17 coder auditor professional jobs found

Division: Eskenazi Health Sub-Division: Hospital Req ID: 25405 Schedule : Full Time Shift : Days Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 333-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus including at a network of Eskenazi Health Center sites located throughout Indianapolis. FLSA Status Exempt Job Role Summary This position completes timely and accurate auditing of coder and/or provider charges and clinical documentation and follows up with coder/provider education for Professional services as appropriate to facilitate compliant and optimized reimbursement, research, and PI initiatives. The Professional Coder, Auditor and Educator assists with workflow suggestions to Leadership. Proactively contributes to Eskenazi Health's mission:...

Medical Coding Auditor Become a part of our caring community. The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines. Utilize encoders and various coding resources. Perform CPT Procedure reviews. Maintain strict...

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews Maintain strict patient and...

ASSOCIATE DIRECTOR Ross Education Holdings, Inc. Mishawaka/South Bend - Campus based position Schedule: Full Time - Monday-Friday (3) days 8-5 and (2) afternoons 11-8 We are looking for a Medical Assistant with 3+ years of MA experience, an Associate's Degree or higher, and preferably some management experience to take your career to the next level. Apply with confidence knowing a human will read your resume. Come find your "WHY" at Ross Education! Ross Educations non-profit secondary education centers are working to provide all students with the tools to become much needed health care professionals. Ross is more than a place to work - we're a community built on shared values. As part of our team, you'll be asked to embody and uphold the Core Values that guide everything we do: Being Humble, Kind, a Good Steward, Embrace Accountability, Deliver an Exceptional Student Experience and Lead Responsibly If these principles resonate with you and you're looking...

Job Full Description Company Info: Our client focuses on fulfillment of promotional material supply for the medical and pharmaceutical industry. Job Summary: verifying ship methods, item codes, counts for each item, etc. and they will be working in both sides of our warehouse (Production and Fulfillment) Inspects products, orders, projects, and services to determine compliance with job specifications, company's quality assurance system, shipping and packaging, and conformity to the ISO specifications. Ensure and evaluate job setup to safeguard item integrity. Lead audits on all HIPAA and high risk jobs to ensure quality and compliancy. Audit Fulfillment Activities & Inventory: Conducts inspection activity for product throughout production cycle and order fulfillment. Maintains physical inventory counts on specific product lines. Maintains physical location integrity in relation to the location master database. Carries out specified inventory...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in 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 for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Lead Coder - Clinic (Remote) Position Summary: Under the direction of the Coding Supervisor serves as leader for the charge and coding portion of the revenue cycle to ensure full and accurate charge capture. Oversees and performs charge and coding entry review, reconciliation, and error correction tasks. Oversees and performs regular manual & electronic charge and coding audits. Motivates, trains, and educates staff to perform tasks according to baseline goals and objectives. Education/Experience Requirements: High School graduate (or GED equivalent) required. Completion of college course work in health information degree or certificate program preferred. 3-5 years professional billing/coding experience required. Physician practice setting preferred. Previous use of EPIC preferred. Evaluation and management experience in a physician practice setting preferred. Possess in-depth knowledge of the current CPT, ICD, and HCPCS coding systems. Maintain active CPC, CCS, or RHIT...

Medical Coder 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 of...

Job Type Full-time 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 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: o Primary care services o Behavioral health services o Dental services (as applicable) • Ensure coding...

The Medical Coder is responsible for reviewing clinical documentation and assigning appropriate medical codes for diagnoses, procedures, and services performed by healthcare providers. This role ensures accurate coding for billing, insurance claims, and regulatory compliance. The Medical Coder plays a crucial role in maintaining accurate patient records and supporting the financial health of the organization. Primary Responsibilities: Review and analyze medical records to assign accurate ICD-10, CPT, and HCPCS codes for diagnoses, procedures, and services. Ensure coding compliance with federal regulations, payer policies, and industry standards. Abstract key information from medical records to complete coding assignments. Collaborate with providers and clinical staff to clarify documentation discrepancies or obtain missing details to ensure accurate coding. Submit coded claims to the billing department or electronic medical records (EMR) system for...

