960 Coding Auditor jobs in the United States
Medical Coding Auditor
55446 Plymouth, Minnesota
UnitedHealth Group
Posted 2 days ago
Job Viewed
Job Description
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
The **Medical Coding Auditor** is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able to exercise judgement/decision making on complex payment decisions that directly impact the provider and client by following state and government compliance guidelines, coding requirements and policies. They must confidently analyze and interpret data and medical records/documentation daily to understand historical claims activity, determine validity and demonstrate their ability to provide written communication to the provider. They are responsible for investigating, reviewing and provide clinical and/or coding expertise in a review of claims. They need to effectively manage their caseload and monthly metrics in a production driven environment and ensure they are meeting all compliance turnaround times mandated by the client. The Coding Quality Analyst must be proficient in computer skills and able to navigate multiple systems at one time with varying levels of complexity. They must have the ability to research and work independently on making decisions on complex cases.
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Performs clinical review of CPT, HCPCS, and modifiers assigned to codes on claims in a telecommuting work environment
+ Determines accuracy of medical coding/billing and payment recommendation for claims
+ This could include Medical Director/physician consultations, interpretation of state and federal mandates, applicable benefit language, medical and reimbursement policies, and consideration of relevant clinical information
+ Determines appropriate level of service utilizing Evaluation and Management coding principles
+ Provides detailed clinical narratives on case outcomes
+ Ensures adherence to state and federal compliance policies, reimbursement policies and contract compliance
+ Identifies aberrant billing patterns and trends, evidence of fraud, waste, or abuse, and recommends providers to be flagged for review
+ Maintains and manages daily case review assignments, with accountability to quality, utilization and productivity standards
+ Provides clinical support and expertise to the other investigative and analytical areas
+ Participate in team and department meetings
+ Engages in a collaborative work environment when applicable but is also able to work independently
+ Serves as a clinical resource to other areas within the clinical investigative team
+ Work with applicable business partners to obtain additional information relevant to the clinical review
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma/GED (or higher)
+ Certified Coder AHIMA (CCA, CCS, CCS-P) or AAPC Certified coder (CPC, CPC-I)
+ 2+ years of experience as an AHIMA or AAPC Certified coder
+ 2+ years of CPT/HCPCS/Modifiers coding experience
+ 2+ years of strong medical record review experience
+ 1+ years of experience working in a team atmosphere in a metric driven environment including daily production standards and quality standards
+ 1+ years of experience in the health insurance business, using industry terminology and regulatory guidelines
+ 1+ years of experience in Waste & Error principles
**Preferred Qualifications:**
+ Healthcare claims experience/processing experience
+ Experience with Fraud Waste & Abuse or Payment Integrity
+ (Internal Posting Only) 1+ years of experience with UHC platforms - COSMOS, Facets, CPW, NICE, ISET, UNET
+ Proficient and able to navigate and maneuver multiple systems at one time with varying levels of complexity
+ Strong computer skills with the ability to troubleshoot problems
+ Intermediate level of proficiency with Microsoft & Adobe applications (Outlook, Power Point, Word, Excel, OneNote, Teams, PDF)
**Soft Skills:**
+ Highly organized with effective and persuasive communication skills
+ Strong written communication skills
+ Open to change and new information; ability to adapt in changing environments and integrate best practices
+ Strong communication skills with the ability to interpret data
+ Strong analytical mindset working with medical terminology and/or coding
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.41 to $41.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
#RPO #GREEN
The **Medical Coding Auditor** is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able to exercise judgement/decision making on complex payment decisions that directly impact the provider and client by following state and government compliance guidelines, coding requirements and policies. They must confidently analyze and interpret data and medical records/documentation daily to understand historical claims activity, determine validity and demonstrate their ability to provide written communication to the provider. They are responsible for investigating, reviewing and provide clinical and/or coding expertise in a review of claims. They need to effectively manage their caseload and monthly metrics in a production driven environment and ensure they are meeting all compliance turnaround times mandated by the client. The Coding Quality Analyst must be proficient in computer skills and able to navigate multiple systems at one time with varying levels of complexity. They must have the ability to research and work independently on making decisions on complex cases.
