251 coding auditor jobs found

Job Description Job Description PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity Service Line in a quality assurance and project management role . RESPONSIBILITIES: Responsible for the accurate quality assurance review of PYA coding audits, as well as coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in E/M and surgical coding, especially cardiology and orthopedic surgery. Expertise in facility inpatient and outpatient coding auditing is preferred but not required. The Consultant will assist PYA clients with provider documentation improvement,...

The Coding Auditor demonstrates expertise in coding and billing compliance while performing audits to determine billing integrity of professional and facility/technical fees including detection and correction of documentation, coding and billing errors and/or medical necessity of services billed. Audits consist of evaluation of the adequacy and accuracy of documentation in support of services billed including ICD-10/CPT/HCPCS and other third party payor codes, DRG and EAPG assignments, medical necessity of the services, reimbursement overpayments and underpayments, and compliance with other documentation, coding and billing standards. The Coding Auditor applies standardized audit scoring methodology to consistently evaluate documentation and coding, and standardized audit findings methodology to report audit results. Qualifications: Minimum Education Associate's Degree Candidates with 3 years of coding experience in lieu of the degree requirement will be considered. ....

Job Description Job Description PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity Service Line in a quality assurance and project management role . RESPONSIBILITIES: Responsible for the accurate quality assurance review of PYA coding audits, as well as coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in E/M and surgical coding, especially cardiology and orthopedic surgery. Expertise in facility inpatient and outpatient coding auditing is preferred but not required. The Consultant will assist PYA clients with provider documentation improvement,...

Regional Clinical Coding Auditor Educator - WA & SA Job no: 574379 Work type: Full time Location: Corporate Services - WA Categories: Management, HIM/Clinical Coder/Medical Records Regional Clinical Coding Auditor Educator Western Australia & South Australia | Ramsay Health Care Entrepreneurial, innovative, and dynamic, Ramsay leaders have a vision to become the digital leader in Private health care. WE WANT YOU to help us achieve this by supporting our digital transformation journey as we embark on eHR, data insights, automation, digital technology and data driven decision making to improve outcomes across our ecosystem. The Opportunity You will be joining our National Health Information Management team, overseeing Western Australia and South Australia's clinical coding auditor/educator functions. Determined to be leaders in health information management, our Clinical Coding Auditor Educator will promote best practice through:...

Job Description Job Description Description: North Florida Medical Services (located in Mandarin/Jacksonville, FL) is a growing management services organization which provides revenue cycle services to multiple surgical group practices. Our growing company is in need of a Medical Coding Auditor to help conduct quality reviews of both clinical and non-clinical professionals. We are looking for an energetic, results driven auditor who shares our passion for process effectiveness, continuous improvement, quality, and ongoing education of our providers and staff members on coding matters. Top responsibilities include: 1. Works with Coding and Compliance Manager to schedule and conducts focused retrospective quality reviews of physicians, mid-levels, and both internal and external coders. 2. Works with Coding and Compliance Manager to assure coding accuracy is monitored and education provided based on the results of the coding reviews. 3. Prepares reports for management...

Job Description Job Description PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity Service Line in a quality assurance and project management role . RESPONSIBILITIES: Responsible for the accurate quality assurance review of PYA coding audits, as well as coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in E/M and surgical coding, especially cardiology and orthopedic surgery. Expertise in facility inpatient and outpatient coding auditing is preferred but not required. The Consultant will assist PYA clients with provider documentation improvement,...

Job Description Job Description Pay Rate: Highly competitive based on experience. Start Date: Immediate - Full or Part time Overview: We are seeking an experienced ASC / Outpatient Coding Auditor to join our team in a fast-paced, high-volume healthcare environment. This role is fully remote and offers competitive pay. If you have 3-5 years of ASC coding and auditing experience, and the ability to manage complex cases efficiently, you will be eligible to join our team of highly knowledgeable coders. We cover approximately 19 specialties performed in ASCs. You will be responsible for outpatient service types, providing feedback to coders and clients, and improving coding compliance through the reduction of coding liability and identification of lost revenue to a wide variety of healthcare entities. If you have experience working in large healthcare organizations and thrive in a challenging, dynamic setting, we encourage you to apply.   Key Responsibilities: Review...

