18 documentation coding auditor jobs found

The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for an outpatient Certified Coding Auditor to work in its New York office or remotely. Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payors....

Prime Healthcare is seeking an Outpatient Coder Auditor to review medical records for outpatient visits and ensure accurate coding. You will finalize coding and abstraction, verifying ICD-10-CM, CPT, and HCPCS accuracy based on clinical documentation. The role requires CCS or equivalent certification, familiarity with hospital coding and CMS guidelines, and the ability to work accurately in a fast-paced health system. Full-time daytime position with competitive benefits. #J-18808-Ljbffr

Prime Healthcare is seeking an Outpatient Coder Auditor to review medical records for outpatient visits and ensure accurate coding. You will finalize coding and abstraction, verifying ICD-10-CM, CPT, and HCPCS accuracy based on clinical documentation. The role requires CCS or equivalent certification, familiarity with hospital coding and CMS guidelines, and the ability to work accurately in a fast-paced health system. Full-time daytime position with competitive benefits. #J-18808-Ljbffr

Certified Medical Coding Auditor (CPC or CCS-P) Join to apply for the Certified Medical Coding Auditor (CPC or CCS-P) role at Accelerated Urgent Care Certified Medical Coding Auditor (CPC or CCS-P) 2 weeks ago Be among the first 25 applicants Join to apply for the Certified Medical Coding Auditor (CPC or CCS-P) role at Accelerated Urgent Care About Us Simply put, our purpose at Accelerated Urgent Care is to get you quality care when you need it. We aim to foster a supportive environment where our team members can develop their careers. To promote this goal, we’ve built a diverse and driven team of employees who are all eager to learn from one another and reach Accelerated Urgent Care’s mission of delivering exceptional healthcare to the patients and communities that we are privileged to serve. We are ... a fast-growing company that doubles in size year after year since 2012! Recognized as Kern County’s Top Urgent Care center 6 years in a row! Dedicated to our employees’ career...

Cognizant is seeking an Inpatient Medical Coding Auditor to audit consultant inpatient records from a remote location within the United States. You will work with stakeholders to ensure coding accuracy and regulatory compliance. You will review inpatient records for diagnostic and procedural coding accuracy, verify physician documentation, apply ICD-10-CM/PCS codes using Solventum (3M), and mentor clients on coding and compliance while maintaining a 98% accuracy rate. #J-18808-Ljbffr

Thank you for considering Progyny! Progyny is seeking a Claims Audit Extern to join our team. This role will primarily support claims audits, quality assurance reviews, and other related audit activities. In this role, you’ll gain hands-on experience in healthcare claims auditing while working with provider clinics and cross-functional teams to support coding accuracy, compliance, and continuous improvement. What you'll do... Participate in claims audits and quality assurance reviews, including selecting and preparing patient claim samples, evaluating claims and provider documentation, validating CPT/HCPCS and ICD-10-CM coding, modifiers, billing accuracy, and adherence to applicable coding and documentation guidelines. Document audit findings and prepare audit reports, including workpapers, Executive Summaries/Management Response Forms, and other required audit documentation. Provide education to provider clinics and applicable stakeholders regarding audit...

Overview Make a Difference. Grow in Your Career. Thrive with Us. About the Role At Mindpath Health , we’re on a mission to make mental health care more accessible and more human. As a national leader in mental health services, we empower our clinicians, support our teams, and prioritize care that helps people truly thrive. The Certified Professional Coder (CPC) is responsible for performing professional coding services for theRCM Team, while following AMA and CMS medical coding guidelines . The primary function of thisposition is to utilize CPT, ICD-10-CM, HCPCS and coding guidelines to ensure accurate coding asrelates to medical documentation. A Certified Professional Coder will provide research and assist inresolving rejections, denials, and any coding/carrier related inquiries. This role reviews, analyzes, andcodes diagnostic and procedural information that determines Medicare, Medicaid, and private insurancepayments. The Certified Professional Coder must work to remain up to...

Compliance Program AssistantAssists in the MedStar Family Choice compliance program related to program integrity. Conducts provider audits to identify and address improper billing practices. We recruit, retain, and advance associates with diverse backgrounds skills and talents equitably at all levels.Primary Duties and ResponsibilitiesAnalyzes current payment policies and makes recommendations to improve program integrity and organizational processes.Assists with and tracks responses to external government inquiries investigations data requests subpoenas and fair hearings. Responds to government requests for claims data/information.Prepares written audit reports and communicates the results to management. Initiates corrective action plans or continuous improvement plans identified through audits.Coordinates monthly exclusion data base checks review and report findings.Completes assigned routine and selected audits all within assigned time frames. Ensures timely completion of risk...

Tennessee Orthopaedic Alliance, the largest orthopaedic surgery group in Tennessee, seeks a Certified Coder to ensure accurate coding and documentation for professional services. This role emphasizes CPT-4, ICD-10, HCPCS knowledge and collaboration with providers for audits. The position may involve work-at-home options within the Middle Tennessee region; candidates should reside near Knoxville or Columbia areas for on-site requirements. #J-18808-Ljbffr

BayCare is seeking a Specialty Coder II for a remote role. The candidate must reside in Florida, Georgia, North Carolina, or South Carolina and will assign ICD-10-CM and CPT-4 codes, audit documentation, and mentor other coders. Required CPC/CCS/CCS-P certification(s), 2 years coding experience, and 1 year of medical office experience. BayCare offers comprehensive benefits and a strong team culture. #J-18808-Ljbffr

Provider Liaison - Certified Professional Coder (CPC) / Certified Coding Specialist (CCS) A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description One of our direct client is looking for potential candidate with the below mentioned skills Direct Client: Immediate Interview Contract to Hire Position: Provider Liaison MUST HAVE: 5 years of experience into Project Management At least 2 years of experience after CPC or CCS certification Bachelor's degree is a must Certifications AAPC Certified Professional Coder (CPC) or...

BayCare is seeking a Specialty Coder II for a remote role. The candidate must reside in Florida, Georgia, North Carolina, or South Carolina and will assign ICD-10-CM and CPT-4 codes, audit documentation, and mentor other coders. Required CPC/CCS/CCS-P certification(s), 2 years coding experience, and 1 year of medical office experience. BayCare offers comprehensive benefits and a strong team culture. #J-18808-Ljbffr

Certified Professional Coder Make a Difference. Grow in Your Career. Thrive with Us. At Mindpath Health, we're on a mission to make mental health care more accessible and more human. As a national leader in mental health services, we empower our clinicians, support our teams, and prioritize care that helps people truly thrive. The Certified Professional Coder is responsible for performing professional coding services for the RCM Team, while following AMA and CMS medical coding guidelines. The primary function of this position is to utilize CPT, ICD-10-CM, HCPCS and coding guidelines to ensure accurate coding as relates to medical documentation. A Certified Professional Coder will provide research and assist in resolving rejections, denials, and any coding/carrier related inquiries. This role reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid, and private insurance payments. The Certified Professional Coder must work to remain...