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Performs clinical review of CPT, HCPCS, and modifiers assigned to codes on claims in a telecommuting work environment
+ Determines accuracy of medical coding/billing and payment recommendation for claims
+ This could include Medical Director/physician consultations, interpretation of state and federal mandates, applicable benefit language, medical and reimbursement policies, and consideration of relevant clinical information
+ Determines appropriate level of service utilizing Evaluation and Management coding principles
+ Provides detailed clinical narratives on case outcomes
+ Ensures adherence to state and federal compliance policies, reimbursement policies and contract compliance
+ Identifies aberrant billing patterns and trends, evidence of fraud, waste, or abuse, and recommends providers to be flagged for review
+ Maintains and manages daily case review assignments, with accountability to quality, utilization and productivity standards
+ Provides clinical support and expertise to the other investigative and analytical areas
+ Participate in team and department meetings
+ Engages in a collaborative work environment when applicable but is also able to work independently
+ Serves as a clinical resource to other areas within the clinical investigative team
+ Work with applicable business partners to obtain additional information relevant to the clinical review
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma/GED (or higher)
+ Certified Coder AHIMA (CCA, CCS, CCS-P) or AAPC Certified coder (CPC, CPC-I)
+ 2+ years of experience as an AHIMA or AAPC Certified coder
+ 2+ years of CPT/HCPCS/Modifiers coding experience
+ 2+ years of strong medical record review experience
+ 1+ years of experience working in a team atmosphere in a metric driven environment including daily production standards and quality standards
+ 1+ years of experience in the health insurance business, using industry terminology and regulatory guidelines
+ 1+ years of experience in Waste & Error principles
**Preferred Qualifications:**
+ Healthcare claims experience/processing experience
+ Experience with Fraud Waste & Abuse or Payment Integrity
+ (Internal Posting Only) 1+ years of experience with UHC platforms - COSMOS, Facets, CPW, NICE, ISET, UNET
+ Proficient and able to navigate and maneuver multiple systems at one time with varying levels of complexity
+ Strong computer skills with the ability to troubleshoot problems
+ Intermediate level of proficiency with Microsoft & Adobe applications (Outlook, Power Point, Word, Excel, OneNote, Teams, PDF)
**Soft Skills:**
+ Highly organized with effective and persuasive communication skills
+ Strong written communication skills
+ Open to change and new information; ability to adapt in changing environments and integrate best practices
+ Strong communication skills with the ability to interpret data
+ Strong analytical mindset working with medical terminology and/or coding
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.41 to $41.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
#RPO #GREEN
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0
Coding Auditor
60684 Chicago, Illinois
R1 RCM
Posted today
Job Viewed
Job Description
R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.
As our **Coding Auditor** , you will help ensure accurate medical coding and billing for our client, optimizing revenue cycle management. Every day you will monitor coding productivity and quality and prepare and provide ongoing training for our internal coding teams and auditors. To thrive in this role, you must have pro-fee auditing experience in an acute care hospital or ancillary care setting, an obsession with detail, and a talent for sharing your knowledge with others.
**Here's what you will experience working as a** **Coding Auditor:**
+ Conduct audits of work completed by coders and auditors to ensure accurate and compliant coding practices according to current coding guidelines, regulations, and best practices
+ Prepare audit reports and present to internal and external stakeholders
+ Identify coding discrepancies (ICD-10, CPT, HCPCS, modifiers) and provide feedback to coding staff to improve accuracy
+ Assist in developing and implementing coding policies and procedures in collaboration with clinical and coding
**Required Skills:**
+ High school diploma, GED, or equivalent
+ RHIT, RHIA, CCS, or CPC; CPMA preferred
+ In depth knowledge of coding guidelines including ICD-10, HCPCS, and CPT and E/M coding as demonstrated through work experience as a medical coding auditor for profee, outpatient, and facility encounters
For this US-based position, the base pay range is $65,342.00 - $94,799.70 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.
This job is eligible to participate in our annual bonus plan at a target of 10.00%
The healthcare system is always evolving - and it's up to us to use our shared expertise to find new solutions that can keep up. On our growing team you'll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team - including offering a competitive benefits package. ( RCM Inc. ("the Company") is dedicated to the fundamentals of equal employment opportunity. The Company's employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at for assistance.
CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent ( learn more, visit: R1RCM.com
Visit us on Facebook ( is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.
Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally.
As our **Coding Auditor** , you will help ensure accurate medical coding and billing for our client, optimizing revenue cycle management. Every day you will monitor coding productivity and quality and prepare and provide ongoing training for our internal coding teams and auditors. To thrive in this role, you must have pro-fee auditing experience in an acute care hospital or ancillary care setting, an obsession with detail, and a talent for sharing your knowledge with others.
**Here's what you will experience working as a** **Coding Auditor:**
+ Conduct audits of work completed by coders and auditors to ensure accurate and compliant coding practices according to current coding guidelines, regulations, and best practices
+ Prepare audit reports and present to internal and external stakeholders
+ Identify coding discrepancies (ICD-10, CPT, HCPCS, modifiers) and provide feedback to coding staff to improve accuracy
+ Assist in developing and implementing coding policies and procedures in collaboration with clinical and coding
**Required Skills:**
+ High school diploma, GED, or equivalent
+ RHIT, RHIA, CCS, or CPC; CPMA preferred
+ In depth knowledge of coding guidelines including ICD-10, HCPCS, and CPT and E/M coding as demonstrated through work experience as a medical coding auditor for profee, outpatient, and facility encounters
For this US-based position, the base pay range is $65,342.00 - $94,799.70 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.
