Coding Auditor

5 days ago


Wilmington, Delaware, United States Christiana Care Full time
Job Summary

ChristianaCare, a leading healthcare system in Delaware, is seeking a skilled Coding Auditor to join our Medical Group Physician Optimization team. As a Coding Auditor, you will play a critical role in ensuring compliance with clinical documentation and coding regulations to support accurate reimbursement for services across all practices/units.

Key Responsibilities
  • Perform coding quality audits of all records (outpatient, inpatient, procedures, testing) to assure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid Services (CMS) guidelines.
  • Review and assess supporting documentation in patient medical records for appropriate ICD-10, CPT, HCPCS coding.
  • Identify coding and documentation error trends enabling targeted provider education.
  • Assist with annual review of CPT/ICD-10 updates and implementation of identified changes.
  • Assist with annual CMS updates and implementation of identified changes, and maintain knowledge of Medicare and Medicaid billing practices, coding guidelines, laws, and regulations.
Requirements
  • High School diploma or equivalent and/or Associate's degree.
  • A minimum of 4 years of coding experience.
  • At least 2 years of physician auditing experience.
  • Certified Professional Coder (CPC) completed through American Academy of Professional Coder required.
  • Certified Professional Medical Auditor (CPMA) completed through American Academy of Professional Coders preferred.
Why ChristianaCare

ChristianaCare is a leader in healthcare, committed to delivering high-quality care and services to our patients and communities. We offer a dynamic and supportive work environment, with opportunities for professional growth and development. Join our team and be part of a organization that makes a difference in the lives of others.


  • Coding Auditor

    6 days ago


    Wilmington, Delaware, United States Christiana Care Full time

    Job SummaryWe are seeking a skilled Coding Auditor to join our team at Christiana Care. As a Coding Auditor, you will be responsible for monitoring compliance with clinical documentation to support coding and billing regulations.Key ResponsibilitiesPerform coding quality audits of all records to ensure appropriateness and accurate code assignments.Review and...

  • Coding Specialist

    2 weeks ago


    Wilmington, Delaware, United States ChristianaCare Full time

    Job Title: Coding EducatorChristianaCare, a leading healthcare system in Delaware, is seeking a skilled Coding Educator to join our Medical Group Physician Optimization team. This is a full-time, hybrid role with flexible remote options available.About the Role:The Coding Educator will be responsible for monitoring compliance with clinical documentation...


  • Wilmington, Delaware, United States ChristianaCare Full time

    Job SummaryWe are seeking a skilled Coding and Audit Coordinator to join our Medical Group Physician Optimization team at ChristianaCare, the largest healthcare system in Delaware.Key ResponsibilitiesPerform coding quality audits of all records to ensure appropriateness and accurate code assignments in accordance with CMS guidelines.Identify coding and...

  • Nurse Auditor Senior

    2 weeks ago


    Wilmington, Delaware, United States Elevance Health Full time

    Nurse Auditor Senior Job DescriptionJob Summary:Elevance Health is seeking a skilled Nurse Auditor Senior to join our team. As a key member of our healthcare integrity team, you will be responsible for identifying and analyzing aberrant patterns of utilization and/or fraudulent activities by healthcare providers.Key Responsibilities:Investigate potential...

  • Nurse Auditor Senior

    2 weeks ago


    Wilmington, Delaware, United States Elevance Health Full time

    About the RoleWe are seeking a highly skilled Nurse Auditor Senior to join our team at Elevance Health. As a key member of our Carelon Payment Integrity department, you will play a critical role in identifying and preventing unnecessary medical-expense spending.Key ResponsibilitiesInvestigate potential fraud and over-utilization by performing medical reviews...


  • Wilmington, Delaware, United States DelDOT Full time

    Overview The incumbent in this role is responsible for conducting thorough investigations of randomly selected unemployment claims to pinpoint errors in benefits and their underlying causes, ensuring that appropriate corrective measures are implemented. Key Responsibilities The following duties are essential and represent the core functions of this...


