11 billing compliance auditor jobs found

Job Description Job Description PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity team in a professional coding auditor role . RESPONSIBILITIES: Responsible for the accurate review of PYA clients’professional fee coding per industry coding audit standards, support of the management team with project management tasks, support of the verbal and written reporting to the client, and conducting provider coding and documentation education ( generally, conducted remotely ). Coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including...

Health Ministries Clinic (HMC) is seeking a Coding Auditor (with PCP auditing experience) as a trusted expert to join our integrated care team in Newton, Kansas. This is a full-time, on-site position offering the opportunity to support patient care in a collaborative, mission-driven environment. At Health Ministries Clinic, we offer more than just primary care with a full spectrum of services including behavioral health, lab, diagnostic, pharmaceutical and dental. We are seeking an experienced Coding Auditor with a multi-speciality coding background. The Coding Quality Auditor is responsible to ensure Health Ministries Clinic's compliance with national coding guidelines, FQHC coding guidelines and regulations. The Coding Auditor plays a crucial role in minimizing coding errors and preventing fraudulent activities. The Coding Auditor is responsible to ensure accurate and consistent coding which results in appropriate reimbursement and data integrity. This role requires...

Part-Time, Temporary Coder (Remote) Health Ministries Clinic is seeking a part-time, temporary Coder to support our billing team. We are seeking a certified Coder with FQHC, multi-speciality or PCP office coding background. The Coder will support the billing team by reviewing claims that billers have questions regarding proper coding for submission as well as claims that have denied. The Coder will help minimize coding errors and prevent fraudulent activities. The Coder is responsible to ensure accurate and consistent coding which results in appropriate reimbursement and data integrity. This role requires the ability to detect and correct discrepancies and coding errors and provide feedback to ensure correct coding. Essential Functions Reviews designated claims for proper coding before submission. Works coding-related denials. Corrects any coding errors or discrepancies. Works with providers to clarify documentation and coding....

Job Description Job Description Join KVC Hospitals as a Medical Coding Specialist Work wellbeing score of 82 on Indeed – where your career and purpose align Are you an expert in medical coding with a passion for precision and compliance? KVC Hospitals is seeking a Medical Coding Specialist to lead our coding initiatives, maximize billing opportunities, and ensure documentation accuracy across our hospital network. This role is vital to maintaining financial health while upholding our commitment to quality care and regulatory compliance. Salary Salary up to $55,000 annually, based on education and experience . Why KVC? At KVC, we value our people. Our work wellbeing score of 82 on Indeed reflects our dedication to creating a positive, supportive, and purpose-driven workplace. You’ll join a team that embraces innovation, respects diversity, and works collaboratively to make a real difference in the lives of children and families. Key Responsibilities Serve as the...

Hospital/Facility Revenue Cycle Manager MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and above all excellent customer service. MedHQ, LLC, is a 2022 Becker's Top 150 Places to Work in Healthcare company. Responsibilities: Lead a team of billing and coding professionals, providing guidance, support, and mentorship. Foster a positive and inclusive work environment that encourages collaboration, teamwork, and professional growth. Conduct regular performance evaluations, provide...

Description The Medical Coder is responsible for accurately translating medical documentation into standardized codes for billing, insurance, and reporting purposes. This position requires in-depth knowledge of medical coding systems such as ICD-10, CPT, and HCPCS, along with a strong understanding of healthcare regulations and reimbursement processes. This position is for hospital coding. Requirements Education: High school diploma or equivalent required; completion of a medical coding certification program is preferred. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification required. Experience: Minimum of 3-5 years of experience in medical coding, with a focus on ICD-10, CPT, and HCPCS coding. In-depth knowledge of medical terminology, anatomy, physiology, and healthcare reimbursement systems. Skills and Competencies: Strong attention to detail, excellent organizational and communication skills,...

Job Description ASC–CIRCC Certified Coder (Cardiovascular / Interventional Radiology) Department: Revenue Cycle / Business Office Reports To: Revenue Cycle Manager FLSA Status: Non-Exempt Location: Remote Position Summary The ASC–CIRCC Certified Coder is responsible for accurately assigning CPT®, ICD-10-CM, and HCPCS codes for cardiovascular and interventional radiology procedures performed in an ambulatory surgery center (ASC) or hospital outpatient setting. This role ensures compliant coding, appropriate reimbursement, and adherence to federal, state, and payer regulations. The coder works closely with physicians, clinical staff, billing teams, and compliance personnel to support revenue integrity and audit readiness. Key Responsibilities Assign accurate CPT®, ICD-10-CM, and HCPCS Level II codes for cardiovascular and interventional radiology procedures Apply correct modifiers in accordance with payer and regulatory guidelines Review operative...

Medical Billing Specialist - Join a Team That Values Your Growth and Wellbeing Work Wellbeing Score on Indeed: 82 KVC is seeking a Medical Billing Specialist who is organized, proactive, and passionate about making a difference behind the scenes. If you're ready to bring your billing and account receivable skills to a mission-driven organization, we want to hear from you. This position plays a vital role in the financial health of our operations. You'll help ensure accurate billing, timely payments, and the smooth coordination of revenue-related tasks-all while working with a supportive team that values your contribution. Work Schedule: First 90 days onsite for training and onboarding Hybrid schedule after 90 days : Remote on Mondays and Fridays In-office Tuesday through Thursday What You'll Need to Join Us High school diploma or equivalent At least one year of experience in healthcare finance, customer service, claims, or billing...

Kansas City KA Vendor Compliance Auditor Monday-Friday 5:30 am-until Finish Potential to earn over $760 paid weekly JOB SUMMARY: This role is responsible for auditing the quality of incoming loads, ensuring compliance with established standards, and identifying any deviations. SUPERVISORY RESPONSIBILITIES: None ESSENTIAL FUNCTIONS: Responsibilities: Observe the quality of loads on arrival Review loads for violations Identify and document root causes through tablet procedures Communicate violations by gathering up to 30 photographs using multiple angles if necessary Validate information prior to reporting violations QUALIFICATIONS: education and/or experience: High school diploma knowledge, skills and abilities: Demonstrated interpersonal and communication skills (written and verbal) Attention to detail Familiarity with pallet building standards Demonstrated commitment to safety standards physical...

Join KVC Hospitals as a Medical Coding Specialist Work wellbeing score of 82 on Indeed - where your career and purpose align Are you an expert in medical coding with a passion for precision and compliance? KVC Hospitals is seeking a Medical Coding Specialist to lead our coding initiatives, maximize billing opportunities, and ensure documentation accuracy across our hospital network. This role is vital to maintaining financial health while upholding our commitment to quality care and regulatory compliance. Salary Salary up to $55,000 annually, based on education and experience . Why KVC? At KVC, we value our people. Our work wellbeing score of 82 on Indeed reflects our dedication to creating a positive, supportive, and purpose-driven workplace. You'll join a team that embraces innovation, respects diversity, and works collaboratively to make a real difference in the lives of children and families. Key Responsibilities Serve as the subject matter expert on...

A healthcare revenue cycle management firm is hiring an ASC–CIRCC Certified Coder for a remote position. This role requires accurate CPT®, ICD‑10‑CM, and HCPCS coding for cardiovascular and interventional radiology procedures. Candidates must have ASC–CIRCC certification and 2–3 years of coding experience. Responsibilities include ensuring compliance with coding regulations, supporting revenue integrity audits, and collaborating with clinical and billing teams. Competitive benefits such as medical, dental, vision, and a 401(k) match are offered. #J-18808-Ljbffr