ICD Coding & Medical Records Quality Auditor
Internationalinsuranceprofessionals
CVS Health is seeking a Medical Records Auditor to audit and abstract provider records for CMS ICD codes, ensuring documentation supports risk adjustment and compliance with HIPAA and regulations. The role requires ICD-10 coding experience, CPC/CCS-P credentials, and strong communication for record retrieval from providers. 40-hour weeks in a full-time setting with competitive benefits. #J-18808-Ljbffr Internationalinsuranceprofessionals
- Coding Quality Auditor At Houston Methodist, the Coding Quality Auditor position is responsible for... ...upon documentation within the electronic medical record while maintaining compliance with... ...encoder application AHIMA designated ICD-10 Approved Trainer preferred Essential...SuggestedWork at office
$18.5 - $38.82 per hour
...for the audit and abstraction of provider and/or vendor medical records to identify ICD codes submitted to the Centers for Medicare & Medicaid Services... ...CRC (HCC)CPMA (Certified Professional Medical Auditor), CDEO (Certified Documentation Expert Outpatient) or CPC...SuggestedHourly payFull timeTemporary workWork at office$27.02 - $48.55 per hour
...regarding the National Committee for Quality Assurance (NCQA) HEDIS measures... ...education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies... ...guidelines and HEDIS ICD-9/10 CPT coding in accordance with...SuggestedHourly payFull timePart timeWork at officeRemote workFlexible hours$29.69 - $49.49 per hour
...Department Name: Coding Ambulatory Work Shift:... ...this Physician Coder Quality Associate position, you... ...care team for the health record(s) and for quality assurance... ...codes. Works with medical staff and quality management... ...(APC) or ICD-9 assignments on health...SuggestedWork experience placementLive inWork at officeLocal areaRemote workShift work$35.5 - $53.25 per hour
...Integrity Operations: Facility Coding Quality Status Full time Benefits... ...routing requests, maintaining records, and verifying documentation... ...health information workflows, and medical record auditing experience.... ...Advanced knowledge of ICD, CPT, and HCPCS coding guidelines...SuggestedDaily paidFull timeTemporary workPart timeWork at officeRemote workMonday to FridayFlexible hoursShift workDay shift- ...TheMedical Coder supports the Coding department in various... ...sequence ICD-10 and CPT codes and all... ...documentation in the medical record is inadequate, ambiguous... ...Senior Coder, Coding Auditor, QA Analyst, or Coding... ...Experience performing coding quality audits, identifying...Remote workFlexible hours
$68.9k - $99.62k
The Clinical Quality Specialist is responsible for performing Healthcare... ...and Information Set (HEDIS) medical record review, supplemental data... ...clinical documentation and coding from electronic medical records... ...programs. Knowledge of ICD-10, CPT, HCPCS coding, and medical...Temporary workWork experience placementRemote work$79.72k - $108.71k
...Description The Clinical Documentation Quality Improvement Specialist II is responsible... ...staff, other patient caregivers, and medical records coding staff to ensure that documentation reflects... ...skills Demonstrated knowledge of ICD-10 CM/PCS codes, DRG and CPT coding Employer...Full timeTraineeshipLocal area$62.7k
...of compliance, process improvement, medical record review and coding, and member and provider satisfaction... ...improvements related to the potential of quality medical care and service to members... ...of these services for appropriate ICD 10-CM coding. Serves as a resource and...For contractorsWork at officeLocal areaRemote work$27.02 - $48.55 per hour
Title: Quality Practice Advisor Location: Remote-KY Job Description: Requires 50% travel Region 1 - Paducah, KY... ...Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance...Hourly payFull timePart timeWork at officeRemote workFlexible hours- Cognizant is seeking a Medical Coding Quality Auditor to ensure accurate coding, compliance, and quality across healthcare records in a fully remote role. You will collaborate with clinicians... ...reviewing documentation to assign ICD-10-CM, CPT, and HCPCS codes, performing...Remote job
- CVS Health is seeking a skilled Medical Records Auditor/Coder to perform audit and abstraction of provider and vendor medical records to identify CMS ICD codes. You will validate codes for risk adjustment, ensure documentation supports medical necessity, and maintain compliance...
