11 associate compliance coding auditor jobs found

Perm - Remote - Hospital Inpatient Coder As a permanent, remote Hospital Inpatient Coder, you will be responsible for accurately coding inpatient medical records, ensuring compliance with coding guidelines, and collaborating with healthcare professionals to maintain data integrity, all while working from home. Essential Job Functions: Assign ICD10CM and PCS codes to hospital inpatient visits Reviews and analyzes the content of medical records and the autosuggested computer assisted codes (CAC) for the appropriate assignment of ICD diagnosis/procedure codes, present on admission indicators, hierarchical condition categories, complication and comorbidities in the proper sequence in accordance with official coding resources resulting in an accurate DRG assignment. Meets 95% accuracy rate in audits Maintains productivity of 2.75 charts per hour after release from training period. Data Analysis- Hospital Inpatient Coding Accurately reviews and codes patient records in the...

# Medical Coding Specialist - Home Health and HospiceHot JobFully Remote • Select Home Health - Carmel, IN 46032## Description**Company Overview**Select Home Health & Hospice (A Fortis Health Company) is a clinician-led and operated skilled home health care agency serving central Indiana. We provide expert nursing and therapy services designed to improve health, independence, and quality of life—all within the comfort of your own home.Our highly trained clinicians are compassionate, dependable, and committed to delivering exceptional care with integrity and excellence. At Select Home Health & Hospice, we believe in putting patients first: *“Select the best for your health!”*Want to learn more about us? Check out our website: Home - Fortis### **Job Summary**The Medical Coder is responsible for reviewing clinical documentation and accurately assigning ICD-10-CM, CPT, HCPCS, and other applicable medical codes for billing, reimbursement, reporting, and compliance. This role...

Description Job Summary: Maple City Health Care Center (MCHCC) is a Federally Qualified Health Center dedicated to improving our community’s health by making quality comprehensive healthcare accessible to all. We strive for a healthy community where everyone is cared for. The Medical Coder is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS Level II codes for medical, dental, and behavioral health services in compliance with federal, state, payer, and HRSA/FQHC requirements . This role supports timely and compliant billing, reimbursement optimization, and audit readiness. Essential Duties and Responsibilities Review provider documentation to ensure completeness, accuracy, and compliance with coding guidelines. Assign appropriate ICD-10-CM, CPT, and HCPCS codes for: Primary care services Behavioral health services Dental services (as applicable) Ensure coding supports medical necessity, scope of practice, and payer requirements. Apply correct modifiers, place...

Medical CoderMaple City Health Care Center (MCHCC) is a Federally Qualified Health Center dedicated to improving our community's health by making quality comprehensive healthcare accessible to all. We strive for a healthy community where everyone is cared for.The Medical Coder is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS Level II codes for medical, dental, and behavioral health services in compliance with federal, state, payer, and HRSA/FQHC requirements. This role supports timely and compliant billing, reimbursement optimization, and audit readiness.Essential Duties and Responsibilities• Review provider documentation to ensure completeness, accuracy, and compliance with coding guidelines.• Assign appropriate ICD-10-CM, CPT, and HCPCS codes for: primary care services, behavioral health services, dental services (as applicable).• Ensure coding supports medical necessity, scope of practice, and payer requirements.• Apply correct modifiers, place of service codes,...

Join our Team as a Coding Specialist II - HB Facility Coder Are you detail-oriented and passionate about accuracy in healthcare documentation and billing? We're looking for a compassionate, caring, and dedicated Coding Specialist II - HB Facility Coder to join our team and help us continue our tradition of excellence. In this role, you'll ensure accurate and timely coding of hospital charges and claims by abstracting information from the electronic medical record for compliant submission. You'll also support provider education, collaborate with internal teams, and help maintain coding accuracy and compliance across the organization while keeping leadership informed of progress and issues. What You'll Do: Accurately code professional and/or hospital charges and claims using electronic medical record documentation. • Ensure timely and compliant claim submission in alignment with payer and regulatory requirements. • Provide educational feedback to providers based on...

