715 professional coding auditor educator jobs found

Medical Coder EducatorServes as the coding reviewer and documentation educator for USFTGP Revenue Cycle Operations. Collaborate extensively with compliance; utilizing approved coding industry tools and approved internal documentation. This position is responsible for providing coding literacy and awareness using adult methodologies to revenue cycle, coding professionals, department managers, medical staff and others, ensuring proficiency is accurate and within compliant coding practices for billing. Analyze and report review findings indicating documentation gaps reimbursement and data internation, inpatient, outpatient and professional service coded. Report to compliance focused areas of improvements, recommendations and actions taken to improve medical staff knowledge and coding accuracy. Conduct individual and group coding and documentation support instructions as assigned and acts as an internal coding expert resource.QualificationsRequired: High School Diploma or GED...

Medical Coder Educator Serves as the coding reviewer and documentation educator for USFTGP Revenue Cycle Operations. Collaborate extensively with compliance; utilizing approved coding industry tools and approved internal documentation. This position is responsible for providing coding literacy and awareness using adult methodologies to revenue cycle, coding professionals, department managers, medical staff and others, ensuring proficiency is accurate and within compliant coding practices for billing. Analyze and report review findings indicating documentation gaps reimbursement and data internation, inpatient, outpatient and professional service coded. Report to compliance focused areas of improvements, recommendations and actions taken to improve medical staff knowledge and coding accuracy. Conduct individual and group coding and documentation support instructions as assigned and acts as an internal coding expert resource. Qualifications Required: High School Diploma or GED...

Experience Champaign Urbana is seeking a Compliance Auditor/Educator in Champaign, IL. This full-time role involves auditing quality compliance and providing education to healthcare providers. Applicants should possess a Certified Professional Coder (CPC) certification and have at least one year of experience in coding or auditing. A comprehensive benefits package and sign-on bonus are available. #J-18808-Ljbffr

A leading healthcare system in Kansas City, MO is seeking an experienced Coding Specialist / Auditor and Educator to join their Audit & Compliance team! This role is ideal for a professional coder with auditing and/or provider education experience who wants to support coding accuracy, compliance, documentation integrity, and appropriate reimbursement across the organization. Title: Coding Specialist / Auditor and Educator Job Type: Permanent / Direct Hire Location: Kansas City, MO (Onsite, some flexibility for hybrid) Schedule: Full-time, Monday-Friday, 8:00 AM-4:30 PM Position Overview: The Professional Coding Auditor and Educator ensures accurate, compliant, and optimized professional/physician coding across the organization. This position performs coding audits, identifies compliance risks and revenue opportunities, and provides education to physicians, APPs, and coding staff. The role partners with Compliance, Revenue Integrity, CDI, and Provider Leadership to reduce...

A leading healthcare system in Kansas City, MO is seeking an experienced Coding Specialist / Auditor and Educator to join their Audit & Compliance team! Title: Coding Specialist / Auditor and Educator Job Type: Permanent / Direct Hire Setting: Corporate Healthcare / Audit & Compliance Location: Kansas City, MO (Onsite, some flexibility for hybrid) Schedule: Full-time, Monday-Friday, 8:00 AM-4:30 PM Position Overview The Professional Coding Auditor and Educator ensures accurate, compliant, and optimized professional/physician coding across the organization. This position performs coding audits, identifies compliance risks and revenue opportunities, and provides education to physicians, APPs, and coding staff. The role partners with Compliance, Revenue Integrity, CDI, and Provider Leadership to reduce audit risk, improve documentation, and promote professional coding best practices. Key Responsibilities Conduct professional/physician coding audits to evaluate accuracy,...