This job is eligible to participate in our annual bonus plan at a target of 10.00%
The healthcare system is always evolving - and it's up to us to use our shared expertise to find new solutions that can keep up. On our growing team you'll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team - including offering a competitive benefits package. ( RCM Inc. ("the Company") is dedicated to the fundamentals of equal employment opportunity. The Company's employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at for assistance.
CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent ( learn more, visit: R1RCM.com
Visit us on Facebook ( is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.
Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally.
View Now
1
Coding Auditor
83756 Boise, Idaho
R1 RCM
Posted today
Job Viewed
Job Description
R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.
As our **Coding Auditor** , you will help ensure accurate medical coding and billing for our client, optimizing revenue cycle management. Every day you will monitor coding productivity and quality and prepare and provide ongoing training for our internal coding teams and auditors. To thrive in this role, you must have pro-fee auditing experience in an acute care hospital or ancillary care setting, an obsession with detail, and a talent for sharing your knowledge with others.
**Here's what you will experience working as a** **Coding Auditor:**
+ Conduct audits of work completed by coders and auditors to ensure accurate and compliant coding practices according to current coding guidelines, regulations, and best practices
+ Prepare audit reports and present to internal and external stakeholders
+ Identify coding discrepancies (ICD-10, CPT, HCPCS, modifiers) and provide feedback to coding staff to improve accuracy
+ Assist in developing and implementing coding policies and procedures in collaboration with clinical and coding
**Required Skills:**
+ High school diploma, GED, or equivalent
+ RHIT, RHIA, CCS, or CPC; CPMA preferred
+ In depth knowledge of coding guidelines including ICD-10, HCPCS, and CPT and E/M coding as demonstrated through work experience as a medical coding auditor for profee, outpatient, and facility encounters
For this US-based position, the base pay range is $65,342.00 - $94,799.70 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.
This job is eligible to participate in our annual bonus plan at a target of 10.00%
The healthcare system is always evolving - and it's up to us to use our shared expertise to find new solutions that can keep up. On our growing team you'll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team - including offering a competitive benefits package. ( RCM Inc. ("the Company") is dedicated to the fundamentals of equal employment opportunity. The Company's employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at for assistance.
CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent ( learn more, visit: R1RCM.com
Visit us on Facebook ( is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.
Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally.
As our **Coding Auditor** , you will help ensure accurate medical coding and billing for our client, optimizing revenue cycle management. Every day you will monitor coding productivity and quality and prepare and provide ongoing training for our internal coding teams and auditors. To thrive in this role, you must have pro-fee auditing experience in an acute care hospital or ancillary care setting, an obsession with detail, and a talent for sharing your knowledge with others.
**Here's what you will experience working as a** **Coding Auditor:**
+ Conduct audits of work completed by coders and auditors to ensure accurate and compliant coding practices according to current coding guidelines, regulations, and best practices
+ Prepare audit reports and present to internal and external stakeholders
+ Identify coding discrepancies (ICD-10, CPT, HCPCS, modifiers) and provide feedback to coding staff to improve accuracy
+ Assist in developing and implementing coding policies and procedures in collaboration with clinical and coding
**Required Skills:**
+ High school diploma, GED, or equivalent
+ RHIT, RHIA, CCS, or CPC; CPMA preferred
+ In depth knowledge of coding guidelines including ICD-10, HCPCS, and CPT and E/M coding as demonstrated through work experience as a medical coding auditor for profee, outpatient, and facility encounters
For this US-based position, the base pay range is $65,342.00 - $94,799.70 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.
This job is eligible to participate in our annual bonus plan at a target of 10.00%
The healthcare system is always evolving - and it's up to us to use our shared expertise to find new solutions that can keep up. On our growing team you'll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team - including offering a competitive benefits package. ( RCM Inc. ("the Company") is dedicated to the fundamentals of equal employment opportunity. The Company's employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at for assistance.
CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent ( learn more, visit: R1RCM.com
Visit us on Facebook ( is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.
Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally.
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2
Coding Auditor
11020 Great Neck, New York
Northwell Health
Posted 3 days ago
Job Viewed
Job Description
**Req Number** 165148
Job Description
Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes.
Job Responsibility
1.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.
2.Demonstrates effective skills in validation; provides ad-hoc education to the coding staff.
3.Able to communicate effectively with coders and CDI staff.
4.Demonstrates knowledge of coding policy and procedures.
5.Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies.
6.Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing.