Job Description: The HIM Hospital Inpatient & Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and assigns diagnostic information using ICD-10-CM/PCS and CPT codes for a complex range of acute care services for Intermountain Health. The caregiver provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 & CPT codes, DRGs, anatomy and physiology, pharmacology. The analyst also performs audits, provides feedback, and advanced training to clinical teams and physicians on ICD-10 and CPT coding best practices. Essential Functions Reviews and analyzes inpatient medical records for completeness, accuracy, and compliance for Same Day Surgery, Observation and Inpatient acute services at Intermountain Health. Performs coding at an advanced level of complexity for inpatient hospitals including governmental and/or...

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...

Become a part of our caring community Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Outpatient Behavioral Health Coding disputes and is part of the PPI Coding Disputes Team with Humana. The Outpatient Behavioral Health Coding Auditor on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. Will be an experienced medical coding auditor with in-depth experience in outpatient Behavioral Health coding disputes and expertise in CPT/HCPCS...

Job Description Radiology Medical Coder Job Description Client Profile- An Indiana based Independent Physician-Owned radiology practices founded in 1967. Job Summary- The Radiology Coder is responsible for coding and charge submission activities, including abstracting CPT Professional Fee Coding and inpatient/outpatient coding and billing. This involves reviewing medical records and assigning appropriate ICD, CPT, and HCPCS codes. Job Duties Review and analyze medical records ensuring the correct assignment of ICD-10, CPT and HCPCS codes. Accurately code diagnostics imaging, interventional radiology procedures and other radiological services Ensure that documentation supports the assigned codes and matches physician orders and radiology reports Abstract relevant data such as procedural dates, providers, and patient demographics for billing and reporting. Collaborate with radiologists and other medical professionals to clarify diagnoses and...

Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organization's coding procedures and standards. - Accurately enter coded data in a system and validate data entered. - Research correct coding practices, clearly document and share findings with others. - Review denials and recommend billing corrections. - Train staff members on the coding process. Minimum Requirements - High School diploma or equivalent with 0 - 2 years of experience. - Additional clinical licensure may be required based on project. - Must be a Certified Medical Coder, Certified Professional Coder, or a Certified Coding Specialist. - Knowledge of Medical Billing and Coding Systems such as CPT and HCPCS is essential. - Ability to work a schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required. Additional Skills and Experience: - Familiarity with retrospective payment reimbursement highly preferred....

Join CommunityThe Innovative Healthcare Collaborative of Indiana (IHCI) is a joint venture between Community Health Network and Deaconess Health system.Its goal is to support our sponsors and partners in their strategic evolution to positively impact and improve the healthcare delivery system.Make a DifferenceReporting to the Clinical Documentation Integrity Manager this role performs patient chart reviews to ensure the appropriateness andcompleteness of diagnostic coding with evidence based on CMS HCC standards.The Risk Adjustment Coder is responsible for :Timely accurate and complete review of patient charts following patient encounters utilizing a variety of technical platforms to completeworkflowsValidating diagnosis codes representing patient conditions along with necessary MEAT documentationEnsuring coding is consistent with guidelines from regulatory entitiesConducting audits to meet compliance with ACA standardsCreating post-visit queries with follow upCollaborating with...

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Position Details Location: Remote (must reside in the state of Florida, Georgia, North Carolina, or South Carolina) Status: Full time (non-exempt) Shift: 8:00am - 4:30pm Days: Monday through Friday This Specialty Coder II opportunity is a full-time remote position. This team member must reside in the state of Florida, George, North Carolina, or South Carolina. Sign on bonuses available! Responsibilities The Specialty Coder II is a Certified Professional Coder who assigns diagnosis and procedural codes using ICD-10 CM and CPT-4 coding systems. The Specialty Coder audits physician documentation to assign appropriate CPT codes, diagnosis codes, and modifiers. Mentors and training of other Specialty Coders. Serves as...