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Physician Coding Quality Auditor

Physician Coding Quality Auditor

UC HealthCincinnati, OH
[job_card.full_time]
At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose : to advance healing and reduce suffering. As the region's adult academic health ...[show_more][last_updated.last_updated_30]
Medical Billing and Coding - Entry Level Training Program

Medical Billing and Coding - Entry Level Training Program

Dreambound Inc.Cincinnati, Ohio
[job_card.full_time]
This is an educational program, not a job offer.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to s...[show_more][last_updated.last_updated_30]
Coding Supervisor

Coding Supervisor

Ensemble Health PartnersCincinnati, OH
[filters.remote]
[job_card.full_time]
Thank you for considering a career at Ensemble Health Partners!.Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including...[show_more][last_updated.last_updated_30]
DRG Coding Auditor Principal

DRG Coding Auditor Principal

Elevance HealthCincinnati,Ohio
[job_card.full_time]
This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity,...[show_more][last_updated.last_updated_30]
Remote Senior Software Engineer / Coding Expert - AI Trainer ($120-$120 per hour)

Remote Senior Software Engineer / Coding Expert - AI Trainer ($120-$120 per hour)

MercorCovington, Kentucky, US
[filters.remote]
[job_card.part_time]
Role Overview • • Mercor is collaborating with a leading AI research team to advance DeepResearch-2-App pipelines that simulate real-world code generation tasks. We’re seeking senior-level software en...[show_more][last_updated.last_updated_variable_days]
Trauma Registry Coding Analyst

Trauma Registry Coding Analyst

Cincinnati Children's Hospital Medical CenterCincinnati, Ohio, United States
[job_card.full_time]
Trauma Registry Coding Analyst-154260.Hybrid schedule - 4 days from home, 1 day in office each week.Analyzing, implementing and maintaining computer-based systems for the department / division and su...[show_more][last_updated.last_updated_30]
Physician Coding Quality Auditor

Physician Coding Quality Auditor

UC HealthCincinnati, OH
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Job Description

At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose : to advance healing and reduce suffering.

As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.

UC Health is committed to providing an inclusive, equitable and diverse place of employment.

Performs daily / weekly / monthly quality control. This includes reviews, corrections and feedback on timeliness, accuracy and compliance of abstracting and coding of patient accounts.

Responsibilities

Audits Accounts

Staff Education

DRG Opinions

Coding Accounts

Develops Audits Reports

Performs routine and focused coding audits on inpatient and outpatient accounts.

Reviews coding audit results with coding staff and considers feedback from the coders as appropriate. Enters and maintains audit results data.

Works with the coding education coordinators and managers to provide educational sessions for coding staff concerning issues identified through the auditing process.

Responds to coder questions and reviews cases as necessary, to assist with correct code assignment.

Attends educational sessions, training sessions and task forces sessions as directed.

Reviews and submits professional opinion on DRG denials submitted by government and third party auditors. Provides response and supporting documentation when necessary.

Assists with coding when necessary to help reduce the Accounts Receivable on unbilled accounts and improve status.

Assists with providing research results and correction of coding errors and issues.

Tracks, reports and effectively communicates audit findings including reimbursement and compliance information.

Provides information to Administration, Revenue Cycle, Charge Master, and Quality Management teams to communicate overall coding performance and to address issues where appropriate.

Qualifications

Minimum Required : HS Diploma / GED. | Required : CPC. Preferred : CPMA. | Minimum Required : 5 years.