20 professional coding auditor and educator jobs found

Job Description Job Description Description: JOB SUMMARY: Responsible for accurate coding and billing of provider office, inpatient and outpatient charges to ensure coding and billing compliance is maintained. Maintains an extensive knowledge of CPT Procedural Coding, ICD-10 Diagnosis Coding and HCPCS Level II coding along with Evaluation and Management (E&M) documentation requirements. DUTIES & RESPONSIBILITIES: Responsible for reviewing and submitting charges from the coding workqueues (WQ). Manually enters off-premise charges in Charge Review. If applicable, manually enters in-house charges for certain Specialty areas as designated. Ability to code for many different Specialties as assigned. Provides cross-coverage in the department as needed and directed by the Coding and Compliance Manager /Data Collection Team Leader. If indicated, arrives the Surgery Schedule on a daily basis using the DAR function. Checks each patient in to create the visit number....

Medical Coder Integrated Management Strategies (IMS) is an award-winning, fast-growing woman-owned small business in the Washington DC area, specializing in healthcare, technology, and management consulting. We are seeking an experienced Medical Coder to join our healthcare consulting practice. The role is fully remote within the US, with infrequent travel to client locations for onboarding and training. We are proud of our national presence, and excited to offer great career opportunities within the organization. What you'll do: Accurately assign ICD-10 CM, E/M, ICD-10 PCS, CPT, HCPCS, modifiers and units based on documentation. Adhere to systems and standards required in multi-specialty medical coding encounters, including Outpatient, Emergency Room, Surgery, Inpatient facilities, Inpatient Professional Rounds, and others. Process encounters within required SLA on contract with deficiencies identified escalated as necessary. Review and respond to each audit within set...

Job Description Job Description Position: Risk Adjustment Coder Location: Remote (Must reside in NY/NJ/CT) Schedule: Monday - Friday 9am-5pm Compensation: $77,506.87 - 87,195.23 annual salary **CPC, CCS, RHIT or RHIA and CRC are required** Join VillageCare as a Full Time Risk Adjustment Coder and embrace the opportunity to work remotely while making a significant impact in the Health Care sector. This role offers the flexibility of a work-from-home environment, allowing you to balance your professional and personal commitments without the daily commute. You'll be part of a dynamic team that thrives on innovation, problem-solving, and a customer-centric approach, all while contributing to the excellence and integrity that VillageCare stands for. With a competitive salary up to $77,506.87 - $87,195.23, this is not just a job but a chance to build your career in a forward-thinking organization dedicated to healthcare improvement. As a team member you'll be able...

Job Description Job Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part...

Ambulatory Surgery Center (ASC) Cardiology Coder MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and above all excellent customer service. MedHQ, LLC, is a 2022 Becker's Top 150 Places to Work in Healthcare company. We believe our quality of service begins with our quality of team member. We offer exceptional benefits and working environments to exceptional employees. Position Summary The Ambulatory Surgery Center (ASC) Cardiology Coder is responsible for accurately reviewing,...

Overview Summary: Review, analyze and assign the final diagnoses and procedures as stated by the practicing provider's documentation following all compliance policies and guidelines. Accurately codes office and hospital procedures for providers to ensure reimbursement. Provides physician education to the providers to ensure proper completion of Electronic Health Records and proper assignment of ICD-10-CDM, HCPCS and CPT codes, verbally, physically, and in written forms. Responsibilities Review clinical documentation and code to the highest level of specificity for accurate charge capture. Interacts with providers to provide feedback/education utilizing physical, verbal and written communication skills. Assign and sequence appropriate codes and modifiers using current procedure, diagnosis, and HCPCS to services billed. Accurately follow coding guidelines and legal requirements to ensure compliance with Federal and State guidelines. Communicates with Physicians, other business...

This position follows a hybrid model with 1-2 onsite days. Job Description Conducts concurrent and occasionally onsite medical chart reviews for pediatric and neonatal ICU patients. Collaborates with medical directors and staff to enhance the quality of physician documentation, ensuring a precise representation of the patients' severity of illness, anticipated risk of mortality, and the complexity of care administered. Ensures the accuracy, completeness, and compliance of medical coding and documentation for all pediatric patient encounters. Strives to optimize coding practices, minimize denials, and maintain the highest standards of data integrity. Job Responsibility 1.Analyzes and interprets complex pediatric medical records to ensure accurate capture and coding of diagnoses, procedures, and appropriate levels of service, adhering to established coding guidelines ( ICD-10-CM, CPT, HCPCS). 2.Applies advanced knowledge of pediatric anatomy, physiology, and...

