Claims Quality Auditor jobs in Alaska

Claims Quality Auditor audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. Selects claims through random processes and/or other criteria. Being a Claims Quality Auditor makes recommendations to improve quality, workflow processes, policies and procedures. Typically requires an associate degree. Additionally, Claims Quality Auditor typically reports to a supervisor or a manager. The Claims Quality Auditor gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Quality Auditor typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Coding Quality Auditor *Remote
  • Providence Health
  • Alaska, AK FULL_TIME
  • Description

    Coding Quality Auditor - 100% Remote, Most States Eligible.

    The Coding QI Compliance Auditor and Trainer II is critical to the coding compliance program. By performing audits of hospital coding, training new coding staff, preparing and presenting educational sessions for the coders and staying current with official coding guidelines and regulations, the incumbent ensures the proper coding of PH&S hospital medical records. This position includes obtaining, recording and reporting essential data, assisting in problem solving of coding issues and acting as a subject matter expert for coding staff.

    Providence caregivers are not simply valued – they’re invaluable. Join our team at Revenue Cycle Business Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

    Required Qualifications:

    • Associate's Degree In a healthcare related program with a minimum of one of he following credentials required; Any AHIMA or AAPC coding Credential Or equivalent combination of education and experience can be considered in lieu of degree
    • Upon hire: Certification from American Academy of Professional Coders Or
    • Upon hire: Certification from American Health Information Management Association
    • 2 years Recent acute care coding auditing and training.
    • 4 years Recent acute care coding experience in one of the following areas: Hospital inpatient, day surgery or emergency department
    • A track record in troubleshooting coding quality problems
    • A track record in reading and interpreting medical records
    • A track record in organizing and planning with demonstrated ability to effectively manage time and achieve results in a fast paced environment

    Preferred Qualifications:

    • Bachelor's Degree In a healthcare related program with a minimum of one of he following credentials required; Any AHIMA or AAPC coding Credential Or equivalent educ/experience

    Salary Range by location:

    NorCal (Napa, Sonoma)

    Min: $40.89, Max: $64.72

    Southern California, NorCal (Humboldt), Alaska (Kodiak, Seward, Valdez)

    Min: $36.44, Max: $57.69

    WA Puget Sound. Oregon (Portland), Alaska (Anchorage)

    Min: $34.98, Max: $55.34

    Oregon (Hood River, Medford, Seaside)

    Min: $32.59, Max: $51.59

    Eastern Washington (Richland, Spokane, Walla Walla)

    Min: $31.11, Max: $49.25

    Montana

    Min: $28.15, Max: $44.56

    Texas

    Min: $26.67, Max: $42.21

    Why Join Providence?

    Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

    Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.

    About Providence

    At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

    The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

    Check out our benefits page for more information about our Benefits and Rewards.

    About the Team

    Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

    Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

    Requsition ID: 273874

    Company: Providence Jobs

    Job Category: Coding

    Job Function: Revenue Cycle

    Job Schedule: Full time

    Job Shift: Day

    Career Track: Business Professional

    Department: 4001 SS RC CODING NWR

    Address: WA Renton 1801 Lind Ave SW

    Work Location: Providence Valley Office Park-Renton

    Pay Range: $See posting - $See posting

    The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

    Check out our benefits page for more information about our Benefits and Rewards.

  • 4 Days Ago

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Coding Quality Auditor - CODING
  • Providence
  • Bartlesville, AK FULL_TIME
  • Description Coding Quality Auditor - 100% Remote, Most States Eligible. One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services...
  • 29 Days Ago

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Associate Coding Quality Auditor *Remote
  • Providence Health
  • Alaska, AK FULL_TIME
  • Description Associate Coding Quality Auditor - 100% Remote. Revenue Cycle is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cyc...
  • 15 Days Ago

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Patient Registration Quality Assurance Auditor/Trainer - Patient Access
  • Alaska Native Tribal Health Consortium
  • Anchorage, AK FULL_TIME
  • The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partners...
  • 6 Days Ago

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Coding Quality Auditor - CODING *Remote, Most States Eligible
  • Providence Health
  • Alaska, AK FULL_TIME
  • Description Coding Quality Auditor - 100% Remote, Most States Eligible. One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services...
  • 1 Month Ago

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RN - Labor and Delivery
  • Quality Clinicians
  • Sitka, AK FULL_TIME
  • RN - Labor and Delivery We're looking for RNs for an immediate travel nurse opening. The right RN should have 2 years or more of recent experience. As a Travel Nurse, you should be prepared to perform...
  • 8 Days Ago

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Quality Auditor
  • ResourceMFG
  • Columbus, GA
  • summary ResourceMFG is now hiring Quality Auditors in Lafayette! Pay and Hours: 1st Shift: 4am-12:30pm-$20/hr 2nd Shift:...
  • 4/23/2024 12:00:00 AM

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Quality Auditor
  • THE CARLSTAR GROUP LLC
  • Slinger, WI
  • Job Details Job Location Slinger WI - Slinger, WI Position Type Full Time Education Level High School Diploma or Equival...
  • 4/23/2024 12:00:00 AM

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Quality Auditor
  • Covert Manufacturing Inc.
  • Galion, OH
  • Job Description Job Description Quality Auditor - Minimum Qualifications: -Schedule, conduct, and report internal audit ...
  • 4/23/2024 12:00:00 AM

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Quality Auditor
  • ResourceMFG
  • Simi Valley, CA
  • summary ResourceMFG is now hiring Quality Auditors in Lafayette! Pay and Hours: 1st Shift: 4am-12:30pm-$20/hr 2nd Shift:...
  • 4/22/2024 12:00:00 AM

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Quality Auditor
  • Johnson Controls
  • Louisville, KY
  • Overall Responsibilities: This position is responsible for ensuring that quality data sheets are collected and documente...
  • 4/22/2024 12:00:00 AM

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Quality Auditor
  • H&H
  • Annapolis, MD
  • Description We are offering an exciting opportunity for a Quality Auditor in our Annapolis, MD office. The Quality Audit...
  • 4/21/2024 12:00:00 AM

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Quality Auditors
  • ResourceMFG
  • Columbus, GA
  • summary Looking for 1st shifters. Starting pay at $18 could change with more experience. Weekly pay/health benefits. CNC...
  • 4/20/2024 12:00:00 AM

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Quality Auditor
  • Plastipak Holdings
  • Jackson Center, OH
  • As a Plastipak Quality Auditor, you audit systems and processes as they relate to our Quality program. You play a key ro...
  • 4/19/2024 12:00:00 AM

Alaska is the northernmost and westernmost state in the United States and has the most easterly longitude in the United States because the Aleutian Islands extend into the Eastern Hemisphere. Alaska is the only non-contiguous U.S. state on continental North America; about 500 miles (800 km) of British Columbia (Canada) separates Alaska from Washington. It is technically part of the continental U.S., but is sometimes not included in colloquial use; Alaska is not part of the contiguous U.S., often called "the Lower 48". The capital city, Juneau, is situated on the mainland of the North American ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$50,071 to $61,371

Claims Quality Auditor in Bloomington, IN
Evaluates claims activities of other departments and / or companies.
December 05, 2019