CPC Medical Coding Auditor - SIU & Behavioral Health
CVS Health
CVS Health seeks a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU) to ensure coding compliance. You will review medical records for CPT/HCPCS and Revenue codes, document findings, and communicate findings to investigators, leadership, and regulators. Travel may be required to support cases and audits. Required CPC certification with 3+ years of coding experience, including record review, and proficiency in CPT/HCPCS, CMS 1500, and #J-18808-Ljbffr CVS Health
$59.3k - $80.9k
...a part of our caring community The Medical Coding Auditor reviews medical claims submitted against... ...Qualifications - What it takes to Succeed CPC, COC, CCS, ROCC, RHIA, or RHIT... ...people we serve to achieve their best health - delivering the care and service they...SuggestedBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan... ...accuracy, completeness, and compliance of medical coding and clinical documentation for... ...such as AAPC or AHIMA required (CCS-P, CPC, RHIA, RHIT, CCS, CPC-H). Minimum of two...SuggestedRemote jobWork at office
$29.05 - $56.64 per hour
...audits and analyses to identify member health and safety concerns, emerging patterns,... ...Care management, utilization management, behavioral health, quality, and/or LTSS clinical review... ...Quality (CPHQ), Certified Internal Auditor (CIA), or other related quality, audit,...SuggestedHourly payWork experience placementWork at office$79.7k - $105.48k
...Compliance contributes to Cardinal Health Ethics & Compliance promotes a culture... .... Job Summary The Compliance Auditor is responsible for conducting coding, documentation audits to ensure... ...This position focuses primarily on Medical Oncology, Radiation Oncology and...SuggestedFull timeTemporary workLocal areaImmediate startRemote workFlexible hours- Emory Healthcare is seeking a Remote Medical Coding Auditor to ensure accurate, complete, and compliant professional coding documentation. The role reviews records, identifies discrepancies, and collaborates with providers and coding teams to maintain accurate coding practices...SuggestedRemote job
- Humana is seeking a Medical Coding Auditor to review outpatient claims for accurate CPT/HCPCS coding and ICD-10-CM references. The role emphasizes accuracy, confidentiality, and adherence to guidelines in an outpatient setting. You will analyze documentation, perform CPT...Remote jobWork from home
- ...Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor to consult on clinical charge audits for Intermountain Health facilities. The role audits medical records for denials, defense reviews, and retrospective analyses while ensuring compliance with...Remote work
$41.2 - $62.17 per hour
...49 Job Description: The Revenue Integrity RN Charge/Coding Auditor is responsible for consulting on clinical charge Audits for Intermountain Health. The RN Charge Auditor will execute clinical charge audits of medical records on behalf of Intermountain hospitals and clinics...Hourly payFull timeWork at officeRemote workFlexible hours- Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor to audit clinical charges, review denials, and defend audits across Intermountain hospitals and clinics. The role requires RN licensure and coding certification, with strong knowledge of the revenue...Remote job
- ...audit experience to support clinical auditing of long-term services and supports. You will review care management records, identify health and safety risks, and help ensure timely remediation while preserving member confidentiality. Responsibilities include conducting...
$50 - $57.5 per hour
...our mission to make the world’s health data secure, accessible and... ...single patient’s request for their medical records to powering the AI... ...revenue integrity enhancement. The Auditor provides feedback, education... ..., CC/MCC, HCC, and align with coding, quality and regulatory...Full timeFlexible hours$35 - $45 per hour
...Guided by our mission to make the world’s health data secure, accessible and actionable,... ...fulfilling a single patient’s request for their medical records to powering the AI revolution in... ...and educational needs related to coding quality, compliance assessments, external...Hourly payFull timeRemote workRelocation packageFlexible hours$100.3k - $172k
...Job Description Job Description Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota... ...a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K...Work experience placementWork at office3 days per week- A leading advisory firm in Madison, Wisconsin, is seeking an experienced professional with a bachelor's degree in accounting and at least two years of audit experience. Responsibilities include providing assurance services and engaging with clients to assess financial statements...
