Med-Metrix

Med-Metrix Parsippany-Troy Hills, NJ
Coding AuditorThe Coding Auditor will be responsible for inpatient and outpatient coding and auditing for various specialties. This role will also be responsible for preparing and presenting audit results.Duties and ResponsibilitiesPerform coding audits and compliance audits for providers, including physicians and mid-level providers. Prepare reports of audits and present audits to internal and external parties as neededComplete accurate application of appropriate coding and documentation guidelines, including but not limited to, E&M and surgery documentation guidelines, CCI guidelines, CPT/HCPCS coding guidelines, and specialty association guidanceProvide physician education when necessary. This could include, but is not limited to, audit findings or edit and denial trending.Complete coding audits for our copartners' coding WQWork with any offsite auditorsEvaluate and report on the overall quality of physician documentation that supports selected codes most specifically but...

Med-Metrix Worcester, MA
Join Med-Metrix Experience these exceptional benefits: 8-Hour Shifts Day 1 HMO with 2 of your dependents covered for FREE Group Life Insurance Medical Cash Allowance Rice Allowance Clothing Allowance Holiday Gift Bereavement Assistance Paid Time Off Training and Staff Development Employee Engagement Activities Opportunities for Internal Mobility Job Purpose Responsible for reviewing denied claims for coding related errors and determining appropriate action. The Denials Management Coder will be responsible for corrections to individual accounts with include CPT and/or ICD-10 Corrections, applications of correct modifiers, etc. The coder is also responsible for ensuring that government and local guidelines are followed. Payers include but not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers. Duties and Responsibilities Read and interpret insurance carrier EOBs. Review medical reports, verify coding. Resolve coding related...

Med-Metrix United States
Job Purpose The Coding Auditor will be responsible for inpatient and outpatient coding and auditing for various specialties. This role will also be responsible for preparing and presenting audit results. Duties and Responsibilities Perform coding audits and compliance audits for providers, including physicians and mid-level providers. Prepare reports of audits and present audits to internal and external parties as needed Complete accurate application of appropriate coding and documentation guidelines, including but not limited to, E&M and surgery documentation guidelines, CCI guidelines, CPT/HCPCS coding guidelines, and specialty association guidance Provide physician education when necessary. This could include, but is not limited to, audit findings or edit and denial trending. Complete coding audits for our copartners’ coding WQ Work with any offsite auditors Evaluate and report on the overall quality of physician documentation that...

Med-Metrix Parsippany-Troy Hills, NJ
Coding Auditor The Coding Auditor will be responsible for inpatient and outpatient coding and auditing for various specialties. This role will also be responsible for preparing and presenting audit results. Duties and Responsibilities Perform coding audits and compliance audits for providers, including physicians and mid-level providers. Prepare reports of audits and present audits to internal and external parties as needed Complete accurate application of appropriate coding and documentation guidelines, including but not limited to, E&M and surgery documentation guidelines, CCI guidelines, CPT/HCPCS coding guidelines, and specialty association guidance Provide physician education when necessary. This could include, but is not limited to, audit findings or edit and denial trending. Complete coding audits for our copartners' coding WQ Work with any offsite auditors Evaluate and report on the overall quality of physician documentation that supports selected...

Med-Metrix Worcester, MA
Join Med-MetrixExperience these exceptional benefits:8-Hour ShiftsDay 1 HMO with 2 of your dependents covered for FREEGroup Life InsuranceMedical Cash AllowanceRice AllowanceClothing AllowanceHoliday GiftBereavement AssistancePaid Time OffTraining and Staff DevelopmentEmployee Engagement ActivitiesOpportunities for Internal MobilityJob PurposeResponsible for reviewing denied claims for coding related errors and determining appropriate action. The Denials Management Coder will be responsible for corrections to individual accounts with include CPT and/or ICD-10 Corrections, applications of correct modifiers, etc. The coder is also responsible for ensuring that government and local guidelines are followed. Payers include but not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers.Duties and ResponsibilitiesRead and interpret insurance carrier EOBs.Review medical reports, verify coding.Resolve coding related denial.Make any necessary coding...

Med-Metrix United States
Join Med-Metrix Experience these exceptional benefits: 8-Hour Shifts Day 1 HMO with 2 of your dependents covered for FREE Group Life Insurance Medical Cash Allowance Rice Allowance Clothing Allowance Holiday Gift Bereavement Assistance Paid Time Off Training and Staff Development Employee Engagement Activities Opportunities for Internal Mobility Job Purpose Responsible for reviewing denied claims for coding related errors and determining appropriate action. The Denials Management Coder will be responsible for corrections to individual accounts with include CPT and/or ICD-10 Corrections, applications of correct modifiers, etc. The coder is also responsible for ensuring that government and local guidelines are followed. Payers include but not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers. Duties and Responsibilities Read and interpret insurance carrier EOBs. Review medical reports, verify coding....

Med-Metrix United States
Job Title The Coder utilizes coding skills to work invoice reviews and provide expert advice to billing staff. Benefits Experience these exceptional benefits when you join Med-Metrix! 8-Hour Shifts Day 1 HMO with 2 of your dependents covered for FREE Group Life Insurance Medical Cash Allowance Rice Allowance Clothing Allowance Holiday Gift Bereavement Assistance Paid Time Off Training and Staff Development Employee Engagement Activities Opportunities for Internal Mobility Duties and Responsibilities Conduct audits and coding reviews to ensure all documentation is accurate and precise including our co source partners Assign and sequence all PCS and ICD-10 codes for services rendered when required Comply with all Medicare policy requirements including coding initiatives and guidelines Work independently from assigned work queues Maintain confidentiality at all times Maintain a professional attitude Other duties as assigned by the...

Med-Metrix United States
Job Title The Coder Job Purpose The Coder utilizes coding skills to work invoice reviews and provide expert advice to billing staff. Duties and Responsibilities Conduct audits and coding reviews to ensure all documentation is accurate and precise including our co source partners Assign and sequence all CPT and ICD-10 codes for services rendered when required Work with billing staff and system WQ's to ensure proper payment of claims Comply with all Medicare policy requirements including coding initiatives and guidelines Work independently from assigned work queues Maintain confidentiality at all times Maintain a professional attitude Other duties as assigned by the management team Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Understand and comply with Information Security and HIPAA policies and procedures at all times Limit viewing...