  • Wilmington, Delaware, United States State of Delaware Full time

    Job SummaryThe State of Delaware is seeking a highly skilled Unemployment Insurance Quality Control Auditor to join our team. As a key member of our organization, you will be responsible for investigating randomly selected claims to identify benefit errors and their causes, ensuring corrective action is taken.Key ResponsibilitiesReview agency records to...


  • Wilmington, Delaware, United States State of Delaware Full time

    Overview The incumbent in this role is responsible for examining randomly selected claims to identify discrepancies in benefits and their underlying causes, facilitating necessary corrective measures. Key Responsibilities The following duties are essential and represent core functions common to all positions within this classification. This list is...


  • Wilmington, Delaware, United States State of Delaware Full time

    Overview The incumbent in this role is responsible for examining randomly selected unemployment claims to pinpoint benefit discrepancies and their underlying causes, facilitating necessary corrective measures. Key Responsibilities The following duties are essential to all positions within this classification and are not intended to be an exhaustive...

  • Fiscal Advisor III

    6 days ago


    Wilmington, Delaware, United States Department of Labor Full time

    Fiscal Advisor III Job DescriptionThis is an advanced-level fiscal advisor position that requires analyzing financial transactions and records, preparing financial statements and reports, and controlling and accounting for funds.The successful candidate will independently perform complex fiscal advisor work with minimal supervision, requiring a broad,...

  • Financial Analyst I

    4 weeks ago


    Wilmington, Delaware, United States DelDOT Full time

    Job SummaryWe are seeking a highly skilled Fiscal Advisor I to join our team at DelDOT. As a key member of our financial operations, you will play a critical role in ensuring the accuracy and integrity of our financial records.Key ResponsibilitiesFinancial Analysis: Review and analyze financial transactions and records to determine accuracy and ensure...

  • Financial Analyst I

    3 weeks ago


    Wilmington, Delaware, United States DelDOT Full time

    About the RoleDelDOT is seeking a highly skilled Financial Advisor I to join our team. As a key member of our financial operations team, you will play a critical role in ensuring the accuracy and integrity of our financial transactions and records.Key ResponsibilitiesReview and analyze financial transactions and records to determine accuracy and ensure...


  • Wilmington, Delaware, United States DelDOT Full time

    Job SummaryThis is an advanced level fiscal advisor position that involves analyzing financial transactions and records, preparing financial statements and reports, and controlling and accounting for funds. The ideal candidate will have a broad, in-depth practical knowledge of accounting principles, practices, and standards to review, resolve, and approve...

  • Nurse Audit Lead

    2 weeks ago


    Wilmington, Delaware, United States Elevance Health Full time

    Nurse Audit Lead Job DescriptionJob Summary:Elevance Health is seeking a skilled Nurse Audit Lead to join our team. As a key member of our healthcare compliance team, you will be responsible for leading a team of clinicians in identifying and analyzing aberrant patterns of utilization and/or fraudulent activities by healthcare providers.Key...

  • Fiscal Advisor IV

    4 weeks ago


    Wilmington, Delaware, United States DelDOT Full time

    About the RoleDelDOT is seeking a highly skilled Fiscal Advisor IV to join our team. As a key member of our financial department, you will play a critical role in ensuring the accuracy and compliance of our financial transactions.Key ResponsibilitiesReview and analyze financial transactions and records to determine accuracy and ensure adherence to agency...

  • Nurse Audit Lead

    2 weeks ago


    Wilmington, Delaware, United States Elevance Health Full time

    About the RoleWe are seeking a highly skilled Nurse Audit Lead to join our team at Elevance Health. As a key member of our Carelon Payment Integrity department, you will play a critical role in identifying and addressing aberrant patterns of utilization and/or fraudulent activities by healthcare providers.Key ResponsibilitiesDevelop and maintain the claims...

  • Nurse Audit Lead

    1 week ago


    Wilmington, Delaware, United States Elevance Health Full time

    Nurse Audit Lead Job DescriptionElevance Health is seeking a skilled Nurse Audit Lead to join our team. As a key member of our healthcare team, you will be responsible for leading a team of clinicians in identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by healthcare providers.Key Responsibilities:Develop...