- Datavant is seeking a CDQI Audit Specialist to evaluate CDI reviews, ensure accuracy and compliance, and identify opportunities for education and process improvements across the CDI program. You will audit CDQI specialists' work, provide feedback, collaborate with physicians...
- ...paid holidays, and 130 hours of sick leave. Electives for health, vision, and dental benefits, as well as health savings accounts... ...with federal grant program requirements. Our financial auditors work with audit professionals to systematically examine the accounting...Work at officeFlexible hours
$66k - $92k
...the Risk Management & Premium Auditor Representative role at SFM - The... ..., loss prevention, medical services and more. Though much... ...cost records, and verify class codes assigned per industry to determine... ...master’s degree in safety and Health is a plus. Effective organizational...Full timeContract workFor contractorsWork experience placementLive inRemote workWork from homeHome officeFlexible hours- Datavant is hiring an Inpatient Auditing Specialist to perform inpatient facility coding audits, provide rationale for changes, and ensure high-quality coding across multiple clients. The role emphasizes independence, problem-solving, productivity and adherence to AHIMA...Remote jobFlexible hours
$80k - $131k
...your physical, emotional, and financial wellbeing. You will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive 401(k) contribution, a pension plan, an annual incentive, 9...Full timeLocal areaRelocation package- A leading company in healthcare services is seeking a Self-Directed Personal Care Specialist (SDPC) to handle quality audits and collaborate with clinical staff. The role requires strong organizational skills and expertise in Microsoft Office Suite. This position provides...Work at office
- Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and...Flexible hours
$108.9k - $166.13k
...markets. ~ Ensure audit workpapers and deliverables adhere to the Corporate Audit Standards Manual and the Institute of Internal Auditors (IIA) Standards for the Professional Practice of Internal Auditing. ~ Initiate and oversee audits and related projects designed...Temporary workFor contractorsWork experience placementRemote work- Location: Lands' End Inc (B1) Corporate Headquarters 1 Lands' End Ln Dodgeville, WI 53595, USA Position Summary This position will be responsible for the accurate and timely completion of various Shipping Financial processes at a high level of responsibility and confidentiality...Hourly payFull timePart timeFlexible hours
- CliftonLarsonAllen, LLP in Wisconsin is hiring an Experienced Audit Associate to serve nonprofit clients in Madison and Milwaukee. You will perform significant audit and assurance engagements, build relationships, and provide close personal attention to client needs. As...
- Forvis Mazars in Madison is seeking an Associate Audit Winter 2028 to apply critical thinking and solid communication in support of diverse audit engagements. You will complete audit testing on cash, payables, and fixed assets, work with client personnel to reconcile data...
- ...other assurance engagements for our clients, build relationships, and assure continued close personal attention to their needs. CLA auditors get the footing they need to step confidently into leadership positions and more specialized practice areas. #J-18808-Ljbffr CLA...
- Lands' End, Inc. in Dodgeville, WI is seeking a Shipping Financial Analyst responsible for accurate and timely processing of shipping financial tasks, auditing of invoices, and tracking costs to support cost‑effective movement of goods. You will analyze shipping data, coordinate...
- CliftonLarsonAllen LLP (CLA) is hiring an Experienced Audit Associate to serve nonprofit clients in Wisconsin, with offices in Madison and Milwaukee. You will perform audit engagements, build relationships, and ensure attentive client service. Join CLA's assurance practice...
$85k - $168k
...members, we focus on their physical, financial, social, and emotional well-being and offer comprehensive benefit options that include health, dental, vision, 401k and much more.To view a complete list of benefits, click here.SummaryLocation: Green Bay, WI; LaCrosse, WI;...Full timeLocal area- Baker Tilly in Madison, WI seeks an Associate Consultant to support construction risk engagements, audits, and controls assessments. You will learn the construction audit methodology and work closely with seniors and managers to gain technical development and growth opportunities...
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