- ...developing solutions, and continuously improving quality, processes, and efficiency. Obtains, reviews and tracks medical records to determine compliance with review and... ...experience or the prorated part-time equivalent.) Coding Certification Certified Professional in...Full timeContract workTemporary workPart timeRemote work
$85k - $100k
...remote office opportunity. The CVA Quality Analyst oversees work performed by the Clinical auditors to ensure that EXL’s standard... ...quality auditing of inpatient medical records to confirm the appropriate... ...of the provider's billed DRG code. Salary Range : $85k - $100k Location...Work at officeRemote work- ...Supportive and collaborative work environment Chance to significantly impact coding quality and accuracy in healthcare What To Expect (Job Responsibilities) Conduct random audits of medical records to ensure accurate coding assignments Review and analyze medical records...Immediate startRemote work
- ...position conducts professional coding audits of clinical coding records across inpatient,... ...lines. The Education and Quality Analyst provides education... ...analyst also collaborates with medical staff to address coding queries... ...primarily responsible for ICD-10 CM/PCS education for...Local areaRemote workShift work
- Brown University Health is seeking a Coding Quality Reviewer and Educator to audit professional coding and medical records across a multispecialty ambulatory environment. You will validate ICD-10-CM, CPT, and HCPCS codes, ensure services are supported and compliant, and...Remote job
- Senior Quality Improvement Specialist (RN) Location: NYCLAY (100... ...critical incident cases; review of medical record documentation for... ...HEDIS team, vendors and HEDIS auditors. Assists the quality improvement... ...Experience 2 years coding and medical record abstraction...Remote work
$57.4k - $99k
...000 annually based on experience The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes. Provides guidance and education to coding... ...communicate in English. Ability to understand medical/surgical terminology. Above average written...Temporary workWork at officeLocal areaImmediate startRemote work$85k - $100k
EXL Service is seeking a CVA Quality Analyst to oversee clinical auditors and ensure accuracy in inpatient medical record audits. The analyst applies expert clinical knowledge to validate providers' billed DRG codes and uphold EXL's standards. This is a 100% remote, U....Remote job- Quality Analyst, Inpatient Coding Join our dynamic team and make a meaningful impact in... ...Home Group Life Insurance Medical Cash Allowance Rice Allowance... ...professional coding (CPT, ICD-10-CM and HCPCS). The incumbent... ...and analyze reports, records, and data to meet and exceed...Permanent employmentFull timeWork experience placementWork at officeLocal areaImmediate startWork from homeShift workDay shift
$75k - $90k
...with client requirements, coding guidelines, pricing... ...support that strengthens auditor performance, continuous... ..., documentation quality, and compliance with applicable... ...years of experience in medical claims, healthcare... ...Knowledge of CPT, HCPCS, ICD-10-CM, and medical coding...Contract workTraineeshipRemote work- ...Dane Street, LLC is hiring a Peer / Record Review Quality Analyst responsible for managing medical file reviews and ensuring client standards are met. The ideal candidate must have strong communication skills, an educational background in healthcare or business, and...Remote workWork from home
- ...countries. The purpose of this role is to promote excellent call quality, contact handling and documentation by providing an additional... ...representatives to ensure quality of call handling, accurate coding in CRS and making appropriate documentation. Completes established...Immediate startRemote workWork from home
- Job Title Responsibilities: Outreach to providers to request medical records Process incoming medical records Track received medical records... ...medical records Required skills/Experience: Experience in Quality and Outreach initiatives HEDIS measure knowledge Microsoft Office...Work at office
- A healthcare transformation firm is seeking a Quality Outreach Specialist to improve health outcomes by removing patient barriers... ...entails outreach to connect patients with services, performing medical record reviews, and developing educational materials for care...
- ...individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn... ...Control Specialist is responsible for reviewing electronic medical records and conducting quality control on each record to ensure we...Remote job
$25.72 - $28.89 per hour
...just an Honest day’s work. Your Role The Quality Outreach Specialist will be a key part... ...accessing and receiving care, such as patient medication adherence outreach, connecting patients... ...and available services, and medical record review to identify gaps in care....Hourly payFull timeTemporary workWork at officeFlexible hours- Guidehouse in the United States is seeking a Medical Coding Reviewer to report directly to the Internal Quality Control Director. You will access and review medical record documentation, coding and abstracting accuracy using ICD-10 CM/PCS and CPT, ensuring compliance with...Remote job
- ...Support the development and maintenance of quality improvement related projects and... ...Heavy chart monitoring and auditing of medical records Monitor the production of quality results... ...include: Understanding the meaning of Pend codes and acting on them as appropriate Contact...Temporary work
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