38 documentation coding auditor jobs found

The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for an outpatient Certified Coding Auditor to work in its New York office or remotely. Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payors....

Prime Healthcare is seeking an Outpatient Coder Auditor to join our California-based team. The role focuses on reviewing outpatient medical records, ensuring ICD-10/PCS, CPT and HCPCS codes are accurate and well supported by clinical documentation. The ideal candidate will hold CCS certification, have knowledge of ICD-10-CM, CPT, HCPCS, and healthcare coding processes; experience with encoder software and hospital coding environments is preferred. #J-18808-Ljbffr

Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities: Enhances and maintains coding knowledge and skills. Reviews all appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.For physician billing, collaborates with billing department to ensure all bills are satisfied. For hospital, routes to billing charge entry errors...

Health Information Management (HIM) Coding SpecialistLocation: Miramar, FloridaAt Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.Summary: Reviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing, and compliance.Responsibilities:For hospital encounters, routes to billing charge entry errors and/ or account edits preventing completion of coding and/or billing. Makes appropriate coding corrections when advised and follows procedure to notify billing. Reviews chargemaster generated CPT/HCPCS codes, when errors are found Coding Management is notified to alert Charge Management to educate department making errors. Makes appropriate coding corrections...

Overview At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions. The Outpatient Payment Integrity Coder Auditor is responsible for reviewing outpatient medical claims to ensure coding accuracy, compliance, and appropriate payment in accordance with CMS and payer-specific guidelines. This role supports the development and implementation of payment integrity initiatives by identifying coding and billing inaccuracies, trends, and potential cost savings opportunities across outpatient facility claims. The ideal candidate has advanced knowledge of outpatient coding, APC and EAPG payment methodologies, and clinical documentation requirements, with strong analytical and auditing skills. Salary Range: $100,000 - $102,500 Responsibilities Perform detailed coding audits on outpatient facility claims to validate appropriate CPT/HCPCS, revenue codes, modifiers, and...

Job Description Job Description Description: Role Summary   Responsible for reviewing medical records and assigning accurate CPT, HCPCS, ICD-10-CM, and appropriate modifiers for outpatient services. This role supports compliant coding and consistent performance across a variety of outpatient encounter types.  Core Responsibilities   Review medical records and assign accurate CPT/HCPCS, ICD-10-CM, and modifiers.  Ensure documentation supports coded services and identify/escalate discrepancies or gaps.  Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including NCCI edits).  Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards.  Requirements:   Minimum Qualifications   Credentials: CPC, CCS, RHIA, or RHIT (active).  Experience: Minimum 3+ years outpatient coding experience across multiple outpatient service types.  Skills & Knowledge: Strong knowledge of CPT, HCPCS, ICD-10-CM,...

Job Summary Oneida Health is actively searching for a skilled Revenue Integrity Outpatient Coder Level II to join our dynamic team. The successful candidate will play a crucial role in ensuring accurate and compliant coding of outpatient services, optimizing revenue capture, and maintaining regulatory compliance. Job Title Outpatient Coder Level II Key Responsibilities Review outpatient services (primarily surgical, emergency, oncology, and wound care) medical records to assign appropriate CPT, HCPCS, and ICD-10 codes. Ensure accuracy and completeness of coded information for billing and reimbursement purposes. Stay updated on coding guidelines, regulations, and compliance requirements related to outpatient services. Collaborate with physicians, nurses, and other healthcare professionals to resolve coding discrepancies and obtain additional documentation if necessary. Work closely with the Revenue Integrity team to identify and address coding-related issues affecting revenue...

Certified Outpatient Coder Cardiac Surgery We are seeking an experienced Certified Outpatient Coder specializing in cardiac surgery to support accurate coding, billing, compliance, and revenue cycle integrity for a high-volume cardiovascular surgical program. This role is responsible for reviewing outpatient medical records and assigning appropriate ICD-10-CM, CPT, HCPCS, and modifier codes related to cardiac surgery procedures, diagnostic testing, and associated clinical services. The ideal candidate has advanced knowledge of cardiovascular anatomy, cardiac surgical procedures, outpatient facility and/or professional fee coding guidelines, and payer-specific requirements. This position works collaboratively with physicians, APPs, clinical staff, billing teams, and revenue cycle leadership to ensure coding accuracy, optimize reimbursement, and maintain regulatory compliance. Essential Responsibilities Review and accurately code outpatient cardiac surgery encounters,...

