Strategic Hospital Coding Compliance Auditor
Memorial Hermann Health System
Memorial Hermann Health System in Nashville is seeking a skilled inpatient/outpatient coder to ensure accuracy and completeness of clinical coding, supporting appropriate reimbursement and data integrity. The role reports to Coding Compliance Manager. You will audit, educate, and maintain coding standards across departments, using 3M coding tools, ICD-10-CM and CPT guidelines. A minimum of four years in hospital coding and AHIMA/AAPC certifications are required. #J-18808-Ljbffr Memorial Hermann Health System
- ...the accuracy and completeness of clinical coding resulting in the appropriate... ...position typically reports to the Coding Compliance Manager. Job DescriptionMinimum QualificationsEducation... .../ Skills: Four (4) years of relevant hospital coding or auditing experience required....SuggestedRemote jobRelocation
$71.1k - $97.8k
...caring community The Inpatient Medical Coding Auditor extracts clinical information from a... ...medical coding auditor to review inpatient hospital claims for proper reimbursement, handle... ...Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation...SuggestedBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...must have Inpatient Facility Coding and DRG Validation experience... ...work from home Inpatient Coding Auditor, you will be responsible for... ...(HSC) coders to ensure compliance with national coding guidelines... ...registration, insurance verification, hospital billing, revenue integrity,...SuggestedTemporary workWork from homeMonday to FridayFlexible hoursDay shift
- Datavant is seeking an Inpatient Auditing Specialist to support coding quality, compliance assessments, external payer reviews, coding education, and workflow reviews. This fully remote role offers a flexible schedule and involves auditing high-complexity inpatient facility...SuggestedRemote jobFlexible hours
- Emory Healthcare is seeking a remote Medical Coding Auditor to ensure accuracy, completeness, and regulatory compliance of professional coding services. You will review patient records, collaborate with providers and coding teams, and support accurate reimbursement. The...SuggestedRemote job
$59.3k - $80.9k
...is looking for an experienced medical coding auditor to handle provider disputes in a result... ...coding disputes outcomes for timeliness, compliance, and quality. Will be an experienced... ...coding audits in health insurance and/or hospital settings and working coding-related...Bi-weekly payFull timeTemporary workApprenticeshipWork experience placementWork at officeRemote workWork from homeHome officeFlexible hours$70k - $80k
...development. Summary We are seeking a talented individual for aSenior Coding Auditor, Itemized Bill Reviewer who is responsible for performing... ...The candidate must have an extensive background in inpatient hospital bill auditing, outpatient facility coding with charge master...Remote jobFull timeContract workFlexible hours- ...Delek US Holding Inc is seeking an Internal Auditor in Brentwood, Tennessee. This role involves evaluating the effectiveness of internal controls and compliance with regulatory standards such as SOX. Ideal candidates will have at least four years of auditing experience...
- ...clients transform their businesses and effectively manage operations in the areas of: Sales Performance; Repair Optimization and Compliance; Parts and Accessories Sales Performance; and Consumer Engagement.With our global teams,industry expertise, and the power of technology...Local areaFlexible hours
- ...be a great place for you! Job Title: Compliance Auditor Department: Compliance Reports To: Director... ..., medical records, billing, coding, claims submission, service authorization... ...required frequent inpatient psychiatric hospitalization. Since 1993, MHC has been passionately...Temporary workWork at office
- Mental Health Cooperative, Inc. in Nashville, TN is seeking a Compliance Auditor to conduct audits, monitor risk, and ensure adherence to CMS, OIG, TJC, TennCare, HIPAA, and other regulatory standards across clinical, billing, and administrative functions. The ideal candidate...
- SERVPRO is seeking a Jr. Franchise Compliance Auditor I to support quality and consistency across our restoration and construction franchise network. In this entry-level role, you will review franchise operations, documentation, and job files to verify adherence to company...
- QIMA in Tennessee is seeking an experienced auditor to conduct social audits at manufacturing sites of client suppliers. You will pay attention to labor rights, health and safety, and ensure compliance with international standards. The ideal candidate has a higher education...