Medical Records - Coder I - Full Time - Days Under the general direction of the Director CDI/Coding or designee, the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International Classification of Disease system- 10 (ICD), CM, and PCS codes according to AHA AMA Guidelines, CMS and NGS. Core Job Responsibilities Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer Audit charges and establish proper coding in collaboration with providers Initiate and follow up on queries with providers Assist departments with diagnostic and procedural coding Respond to Insurance, compliance and RAC denials Review and assist in the maintenance of coding related policies and procedures Perform other duties as required. Education/Experience Requirements Required: AS in Health Information Management, a related degree or equivalent experience Knowledge of EMR, Coding Software,...

Description JOB SUMMARY: Responsible for accurate coding and billing of provider office, inpatient and outpatient charges to ensure coding and billing compliance is maintained. Maintains an extensive knowledge of CPT Procedural Coding, ICD-10 Diagnosis Coding and HCPCS Level II coding along with Evaluation and Management (E&M) documentation requirements. Duties & Responsibilities Responsible for reviewing and submitting charges from the coding workqueues (WQ). Manually enters off-premise charges in Charge Review. If applicable, manually enters in-house charges for certain Specialty areas as designated. Ability to code for many different Specialties as assigned. Provides cross-coverage in the department as needed and directed by the Coding and Compliance Manager /Data Collection Team Leader. Arrives the Surgery Schedule on a daily basis using the DAR function. Checks each patient in to create the visit number. Reviews and processes re-submits. Works closely with the...

Job Summary The Coder is responsible for auditing medical records, including applicable diagnoses and operative/ diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS) and identifying opportunities for improvement as well as assuring compliance with coding and documentation guidelines. In addition the coder is responsible to provide education and training to providers and other agency coders based on the findings of the medical records audits. Does related work as required. Responsibilities Using the current HCPCS, ICD and CPT coding guidelines, audits medical records for coding for accuracy Identifies patterns and opportunities requiring provider education. Works with providers and office staff to educate on proper coding and documentation. Identifies service-specific/provider specific trends for...

The Coding Specialist reports to the Manager of Physician Coding. Ensures that appropriate diagnostic and procedural codes (CPT‑4, ICD‑9/10, HCPCS) are submitted for professional charges resulting in accurate claims processing, data retrieval, and analysis. Brown University Health employees are expected to successfully role‑model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES RESPONSIBILITIES • Assesses the adequacy of the documentation for the provider visit or procedure which supports the diagnosis. • Reviews procedure codes selected by the provider for hospital services and...

Medical Coder and Auditor - Family Care Practice Full-Time Monday - Friday Flexible Schedule $22.00 - $28.00 per hour (depending on experience) Medical Coder and Auditor Benefits: Generous paid time-off that increases with years of service 8 paid holidays per year Closed on major holidays Free onsite parking Health, dental and vision benefits availablewith coverage effective the first of the month following date of hire Full complement of voluntary benefits $1,000 annual employer HSA contribution for employeesenrolled in CNYFC high deductible health plan Free office visits with NP or PA employees who are patients of the practice and enrolled in CNYFC high deductible health plan Waiver program for health benefits ($3,000 annually) 401K after six months with up to 7% combined employer match and annual discretionary profit-sharing contribution Annual performance review, performance-based merit increase CNY Family Care's commitment to excellence sets us apart and guides us as we...

