12 certified coder auditing jobs found

Certified Coding Analyst We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. The Certified Coding Analyst will perform medical claim reviews for waste and error to ensure compliance with coding practices through a comprehensive record review for medical and institutional providers. The Analyst must have the ability to determine correct coding and appropriate documentation during the review of medical records. The Analyst must also ensure state; federal and company requirements are met. Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent...

Coding Auditor Evaluates coding based on Coding Guidelines. Reviews records for all care settings. Identifies high volume, high risk coding, and reimbursement and quality problems. Responsible for accurate assessment, analysis and summary of findings for coding validation. Provide auditing and feedback that is incorporated into training education programs. This role offers a hybrid work option. Initial training will take place at a Norton Healthcare facility, and you must be available to come onsite for business needs as required. Employees in this position must reside in Kentucky or Indiana. Required: One year coding in healthcare setting One of: CCA or CCS or CPC Desired: Diploma Certified Coding Associate OR Certified Coding Specialist OR Certified Professional Coder

Datavant is seeking a Profee Auditing Specialist to perform professional fee coding audits and provide expert rationale for changes. This fully remote role supports healthcare organizations with education, compliance reviews, and coding workflow analysis from a home workspace. Ideal candidates have 5+ years in coding/auditing, CPC certification, and familiarity with Epic or Cerner EMRs. 20 hours per week with flexible scheduling are available for qualified applicants. #J-18808-Ljbffr

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Activities include: Conduct a...

Certified Coding Analyst We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. The Certified Coding Analyst will perform medical claim reviews for waste and error to ensure compliance with coding practices through a comprehensive record review for medical and institutional providers. The Analyst must have the ability to determine correct coding and appropriate documentation during the review of medical records. The Analyst must also ensure state; federal and company requirements are met. Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent...

Medical CoderOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.We're focused on improving the health of our members, enhancing our operational effectiveness, and reinforcing our reputation for high-quality health services. As a Medical Coder, you will provide coding and coding auditing services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes are being met.As a...

Optum is seeking a Medical Coder to provide accurate diagnostic and procedure coding for outpatient services. You will perform coding and auditing duties to support data integrity and claims processing across the health system.The role features full-time hours (40/wk), with the option to telecommute from anywhere in the U.S. A professional coder certification and experience in multiple specialties are required.J-18808-Ljbffr

Medical Coder Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness, and reinforcing our reputation for high-quality health services. As a Medical Coder, you will provide coding and coding auditing services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes are being met....

Saint Joseph East in Lexington, KY seeks a Medical Coder to translate patient records into standardized codes, ensuring accurate documentation for insurance and payments. You will maintain compliance with healthcare regulations and collaborate with providers to keep records precise and timely. Responsibilities include auditing charting across Pre-Op, PACU, and Post-Op, consolidating anesthesia documents, and reviewing charge sheets to ensure proper billing. #J-18808-Ljbffr

Headquartered in Phoenix, IMS Care Center is a team of 500 employees and a physician‑led organization united through its providers’ commitment to high-quality innovative health care. Each day is a new day for ground‑breaking ideas and unparalleled opportunity. Ours is a culture focused on what we can accomplish today, and where it can lead us tomorrow. IMS Care Center is currently searching for a professional, compassionate and knowledgeable individual to fill the position of Certified Coder for our Cardiology Clinic in Avondale. The Certified Coder will be accountable for processing medical claim information through data‑entry in the Practice Management System and researching and correcting data entry errors using various electronic healthcare systems. This position uses knowledge of CPT and ICD‑10 codes to determine the appropriate order and combination of alpha, numeric or symbolic data to ensure accuracy in entering medical claim information by following the Organization’s...

Responsibilities Evaluates coding based on Coding Guidelines. Reviews records for all care settings. Identifies high volume, high risk coding, and reimbursement and quality problems. Responsible for accurate assessment, analysis and summary of findings for coding validation. Provide auditing and feedback that is incorporated into training education programs. This position offers a fully remote work opportunity. Employees in this role must reside in one of the following states to be considered for fully remote positions: Kentucky, Indiana, Missouri, Ohio, Tennessee, Alabama, Virginia, Mississippi, North Carolina, South Carolina Qualifications Required: One year coding in healthcare setting One of: CCA or CCS or CPC Desired: Diploma Certified Coding Associate OR Certified Coding Specialist OR Certified Professional Coder #J-18808-Ljbffr

ResponsibilitiesEvaluates coding based on Coding Guidelines.Reviews records for all care settings.Identifies high volume, high risk coding, and reimbursement and quality problems.Responsible for accurate assessment, analysis and summary of findings for coding validation.Provide auditing and feedback that is incorporated into training education programs.This position offers a fully remote work opportunity.Employees in this role must reside in one of the following states to be considered for fully remote positions :Kentucky, Indiana, Missouri, Ohio, Tennessee, Alabama, Virginia, Mississippi, North Carolina, South Carolina or Louisiana.QualificationsRequired :One year coding in healthcare settingOne of :CCA or CCS or CPCDesired :DiplomaCertified Coding Associate OR Certified Coding Specialist OR Certified Professional Coder.