosis and procedure code assignment as well as appropriate documentation.

YEAR

Baylor College of Medicine

Senior Healthcare Compliance Associate

Develop and manage clinical quality reviews to ensure peer review and clinical quality chart audit process including targeting chart reviews, auditing percentages, score guidelines feedback mechanism and ensure compliance with remediation procedures. Requires a master's in Nursing (or PA equivalent) and at least 3 years of clinical experience in applying appropriate diagnosis in the Medicare HCC Mode; or any combination of education and experience, which would provide an equivalent background.

Elevance Health

Manager Clinical Performance & Quality Coding (Nurse Practitioner Or PA)

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Supervisors must have the ability to review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/PCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. The Supervisor scope may involve oversight of teams working coding related denials from payers and recommending the appropriate action to resolve the claim based on payer guidelines.

Guidehouse

Medical Coding Supervisor

In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts.

HOUR

StratAcuity Staffing Partners Inc

Senior .Net Developer

Attend, absorb, and utilize training to learn about emerging technology, new products, custom solutions, etc. and stay informed about market trends in the Payment Integrity space via Zelis competitive intelligence information and self-learning from online resources. The Senior Solution Advisor will be responsible for partnering with Sales and Client Management to drive revenue acquisition Price Optimization solutions by providing pre and post sales engineering support.

Zelis Healthcare, Inc.

Senior Solution Advisor, Payment Integrity

Elevance Health Inc

Manager Clinical Performance & Quality Coding (Nurse Practitioner or PA)

Develop and present executive-level value narratives and business cases, including TCO and ROI analysis and comparisons with existing VDI, AVD, Dev Box, local development, and alternative CDE platforms such as GitHub Codespaces, Gitpod, and Coder. Design governed environments for AI-assisted development and agent execution, including credential brokering, workspace-level network controls, MCP and tool governance, agent identity, policy enforcement, auditability, and controlled access to enterprise systems.

Cloud Software Group Inc

Senior Principal Solutions Specialist

Houston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area.

Houston Methodist Hospital

Coding Quality Auditor

The Coding Specialist is responsible for accurately assigning and sequencing ICD diagnostic and procedural codes and/or CPT procedural codes to inpatient and outpatient records. Abstract medical data from the record to complete a discharge abstract on each inpatient, ambulatory surgery, emergency room, outpatient, and ancillary visit, completing and verifying diagnostic and demographic information.

Chesapeake Regional Healthcare

Coding Specialist

Houston Methodist is a diverse, inclusive and growing health care system offering a lifetime of meaningful careers within our many facilities. We're comprised of a nationally recognized academic medical center and four community hospitals with a history of health care innovation. We're currently ranked in U.S News & World Report's America's Best Hospitals list. For the eighth straight year we have been named to FORTUNE's list of "100 Best Companies to Work For" and have been ranked the #1 health care organization in Texas.<br>  <br> Make your first day exceptional… at Houston Methodist.  <br /><br />

Houston Methodist

As an Outpatient Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. The estimated base pay range per hour for this role is: $35—$45 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc.

Datavant

Outpatient Audit Specialist PRN - Remote

GreenHouseAPI

Performs Inpatient Facility coding audits according to scope of work, for the purpose of Onboarding, Focused, Service Level Agreements or Other Types of reviews, using appropriate assignment of codes and other coding-related elements using MS DRG or APR DRGs. As an Inpatient Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews.

Inpatient Audit Specialist PRN - Remote

Inpatient Audit Specialist- PRN

Inpatient Audit Specialist PRN

Performs complex retrospective analysis of medical record documentation to identify coding and billing errors and inconsistencies according to guidelines of the AHA, CMS, AMA, Clinic Coding Clinic and CPT Assistant. Provides second –level review of diagnosis, procedure and billing codes to ensure compliance with legal and procedural policies that ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices.

CorroHealth

Facility Coding Quality Specialist (Auditor)

The Coding Manager provides daily, weekly, and monthly reports to management as requested and supports continuous improvement of coding processes to promote accuracy, compliance, and operational efficiency. Mentors' employees, conducts performance evaluations, counsels, provides disciplinary actions to assigned personnel, and works to facilitate individual and team development that drives positive results.

National Partners in Healthcare

Manager, Coding

CERTIFICATION/LICENSE/REGISTRATION - Cert Coding Specialist (CCS), Cert Coding Spec Physician Bas (CCS-P), Cert Inpatient Coder (CIC), Cert Interv Radiology CV Coder (CIRCC), Cert Outpatient Coder (COC), Cert Professional Coder (CPC), Reg Health Info Administrator (RHIA), Reg Health Information Technic (RHIT): Must have one of these certifications: CCS, CCS-P, CIRCC, COC, CPC, RHIA, RHIT. The Coding Coordinator monitors operations, functions, workflow, and services by third-party suppliers for HIM Coding.

Baylor Scott & White Health (BSWH) is the largest not-for-profit health care system in Texas and one of the largest in the United States. With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation’s exemplary health care organizations. Our mission is to serve all people by providing personalized health and wellness through exemplary care, education and research as a Christian ministry of healing. Joining our team is not just accepting a job, it’s accepting a calling!

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Coding Coordinator Baylor Scott & White Health

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