6 coder quality auditor jobs found

Inpatient/DRG Validation Coding Auditor The Inpatient/DRG Validation Coding Auditor performs documentation and coding audits for all acute inpatient services for clients. Identifies coding errors, compliance, and educational opportunities, and optimizes reimbursement by ensuring that the diagnosis/procedure codes and supporting documentation accurately support the services rendered and comply with ethical coding standards/guidelines and regulatory requirements. Performs independent reviews, interprets medical records, and applies in-depth knowledge of coding principles to determine billing/coding/documentation issues and quality concerns. Demonstrates high level of expertise in researching requirements necessary to make compliant recommendations. Has an extensive understanding of reimbursement guidelines, specifically related to DRG (MS, APR, Tricare, etc.) payment systems. Conducts DRG (ex. MS, APR, Tricare) coding and clinical reviews to verify the accuracy of coding, DRG...

Job Description Job Description Salary: $15-$17/hour Education, Experience, and Licensing Requirements: High school diploma, GED, or equivalent University/college degree, or experience medical records, claims or billing areas is an asset. CCA (AHIMA) CCS (AAPC) or greater Expectations of Role: Manages the Insurance billing and collections processes. Excellent organizational skills and attention to detail. . Processes, tracks claims, and ensures accuracy and timeliness in the billing process. Provides excellent customer service to our clients. Inputs patient information into the practices billing software. Submits claims to insurance companies and follows up on unpaid claims. Posts ERA payments, Resolves any issues that arise with claims or payments. Maintains accurate records of billing and collection activities Generates monthly reports to track billing and collection performance. Accounts for coding and abstracting of patient encounters, including...

Medical Records Certified Coder Opportunity Full Time, Dayshift Monday-Friday, Inperson As the only free-standing psychiatric hospital in the Central Kentucky area, we are here to help. Please join our team as we expand our services to meet the needs of our community. The Ridge Behavioral Health System is a 110-bed hospital located in the heart of the Bluegrass, Lexington, KY. The Ridge provides psychiatric and substance use disorder treatment for children, adolescents, and adults. The Ridge offers Partial Hospitalization, Intensive Outpatient Programs, Individual Counseling, as well as Medication Management for all ages. We have provided behavioral health services to over 92 Kentucky counties for more than 39 years. Job Duties Include: Meets coding quality score of 95% accuracy in assignment of diagnoses and procedure codes as measured by the quarterly coding audit performed by Corporate. Coordinate treatment through treatment planning, the treatment team process, and...

Outpatient Facility-Clinic Medical Coder (Multi-Specialty) Part-Time We are seeking a detail-oriented and analytical Outpatient Facility-Clinic Medical Coder (Multi-Specialty) to join our remote US-based coding team. In this role, you will be responsible for accurately assigning diagnostic and procedural codes for various medical specialties in an outpatient setting. The ideal candidate will have a strong understanding of medical coding principles and healthcare regulations. Schedule & Compensation This is a part-time position (2030 hours per week) with a pay range of $30$40 per hour. Initial training will be conducted during standard business hours (MondayFriday, 8 a.m.5 p.m.) for approximately 2030 hours per week. Following training, work hours can transition to a flexible schedule. Job Description Analyze patient medical records and assign appropriate ICD-10-CM, CPT, and HCPCS codes for outpatient services across multiple specialties Ensure coding accuracy and...

Clinical Coder The Clinical Coder is responsible and accountable for reviewing medical record documentation and assigning codes for reimbursement and statistical purposes. Responsibilities Dependent upon level of expertise defined in the Education/Training section: Maintains a working knowledge of coding fundamentals: ICD-9-CM coding for inpatient, outpatient, and/or physician services; HCPCS coding, namely CPT-4 for surgical procedures, for outpatient and/or physician services; and/or HCPCS coding, namely Evaluation and Management, for physician services. Maintains a working knowledge of coding guidelines: Official Guidelines for Coding and Reporting, American Hospital Association's Coding Clinics, and/or American Medical Association's CPT Assistant. Maintains a working knowledge of reimbursement as it relates to coding: the government prospective payment systems for inpatient, outpatient, and/or home health agencies, skilled nursing facilities, inpatient rehabilitation as...

Address Home Office Remote, KY 40601 Shift First Shift (United States of America) Job Description Summary TBD Job Description WE ARE HIRING! Location: 100% Remote About Us UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians’ academic and community physicians care for all ages and stages of life, from pediatrics to geriatrics with compassion and expertise. UofL Physicians academic providers are professors and researchers at the UofL School of Medicine, teaching tomorrow’s physicians, leading research in medical advancements and bringing the most progressive, state‑of‑the‑art health care to every patient. With more than 13,000 team members – physicians, surgeons, nurses, pharmacists and other highly‑skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate,...