  • Nurse Audit Lead

    2 weeks ago


    Wilmington, Delaware, United States Elevance Health Full time

    Job Title: Nurse Audit Lead - Carelon Payment IntegrityWe are seeking a highly skilled Nurse Audit Lead to join our team at Carelon Payment Integrity, a proud member of the Elevance Health family of companies. As a Nurse Audit Lead, you will play a critical role in leading a team of clinicians responsible for identifying, monitoring, and analyzing aberrant...

  • Coding Educator

    4 months ago


    Wilmington, United States ChristianaCare Full time

    ChristianaCare, the largest healthcare system in Delaware is searching for Full Time Coding Educators for our Medical Group Physician Optimization team. This opportunity is hybrid! This Coding Auditor or Educator is responsible for monitoring compliance with applicable clinical documentation to support coding and billing regulations to ensure appropriate...

  • Night Auditor

    4 weeks ago


    Wilmington, North Carolina, United States WILMINGTON CONVENTION HOTEL LLC Full time

    Job SummaryThe Night Auditor is a critical role within the hospitality industry, responsible for ensuring the accuracy and integrity of financial transactions and operations at the Wilmington Convention Hotel LLC.Key ResponsibilitiesAudit and Balance Financial Transactions: The Night Auditor will be responsible for auditing and balancing all financial...

  • Night Auditor

    3 weeks ago


    Wilmington, North Carolina, United States WILMINGTON CONVENTION HOTEL LLC Full time

    Job SummaryThe Night Auditor is a critical role within the hospitality industry, responsible for ensuring the accuracy and integrity of financial transactions and operations at the Wilmington Convention Hotel LLC.Key ResponsibilitiesAudit and Balance Financial Transactions: The Night Auditor will be responsible for auditing and balancing all financial...

  • Night Auditor

    2 months ago


    Wilmington, United States WILMINGTON CONVENTION HOTEL LLC Full time

    Job DetailsLevel Entry Job Location Wilmington Convention Hotel LLC - Wilmington, NC Position Type Full Time Education Level High School Job Shift 3rd Shift Job Category Hospitality - Hotel DescriptionSUMMARY The Night Auditor is responsible for: Audit, balance and report on the various areas of the hotel to provide accurate, timely information and to...


  • Wilmington, United States ChristianaCare Full time

    ChristianaCare, the largest healthcare system in Delaware is searching for Full Time Coding Educators for our Medical Group Physician Optimization team.This Coding Auditor or Educator is responsible for monitoring compliance with applicable clinical documentation to support coding and billing regulations to ensure appropriate reimbursement for services...


  • Wilmington, United States ChristianaCare Full time

    ChristianaCare, the largest healthcare system in Delaware is searching for Full Time Coding Educators for our Medical Group Physician Optimization team.This Coding Auditor or Educator is responsible for monitoring compliance with applicable clinical documentation to support coding and billing regulations to ensure appropriate reimbursement for services...


  • Wilmington, United States ChristianaCare Full time

    ChristianaCare, the largest healthcare system in Delaware is searching for Full Time Coding Educators for our Medical Group Physician Optimization team.This Coding Auditor or Educator is responsible for monitoring compliance with applicable clinical documentation to support coding and billing regulations to ensure appropriate reimbursement for services...


  • Wilmington, North Carolina, United States WILMINGTON CONVENTION HOTEL LLC Full time

    Job OverviewPosition LevelEntry LevelLocationWilmington Convention Hotel LLCEmployment TypeFull-TimeEducational RequirementHigh School DiplomaWork Schedule3rd ShiftIndustryHospitality - Hotel ManagementRole SummaryThe Overnight Hotel Auditor plays a crucial role in ensuring the financial integrity of the hotel operations. This position is tasked with:...


  • Wilmington, North Carolina, United States WILMINGTON CONVENTION HOTEL LLC Full time

    Job OverviewPosition LevelEntry LevelLocationWilmington Convention Hotel LLCEmployment TypeFull-TimeEducational RequirementHigh School DiplomaWork Schedule3rd ShiftIndustryHospitality - Hotel ManagementRole SummaryThe Overnight Hotel Auditor plays a crucial role in ensuring the financial integrity of the hotel operations. Key responsibilities...


