25 physician coding compliance auditor jobs found

Location Miramar, Florida 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 and/or account edits preventing completion of coding and/or billing. Makes appropriate coding corrections, when advised, and follows procedure to notify billing. Reviews and validates the accuracy of data in the Admission, Discharge Transfer (ADT) fields following HIM coding...

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...

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 and/or account...

Hours: Full-Time, 30 hours per week Mary Free Bed Summary We have the great privilege of helping patients and families re-build their lives. It's extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients "Ask for Mary," they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients and innovatively serve them. This is true of every employee, from support staff and leadership, to clinicians and care providers. Mary Free Bed is a not-for-profit, nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient, outpatient, sub-acute rehabilitation, orthotics and prosthetics and home and community programs. With the most comprehensive rehabilitation services in Michigan and an exclusive focus on rehabilitation, Mary Free Bed physicians, nurses and therapists help our patients achieve outstanding clinical outcomes. The...

RIS - OUTPATIENT CODER IIHot JobCorporate - Oneida, NY 13421OverviewSalary Range $22.00 - $28.00 Hourly Position Type Full Time Job Shift DaysDescriptionJob Title:Outpatient Coder Level IIJob 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.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...

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...

Outpatient Coding SpecialistHours: Full-Time, 30 hours per weekMary Free Bed SummaryWe have the great privilege of helping patients and families re-build their lives. It's extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients "Ask for Mary," they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients and innovatively serve them. This is true of every employee, from support staff and leadership, to clinicians and care providers.Mary Free Bed is a not-for-profit, nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient, outpatient, sub-acute rehabilitation, orthotics and prosthetics and home and community programs. With the most comprehensive rehabilitation services in Michigan and an exclusive focus on rehabilitation, Mary Free Bed physicians, nurses and therapists help our patients achieve outstanding...

Hours: Full-Time, 30 hours per week Mary Free Bed Summary We have the great privilege of helping patients and families re-build their lives. It's extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients "Ask for Mary," they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients and innovatively serve them. This is true of every employee, from support staff and leadership, to clinicians and care providers. Mary Free Bed is a not-for-profit, nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient, outpatient, sub-acute rehabilitation, orthotics and prosthetics and home and community programs. With the most comprehensive rehabilitation services in Michigan and an exclusive focus on rehabilitation, Mary Free Bed physicians, nurses and therapists help our patients achieve outstanding clinical outcomes. The...

Coder - OutpatientSTATUS: Full-TimeLOCATION: Riedman- RemoteDEPARTMENT: Coding/Clinical DocumentationSCHEDULE: M-F; 8:00 AM to 4:30 PMSummaryReview clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and ICD-10-PCS codes for billing, internal and external reporting, research, and regulatory compliance. Demonstrate knowledge of reimbursement methodologies and apply these to assigned charts to optimize reimbursement and/or resolve regulatory edits. Resolve error reports associated with the billing process, identify and report error patterns, and, when necessary, assist in the design and implementation of workflow changes to reduce billing errors.ResponsibilitiesAbides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA), adheres to official coding guidelines, and keeps abreast of coding changes and interpretation of codes.Performs detailed review of Inpatient record documentation to...

Job Title:Outpatient Coder Level IIJob 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.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 cycle...

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 : Reviews encounters to assign and sequence appropriate diagnoses (including HCC Coding Hierarchical Condition Category) and CPT procedure codes as well as modifiers to complex diagnostic and surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding. Create electronic physicians queries within allowed scope for hospital outpatient coder. Reviews all appropriate work queues daily to address edits and make corrections following Health Information Management (HIM) coding policies and procedures. Conducts, audits and /...

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,...

Expected pay for this position is $21.71-$31.48. Actual pay will be determined by experience, skills and internal equity. MDH Benefits package includes: Medical, Dental, Vision 457B and employer match for FT Employees Company paid STD and LTD Job Summary Codes and abstracts hospital outpatient medical records, including but not limited to, emergency department encounters, outpatient surgical services, observation services, rehabilitation services, infusion, and other hospital outpatient visits, for reimbursement, data reporting, research, and compliance with applicable coding guidelines and regulatory requirements. Assigns appropriate ICD-10-CM diagnosis codes, CPT procedure codes, and HCPCS codes based on provider documentation and applicable coding guidelines. Reviews medical records for completeness, accuracy, and appropriate code assignment; identifies documentation deficiencies and coding discrepancies; and coordinates follow-up or clarification when...

