10 coder quality auditor jobs found in Austin

Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g., ICD‑10‑CM, CPT, HCPCS). The role requires interpretation and independent determination of the appropriate courses of action, contributing to overall cost reduction by increasing the accuracy of provider contract payments in our payer systems and ensuring correct claims payment for appropriate CPT/HCPCS code assignments. The Auditor analyzes, enters and manipulates database data, responds to or clarifies internal requests for medical information, understands departmental, segment and organizational strategy and operating objectives, and follows established guidelines and procedures while making decisions in ambiguous situations. Where you come in The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g.,...

Inpatient Coder 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 of our team. The ideal...

Certified Medical Coder Join to apply for the Certified Medical Coder role at Austin Regional Clinic: ARC About Austin Regional Clinic Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of Central Texas’ largest professional medical groups with 35+ locations and we are continuing to grow. We offer the following benefits to eligible team members: Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more. For additional information visit https://www.austinregionalclinic.com/careers/ Job Details Purpose Responsible for maintaining accurate billing data in the medical record by assigning and providing medical codes for diagnoses and procedures, as well as identifying medical documentation and reviewing concerns for quality purposes. Carries out all...

Job Overview Greenberg‑Larraby, Inc. (GLI) is actively seeking a skilled Outpatient Professional Medical Coder to join our dynamic healthcare team based in Temple, TX. This position is onsite in Temple, TX. Responsibilities In this role, you will review and code outpatient medical records, ensuring adherence to coding standards and guidelines. Your expertise will contribute to accurate billing, compliance, and overall patient care quality. You will collaborate effectively with healthcare providers to clarify clinical documentation and align coding assignments with the latest practices. Qualifications Minimum Requirements: One active coding credential (RHIT, RHIA, CCS, CCS‑P, or CPC) At least three (3) years of outpatient or professional coding experience in a healthcare setting Strong working knowledge of ICD‑10‑CM, CPT, HCPCS, and modifiers Ability to meet 95%+ coding accuracy requirements Understanding of federal healthcare regulations, VA/CMS guidelines, and outpatient...

Datavant is a leading data platform company dedicated to health data exchange, with a vision that every healthcare decision is powered by accurate data at the right time. Our network is one of the largest and most diverse in the U.S., ensuring that data remains secure and accessible to enhance health decisions. Our clients include prominent life sciences firms, government agencies, and healthcare providers. Joining Datavant means becoming part of a high-performing, values-driven team that is committed to solving the intricate challenges of healthcare through technological innovations. Our diverse team members bring a rich array of professional, educational, and personal experiences to support our ambitious vision for the future of healthcare. Your Role: We are seeking credentialed inpatient coders who possess meticulous attention to detail and a solid understanding of medical terminology to join our dynamic team. This position offers the flexibility of fully remote work,...

divh2Medical Coder/h2pWoundlocal is looking for a detail-oriented Medical Coder to join our dynamic team in Austin!/ppResponsibilities:/pulliReview and analyze medical documentation to ensure accurate coding and billing processes./liliAssign appropriate codes for diagnoses, procedures, and services according to the guidelines and regulations./liliStay up-to-date with coding standards and insurance requirements, including ICD-10, CPT, and HCPCS coding systems./liliCollaborate with healthcare providers to clarify documentation and ensure completeness./liliIdentify and resolve discrepancies in medical records and coding for accurate claims processing./liliEvaluate and re-file appeals of patient claims that were denied./liliStay up-to-date on new coding rules and code changes./liliAssist in audits and provide necessary documentation for compliance and quality assurance activities./liliCollect and distribute coding related information and billing issues to management and provider when...

We Are Hiring Department: Pediatric Surgery Department Schedule: Monday - Friday 8:00a - 4:30p Facility: Strictly Peds Medical Office Location: 1301 Barbara Jordan Blvd Suite 400 Austin, Texas What You Will Do Apply the appropriate diagnostic and procedural code to patient health records for purposes of document retrieval, analysis and claim processing. Responsibilities: Abstract pertinent information from patient records. Assign the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) orDiagnosis-Related Group (DRG) assignments. Perform complex coding. Obtain acceptable productivity/quality rates as defined per coding policy. Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Maintain knowledge of, comply...

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 of our team. The ideal candidate...

Outpatient Professional Medical Coder Greenberg-Larraby, Inc. (GLI) is actively seeking a skilled Outpatient Professional Medical Coder to join our dynamic healthcare team based in Temple, TX This position is onsite in Temple, TX. In this role, you will be responsible for reviewing and coding outpatient medical records, ensuring adherence to coding standards and guidelines. Your expertise will play a vital role in ensuring accurate billing and compliance, contributing to the overall quality of patient care at GLI. You'll collaborate effectively with healthcare providers to clarify clinical documentation and ensure that all coding assignments align with the latest coding practices. If you are a detail-oriented professional ready to excel in a collaborative environment, we invite you to apply! Requirements Minimum Requirements: One active coding credential required: RHIT, RHIA, CCS, CCS-P, or CPC At least three (3) years of outpatient or professional...

Woundlocal is looking for a detail-oriented Medical Coder to join our dynamic team in Austin! Responsibilities: Review and analyze medical documentation to ensure accurate coding and billing processes. Assign appropriate codes for diagnoses, procedures, and services according to the guidelines and regulations. Stay up-to-date with coding standards and insurance requirements, including ICD-10, CPT, and HCPCS coding systems. Collaborate with healthcare providers to clarify documentation and ensure completeness. Identify and resolve discrepancies in medical records and coding for accurate claims processing. Evaluate and re-file appeals of patient claims that were denied. Stay up-to-date on new coding ruleas and code changes. Assist in audits and provide necessary documentation for compliance and quality assurance activities. Collect and distribute coding related information and billing issues to management and provider when changes happen. Provide accurate...