16 coder quality auditor jobs found

Responsibilities Participate in the inpatient coding training program, as needed, which is well-established. In times of light training responsibilities, this position will perform retrospective inpatient coding reviews for DRG validation and compliance reviews. If you are an inpatient coder with a proven track record of excellent quality, this is an opportunity to advance your career as a retrospective inpatient coding auditor, possibly to include coder training. Qualifications Requirements are at least three years of inpatient coding experience in a high complexity facility or organization, with a certification of a CCS (or CPC and CCS eligible), RHIT, or RHIA. #J-18808-Ljbffr

## Physician Coding AuditorApplylocations: Remote - Nationwide: Work at Home - Virginia - Other: Work at Home - Memphis - TN: Work at Home - Pittsburgh - PAtime type: Full timeposted on: Posted Todayjob requisition id: R046656**Thank you for considering a career at Ensemble!**Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!O.N.E Purpose:* **Customer Obsession:** Consistently provide exceptional experiences for our...

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 (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

Responsibilities Participate in the inpatient coding training program, as needed, which is well-established. In times of light training responsibilities, this position will perform retrospective inpatient coding reviews for DRG validation and compliance reviews. If you are an inpatient coder with a proven track record of excellent quality, this is an opportunity to advance your career as a retrospective inpatient coding auditor, possibly to include coder training. Qualifications Requirements are at least three years of inpatient coding experience in a high complexity facility or organization, with a certification of a CCS (or CPC and CCS eligible), RHIT, or RHIA. #J-18808-Ljbffr

Medical Coder The Medical Coder is responsible for reviewing medical documentation and assigning accurate diagnostic and procedural codes using ICD-10, CPT, and HCPCS coding systems. This role ensures correct billing and compliance with healthcare regulations, supporting the revenue cycle, and minimizing claim denials. The coder works closely with healthcare providers and billing staff to maintain accurate, complete, and up-to-date patient records. We are committed to providing wage ranges for all open positions. Please note that the specific compensation for this role will be determined based on experience, education and internal equity considerations. The hourly wage range for this position is $22.80-$32.18. This range reflects the base salary for this position. Key Accountabilities Reviews and analyzes medical records to identify pertinent diagnoses and procedures for accurate coding and reporting. Assigns accurate medical codes using ICD-10, CPT, and HCPCS coding systems...

Get started on an exciting career in health information management. We’re with you every step of the way. Starts out onsite, then transitions to REMOTE 4 days/week. Job Summary: Required Services provide single path medical coding services and related medical records functions. Single path coding combines facility coding and professional coding and allows one coder to code facility and professional codes for the same patient utilizing a single coding platform. perform technically complex professional services coding for medical conditions and assign the correct International Classification of Diseases, ICD-10-CM, Procedure Coding System (PCS) Current Procedural Terminology (CPT), Health Care Financing Administration Common Procedure Coding System (HCPCS), and Evaluation and Management (E&M) codes for diagnosis, acuity of care and procedures for a wide range of medical specialties to include coding of complicated cases identified as difficult to classify such as treatment of...

Requisition number: 2369127 Job category: Medical & Clinical Operations 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. The Senior Medical Coder performs concurrent review of FFS coding rules, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. This position will support coding functions within charge review, claim edits, and denials and play a critical role in maintaining...

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

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 you to...

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...

Job SummaryWe are seeking an experienced Certified RN Medical Coder to support a full-time COC / SPD project focused on building out coding for benefit plans.This role combines clinical knowledge with technical coding expertise to ensure accuracy, consistency, and compliance across plan documentation.You'll work closely with a team of certified coders and business analysts in a collaborative, fast-paced environment where precision and partnership drive success.Why this Opportunity?Top ranked company in Fortune's 2024 World's Most Admired Companies for over a decade consecutively.This healthcare client is ranked number one in key attributes of reputation :Innovation People management Social responsibility Quality of Management Financial soundness Long-term investment value Quality of products Services and global competitiveness.Job Responsibilities :Determine and assign appropriate codes to benefit plan language as part of the COC / SPD project.Review coding selections made by peers...