7.Reviews potential reassignments; demonstrates accurate and timely review of all reassignments.
8.Implements coding changes; demonstrates ability to relate coding changes accurately and efficiently to staff.
9.Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action.
10.Work assignments are varied and require interpretation and independent decisions on course of action.
11.Understands department, division, corporate strategy and operating objectives, including impacts.
12.Normally receives general instructions on routine work, detailed instructions on new projects or assignments.
13.Majority of contact is within own function, area, or department and may be customer service oriented.
14.Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
Job Qualification
*Bachelor's Degree required, or equivalent combination of education and related experience.
*Current Coding credential: CER - Cert Professional Coder. (CPC) OR CER - Certified Professional Coder (CCP), required.
*1-3 years of relevant experience required.
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
The salary range for this position is $64,350-$98,500/year
It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.
Job Description
Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes.
Job Responsibility
1.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.
2.Demonstrates effective skills in validation; provides ad-hoc education to the coding staff.
3.Able to communicate effectively with coders and CDI staff.
4.Demonstrates knowledge of coding policy and procedures.
5.Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies.
6.Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing.
7.Reviews potential reassignments; demonstrates accurate and timely review of all reassignments.
8.Implements coding changes; demonstrates ability to relate coding changes accurately and efficiently to staff.
9.Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action.
10.Work assignments are varied and require interpretation and independent decisions on course of action.
11.Understands department, division, corporate strategy and operating objectives, including impacts.
12.Normally receives general instructions on routine work, detailed instructions on new projects or assignments.
13.Majority of contact is within own function, area, or department and may be customer service oriented.
14.Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
Job Qualification
*Bachelor's Degree required, or equivalent combination of education and related experience.
*Current Coding credential: CER - Cert Professional Coder. (CPC) OR CER - Certified Professional Coder (CCP), required.
*1-3 years of relevant experience required.
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
The salary range for this position is $64,350-$98,500/year
It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.
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3
Coding Auditor
11020 Great Neck, New York
Northwell Health
Posted 9 days ago
Job Viewed
Job Description
**Req Number** 165162
Job Description
Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes.
Job Responsibility
1.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.
2.Demonstrates effective skills in validation; provides ad-hoc education to the coding staff.
3.Able to communicate effectively with coders and CDI staff.
4.Demonstrates knowledge of coding policy and procedures.
5.Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies.
6.Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing.
7.Reviews potential reassignments; demonstrates accurate and timely review of all reassignments.
8.Implements coding changes; demonstrates ability to relate coding changes accurately and efficiently to staff.
9.Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action.
10.Work assignments are varied and require interpretation and independent decisions on course of action.
11.Understands department, division, corporate strategy and operating objectives, including impacts.
12.Normally receives general instructions on routine work, detailed instructions on new projects or assignments.
13.Majority of contact is within own function, area, or department and may be customer service oriented.
14.Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
Job Qualification
*Bachelor's Degree required, or equivalent combination of education and related experience.
*Current Coding credential: CER - Cert Professional Coder. (CPC), CCS OR CER - Certified Professional Coder (CCP), required.
*1-3 years of relevant experience required.
Preferred skills
+ Prior orthopedics or neurosurgery physician coding experience, preferred.
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
The salary range for this position is $64,350-$98,500/year
It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.
Job Description
Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes.
Job Responsibility
1.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.
2.Demonstrates effective skills in validation; provides ad-hoc education to the coding staff.
3.Able to communicate effectively with coders and CDI staff.
4.Demonstrates knowledge of coding policy and procedures.
5.Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies.
6.Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing.
7.Reviews potential reassignments; demonstrates accurate and timely review of all reassignments.
8.Implements coding changes; demonstrates ability to relate coding changes accurately and efficiently to staff.
9.Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action.
10.Work assignments are varied and require interpretation and independent decisions on course of action.
11.Understands department, division, corporate strategy and operating objectives, including impacts.
12.Normally receives general instructions on routine work, detailed instructions on new projects or assignments.
13.Majority of contact is within own function, area, or department and may be customer service oriented.
14.Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
Job Qualification
*Bachelor's Degree required, or equivalent combination of education and related experience.
*Current Coding credential: CER - Cert Professional Coder. (CPC), CCS OR CER - Certified Professional Coder (CCP), required.
*1-3 years of relevant experience required.
Preferred skills
+ Prior orthopedics or neurosurgery physician coding experience, preferred.
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
The salary range for this position is $64,350-$98,500/year
It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.
View Now
4
Coding Auditor
48208 Detroit, Michigan
R1 RCM
Posted 10 days ago
Job Viewed
Job Description
R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.
