13 certified coder auditing jobs found

Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers. Will also oversee or perform the overall auditing and education plans for the Coding staff. Responsible for the overall auditing and education plans for the Coding staff. This position will perform coding quality audits, provide ongoing feedback and education. This position utilizes various coding classifications; ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Graduate of a Health Information Technology (HIT) or equivalent program AND Five (5) years of coding experience; OR Graduate of a Medical Coding Certification Program AND Five (5) years of coding experience; OR High School Diploma or Equivalent AND Eight (8) years of coding experience. 2. Certification in ONE of the following: Registered Health Information...

Certified Outpatient Medical Coder Join a dedicated healthcare team in the Midwest region as a Certified Outpatient Medical Coder. In this role, you will utilize documentation from healthcare professionals to accurately assign medical codes to patient records, ensuring compliance with ethical coding standards and official guidelines. Essential Responsibilities Apply ICD-10-CM, CPT, and modifier codes to reflect patient visit documentation precisely. Use coding software and resources to code inpatient and outpatient services, including diagnoses and procedures. Abstract required data elements such as discharge status as defined by management. Communicate coding issues effectively with providers and submit coding queries when necessary. Maintain cooperation and communication with physicians, staff, and clients to support accurate reimbursement. Serve as a resource for providers, coders, and billing offices regarding coding questions and billing edits. Manage coding workload...

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator 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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

Something Special Starts Here You can't define it, but you know it when you see it: the difference between an average life and the good life. When your cup is full with joy, purpose and lifelong health it shows. At LMH Health, we are all about healthy people, healthy communities and healthy futures, and that makes us your destination for an exceptional career. From flexible, work-life harmony to competitive pay and great advancement potential, find everything you're looking for at LMH Health. You'll find everything you're looking for at LMH Health: Join a team that cares about the community Tuition reimbursement to support continuing education Professional development and recognition Excellent benefits We're looking for you. Job Description The Coder I position is responsible for accurate, coding, abstracting, claims filing, documentation review and claims denial processing working from the appropriate documentation in the medical record. The Coder must stay up to...

Certified Outpatient Medical Coder Join a dedicated healthcare team in the Midwest region as a Certified Outpatient Medical Coder. In this role, you will utilize documentation from healthcare professionals to accurately assign medical codes to patient records, ensuring compliance with ethical coding standards and official guidelines. Essential Responsibilities Apply ICD-10-CM, CPT, and modifier codes to reflect patient visit documentation precisely. Use coding software and resources to code inpatient and outpatient services, including diagnoses and procedures. Abstract required data elements such as discharge status as defined by management. Communicate coding issues effectively with providers and submit coding queries when necessary. Maintain cooperation and communication with physicians, staff, and clients to support accurate reimbursement. Serve as a resource for providers, coders, and billing offices regarding coding questions and billing edits. Manage coding workload...

Datavant is seeking experienced inpatient coders for a fully remote role with a flexible schedule. The role focuses on assigning ICD-10-CM and ICD-10-PCS codes, auditing Coders, and driving documentation improvement to support accurate MS-DRG assignments. Ideal candidates have 3+ years in inpatient coding and AHIMA credentials. This position offers remote work with autonomy, supporting healthcare organizations nationwide. #J-18808-Ljbffr

Certified Outpatient Medical CoderJoin a dedicated healthcare team in the Midwest region as a Certified Outpatient Medical Coder. In this role, you will utilize documentation from healthcare professionals to accurately assign medical codes to patient records, ensuring compliance with ethical coding standards and official guidelines.Essential ResponsibilitiesApply ICD-10-CM, CPT, and modifier codes to reflect patient visit documentation precisely.Use coding software and resources to code inpatient and outpatient services, including diagnoses and procedures.Abstract required data elements such as discharge status as defined by management.Communicate coding issues effectively with providers and submit coding queries when necessary.Maintain cooperation and communication with physicians, staff, and clients to support accurate reimbursement.Serve as a resource for providers, coders, and billing offices regarding coding questions and billing edits.Manage coding workload independently...

