4 professional coding auditor jobs found in Richmond, VA

Anticipated End Date: 2025-04-11 Position Title: DRG Coding Auditor Job Description: DRG CODING AUDITOR Location: This position will work virtually. Alternate locations may be considered. The DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician’s statement sent in by acute care hospitals on submitted DRG. How you will make an impact: Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Utilizes...

An established industry player is seeking a detail-oriented DRG Coding Auditor to enhance the quality of healthcare claims. In this role, you will audit inpatient medical records, ensuring coding accuracy and compliance with clinical guidelines. Your expertise in ICD-10 coding and claims auditing will be crucial in identifying new claim types and improving processes. This position offers the opportunity to work virtually, contributing to a company dedicated to simplifying healthcare and improving community health. Join a team that values innovation and professional growth while making a significant impact on the healthcare industry. #J-18808-Ljbffr

Join to apply for the Medical Billing Specialist role at Hospital to Home LLC 6 months ago Be among the first 25 applicants Join to apply for the Medical Billing Specialist role at Hospital to Home LLC Brief Description Brief Description Position Title: Medical Billing Specialist Title of Immediate Supervisor: Accounting Manager Risk of Exposure to Bloodborne Pathogens: Limited Job Summary The Medical Billing Specialist is responsible for facilitating all aspects of the billing and follow up process. Duties/Responsibilities Timely and accurate coding and submission of claims and invoices. Working of claim denials and follow up. Gathering appropriate information for billing purposes. Managing, tracking, and processing payments on behalf of customers. Maintaining detailed and organized financial records for accurate reporting. Collaborating with customers, third party institutions, and other team members to resolve billing inconsistencies and errors. Performing other...

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from...