9 documentation coding auditor jobs found in Springfield

Coder – Professionals are responsible for professional coding includes the assignment of ICD-CM, CPT, and HCPCS codes, modifiers, and evaluation and management (E/M codes) provider audits. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations. Accepting remote workers in the following states: Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas. Department: Physician Coding Hours: Full time, 40 hours/week Shift: 1st Location: Remote or On-site. Pay: Based on experience, starting at $22.72. Compensation Estimated Compensation Range $22.72 - $35.22 Pay based on experience. Responsibilities Analyze and confirm assigned encounters for provider’s selection of EM code level utilizing EM code level selection auditing tool. Assists physicians with record documentation needs by requesting...

Coder Auditor-Professionals are responsible for auditing coding assignments with providers and coders, training coding professional staff, and pro‑fee based coding which includes the assignment of ICD‑CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. They interact with medical staff, nursing, ancillary departments, provider offices, and outside organizations. At this time, we are only able to consider applicants who reside in the following states: Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas. Responsibilities Assists coders with coding questions. Conducts the collection and reporting of provider and coder audit results and education. Works with coders and providers to ensure appropriate documentation for clinic services. Reports results to Coding Supervisor - Professional. Demonstrates ability to code all...

QA Nurse / Coder (RN) As a QA Nurse / Coder, you will ensure the accuracy, completeness, and regulatory compliance of Home Health documentationparticularly OASIS assessments, the Home Health Plan of Care (485), and face-to-face encounter noteswhile properly sequencing diagnoses according to federal/state standards and agency policy. Core responsibilities include: Review OASIS forms and Plans of Care for appropriateness, completeness, and compliance. Assign and sequence ICD?10 codes in line with current home health coding guidelines. Ensure consistency and compliance of face-to-face encounter documentation with OASIS and care plans. Conduct additional clinical record audits and OASIS reviews as assigned. Stay current on Medicare reimbursement policies, home health regulations, and compliance requirements. Maintain relevant certifications (HCS?D, HCS?O or COS?C). Participate in quality assurance and performance-improvement efforts. Coordinate with physicians, facilities,...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Coder OP McKenzie-Willamette Medical Center is your community medical provider, serving the Willamette Valley and its residents. Our 113-bed hospital offers inpatient, outpatient, diagnostic, medical, surgical and emergency care. We are a family of caregivers offering care to our larger family — our community. Position Details: Hourly Base Rate: $18.28 - $26.37 Shift: Days Hours Per Week: 40 hours Job Summary: Certified Coder required. Working knowledge of basic medical terminology, ICD-10, CPT and HCPCS codes. Preferred experience in multiple specialties including: Cardiology, Cardiology diagnostic testing, Cardiothoracic Surgery, Critical Care, General Surgery, Gastroenterology, Pulmonology, Vascular Surgery and Vascular Imaging services. Ability to assign codes to diagnoses, procedures, E&M visits, and diagnostic testing. Ability to research and analyze clinical documentation as well as produce reports from a variety of sources. Ability to work...

The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters. Responsibilities Responsible for accurately coding all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCs and modifiers) system. The assignment of codes will accurately reflect the diagnoses and procedures pertinent to...

Carle Health is seeking a licensed HIM Certified Coder to accurately code hospital inpatient, hospital outpatient, and professional fee encounters using ICD-10/ICD-PCS, CPT, and HCPCS codes. The coder reviews documentation within the EMR to ensure compliant billing in accordance with CMS and local guidelines. The role requires expertise in regulatory coding guidelines, supporting revenue optimization while maintaining compliance, and performing audits and education as needed. #J-18808-Ljbffr

Sarah Bush Lincoln Health Center is seeking a Coder to assign ICD-CM, CPT, and HCPCS codes, modifiers, and E/M codes. The role interacts with medical staff and outside organizations on coding audits and documentation needs. It supports professional encounters across clinic, hospitalist, and other services with emphasis on accuracy and compliance. Responsibilities include auditing EM codes, educating staff, resolving denials, and maintaining data quality while contributing to optimal #J-18808-Ljbffr

Providers Care Billing LLC is a growing medical billing and revenue cycle management company dedicated to helping healthcare providers improve reimbursement, streamline operations, and stay compliant. We are currently looking for a detail-oriented Medical Coder to join our dynamic team. Job Summary As a Medical Coder, you will be responsible for accurately assigning CPT, ICD-10, and HCPCS codes to medical services and diagnoses based on patient records. Your accuracy and understanding of coding guidelines will ensure timely and correct reimbursement for our healthcare clients. Key Responsibilities Review and analyze medical documentation to assign accurate diagnosis and procedure codes. Ensure coding complies with federal regulations and insurance guidelines (CMS, HIPAA). Work with providers to clarify documentation and resolve discrepancies. Assist in claims audits, rejections, and denials as needed. Maintain updated knowledge of medical coding standards and guidelines....