A healthcare institution in Albany, NY, is seeking a Senior Hospital Coder to perform detailed coding audits, provide education and feedback to staff, and ensure compliance with coding practices. The ideal candidate will possess strong knowledge in ICD-10-CM and CPT coding alongside leadership skills. The role demands commitment to ethical practices and involves educating clinical staff. The salary for this full-time position ranges from $60,367.47 to $90,551.20 depending on experience. #J-18808-Ljbffr

Schedule - Shift - Hours Full Time (40 Hours) - Days The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but is not limited to: Managing the charge entry and charge reconciliation process for the assigned practice(s). Managing the Encounter Billing Exception Worklist (EBEW) and related worklists to ensure complete, timely and accurate submission of claims. Facilitating the accuracy and completeness of the practice’s codes and charges in the Service Catalog (Charge Description Master) and related encounter forms. Ensuring compliance with CPT/HCPCS and ICD-9/ICD-10 coding guidelines and government regulations, responsible for reviewing and coding from discharge data abstracts. Ensuring the practice(s) is optimizing reimbursement from third party payors by following and utilizing reimbursement guidelines. Establishing relationships with medical/dental staff, following up with providers to...

This position can be local or remote!! The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but is not limited to: Managing the charge entry and charge reconciliation process for the assigned practice(s). Managing the Encounter Billing Exception Worklist (EBEW) and related work lists to ensure complete, timely and accurate submission of claims. Facilitating the accuracy and completeness of the practice’s codes and charges in the Service Catalog (Charge Description Master) and related encounter forms. Ensuring compliance with CPT/HCPCS and ICD-10 coding guidelines and government regulations, responsible for reviewing and coding from discharge data abstracts. Ensuring the practice(s) is optimizing reimbursement from third party payors by following and utilizing reimbursement guidelines. Establishing relationships with medical/dental staff, following up with providers to ensure documentation...

Senior Hospital Coder - TSH page is loaded## Senior Hospital Coder - TSHlocations: 22 New Scotland Avenue Albany, NY 12208time type: Full timeposted on: Posted Todayjob requisition id: 67645Department/Unit:Health Information ServicesWork Shift:Day (United States of America)Salary Range:$60,367.47 - $90,551.20The Senior Hospital Coder is responsible for performing detailed coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to...

Overview Coder Analyst Specialist, Clinical Document Integrity Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health’s employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology. Position Summary: Analyzes documentation in the medical record to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT-4 codes. Abstracts and codes procedures in conjunction with the provider to code services rendered with correct coding initiatives....

Join to apply for the Certified Professional Coder role at State University of New York College of Optometry . Pay Range Base pay: $62,000 – $75,000 per year. Location 33 West 42nd Street, NY 10036; up to 50% remote after orientation. Responsibilities Review provider documentation for charge accuracy and correct diagnostic and procedural coding, ensuring coding integrity and revenue optimization before claims submission. Monitor statistics and key performance indicators to identify improvement opportunities, and conduct internal audits to improve the revenue cycle and claims production. Educate providers on coding policies and procedures, and give feedback on coding accuracy. Provide billing guidance and education to staff at all levels to increase knowledge base, and identify front‑end operational improvements with in‑service support. Collaborate with providers and staff to reduce claim denials. Minimum Qualifications Current certification as Certified Coding...

Job Summary The Coder is responsible for auditing medical records, including applicable diagnoses and operative/ diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS) and identifying opportunities for improvement as well as assuring compliance with coding and documentation guidelines. In addition the coder is responsible to provide education and training to providers and other agency coders based on the findings of the medical records audits. Does related work as required. Responsibilities Using the current HCPCS, ICD and CPT coding guidelines, audits medical records for coding for accuracy Identifies patterns and opportunities requiring provider education. Works with providers and office staff to educate on proper coding and documentation. Identifies service-specific/provider specific trends for...

This position follows a hybrid model with 1-2 onsite days. Job Description Conducts concurrent and occasionally onsite medical chart reviews for pediatric and neonatal ICU patients. Collaborates with medical directors and staff to enhance the quality of physician documentation, ensuring a precise representation of the patients' severity of illness, anticipated risk of mortality, and the complexity of care administered. Ensures the accuracy, completeness, and compliance of medical coding and documentation for all pediatric patient encounters. Strives to optimize coding practices, minimize denials, and maintain the highest standards of data integrity. Job Responsibilities Analyzes and interprets complex pediatric medical records to ensure accurate capture and coding of diagnoses, procedures, and appropriate levels of service, adhering to established coding guidelines ( ICD-10-CM, CPT, HCPCS). Applies advanced knowledge of pediatric anatomy, physiology, and medical terminology to...