8 jobs found in Wildwood

Coding AuditorThe Coding Auditor is a professional auditing role designed for a certified professional coder. Under direct supervision of Healthcare Fraud Shield SIU management, this position executes routine coding reviews to ensure health records align accurately with billed ICD-10-CM, CPT, HCPCS, Revenue codes. The ideal candidate has a strong foundation in primary medical coding and a keen eye for detail, eager to learn complex audit frameworks, regulatory policies, and documentation validation.

Coding Auditor Department: SIU Employment Type: Full Time Location: Headquarters Description The Coding Auditor is a professional auditing role designed for a certified professional coder. Under direct supervision of Healthcare Fraud Shield SIU management, this position executes routine coding reviews to ensure health records align accurately with billed ICD-10-CM, CPT, HCPCS, Revenue codes. The ideal candidate has a strong foundation in primary medical coding and a keen eye for detail, eager to learn complex audit frameworks, regulatory policies, and documentation validation. Key Responsibilities Compare the procedures and codes billed on a claim to a medical record. Compare information submitted on the claims in order to determine amount and nature of billable services as needed. Determines appropriateness of billing and reimbursement as needed. Documents findings for each claim line in a spreadsheet as needed. Summarize findings in a written report as needed. Abstracts...

Healthcare Fraud Shield is seeking a Coding Auditor to perform routine coding reviews and ensure medical records align with billed codes. The role requires strong coding knowledge and meticulous attention to accuracy, with supervision by SIU management. The ideal candidate will review claims, abstract codes, and prepare written summaries while maintaining up-to-date knowledge of coding guidelines and privacy standards. The position emphasizes quality, accuracy, and adherence to regulations. #J-18808-Ljbffr

Healthcare Fraud Shield is seeking a Clinical Coder/Fraud Investigator to join our SIU team at headquarters. You will analyze medical records, abstract CPT/HCPCS/ICD-10 codes, and prepare reports while maintaining privacy standards. The role requires a CPC certification and at least one year of coding or billing experience, with strong attention to detail and the ability to work independently. Remote work eligibility is available. #J-18808-Ljbffr

St. Luke’s Hospital is seeking a Coding Specialist III to abstract clinical data from inpatient records and assign ICD-9-CM and HCPCS codes in line with regulatory mandates. You will input abstracted information into the hospital’s software and work closely with the healthcare team to support accurate reimbursement and data collection. Education through licensure requirements apply; RHIA, RHIT, or CCS certification is preferred. #J-18808-Ljbffr

St. Luke’s Hospital in Chesterfield, MO is seeking a Coding Specialist III to abstract clinical data from inpatient records and assign ICD-9-CM/HCPCS codes in compliance with regulations. This role supports reimbursement and data collection while promoting teamwork. Requirements include a High School Diploma or equivalent and RHIA, RHIT, or CCS certification. The hospital offers a day-one benefits package, 401K, and continued education support. #J-18808-Ljbffr

Healthcare Fraud Shield is seeking a Coding Auditor to perform routine coding reviews under the supervision of SIU management. The role focuses on ensuring health records align with billed ICD-10-CM, CPT, HCPCS, and revenue codes with strong attention to detail. The ideal candidate has foundational medical coding knowledge, is familiar with regulatory policies, and comfortable handling confidential information in a remote-friendly environment. #J-18808-Ljbffr

Mercy seeks an Inpatient Coding Specialist to review and analyze medical records to assign diagnoses and procedures for inpatient, outpatient and professional services. The role follows AHIMA standards and official coding guidelines to ensure accurate billing and compliance. Preferred candidates hold an AS or BS in HIM, with ICD-10-CM and HCPCS/CPT coding experience in acute care settings. RHIT/RHIA/CCS/CPC/CIRCC certifications expected to be completed within 6 months of employment. #J-18808-Ljbffr