7 coder quality auditor jobs found

Coder Auditor-Professional page is loaded## Coder Auditor-Professionalremote type: Hybridlocations: Remote Office - ILtime type: Full timeposted on: Posted Todayjob requisition id: JR104062**Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.**Coder Auditor-Professional**Job Description**Coder Auditor-Professionals are responsible for auditing of coding assignment with providers and coders, training of coding professional staff, pro-fee based coding includes the assignment of Assigns ICD-CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.Department: Physician codingHours: Full-Time; 40 hours requiredRequired: High School Diploma; CPC and CPMA and/or CEMAPay: based on experience, starting at $23.87**At this time, we are only able to consider applicants who reside in the following...

Medical Coding Specialist Review and analyze clinical documentation to assign appropriate ICD-10, CPT, and HCPCS codes. Ensure coding accuracy and compliance with federal regulations, payer requirements, and clinic policies. Collaborate with providers, nurses, and clinical staff to clarify documentation when needed. Abstract relevant information from patient records to support accurate coding and billing. Enter and verify codes in the electronic health record (EHR) or billing software system. Identify and resolve coding errors, rejections, and denials in partnership with the billing team. Maintain current knowledge of coding guidelines, payer rules, and compliance standards (including HIPAA). Participate in regular audits and quality assurance activities to ensure documentation supports billed services. Assist with staff education and training related to coding and documentation best practices. Protect patient confidentiality and maintain the security of all health...

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...

Inpatient Coder 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...

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor 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. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

Title: Inpatient/Outpatient Coder - Certified Reporting Relationship: Health Information Manager General Summary of Responsibilities: The employee is responsible for analyzing medical records in order to code and abstract medical information for inpatient/outpatient encounters both medical and surgical using correct codes from ICD-9-CM, and/or ICD-10-CM Diagnosis AND Procedure/PCS AND CPT coding guidelines to be submitted for financial reimbursement as required for the Uniform Bill and for the DRG (Diagnosis Related Group). All Coding Guidelines are to be utilized and adhered to. Assign appropriate CPT codes and modifiers as well as CPT anesthesia codes. Assign codes using the 3M encoder with finalization/releasing of records in EMR system. Knowledge of using encoder as well as ICD-9-CM; ICD-10-CM and ICD-10-PCS and CPT coding books. Correctly sort the records after coding for doctors boxes for final signatures or refer to Electronic Medical Records Technicians for...

Job Type Part-time Description ESSENTIAL DUTIES AND RESPONSIBILITIES Review and analyze clinical documentation to assign appropriate ICD-10, CPT, and HCPCS codes. Ensure coding accuracy and compliance with federal regulations, payer requirements, and clinic policies. Collaborate with providers, nurses, and clinical staff to clarify documentation when needed. Abstract relevant information from patient records to support accurate coding and billing. Enter and verify codes in the electronic health record (EHR) or billing software system. Identify and resolve coding errors, rejections, and denials in partnership with the billing team. Maintain current knowledge of coding guidelines, payer rules, and compliance standards (including HIPAA). Participate in regular audits and quality assurance activities to ensure documentation supports billed services. Assist with staff education and training related to coding and documentation best practices. Protect...