Outpatient Coding Specialist Hours: Full-Time, 30 hours per week Mary Free Bed Summary We have the great privilege of helping patients and families re-build their lives. It's extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients "Ask for Mary," they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients and innovatively serve them. This is true of every employee, from support staff and leadership, to clinicians and care providers. Mary Free Bed is a not-for-profit, nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient, outpatient, sub-acute rehabilitation, orthotics and prosthetics and home and community programs. With the most comprehensive rehabilitation services in Michigan and an exclusive focus on rehabilitation, Mary Free Bed physicians, nurses and therapists help our patients achieve...

When 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 (OP) 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. Job Description: Essential Duties & Responsibilities including but not limited to: Hospital Coding: • Review the complete electronic...

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 : Reviews encounters to assign and sequence appropriate diagnoses (including HCC Coding Hierarchical Condition Category) and CPT procedure codes as well as modifiers to complex diagnostic and surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding. Create electronic physicians queries within allowed scope for hospital outpatient coder. Reviews all appropriate work queues daily to address edits and make corrections following Health Information Management (HIM) coding policies and procedures....

RIS - OUTPATIENT CODER II Hot Job Fully Remote • Corporate - Oneida, NY 13421 Overview Salary Range $18.00 - $22.86 Hourly Position Type Full Time Job Shift Days Description Job Title: Outpatient Coder Level II 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. 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...

Riedman - Remote Full time REQ_240993 JOB TITLE: Coder - Outpatient STATUS: Full-Time LOCATION: Riedman- Remote DEPARTMENT: Coding/Clinical Documentation SCHEDULE: M-F; 8:00 AM to 4:30 PM SUMMARY Review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and ICD-10-PCS codes for billing, internal and external reporting, research, and regulatory compliance. Demonstrate knowledge of reimbursement methodologies and apply these to assigned charts to optimize reimbursement and/or resolve regulatory edits. Resolve error reports associated with the billing process, identify and report error patterns, and, when necessary, assist in the design and implementation of workflow changes to reduce billing errors. RESPONSIBILITIES Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA), adheres to official coding guidelines, and keeps abreast of coding changes and...

RIS - OUTPATIENT CODER II Hot Job Corporate - Oneida, NY 13421 Overview Salary Range $22.00 - $28.00 Hourly Position Type Full Time Job Shift Days Description Job Title: Outpatient Coder Level II 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. 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...

Outpatient Coder Fully Remote Louisville, KY Revenue Cycle Job Type Full-time Description Job Title: Outpatient Coder Company: Physician Care Coordination Consultants (PC3) Location: Remote Job Type: Full-time Job Classification: This is an exempt position under the Fair Labor Standards Act (FLSA) and is not eligible for overtime pay. Our Mission: Our mission is to drive financial wellness in healthcare organizations so more patients can receive the care they need. Our Vision: Our vision is a future where we help healthcare organizations thrive in a complex ecosystem by clearing a path to financial health. Our Culture: We are committed to creating a workplace where every member feels valued, empowered, and inspired to contribute their best. Together we will foster a culture that promotes work-life balance and celebrates community engagement, personal achievements, milestones, and special occasions. Values: - Integrity - We do whats right, no matter what. -...

When 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 (OP) 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. Job Description: Essential Duties & Responsibilities including but not limited to: Hospital Coding: · Review the complete...

GeoControl Systems, Inc.as a HUBZone company, is required to maintain a Federally mandated level of employees that reside (home residence) in a qualified HUBZone.  ONLY applicants whose home address lies in a qualified HUBZone will be considered for this position. You can verify whether you reside in a HUBZone by using the following website: https://maps.certify.sba.gov/hubzone/map Medical Data Coder Lead Belong. Connect. Grow. with the Human Health and Performance Contract 2 (HHPC2). We are a team of innovators, thinkers, creators, explorers, volunteers and dreamers and we all share one goal: to improve the world responsibly and safely. On HHPC2 we are at the forefront of safeguarding astronaut health, ensuring human performance, and advancing technologies for human space exploration. We are seeking a Medical Data Coder Lead to support the Lifetime Surveillance of Astronaut Health (LSAH) at the Johnson Space Center (JSC).  What You’ll Do: You will be a...

Physician Care Coordination Consultants (PC3) is seeking an experienced Outpatient Coder for a remote role. You will assign ICD-10-CM, CPT, and HCPCS codes for outpatient encounters across clinics, ED, and observation, ensuring accuracy and compliance with CMS/AHA/AHIMA guidelines. The ideal candidate holds CPC certification, a high school diploma, and at least 3 years of coding experience, and can collaborate with providers and staff to resolve documentation gaps while supporting audits and #J-18808-Ljbffr