10 coder auditor jobs found

A healthcare provider in Chicago is seeking a Compliance Auditor to perform audits on provider documentation and coding. Responsibilities include managing compliance issues and communicating effectively with providers regarding results. Candidates should have a Bachelor's Degree and relevant certifications like RHIA or CPC. Strong interpersonal skills and experience in healthcare compliance are preferred. This role offers competitive benefits and opportunities for professional growth. #J-18808-Ljbffr

                                          Remote | Work from Home | Healthcare Consulting   Help Healthcare Organizations Improve Documentation, Compliance, and Reimbursement Integrity   About Compass  At Compass, as professional fee auditors, we do more than review charts. We partner with healthcare organizations to improve documentation quality, coding accuracy, compliance, provider performance, and financial outcomes. Our clients rely on us for expert guidance, practical recommendations, and meaningful education that creates lasting results.   The Opportunity  Are you a detail-oriented coding and documentation professional who is passionate about improving coding accuracy, strengthening clinical documentation, and helping healthcare organizations achieve operational and financial success? If so, we invite you to consider our growing consulting team.   As a Coding, Billing & Clinical Documentation Improvement...

*Description* JOB SUMMARY: Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems. JOB RESPONSIBILITIES: * KEY RESPONSIBILITY 1: Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. o Audits ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient, ambulatory surgery, and observation visits for the purpose of reimbursement, research and compliance with federal and state regulations. o Audits complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure...

CareSource is seeking a Program Integrity Medical Coding Reviewer III to support complex audit programs, dispute management, and in-depth reporting of pre-pay and post-paid processes. The role requires a CPC/RHIT or RHIA certification, an associate degree, and at least five years of medical billing and coding experience including SIU/FWA exposure. Leadership and training duties are part of the responsibilities. #J-18808-Ljbffr

To support a growing healthcare organization, the full-time remote Facility Inpatient Coding Auditor will conduct prebill audits for inpatient facility coders, ensuring accuracy, compliance, and quality while providing education and feedback to team members. Key responsibilities Conduct comprehensive audits of inpatient facility coding, focusing on MS-DRGs, ICD-10-CM/PCS, and compliance with official guidelines Identify coding errors and trends, analyzing their impact on reimbursement and compliance risk Validate documentation to ensure it supports coded diagnoses and procedures while collaborating with coding and QA teams Required qualifications Active coding credential: RHIA, RHIT, or CCS Minimum of 3 years of inpatient facility auditing experience Expert knowledge of ICD-10-CM/PCS, MS-DRGs, and POA indicators Strong understanding of CMS regulations and compliance standards Experience working with or supporting global or remote coding teams

Job Summary: To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients' health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. ll work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), and organization/institutional coding directives. bility to...

*Description* JOB SUMMARY: Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems. JOB RESPONSIBILITIES: * KEY RESPONSIBILITY 1: Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. o Audits ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient, ambulatory surgery, and observation visits for the purpose of reimbursement, research and compliance with federal and state regulations. o Audits complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure...

UW Medicine Enterprise Records and Health Information has an outstanding opportunity for an OUTPATIENT CODING EDUCATION ANALYST (REQ-0000133802). WORK SCHEDULE 100% FTE Mondays - Fridays 100% Remote POSITION HIGHLIGHTS Performs daily activities related to auditing, education and training of one or more content areas ERHI has coding oversight for. Serve as an expert in coding , respond to general coding questions (ICD, DRG, CPT and HCPCS), engage in the development and/or implementation of audit/monitoring plans, participate in the development and/or delivery of educational and outreach materials, report on unit activities, maintain unit records, monitor regulatory developments, and help develop Coding program policies and procedure. DEPARTMENT DESCRIPTION Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity,...