6 physician coding compliance auditor jobs found in Baton Rouge

Medical Coding Auditor Become a part of our caring community and help us put health first. The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal...

Clinic Coder 3 The Clinic Coder 3 abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate codes to patient records according to established procedures. Assigns codes for specialty practices. Works with coding databases and confirms CPT assignments. Reviews and audits Physician Group provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations. Familiar with standard concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job. This position relies on guidelines and some experience and judgment to complete job and works under general supervision. Researches complex coding scenarios. Creates and presents coding education to clinical providers.

Welbehealth Pace Coding Auditor And Educator WelbeHealth PACE (All-Inclusive Care for the Elderly) program provides seniors with the opportunity to continue living in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole person and not the symptoms! We employ a collaborative interdisciplinary team (IDT) approach to evaluate and guide participant care, which is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as educating our teams on best practices to promote compliance. Essential Job Duties: Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual participants Conduct pre-visit chart preparations and post-visit chart reviews...

Join to apply for the Coder 3 - Clinic role at Franciscan Missionaries of Our Lady University 3 days ago Be among the first 25 applicants Job Description The Clinic Coder 3 abstracts clinical information from a variety of medical records, charts, and documents and assigns appropriate codes to patient records according to established procedures. Assigns codes for specialty practices. Works with coding databases and confirms CPT assignments. Reviews and audits Physician Group provider medical records for documentation and coding compliance and quality with federal and state laws and regulations. Familiar with standard concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job. This position relies on guidelines and some experience and judgment to complete the job and works under general supervision. Researches complex coding scenarios. Creates and presents coding education to clinical...

Join to apply for the Coder 2 - Clinic role at Our Lady of the Lake Health Be among the first 25 applicants (Posted 4 days ago) To review and audit Network Provider medical records for documentation and coding compliance and quality with federal and state laws and regulations. Responsibilities Quality and Performance Improvement: research, develop and implement standardized processes for quality monitoring of inpatient and outpatient coding and abstracting. Conduct quality audits for coding according to pre‑established criteria in coordination with the Coding and Reimbursement Specialist. Assist management with evaluation of functions and processes of the coding area to determine opportunities to improve the efficiency and quality of the coding area. Implement innovative ideas and process changes. Attend meetings as required and strive to improve the quality of meetings by taking an active role in meeting topics. Participate in educational programs, in‑services, and...

Join to apply for the Coder 2 - Clinic role at Franciscan Missionaries of Our Lady University 2 days ago Be among the first 25 applicants Job Description To review and audit Network Provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations. Responsibilities Quality and Performance Improvement Research, develops and implements standardized process for quality monitoring of inpatient and outpatient coding and abstracting. Conducts quality audits for coding according to pre-established criteria in coordination with the Coding and Reimbursement Specialist. Assists Management with evaluation of functions and processes of the coding area to determine opportunities to improve the efficiency and quality of the coding area. Implements innovative ideas and process changes. Attends meetings as required and strives to improve the quality of meetings by taking an active role in meeting topics. Participates in educational...