Something special starts here. You can't define it, but you know it when you see it: the difference between an average life and the good life. When your cup is full - with joy, purpose and lifelong health - it shows. At LMH Health, we are all about healthy people, healthy communities and healthy futures, and that makes us your destination for an exceptional career. From flexible, work-life harmony to competitive pay and great advancement potential, find everything you're looking for at LMH Health. You'll find everything you're looking for at LMH Health: Join a team that cares about the community Tuition reimbursement to support continuing education Professional development and recognition Excellent benefits We're looking for you. Job Description I. JOB SUMMARY The Coder I position is responsible for accurate, coding, abstracting, claims filing, documentation review and claims denial processing working from the appropriate documentation in the medical...

Something Special Starts HereYou can't define it, but you know it when you see it: the difference between an average life and the good life. When your cup is full – with joy, purpose and lifelong health – it shows. At LMH Health, we are all about healthy people, healthy communities and healthy futures, and that makes us your destination for an exceptional career. From flexible, work-life harmony to competitive pay and great advancement potential, find everything you're looking for at LMH Health.You'll find everything you're looking for at LMH Health:Join a team that cares about the communityTuition reimbursement to support continuing educationProfessional development and recognitionExcellent benefitsWe're looking for you.Job DescriptionThe Coder I position is responsible for accurate, coding, abstracting, claims filing, documentation review and claims denial processing working from the appropriate documentation in the medical record. The Coder must stay up to date on code changes...

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: Benefits may vary based upon position type and/or level. Job...

Cognizant is seeking an experienced Emergency Department Coder to ensure accurate medical coding across outpatient, ED, and observation encounters. You will collaborate with physicians and clinical staff to clarify diagnoses and ensure compliance with ICD-10-CM, CPT, and HCPCS guidelines. This fully remote role requires a CPC or CCS credential and a track record of high accuracy (minimum 98%), with strong auditing skills and the ability to meet productivity targets in a fast-paced healthcare #J-18808-Ljbffr

About the role As a Emergency Deparment Coder, you will make an impact by ensuring the accuracy, quality, and compliance of medical coding practices across multiple healthcare settings. You will be a valued member of the Health Information Management team and work collaboratively with coding professionals, physicians, and operational stakeholders to support regulatory compliance and revenue cycle excellence. In this role, you will: Review clinical documentation and accurately assign diagnosis and procedure codes for outpatient surgery, observation, emergency department, and outpatient diagnostic encounters. Communicate with physicians and clinical staff to obtain clarification on diagnoses and procedures through the coding query process. Utilize electronic encoder applications and coding tools to assign accurate codes in accordance with company policies and regulatory guidelines. Perform peer reviews and quality audits of coding professionals to ensure coding accuracy,...

Job DetailsJob LocationAmberwell Hiawatha - Hiawatha, KSRemote TypeFully RemotePosition TypeFull TimeEducation LevelOtherJob Shift8 Hour DayJob CategoryHealth Information ManagementDescriptionBASIC FUNCTION :Reviews patient records and assigns accurate codes for each diagnosis and procedure on the accounts assigned to coder.Applies knowledge of medical terminology, disease processes, and pharmacology.Demonstrates tested data quality and integrity skills.Performs chart verification as assigned.Performs final chart reviews as necessary.SHIFT DAYS / HOURS :Remote PositionFull-Time :40 Hours per Week, Monday through Sunday.Hours and Days are Subject to change based on business necessity.ESSENTIAL FUNCTIONS :Review and abstract patient medical records.Report diagnoses, treatments, as well as surgical and non-surgical procedures for CAH facility medical services.Perform coding duties of discharged patient medical records using AHA Coding Clinic for ICD-10-CM and ICD-10-PCS, AHA Coding...