As our **Coding Auditor** , you will help ensure accurate medical coding and billing for our client, optimizing revenue cycle management. Every day you will monitor coding productivity and quality and prepare and provide ongoing training for our internal coding teams and auditors. To thrive in this role, you must have pro-fee auditing experience in an acute care hospital or ancillary care setting, an obsession with detail, and a talent for sharing your knowledge with others.
**Here's what you will experience working as a** **Coding Auditor:**
+ Conduct audits of work completed by coders and auditors to ensure accurate and compliant coding practices according to current coding guidelines, regulations, and best practices
+ Prepare audit reports and present to internal and external stakeholders
+ Identify coding discrepancies (ICD-10, CPT, HCPCS, modifiers) and provide feedback to coding staff to improve accuracy
+ Assist in developing and implementing coding policies and procedures in collaboration with clinical and coding
**Required Skills:**
+ High school diploma, GED, or equivalent
+ RHIT, RHIA, CCS, or CPC; CPMA preferred
+ In depth knowledge of coding guidelines including ICD-10, HCPCS, and CPT and E/M coding as demonstrated through work experience as a medical coding auditor for profee, outpatient, and facility encounters
For this US-based position, the base pay range is $65,342.00 - $94,799.70 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.
This job is eligible to participate in our annual bonus plan at a target of 10.00%
The healthcare system is always evolving - and it's up to us to use our shared expertise to find new solutions that can keep up. On our growing team you'll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team - including offering a competitive benefits package. ( RCM Inc. ("the Company") is dedicated to the fundamentals of equal employment opportunity. The Company's employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at for assistance.
CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent ( learn more, visit: R1RCM.com
Visit us on Facebook ( is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.
Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally.
As our **Coding Auditor** , you will help ensure accurate medical coding and billing for our client, optimizing revenue cycle management. Every day you will monitor coding productivity and quality and prepare and provide ongoing training for our internal coding teams and auditors. To thrive in this role, you must have pro-fee auditing experience in an acute care hospital or ancillary care setting, an obsession with detail, and a talent for sharing your knowledge with others.
**Here's what you will experience working as a** **Coding Auditor:**
+ Conduct audits of work completed by coders and auditors to ensure accurate and compliant coding practices according to current coding guidelines, regulations, and best practices
+ Prepare audit reports and present to internal and external stakeholders
+ Identify coding discrepancies (ICD-10, CPT, HCPCS, modifiers) and provide feedback to coding staff to improve accuracy
+ Assist in developing and implementing coding policies and procedures in collaboration with clinical and coding
**Required Skills:**
+ High school diploma, GED, or equivalent
+ RHIT, RHIA, CCS, or CPC; CPMA preferred
+ In depth knowledge of coding guidelines including ICD-10, HCPCS, and CPT and E/M coding as demonstrated through work experience as a medical coding auditor for profee, outpatient, and facility encounters
For this US-based position, the base pay range is $65,342.00 - $94,799.70 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.
This job is eligible to participate in our annual bonus plan at a target of 10.00%
The healthcare system is always evolving - and it's up to us to use our shared expertise to find new solutions that can keep up. On our growing team you'll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team - including offering a competitive benefits package. ( RCM Inc. ("the Company") is dedicated to the fundamentals of equal employment opportunity. The Company's employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at for assistance.
CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent ( learn more, visit: R1RCM.com
Visit us on Facebook ( is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.
Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally.
View Now
5
Coding Auditor
84190 Salt Lake City, Utah
R1 RCM
Posted 10 days ago
Job Viewed
Job Description
R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.
As our **Coding Auditor** , you will help ensure accurate medical coding and billing for our client, optimizing revenue cycle management. Every day you will monitor coding productivity and quality and prepare and provide ongoing training for our internal coding teams and auditors. To thrive in this role, you must have pro-fee auditing experience in an acute care hospital or ancillary care setting, an obsession with detail, and a talent for sharing your knowledge with others.
**Here's what you will experience working as a** **Coding Auditor:**
+ Conduct audits of work completed by coders and auditors to ensure accurate and compliant coding practices according to current coding guidelines, regulations, and best practices
+ Prepare audit reports and present to internal and external stakeholders
+ Identify coding discrepancies (ICD-10, CPT, HCPCS, modifiers) and provide feedback to coding staff to improve accuracy
+ Assist in developing and implementing coding policies and procedures in collaboration with clinical and coding
**Required Skills:**
+ High school diploma, GED, or equivalent
+ RHIT, RHIA, CCS, or CPC; CPMA preferred
+ In depth knowledge of coding guidelines including ICD-10, HCPCS, and CPT and E/M coding as demonstrated through work experience as a medical coding auditor for profee, outpatient, and facility encounters
For this US-based position, the base pay range is $65,342.00 - $94,799.70 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.
