7 coder quality auditor jobs found in Gaithersburg, MD

Currently recruiting an REMOTE Medical Coding Auditor to provide support to Active Duty heroes, their families, and retirees. The full-time position is Monday-Friday, 8 hours shifts between 7: 30am and 4: 30pm. DUTIES OF THE MEDICAL CODING AUDITOR: Verifies the accuracy of the diagnosis, procedure, supply codes, modifiers, and sequencing for the professional and institutional (facility) components of inpatient, ambulatory, and outpatient encounters. Provides second-level review of coding assignment to ensure compliance with legal and procedural policies to ensure optimal reimbursements while adhering to regulation prohibiting unbundling and other questionable practices. Examines records for proper sequence of documents, presence of authorized signatures, and sufficient data is documented that supports diagnosis, treatment administered, and results obtained. When assigned to perform Data Quality Management Control (DQMC) audits, provides each assigned MTF with coding...

Coding Auditor Adventist Healthcare seeks to hire an experienced Coding Auditor for our Revenue Integrity department who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing. As a Coding Auditor, you will: Lead discussions and educational sessions, with manager support, with various impacted Revenue Integrity stakeholders to improve overall revenue goals and departmental needs. Analyze and resolve billing edits and bill holds for areas impacted by coding. Manage assigned work queues and associated tasks to review, analyze, and provide corrective action. Maintain work queues at agreed-upon levels to keep on task with department goals and objectives. Escalate barriers or concerns to the manager in a timely, clearly articulated and documented format. Perform EHR analyses and research along with associated patient accounting, medical charting, and system interfacing to examine and understand underlying root causes...

Currently recruiting an REMOTE Medical Coder - Inpatient to provide support to Active Duty heroes, their families, and retirees. The full-time position is Monday-Friday, 8 hours shifts between 7: 30am and 4: 30pm. DUTIES OF THE MEDICAL CODER - INPATIENT: Accurately assigns diagnosis and procedure codes for inpatient facility and professional services to include but not limited to;inpatient stays, surgical procedures, dental surgical procedures, anesthesia services, ancillary services, and inpatient external resource sharing agreement (ERSA) encounters IAW DHA accuracy, completeness, productivity, and timeliness standards IAW DoDI 6040.42. Work may involve areas such as Laboratory, Radiology, and Dental services. Reviews encounter and/or record documentation to identify and resolve inconsistencies, ambiguities, or discrepancies that may cause inaccurate coding, medico-legal repercussions or impacts quality patient care. Identifies any problems with legibility,...

Currently recruiting an REMOTE Medical Coder - APV to provide support to Active Duty heroes, their families, and retirees. The full-time position is Monday-Friday, 8 hours shifts between 7: 30am and 4: 30pm. DUTIES OF THE MEDICAL CODER - APV: Accurately assign Evaluation and Management (E&M) codes, International Classification of Diseases, Clinical Modification (ICD-CM) diagnoses, Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for the professional and institutional (facility) components of Day Surgery (also known as Ambulatory Procedure Visits (APVs)), including anesthesia services;Emergency Department;Observation;ambulatory or outpatient External Resource Sharing Agreement (ERSA);outpatient specialty services such as OB triage or invasive diagnostic or therapeutic procedures;and outpatient specialty encounters. Reviews encounter and/or...

Currently recruiting an REMOTE Medical Coder - Outpatient to provide support to Active Duty heroes, their families, and retirees. The full-time position is Monday-Friday, 8 hours shifts between 7: 30am and 4: 30pm. DUTIES OF THE MEDICAL CODER - OUTPATIENT: Accurately assigns Evaluation and Management (E&M) codes, International Classification of Diseases, Clinical Modification (ICD-CM) diagnoses, Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for the professional and institutional (facility) components of outpatient primary care encounters. Reviews encounter and/or record documentation to identify and resolve inconsistencies, ambiguities, or discrepancies that may cause inaccurate coding, medico-legal repercussions or impacts quality patient care. Identifies any problems with legibility, abbreviations, etc., and brings to the provider...

Lead Coding Specialist Adventist HealthCare seeks to hire an experienced Lead Coding Specialist for our Medical Coding Department who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing. As a Lead Coding Specialist, you will: Conduct reviews to validate I-10-CM diagnosis codes and PCS procedure codes for inpatient bill hold related to PSI, PPC & other reimbursement conventions to be resolved prior to final coded data. Manages daily DNFB and DNFC reports and work queues for un-coded or outstanding records. Under the direction of the coding manager, the coding specialist lead should be proficient in communicating with the coding team. Oversees coding corrections, abstracts elements for HSCRC submissions, and ensures coding compliance with coding standards. Liaison between coding and other departments, managing coding-related tasks and denials. Provides mentoring support to coders on coding questions/reviews and...