Compliance Auditor/Educator - Compliance Quality (CPC Required) Hot Job Clark St House (CMC) - Champaign, IL 61820 Overview Salary Range: $28.03 - $38.54 Hourly Position Type: Full Time Job Shift: 1st Shift Education Level: High School Category: Coding/Compliance General Summary of Duties Christie Clinic's department of Compliance Quality is seeking a full-time Compliance Auditor/Educator (Sign-On Bonus Available) at our Clark Street location in Champaign from Monday-Friday 8:00am-5:00pm, with no night or weekend requirements. Duties include performing ongoing functions related to quality of care and compliance including government and clinic regulations and policies in support of the Christie Clinic Compliance System. Job Qualifications and Expectations JOB DUTIES Screen, review, identify and document potential quality and compliance issues. Perform billing and coding audits with both random samples as well as provider and department specific samples; and as required....

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Lexington Regional Health Center Title: Medical Coder Effective Date: October 29, 2021 Supervisor: Director of Health Information Management Department: Health Information Management FLSA Status: Non-Exempt Principle duties and responsibilities Review medical records to assign accurate diagnostic and procedure codes to patient records, which will play a key role in determining reimbursement and adherence to coding compliance regulations and corporate policies developed to ensure accurate billing. Responsible for coding specific areas of the organization as assigned. May have the potential to transition to a work from home position based on the needs of the organization after on- site orientation and training has been established. Use of encoder software to assign appropriate CPT and ICD-10-CM/PCS codes. Collaborate with the various departments to ensure proper charging and billing for maximum reimbursement. Interact with providers regarding documentation...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

PURPOSE STATEMENT The Certified Coder will play a key role in converting diagnoses and treatment procedures intoICD-10, CPT and HCPCS codes. The Coder will review and accurately code office and hospital procedures for reimbursement. Job Type Full-time DESCRIPTION The Certified Coder will play a key role in converting diagnoses and treatment procedures intoICD-10, CPT and HCPCS codes. The Coder will review and accurately code office and hospital procedures for reimbursement. ESSENTIAL FUNCTIONS Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Researches and analyzes data needs for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supports diagnoses, procedures, and treatment results. Identifies diagnostic and procedural information. Audits...

Patient Billing Specialist Post patient charges, includes checking coding, ABN documentation, and verification of patient demographics. Posts payments. Files appeals when necessary and assists in determining final claim status. Maintains accurate count of collections received each day. Maintain daily count of physician, procedure, nursing home, hospital and nurse visits. Job Duties: Submits claims to accounts as appropriate. Submits claims to carriers and intermediaries as appropriate. Checks coding to insure accuracy and medical necessity. Insures information is appropriate for client or insurance billing. Assists in follow-up on payment and billing errors. Send medical records requested by insurance companies. Send monthly deposit reports to accounting. Fill out paperwork for patient/insurance refunds. Help answer the phone and make appointments. Perform other duties as assigned by supervision. Other duties as assigned by Director associated with...

Coder Reimbursement Specialist - Hospital The Coding and Reimbursement Specialist, CCS is responsible for coding and abstracting thoroughly, clinical data from the medical record. This includes both inpatient, outpatient, commercial, Medicare, Medicaid, and Illinois Public Aid, plus any other payor types. This accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis, grouped to the DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. Manages workload and assigns work to three inpatient and two outpatient coders and oversees the day to day workings of the coding/reimbursement area. Monitors various regulatory sources to keep HIM coding and other staff informed and trained on various coding rules, regulations and related issues. Works closely with patient financial services to resolve any...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

JOB SUMMARY: This position is responsible for reviewing a patient's medical records after a Clinic visit and translating the information into codes that insurers use to process claims for patients. Duties include confirming treatments with medical staff, identifying missing information, and submitting information to insurers for reimbursement. RESPONSIBILITIES (ESSENTIAL FUNCTIONS): Accurately assigns and sequences codes (ICD-10-CM, CPT, HCPCS/modifiers as necessary) for each patient encounter, following proper coding guidelines and legal requirements to ensure compliance with federal and state regulations. Ensures professional/physician billing CPT codes/ICD-10 codes are assigned correctly and sequenced appropriately as per government and insurance regulations. Queries providers or other Clinic team members when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Assigns and enters...