This job is eligible to participate in our annual bonus plan at a target of 10.00%
The healthcare system is always evolving - and it's up to us to use our shared expertise to find new solutions that can keep up. On our growing team you'll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team - including offering a competitive benefits package. ( RCM Inc. ("the Company") is dedicated to the fundamentals of equal employment opportunity. The Company's employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at for assistance.
CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent ( learn more, visit: R1RCM.com
Visit us on Facebook ( is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.
Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally.
As our **Coding Auditor** , you will help ensure accurate medical coding and billing for our client, optimizing revenue cycle management. Every day you will monitor coding productivity and quality and prepare and provide ongoing training for our internal coding teams and auditors. To thrive in this role, you must have pro-fee auditing experience in an acute care hospital or ancillary care setting, an obsession with detail, and a talent for sharing your knowledge with others.
**Here's what you will experience working as a** **Coding Auditor:**
+ Conduct audits of work completed by coders and auditors to ensure accurate and compliant coding practices according to current coding guidelines, regulations, and best practices
+ Prepare audit reports and present to internal and external stakeholders
+ Identify coding discrepancies (ICD-10, CPT, HCPCS, modifiers) and provide feedback to coding staff to improve accuracy
+ Assist in developing and implementing coding policies and procedures in collaboration with clinical and coding
**Required Skills:**
+ High school diploma, GED, or equivalent
+ RHIT, RHIA, CCS, or CPC; CPMA preferred
+ In depth knowledge of coding guidelines including ICD-10, HCPCS, and CPT and E/M coding as demonstrated through work experience as a medical coding auditor for profee, outpatient, and facility encounters
For this US-based position, the base pay range is $65,342.00 - $94,799.70 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.
This job is eligible to participate in our annual bonus plan at a target of 10.00%
The healthcare system is always evolving - and it's up to us to use our shared expertise to find new solutions that can keep up. On our growing team you'll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team - including offering a competitive benefits package. ( RCM Inc. ("the Company") is dedicated to the fundamentals of equal employment opportunity. The Company's employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at for assistance.
CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent ( learn more, visit: R1RCM.com
Visit us on Facebook ( is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.
Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally.
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6
Coding Auditor
11020 Great Neck, New York
Northwell Health
Posted 24 days ago
Job Viewed
Job Description
**Req Number** 151206
Job Description
Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes.
Job Responsibility
1.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.
2.Demonstrates effective skills in validation; provides ad-hoc education to the coding staff.
3.Able to communicate effectively with coders and CDI staff.
4.Demonstrates knowledge of coding policy and procedures.
5.Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies.
6.Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing.
7.Reviews potential reassignments; demonstrates accurate and timely review of all reassignments.
8.Implements coding changes; demonstrates ability to relate coding changes accurately and efficiently to staff.
9.Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action.
10.Work assignments are varied and require interpretation and independent decisions on course of action.
11.Understands department, division, corporate strategy and operating objectives, including impacts.
12.Normally receives general instructions on routine work, detailed instructions on new projects or assignments.
13.Majority of contact is within own function, area, or department and may be customer service oriented.
14.Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
Job Qualification
+ Bachelor's Degree required, or equivalent combination of education and related experience.
+ Current Coding credential: CER - Cert Professional Coder. (CPC) OR Certified Coding Specialist (CCS) OR CER - Certified Professional Coder (CCP), required.
+ 1-3 years of relevant experience required.
+ Prior hospital inpatient coding experience, preferred.
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
The salary range for this position is $62,250-$100,130/year
It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.
Job Description
Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes.
Job Responsibility
1.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.
2.Demonstrates effective skills in validation; provides ad-hoc education to the coding staff.
3.Able to communicate effectively with coders and CDI staff.
4.Demonstrates knowledge of coding policy and procedures.
5.Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies.
6.Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing.
7.Reviews potential reassignments; demonstrates accurate and timely review of all reassignments.
8.Implements coding changes; demonstrates ability to relate coding changes accurately and efficiently to staff.
9.Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action.
10.Work assignments are varied and require interpretation and independent decisions on course of action.
11.Understands department, division, corporate strategy and operating objectives, including impacts.
12.Normally receives general instructions on routine work, detailed instructions on new projects or assignments.
13.Majority of contact is within own function, area, or department and may be customer service oriented.
14.Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
Job Qualification
+ Bachelor's Degree required, or equivalent combination of education and related experience.
+ Current Coding credential: CER - Cert Professional Coder. (CPC) OR Certified Coding Specialist (CCS) OR CER - Certified Professional Coder (CCP), required.
+ 1-3 years of relevant experience required.
+ Prior hospital inpatient coding experience, preferred.
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
The salary range for this position is $62,250-$100,130/year
It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.
