60 Cms Auditor Jobs Hiring Near You

Ensure compliance with CMS, payer, and official coding guidelines * Identify trends, risks, and ... Experience auditing operative reports and post-operative documentation * Familiarity with CMS ...

... with CMS Risk Adjustment program requirements, Official Coding Guidelines, AHA Coding Clinic ... The Risk Adjustment Coding Auditor serves as a subject matter expert in HCC coding, diagnosis ...

This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required skillset: MS Suite CPC certified CRC certified 5+ years of risk ...

This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required skillset: MS Suite CPC certified CRC certified 5+ years of risk ...

... with CMS Risk Adjustment program requirements, Official Coding Guidelines, AHA Coding Clinic ... The Risk Adjustment Coding Auditor serves as a subject matter expert in HCC coding, diagnosis ...

This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required skillset: MS Suite CPC certified CRC certified 5+ years of risk ...

This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required skillset: MS Suite CPC certified CRC certified 5+ years of risk ...

This role ensures compliance with CMS guidelines, CPT, HCPCS, and ICD-10 code sets, while supporting providers through ongoing physician coding education, auditing feedback, compliance guidance, and ...

This role ensures compliance with CMS guidelines, CPT, HCPCS, and ICD-10 code sets, while supporting providers through ongoing physician coding education, auditing feedback, compliance guidance, and ...

JOB SUMMARY: The Risk Adjustment Auditor is responsible for reviewing medical records and related documentation to ensure accurate capture of diagnoses in compliance with CMS risk adjustment ...

The Claims Auditor also supports cross-departmental initiatives to maintain payment integrity and compliance with CMS, Medi-Cal, and commercial guidelines. ESSENTIAL JOB FUNCTIONS: * Accurately apply ...

Audit reports may include UB-1450 and HCFA CMS 1500 claim forms not limited to behavioral health ... The Claim auditor is also responsible for pre-auditing high dollar claims to ensure claim payment ...

Acts as a subject matter expert to internal and external stakeholders in the area of CMS ... CPC or CPMA (Medical Auditing Certification) from accredited source (American Health Information ...

Senior Claims Auditor Department: Ops - Claims Ops About the Role: We are currently seeking a ... Analyze and audit Health plan claims selections for all health plan/DMHC/CMS audits * Review ...

Senior Claims Auditor Department: Ops - Claims Ops About the Role: We are currently seeking a ... Analyze and audit Health plan claims selections for all health plan/DMHC/CMS audits * Review ...

JOB SUMMARY: The Risk Adjustment Auditor is responsible for reviewing medical records and related documentation to ensure accurate capture of diagnoses in compliance with CMS risk adjustment ...

Proficient of URAC and CMS network requirements * Proficient of Federal and State level auditing network requirements * Knowledge of standard audit practices * Detail oriented * Excellent written and ...

... CMS), and Department of Health Care Services (DHCS) standards where applicable. This role plays a ... At least five years of managed care claims auditing, claims examiner, or claims quality control ...

Description JOB SUMMARY The Quality Control Auditor - Claims Management is responsible for ... Knowledge of DMHC, CMS, DHCS, and regulatory requirements. Strong analytical and problem-solving ...

Job Type Full-time Description The Facility Inpatient Coding Auditor is responsible for auditing ... Ensure compliance with official coding guidelines, CMS regulations, payer requirements, and ...