  • Wilmington, North Carolina, United States WILMINGTON CONVENTION HOTEL LLC Full time

    Job OverviewPosition LevelEntry LevelLocationWilmington Convention Hotel LLCEmployment TypeFull-TimeEducation RequirementHigh School DiplomaWork Schedule3rd ShiftIndustryHospitality - HotelRole SummaryThe Overnight Hotel Auditor plays a crucial role in ensuring the financial integrity of the hotel operations. Key responsibilities include:Conducting audits,...


  • Wilmington, United States ChristianaCare Full time

    ChristianaCare, the largest healthcare system in Delaware is searching for full time Coding Audit Coordinators for our Medical Group Physician Optimization team.This Coding Audit Coordinator is responsible for analyzing and reporting trends for improvement opportunities in coding and documentation. Verify coding and abstracting accuracy by performing...


  • Wilmington, DE, United States ChristianaCare Full time

    ChristianaCare, the largest healthcare system in Delaware is searching for Full Time Coding Educators for our Medical Group Physician Optimization team.This Coding Auditor or Educator is responsible for monitoring compliance with applicable clinical documentation to support coding and billing regulations to ensure appropriate reimbursement for services...

  • Nurse Auditor Senior

    2 weeks ago


    wilmington, United States Elevance Health Full time

    Nurse Auditor Senior - Carelon Payment IntegrityAnticipated End Date: Position Title: Nurse Auditor Senior - Carelon Payment Integrity Job Description: Nurse Auditor Senior - Carelon Payment Integrity Location: The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a hybrid work model (1-2 days per week in...


  • Wilmington, United States DelDOT Full time

    Summary Statement A class incumbent investigates randomly selected claims to identify benefit errors and their causes so that corrective action can be taken. Essential Functions Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any...

  • Hotel Night Auditor

    4 months ago


    Wilmington, United States Staybridge Suites Wilmington Downtown Full time

    Job Summary The primary duties of the night auditor are to check front office, restaurant and bar accounting records for accuracy, post and balance charges and settlements in a timely and efficient manner and compile information for the financial records. Assist guests with check-in & check-out processes, provide guests with hotel services information, and...


  • Wilmington, United States State of Delaware Full time

    Summary Statement A class incumbent investigates randomly selected claims to identify benefit errors and their causes so that corrective action can be taken. Essential Functions Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any...

  • Hotel Night Auditor

    6 days ago


    Wilmington, United States Driftwood Hospitality Management Full time

    Driftwood Hospitality Management's company culture empowers our associates to take initiative, be proactive, and contribute to the success of their property with well-defined strategies and objectives. Driftwood Hospitality Management is renowned for our fully integrated approach to hospitality services - all with outstanding client service. Our team is made...

  • Nurse Auditor Senior

    2 weeks ago


    Wilmington, DE, United States Elevance Health Full time

    Nurse Auditor Senior - Carelon Payment IntegrityAnticipated End Date: 2024-09-25 Position Title: Nurse Auditor Senior - Carelon Payment Integrity Job Description: Nurse Auditor Senior - Carelon Payment Integrity Location: The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a hybrid work model (1-2 days per...


  • Wilmington, Massachusetts, United States The Hollister Group Full time

    Financial Operations AssociateBecome a vital part of a leading organization as a Financial Operations Associate. This position plays a key role within the finance department, concentrating on the meticulous management of the vendor payment process.Key Responsibilities:Accurately code and process supplier invoicesTimely reconcile accounts payable...

  • Packaging Associate

    3 weeks ago


    Wilmington, North Carolina, United States Genpak Full time

    Job Title: Packaging AssociateGenpak is seeking a skilled Packaging Associate to join our team. As a Packaging Associate, you will play a critical role in ensuring the quality and integrity of our products.Key Responsibilities:Visually inspect finished products and packaging materials to ensure they meet quality expectations.Communicate concerns to Quality...