View Now
7
Coding Auditor Educator
99811 Juneau, Alaska
Highmark Health
Posted today
Job Viewed
Job Description
**Company :**
Allegheny Health Network
**Job Description :**
**GENERAL OVERVIEW:**
Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in accordance with federal and state regulations and guidelines
**ESSENTIAL RESPONSIBILITIES:**
+ Plans and conducts audits and reports on the documentation, coding and billing performed at AHN entities. Reviews, develops and delivers training programs and educational materials to address deficiencies identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external audit findings and responds as needed. Attends meetings and interacts with management to resolve issues and provide advice on new programs. Provides guidance to system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare appeal letter follow up and identify education issues. (20%)
+ Develops audit detail summary spreadsheets and reports to address any coding, documentation, financial impact and profitability. Conducts education/training or works with external resources to present final audit findings to department staff, physicians and appropriate individuals. (20%)
+ Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting system and the chargemaster. (10%)
+ Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify patterns, trends and variations in the facilities frequently assigned DRG/APC groups. Once identified, evaluate the cases of the change or problems and takes appropriate steps to effect resolution. (10%)
+ Reviews and interprets medical information, classifies that information into the appropriate payor specific groups consisting of ICD-CM ICD-PCS and CPT codes for diagnoses and procedures and calculates the DRG and APC. (10%)
+ Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding guidelines and regulatory requirements. (10%)
+ Performs other duties as assigned or required including training/mentoring of new staff, performing audits and research related to special projects and providing coverage for coding manager(s). (10%)
+ Depending on location provides or arranges for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical terminology and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff education programs. Establishes and monitors performance and maintains appropriate documentation thereof. (10%)
+ Other duties as assigned.
**QUALIFICATIONS:**
Minimum
+ High school diploma / GED
+ Certification from American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA)
+ AHIMA Credentials (Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS)
+ AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA)
+ 5 years with hospital or physician coding and/or auditing, as well as, education techniques and methods. (Internal transfer and promotion candidates may have a minimum of 3 years experience)
+ In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG/APC structure, National Correct Coding Initiatives, ICD CM/PCS Official Guidelines, Outpatient Prospective payment system and Coding Clinic references. Current working knowledge of encoder, grouper, abstracting and other related software.
+ Strong analytical and communication skills
Preferred
+ Associate's Degree
+ 3 years with claims processing and data management
+ Past auditing and strong education/training background in coding and reimbursement
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$25.85
**Pay Range Maximum:**
$40.18
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J259988
Allegheny Health Network
**Job Description :**
**GENERAL OVERVIEW:**
Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in accordance with federal and state regulations and guidelines
**ESSENTIAL RESPONSIBILITIES:**
+ Plans and conducts audits and reports on the documentation, coding and billing performed at AHN entities. Reviews, develops and delivers training programs and educational materials to address deficiencies identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external audit findings and responds as needed. Attends meetings and interacts with management to resolve issues and provide advice on new programs. Provides guidance to system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare appeal letter follow up and identify education issues. (20%)
+ Develops audit detail summary spreadsheets and reports to address any coding, documentation, financial impact and profitability. Conducts education/training or works with external resources to present final audit findings to department staff, physicians and appropriate individuals. (20%)
+ Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting system and the chargemaster. (10%)
+ Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify patterns, trends and variations in the facilities frequently assigned DRG/APC groups. Once identified, evaluate the cases of the change or problems and takes appropriate steps to effect resolution. (10%)
+ Reviews and interprets medical information, classifies that information into the appropriate payor specific groups consisting of ICD-CM ICD-PCS and CPT codes for diagnoses and procedures and calculates the DRG and APC. (10%)
+ Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding guidelines and regulatory requirements. (10%)
+ Performs other duties as assigned or required including training/mentoring of new staff, performing audits and research related to special projects and providing coverage for coding manager(s). (10%)
+ Depending on location provides or arranges for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical terminology and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff education programs. Establishes and monitors performance and maintains appropriate documentation thereof. (10%)
+ Other duties as assigned.
**QUALIFICATIONS:**
Minimum
+ High school diploma / GED
+ Certification from American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA)
+ AHIMA Credentials (Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS)
+ AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA)
+ 5 years with hospital or physician coding and/or auditing, as well as, education techniques and methods. (Internal transfer and promotion candidates may have a minimum of 3 years experience)
+ In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG/APC structure, National Correct Coding Initiatives, ICD CM/PCS Official Guidelines, Outpatient Prospective payment system and Coding Clinic references. Current working knowledge of encoder, grouper, abstracting and other related software.
