14 coding auditor jobs found in Washington

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

A leading health insurance company is seeking an experienced Inpatient Medical Coding Auditor to work remotely. Responsibilities include reviewing inpatient hospital claims for reimbursement, extracting clinical information, and assigning medical codes. A minimum of 4 years of RHIA, RHIT, or CCS certification is required, along with MS-DRG coding experience. The position offers a competitive salary and benefits to support overall well-being, with a focus on work-life balance. #J-18808-Ljbffr

A leading healthcare service provider is seeking a Medical Coding Auditor to ensure accurate coding of medical claims from a remote location. The role involves reviewing medical documentation, conducting audits, and maintaining compliance with coding guidelines. Candidates should have a relevant coding certification and strong analytical skills. The company offers competitive benefits and the opportunity for professional growth in a supportive environment. Typical work hours are Monday to Friday, with flexibility based on business needs. #J-18808-Ljbffr

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.,...

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A healthcare compliance firm is seeking an Associate - Healthcare Compliance Auditor for a full-time role in Washington, DC. The ideal candidate will assist in auditing provider claims and clinical documentation, focusing on government programs. Requires an undergraduate degree in a healthcare-related field, strong analytical skills, and a willingness to obtain a coding certification. The position offers a salary range of $70,000 - $100,000 annually and is on-site. Excellent communication and organizational skills are essential. #J-18808-Ljbffr

(on-site) Posted 1 day ago 70,000 - 100,000 Salary - Type Yearly Salary Job Function Other Position Title: Associate - Healthcare Compliance Auditor (Healthcare Transaction Strategy) Location: Remote - USA | Washington, DC Position Type: Full time Requisition ID: JR100473 BRG is an Equal Employment Opportunity/Affirmative Action Employer. All qualified candidates will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability, or protected veteran status. We do Consulting Differently The Associate position is a junior staff consulting position within the Healthcare Transactions and Strategy (HTS) group. HTS performs regulatory, reimbursement, data analytics, and compliance auditing for healthcare providers, healthcare payers and healthcare investors. Compliance audit deliverables include assessment of provider compliance programs and auditing of billing and coding of clinical...

A healthcare compliance firm is seeking an Associate – Healthcare Compliance Auditor to join their team remotely. The role involves performing audits on coding and documentation for healthcare providers, ensuring compliance with Medicare and Medicaid guidelines. Ideal candidates should have an undergraduate degree in a healthcare-related field and a strong interest in healthcare compliance. Competitive salary ranging from $70,000 to $100,000 annually, along with opportunities for professional development and support in obtaining coding certifications. #J-18808-Ljbffr

Job Overview Position Title: Associate – Healthcare Compliance Auditor (Healthcare Transaction Strategy) Location: Remote – USA (Washington, DC) Employment Type: Full Time Requisition ID: JR100473 Job Description The Associate level Healthcare Compliance Auditor works within the Healthcare Transactions and Strategy (HTS) group. The role focuses on regulatory, reimbursement, data analytics, and compliance auditing for healthcare providers, payers, and investors. The primary responsibility is to audit coding and documentation of clinical and billing records in government programs such as Medicare and Medicaid. Responsibilities Support client engagements and discrete segments of larger projects Research healthcare program requirements and payer guidelines Develop coding and documentation audit methodology using key risk areas Perform coding and documentation audits, reviewing medical records and charges to ensure compliance with CPT‑4/HCPCS and ICD‑10‑CM coding guidelines and...

Corporate Coder The Corporate Coder ("CC") functions under the direction of the Health Information Corporate Coding Manager. The CC is responsible for accurate coding and abstracting of clinical information from the medical record. The CC is responsible for maintaining standards for coding data quality and integrity, as well as productivity within established guidelines. The CC is responsible for coding of Tenet facilities as assigned, assisting with productive coding to maintain DNFC, assisting with quality chart reviews, assisting with the training of new CC's and/or other projects where indicated. Responsibilities: Accurately and productively code/abstract patient health documentation for Tenet facilities. Utilize coding abilities to review flagged cases, in CARDS and RevInt for coding accuracy. Assisting in coding quality reviews/audits and second level reviews as needed. Attends Tenet coding educations and maintains coding credentials. Required: Ability to work 20...

Roseville Coding Specialist Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary Reviews SDS and OBV records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Records types including same day surgery and observation encounter types. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work. Job Requirements Education and Work Experience: High...

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...

Roseville Coding Specialist Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary Reviews SDS and OBV records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Records types including same day surgery and observation encounter types. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work. Job Requirements Education and Work Experience: High...

Job Description Job Description The Coding Network, LLC (TCN) is the country’s premier broker of remote coding and auditing services, structured as a virtual company connecting healthcare professionals and health systems across the country with over 800 US based single specialty coders and auditors. Flexible Hours: We understand that everyone’s schedule is different and, as such, auditors enjoy the flexibility to commit to as few as 15 hours a week to however many hours work for them to render auditing services. It is one thing to have the freedom to work from home, but TCN coders possess the freedom to utilize the full 24 hour clock and choose when to work beyond the traditional 9-5. Whether you’re looking for extra income in addition to your day job or to make a more robust commitment, we are able to accommodate you. Position & Responsibilities: In order to support the growing need for E&M services and surgical divisions, there are abundant opportunities for...