Job Description Job Description Description: Role Summary Responsible for reviewing medical records and assigning accurate CPT, HCPCS, ICD-10-CM, and appropriate modifiers for outpatient services. This role supports compliant coding and consistent performance across a variety of outpatient encounter types. Requirements:   Core Responsibilities   Review medical records and assign accurate CPT/HCPCS, ICD-10-CM, and modifiers. Ensure documentation supports coded services and identify/escalate discrepancies or gaps. Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including NCCI edits). Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards. Minimum Qualifications   Credentials:  CPC, CCS, RHIA, or RHIT (active).  Experience: Minimum 3+ years outpatient coding experience across multiple outpatient service types. Skills & Knowledge: Strong knowledge of?CPT, HCPCS, ICD-10-CM,...

Coding Specialist Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Day (United States of America) Address: 601 E Rollins St City: Orlando State:...

Everyone Is a CaregiverAt UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.Interprets a wide variety of clinical and diagnostic documentation in order to process hospital and / or pro-fee charges for episodes of outpatient care. Assigns appropriate ICD-CM (current edition) and CPT codes as well as modifiers. Based on account type, may assign ICD-PCS codes, as appropriate adhering to official coding guidelines.I. Major Responsibilities:Upon review of the medical record, performs analysis on documentation, which...

Job Duties: The Outpatient Coder I assesses documentation and verifies the correct ICD and CPT codes to patient medical records, monitors records for timely coding turnaround, maintains coding and documentation quality standards, and performs audits to support data quality and medical necessity. Qualifications: High School Diploma or equivalent; completion of additional post-secondary health-related program preferred. E&M experience preferred, CPC Apprentice preferred. 2-3 years preferred. Shift Schedule: Full-Time; Monday-Friday, 8:00AM - 4:30PM or 8:30AM - 5:00PM Flexible scheduling available. Remote work may be an option following the training period and successful demonstration of coding competencies. Benefits: Medical | Dental | Vision Flexible Spending | Health Savings Basic Life and AD&D Insurance (paid by BCH) Supplemental Life and AD&D Insurance Disability Insurance (paid by BCH) Retirement Savings Plans 401k discretionary...

Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Day (United States of America) Address:...

Outpatient CoderRevenue Cycle Job Duties: The Outpatient Coder I assesses documentation and verifies the correct ICD and CPT codes to patient medical records, monitors records for timely coding turnaround, maintains coding and documentation quality standards, and performs audits to support data quality and medical necessity. Qualifications: High School Diploma or equivalent; completion of additional post-secondary health-related program preferred. E&M experience preferred, CPC Apprentice preferred. 2-3 years preferred. Shift Schedule: Full-Time; Monday-Friday, 8:00AM - 4:30PM or 8:30AM - 5:00PM Flexible scheduling available. Remote work may be an option following the training period and successful demonstration of coding competencies. Beatrice Community Hospital and Health Center Human Resources Department P O Box 278 Beatrice NE 68310 402-223-7379 or FAX 402-223-6538 careers@bchhc.org www.beatricecommunityhospital.com To apply for an open position please go to...

Who We Are Xtensys is a rapidly growing managed service provider delivering innovative technology solutions to health systems, beginning in New York and expanding nationwide. Owned by two industry leaders with a strong focus on advancing rural and community healthcare, Xtensys is executing several major initiatives and scaling quickly. With a team of more than 500 professionals, we are building a people-centered culture rooted in collaboration, innovation, and strategic thinking. We are seeking an experienced Hospital Coder II/Outpatient Coder to support our continued growth and commitment to deliver exceptional client outcomes. Why Join Us? Mission-Driven Work: You are the "bridge" ensuring technology serves health systems and their patients when they need it most. Autonomy & Ownership: We trust you. You'll lead projects, define success, and manage complexities with total support. A Culture of Innovation: Have a fresh perspective? We want it. We encourage risk-taking and...