Job SummaryWe are seeking an experienced Certified RN Medical Coder to support a full-time COC / SPD project focused on building out coding for benefit plans.This role combines clinical knowledge with technical coding expertise to ensure accuracy, consistency, and compliance across plan documentation.You'll work closely with a team of certified coders and business analysts in a collaborative, fast-paced environment where precision and partnership drive success.Why this Opportunity?Top ranked company in Fortune's 2024 World's Most Admired Companies for over a decade consecutively.This healthcare client is ranked number one in key attributes of reputation :Innovation People management Social responsibility Quality of Management Financial soundness Long-term investment value Quality of products Services and global competitiveness.Job Responsibilities :Determine and assign appropriate codes to benefit plan language as part of the COC / SPD project.Review coding selections made by peers...

Hourly Range: $20.72 USD to $31.08 USD Description The Medical Coding Specialist will evaluate medical records and encounters to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-10-CM), and the American Medical Associations Current Procedural Terminology Manual (CPT). The Specialist will also provide technical guidance and training on medical coding to physicians and staff. Essential FunctionsReasonable accommodations may be made to enable individuals with disabilities to perform these essential functions. Assign codes to diagnoses and procedures, using ICD-10 (International Classification of Diseases) and CPT (Current Procedural Terminology) codes Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations and meet current policy coding guidelines Communication and training with provider(s) on any documentation that is...

Medical Billing Specialist The Mary T Family of Companies is seeking a full-time Billing Specialist to join our Accounting and Finance team. The Billing Specialist is responsible for full-cycle billing, including processing claims, payments, and other related paperwork to various payors, and ensures the paperwork is submitted correctly and in a timely manner. This position is based in Coon Rapids, MN and will offer a hybrid remote work schedule of 3 days in-office and 2 days remote. Essential Job Duties: Coordinates billing cycle needs and due dates for billing. Collects census information on a periodic basis. Services and Room and Board are on a monthly basis. Coordinates client income and spend down, take-backs and Social Security RFI benefit verifications when applicable. Conducts client eligibility verifications. Reviews Service Contracts for authorization and verifies unit/hour/days rates. Prepares and sends private pay statements. Completes data entry of billing information...

Pay or shift range: $25 USD to $30 USD. The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job‑related reasons. Accounting Full‑Time Requisition #: MEDIC001749 Description The Mary T Family of Companies is seeking a full‑time Billing Specialist to join our Accounting and Finance team. The Billing Specialist is responsible for full‑cycle billing, including processing claims, payments, and other related paperwork to various payors, and ensures the paperwork is submitted correctly and in a timely manner. This position is based in Coon Rapids, MN and will offer a hybrid remote work schedule of 3 days in‑office and 2 days remote. Coordinates billing cycle needs and due dates for billing. Collects census information on a periodic basis. Services and Room and Board are on a monthly basis. Coordinates client income and spend down, take‑backs and Social Security...

Medical Billing Specialist The Mary T Family of Companies is seeking a full-time Billing Specialist to join our Accounting and Finance team. The Billing Specialist is responsible for full-cycle billing, including processing claims, payments, and other related paperwork to various payors, and ensures the paperwork is submitted correctly and in a timely manner. This position is based in Coon Rapids, MN and will offer a hybrid remote work schedule of 3 days in-office and 2 days remote. Essential Job Duties: Coordinates billing cycle needs and due dates for billing. Collects census information on a periodic basis. Services and Room and Board are on a monthly basis. Coordinates client income and spend down, take-backs and Social Security RFI benefit verifications when applicable. Conducts client eligibility verifications. Reviews Service Contracts for authorization and verifies unit/hour/days rates. Prepares and sends private pay statements. Completes data entry of...