6 internal coding auditor jobs found

SCOPE/GENERAL PURPOSE OF JOB: This position is responsible for providing medical coding, coding training and auditing services to physician practices, billing companies and hospitals and other related entities with a concentration on coding audits of physician and hospital outpatient claims, and coding education. Also, to include auditing of internal Coding staff as well as continued training and possible corrective action coding reviews.  ESSENTIAL DUTIES AND RESPONSIBILITIES: Provide training to all RCCS coders regarding new tasks, new clients, cross-training, and continuing education. Perform coding audits of coder work during training processes and once completed periodically to ensure maintained quality. Feedback will be provided in various forms including written explanation and training sessions based on coder educational needs. Create clear explanations of errors as well as authoritative guidance for coding recommendations for all reviews. Acts as a...

Who we are… CompIQ Solutions is a software and full-service provider focusing on the property and casualty medical bill review market.  We provide an end-to-end solution for our clients leveraging our proprietary technology and software platforms in the delivery of our solutions and services.  We focus our efforts on our three key stakeholders, in this order: 1) Clients; 2) Colleagues; 3) Company.   About this Role The Medical Bill Auditor supports the AuditIQ Bill Review Service Operations team. This role is responsible for conducting line-level audits for a sub-set of medical bills processed by Bill Review Operations. These audits compare payment allowances against fee schedule rules/guidelines, coding guidelines issued by the AMA CPT Manual, national societies and prevailing industry standards.   Duties and Responsibilities Conducts in-depth audits and reviews medical bills that meet escalated criteria from the bill review operations team....

CodaMetrix is revolutionizing Revenue Cycle Management with its AI-powered autonomous coding solution, a multi-specialty AI-platform that translates clinical information into accurate sets of medical codes. CodaMetrix’s autonomous coding drives efficiency under fee-for-service and value-based care models and supports improved patient care. We are passionate about getting physicians and healthcare providers away from the keyboard and back to clinical care. Overview Reporting to the Senior Manager, Medical Coding & Audit, as a Senior Medical Coding Analyst, this role will be a key member of the team responsible for ensuring that CodaMetrix meets—and exceeds—our customers’ coding quality expectations. They will leverage their strong background in coding, billing, and auditing across service lines to review, analyze, and enhance coding processes, both internally and externally. They will play a pivotal role in improving the quality and efficiency of coding operations by...