- Cobalt Peak Corp. in Nashville, TN is seeking a full-time Auditor to join the finance team. You will review financial records, perform detailed audits, analyze data, and prepare reports for management to support decision-making. Qualifications include a bachelor's degree...Full timeWork at office
- ...| US-AL-Birmingham | US-AL-Huntsville Overview The Auditor will assist with or conduct financial, compliance, and operational audits of bank branches and departments... ...IIA (Institute of Internal Auditors) Standards and Code of Ethics Perform audit procedures as assigned....Contract work
- The Tennessee Comptroller of the Treasury seeks a Legislative Auditor 1 to perform professional external post-audit work in the Division... ...or Local Government Audit. You will examine books, verify compliance with statutes, and prepare findings under government auditing...Local areaNight shift
- Keystone Pacific Corp. in Nashville, TN is seeking a detail-oriented Auditor for a full-time position to ensure accuracy and integrity of financial records. The role involves reviewing financial statements, conducting audits, and reporting findings to management. Candidates...Full time
- SERVPRO is seeking a detail-oriented Jr. Franchise Compliance Auditor I to support our franchise network in Nashville. In this entry-level role, you will review project documentation, safety practices, and operational processes to ensure alignment with SERVPRO standards...
- HCA Healthcare is seeking a work-from-home Inpatient Coding Auditor. You will perform internal quality assessment reviews of Health Information Management Service Center coders to ensure complete, accurate coding in line with national guidelines and company policies, supporting...Remote jobWork from home
- ...Assistance & Reimbursement Programs ~ Remote This position is remote; This position ensures the accuracy, completeness, and compliance of medical coding and clinical documentation for professional coding services. The role supports accurate coding practices, appropriate...Remote jobWork at office
- Mental Health Cooperative is seeking a Compliance Auditor to conduct audits of clinical documentation, billing, and operations, ensuring adherence to CMS, Medicaid, TJC, OIG, TennCare, HIPAA, and MCO requirements. The role identifies regulatory risks, recommends improvements...
- ...States Job Category Corporate Employee Type FT Exempt Chart Auditor Overview Our chart auditors perform pre-payment and post-payment... ...documentation sufficiency and level of care, and confirm that coding and billing align with the services documented. Document clear...Temporary workWork at office
- Amazon Inc. in Nashville is seeking an Audit & Compliance Manager to design, plan, and execute risk-based audits across Last Mile partnerships. You will verify carrier compliance, communicate findings, and lead corrective actions with partners and internal teams. The role...
- ...Nashville is seeking a Certified Professional Coder (CPC) to support the Special Investigations Unit with medical claim reviews and coding compliance. You will determine correct CPT/HCPCS coding and ensure documentation meets state, federal, and company standards....
- MSX International is seeking a Warranty Process Review Audit Specialist to audit the Retailer network, focusing on warranty claim applications, documentation, retention policies, and audit risk. You will work within a national team, complete audits on schedule, and create...
- ...sampling inspection report, German: EMPB, of the initial sample. Registers the release on customer portal if applicable. Ensures compliance with the integrated management systems, legal and regulatory requirements. Checks that products, processes, equipment, tooling...
$60k - $86.96k
Horizon Meadows Corp. in Nashville, TN is hiring an Auditor to join our finance team. This full-time position pays $60,000 to $86,95... ...involves conducting financial audits and ensuring regulatory compliance. You will review records, reconcile accounts, prepare audit reports...Full time- Humana Inc. is seeking an experienced Outpatient Behavioral Health Coding Auditor to handle provider disputes in a metrics-driven, remote environment. This role sits on the PPI Coding Disputes Team and focuses on outpatient BH coding disputes with CPT/HCPCS assignments...Remote job
- SERVPRO is seeking a detail-oriented Jr. Franchise Compliance Auditor I to support our construction and restoration franchise network. In this entry-level role, you will review project documentation, safety practices, and operational processes to ensure alignment with...
- ...sampling inspection report, German: EMPB, of the initial sample Registers the release on customer portal if applicable Ensures compliance with the integrated management systems, legal and regulatory requirements Checks that products, processes, equipment, tooling and...
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