Coding Specialist Ii – Hb Facility CoderJoin our team as a Coding Specialist II – HB Facility CoderAre you detail-oriented and passionate about accuracy in healthcare documentation and billing? We're looking for a compassionate, caring, and dedicated Coding Specialist II – HB Facility Coder to join our team and help us continue our tradition of excellence.In this role, you'll ensure accurate and timely coding of hospital charges and claims by abstracting information from the electronic medical record for compliant submission. You'll also support provider education, collaborate with internal teams, and help maintain coding accuracy and compliance across the organization while keeping leadership informed of progress and issues.What You'll Do:Accurately code professional and/or hospital charges and claims using electronic medical record documentation. Ensure timely and compliant claim submission in alignment with payer and regulatory requirements. Provide educational feedback to...

Description The Hospice & Palliative Care Medical Billing Specialist is responsible for the accurate and timely management of billing, reimbursement, and collections for all hospice and palliative care patients. As a newly established role, this individual will help shape workflows and processes through active feedback and collaboration. This role also ensures compliance with Accreditation Commission for Health Care (ACHC) standards, CMS hospice regulations, and all applicable federal and state requirements. Reviews and verifies patient eligibility for hospice and palliative care services, including certification of terminal illness and benefit period requirements. Confirms and documents patient insurance coverage, including Medicare Hospice Benefit, Medicaid, and commercial payers. Processes, verifies, and submits hospice claims (Medicare Part A, Medicaid, and commercial) in accordance with hospice billing requirements, including election dates, revocations,...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Overview Responsible for ensuring accuracy and quality coding assignments for all records requiring DRG and/or APC coding; ensures optimal and timely reimbursement. Responsibilities Principal Duties and Responsibilities (*Essential Functions) Performs comprehensive pre-billing coding audits, through the use of eValuator , to ensure claims are accurately coded and charged in compliance with coding and regulatory standards. Performs comprehensive pre-billing coding data quality reviews on inpatient and/or outpatient records to ensure proper coding guidelines have been followed and appropriate DRG (MS/APR) or APC assignments have been made for appropriate reimbursement. Responsible for completion of reviews within 72 hrs of import date to include new reviews of up to or exceeding 12 to 15 per day for inpatients and/or completion of reviews within 48 hrs of import date including up to or exceeding 50 per day for outpatient accounts. Maintains an audit response...

Perm - Remote - Hospital Inpatient Coder OOJ - 35267 job at Hatch Global Search. Mishawaka, IN. Job Description As a permanent, remote Hospital Inpatient Coder, you will be responsible for accurately coding inpatient medical records, ensuring compliance with coding guidelines, and collaborating with healthcare professionals to maintain data integrity, all while working from home. Perm - Remote - Hospital Inpatient Coder Essential Job Functions: Assign ICD10CM and PCS codes to hospital inpatient visits Reviews and analyzes the content of medical records and the autosuggested computer assisted codes (CAC) for the appropriate assignment of ICD diagnosis/procedure codes, present on admission indicators, hierarchical condition categories, complication and comorbidities in the proper sequence in accordance with official coding resources resulting in an accurate DRG assignment. Meets 95% accuracy rate in audits Maintains productivity of 2.75 charts per hour after release from training...

JOB TITLE: Certified Coder FLSA: Non-Exempt REPORTS TO: Billing Office Manager COMPENSATION: Hourly Range: $21.00 - $30.00 (based on experience) Medical benefits including vision and dental (dependent upon job status) 401k profit sharing plan eligible after one year and 1,000 hours Paid holiday, vacation, and personal leave ENVIRONMENT: Outpatient, clinical care setting. GENERAL SUMMARY OF DUTIES: Evaluates medical records and charge tickets to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-10-CM), and the American Medical Association's Current Procedural Terminology manual (CPT) DUTIES PERFORMED: The duties and responsibilities of a Medical Coder vary from one healthcare facility to another. The main duty of a Medical Coder is assigning codes to medical procedures and diagnoses. Other duties and responsibilities of a Medical Coder include: Constantly makes sure that codes are assigned...