+ Strong analytical and communication skills
Preferred
+ Associate's Degree
+ 3 years with claims processing and data management
+ Past auditing and strong education/training background in coding and reimbursement
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$25.85
**Pay Range Maximum:**
$40.18
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J259988
View Now
8
Coding Auditor Educator
62762 Springfield, Illinois
Highmark Health
Posted today
Job Viewed
Job Description
**Company :**
Allegheny Health Network
**Job Description :**
**GENERAL OVERVIEW:**
Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in accordance with federal and state regulations and guidelines
**ESSENTIAL RESPONSIBILITIES:**
+ Plans and conducts audits and reports on the documentation, coding and billing performed at AHN entities. Reviews, develops and delivers training programs and educational materials to address deficiencies identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external audit findings and responds as needed. Attends meetings and interacts with management to resolve issues and provide advice on new programs. Provides guidance to system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare appeal letter follow up and identify education issues. (20%)
+ Develops audit detail summary spreadsheets and reports to address any coding, documentation, financial impact and profitability. Conducts education/training or works with external resources to present final audit findings to department staff, physicians and appropriate individuals. (20%)
+ Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting system and the chargemaster. (10%)
+ Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify patterns, trends and variations in the facilities frequently assigned DRG/APC groups. Once identified, evaluate the cases of the change or problems and takes appropriate steps to effect resolution. (10%)
+ Reviews and interprets medical information, classifies that information into the appropriate payor specific groups consisting of ICD-CM ICD-PCS and CPT codes for diagnoses and procedures and calculates the DRG and APC. (10%)
+ Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding guidelines and regulatory requirements. (10%)
+ Performs other duties as assigned or required including training/mentoring of new staff, performing audits and research related to special projects and providing coverage for coding manager(s). (10%)
+ Depending on location provides or arranges for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical terminology and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff education programs. Establishes and monitors performance and maintains appropriate documentation thereof. (10%)
+ Other duties as assigned.
**QUALIFICATIONS:**
Minimum
+ High school diploma / GED
+ Certification from American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA)
+ AHIMA Credentials (Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS)
+ AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA)
+ 5 years with hospital or physician coding and/or auditing, as well as, education techniques and methods. (Internal transfer and promotion candidates may have a minimum of 3 years experience)
+ In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG/APC structure, National Correct Coding Initiatives, ICD CM/PCS Official Guidelines, Outpatient Prospective payment system and Coding Clinic references. Current working knowledge of encoder, grouper, abstracting and other related software.
+ Strong analytical and communication skills
Preferred
+ Associate's Degree
+ 3 years with claims processing and data management
+ Past auditing and strong education/training background in coding and reimbursement
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$25.85
**Pay Range Maximum:**
$40.18
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J259988
Allegheny Health Network
**Job Description :**
**GENERAL OVERVIEW:**
Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in accordance with federal and state regulations and guidelines
**ESSENTIAL RESPONSIBILITIES:**
+ Plans and conducts audits and reports on the documentation, coding and billing performed at AHN entities. Reviews, develops and delivers training programs and educational materials to address deficiencies identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external audit findings and responds as needed. Attends meetings and interacts with management to resolve issues and provide advice on new programs. Provides guidance to system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare appeal letter follow up and identify education issues. (20%)
+ Develops audit detail summary spreadsheets and reports to address any coding, documentation, financial impact and profitability. Conducts education/training or works with external resources to present final audit findings to department staff, physicians and appropriate individuals. (20%)
+ Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting system and the chargemaster. (10%)
+ Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify patterns, trends and variations in the facilities frequently assigned DRG/APC groups. Once identified, evaluate the cases of the change or problems and takes appropriate steps to effect resolution. (10%)
+ Reviews and interprets medical information, classifies that information into the appropriate payor specific groups consisting of ICD-CM ICD-PCS and CPT codes for diagnoses and procedures and calculates the DRG and APC. (10%)
+ Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding guidelines and regulatory requirements. (10%)
+ Performs other duties as assigned or required including training/mentoring of new staff, performing audits and research related to special projects and providing coverage for coding manager(s). (10%)
+ Depending on location provides or arranges for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical terminology and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff education programs. Establishes and monitors performance and maintains appropriate documentation thereof. (10%)
+ Other duties as assigned.
**QUALIFICATIONS:**
Minimum
+ High school diploma / GED
+ Certification from American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA)
+ AHIMA Credentials (Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS)
+ AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA)
+ 5 years with hospital or physician coding and/or auditing, as well as, education techniques and methods. (Internal transfer and promotion candidates may have a minimum of 3 years experience)
+ In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG/APC structure, National Correct Coding Initiatives, ICD CM/PCS Official Guidelines, Outpatient Prospective payment system and Coding Clinic references. Current working knowledge of encoder, grouper, abstracting and other related software.
+ Strong analytical and communication skills
Preferred
+ Associate's Degree
+ 3 years with claims processing and data management
+ Past auditing and strong education/training background in coding and reimbursement
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$25.85
**Pay Range Maximum:**
$40.18
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J259988
View Now
9