3 jobs found in Silver Spring

Coding Auditor (250002UP) Job Description Description The Coding Auditor demonstrates expertise in coding and billing compliance while performing audits to determine billing integrity of professional and facility/technical fees including detection and correction of documentation, coding and billing errors and/or medical necessity of services billed. Audits consist of evaluation of the adequacy and accuracy of documentation in support of services billed including ICD-10/CPT/HCPCS and other third party payor codes, DRG and EAPG assignments, medical necessity of the services, reimbursement overpayments and underpayments, and compliance with other documentation, coding and billing standards. The Coding Auditor applies standardized audit scoring methodology to consistently evaluate documentation and coding, and standardized audit findings methodology to report audit results. Qualifications Minimum Education Associate’s Degree. Candidates with 3 years of coding experience in lieu of...

A leading children's hospital in Silver Spring, Maryland is seeking a Coding Auditor to ensure compliance in coding and billing practices. The ideal candidate will have an Associate's Degree or equivalent experience, along with certifications such as CCS or CPC. Responsibilities include performing audits, evaluating documentation and coding, and communicating effectively with team members. The position offers a salary range of $64,188.80 to $106,995.20, with additional job benefits in a full-time role. #J-18808-Ljbffr

Description The Coding Auditor demonstrates expertise in coding and billing compliance while performing audits to determine billing integrity of professional and facility/technical fees including detection and correction of documentation, coding and billing errors and/or medical necessity of services billed. Audits consist of evaluation of the adequacy and accuracy of documentation in support of services billed including ICD-10/CPT/HCPCS and other third party payor codes, DRG and EAPG assignments, medical necessity of the services, reimbursement overpayments and underpayments, and compliance with other documentation, coding and billing standards. The Coding Auditor applies standardized audit scoring methodology to consistently evaluate documentation and coding, and standardized audit findings methodology to report audit results. Qualifications Minimum Education Associate's Degree Candidates with 3 years of coding experience in lieu of the degree requirement will be considered. ....