Description Summary: Responsible for maintaining current and high-quality ICD-10-CM and CPT coding for all Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. The coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM Guidelines for Coding and Reporting and CPT Guidelines. Outpatient coding is applicable towards clinical, provider office visits, therapeutic, laboratory, recurring, emergency department, outpatient observation, and ambulatory surgery patient encounters. Coder will work collaboratively with various CHRISTUS Health departments (Admitting, Charging, Patient Financial Services, HIM, etc.) to resolve charging issues, denials, and physician documentation clarifications, to ensure accurate billing...

Outpatient CoderWhen you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Under the general supervision of the Outpatient Coding Manager and OP Coding Supervisor, the OP Coder will review outpatient records and accurate, timely, and compliant assignment of ICD-10-CM, CPT, HCPC, and modifiers to ensure the correct APC assignment. The OP coder will work closely with the Coding leadership, and OP Coding Validators to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, CPT, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic. The OP coder is also responsible for meeting or exceeding quality and quantity expectations while performing coding functions to support timely coding and billing.Essential Duties & Responsibilities including but not limited to:Hospital Coding:· Review the complete electronic and scanned medical...

Position Overview We are seeking an experienced Pay: $45/hour Location: Fully Remote Job Type: 6 month contract-to-hire Position Overview We are seeking an experienced Emergency Department (ED) Outpatient Coder to accurately code outpatient emergency services in compliance with official coding guidelines, payer requirements, and organizational policies. This role is fully remote and ideal for detail-oriented coders with strong ED and outpatient experience. Key Responsibilities Accurately assign ICD-10-CM, CPT, and HCPCS codes for Emergency Department outpatient encounters Review provider documentation to ensure complete, accurate, and compliant coding Apply correct modifiers and ensure proper charge capture Meet productivity and quality benchmarks while maintaining coding accuracy Follow official coding guidelines, CMS regulations, and payer-specific requirements Identify documentation gaps and work with providers or internal teams as needed Maintain confidentiality and...

Outpatient CoderRevenue Cycle Job Duties: The Outpatient Coder I assesses documentation and verifies the correct ICD and CPT codes to patient medical records, monitors records for timely coding turnaround, maintains coding and documentation quality standards, and performs audits to support data quality and medical necessity. Qualifications: High School Diploma or equivalent; completion of additional post-secondary health-related program preferred. E&M experience preferred, CPC Apprentice preferred. 2-3 years preferred. Shift Schedule: Full-Time; Monday-Friday, 8:00AM - 4:30PM or 8:30AM - 5:00PM Flexible scheduling available. Remote work may be an option following the training period and successful demonstration of coding competencies. Beatrice Community Hospital and Health Center Human Resources Department P O Box 278 Beatrice NE 68310 402-223-7379 or FAX 402-223-6538 careers@bchhc.org www.beatricecommunityhospital.com BCH is an equal opportunity employer and all...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? Exemption Status: Non-Exempt Hiring Range: $0.00 - $0.00 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 7a-3:30p Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5470 ED Coding and Revenue Capture This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are...

Outpatient Coder - Coding - 331187 US:TX:Irving | Medical Coding | Full Time Summary: Responsible for maintaining current and high-quality ICD-10-CM and CPT coding for all Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. The coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM Guidelines for Coding and Reporting and CPT Guidelines. Outpatient coding is applicable towards clinical, provider office visits, therapeutic, laboratory, recurring, emergency department, outpatient observation, and ambulatory surgery patient encounters. Coder will work collaboratively with various CHRISTUS Health departments (Admitting, Charging, Patient Financial Services, HIM, etc.) to resolve charging issues, denials,...

Inpatient/Outpatient Coder job at LaSalle Network. Phoenix, AZ. Are you a coding expert who loves diving into medical records and making sure everything’s accurate? We’re looking for a passionate Inpatient/Outpatient Coder to join our client’s team and keep their coding system running like clockwork. Whether it’s hospital stays or clinic visits, you’ll use your skills to assign ICD-10, CPT and HCPCS codes that ensure correct billing and compliance. Responsibilities Review inpatient and outpatient records to assign accurate ICD-10, CPT and HCPCS codes Ensure compliance with industry standards and regulations, including Medicare and Medicaid guidelines Collaborate with healthcare providers and clinical teams to clarify documentation and resolve coding issues Conduct regular audits to verify coding accuracy and identify any discrepancies Stay up to date on coding changes, regulations and guidelines to keep processes current Requirements 2+ years of experience coding...