Job Description Job Description Description: KODE is creating a new category in the medical coding space: the “Uber” of medical coding. The KODE platform has created a unique opportunity to solve a growing healthcare labor problem by bringing “gig” work to existing coders and those who haven’t considered medical coding as a career path before. Koders on the platform take control of their careers while gaining valuable experience and mentorship from coding masters who are already a part of our community. They work when, how, and where they want, earning extra income along the way. It’s no secret – the model of coding is inherently flawed. Hospitals and providers have been forced to try to solve a variable problem with a fixed solution. With constantly fluctuating volumes, it’s simply impossible for providers to juggle staffing challenges with a limited FTE workforce. We set out to rectify this by doing what no one else has. Check out this short video to learn more about our...

Job Description Job Description PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity Service Line in a quality assurance and project management role . RESPONSIBILITIES: Responsible for the accurate quality assurance review of PYA coding audits, as well as coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in E/M and surgical coding, especially cardiology and orthopedic surgery. Expertise in facility inpatient and outpatient coding auditing is preferred but not required. The Consultant will assist PYA clients with provider documentation improvement,...

Job Description Job Description Pay Rate: Highly competitive based on experience. Start Date: Immediate - Full or Part time Overview: We are seeking an experienced ASC / Outpatient Coding Auditor to join our team in a fast-paced, high-volume healthcare environment. This role is fully remote and offers competitive pay. If you have 3-5 years of ASC coding and auditing experience, and the ability to manage complex cases efficiently, you will be eligible to join our team of highly knowledgeable coders. We cover approximately 19 specialties performed in ASCs. You will be responsible for outpatient service types, providing feedback to coders and clients, and improving coding compliance through the reduction of coding liability and identification of lost revenue to a wide variety of healthcare entities. If you have experience working in large healthcare organizations and thrive in a challenging, dynamic setting, we encourage you to apply.   Key Responsibilities: Review...

Job Description Job Description PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity Service Line in a quality assurance and project management role . RESPONSIBILITIES: Responsible for the accurate quality assurance review of PYA coding audits, as well as coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in E/M and surgical coding, especially cardiology and orthopedic surgery. Expertise in facility inpatient and outpatient coding auditing is preferred but not required. The Consultant will assist PYA clients with provider documentation improvement,...

Job Description Job Description Pay Rate: Highly competitive based on experience. Start Date: Immediate - Full or Part time Overview: We are seeking an experienced ASC / Outpatient Coding Auditor to join our team in a fast-paced, high-volume healthcare environment. This role is fully remote and offers competitive pay. If you have 3-5 years of ASC coding and auditing experience, and the ability to manage complex cases efficiently, you will be eligible to join our team of highly knowledgeable coders. We cover approximately 19 specialties performed in ASCs. You will be responsible for outpatient service types, providing feedback to coders and clients, and improving coding compliance through the reduction of coding liability and identification of lost revenue to a wide variety of healthcare entities. If you have experience working in large healthcare organizations and thrive in a challenging, dynamic setting, we encourage you to apply.   Key Responsibilities: Review...

Job Description Job Description PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity Service Line in a quality assurance and project management role . RESPONSIBILITIES: Responsible for the accurate quality assurance review of PYA coding audits, as well as coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in E/M and surgical coding, especially cardiology and orthopedic surgery. Expertise in facility inpatient and outpatient coding auditing is preferred but not required. The Consultant will assist PYA clients with provider documentation improvement,...

Job Description Job Description Pay Rate: Highly competitive based on experience. Start Date: Immediate - Full or Part time Overview: We are seeking an experienced ASC / Outpatient Coding Auditor to join our team in a fast-paced, high-volume healthcare environment. This role is fully remote and offers competitive pay. If you have 3-5 years of ASC coding and auditing experience, and the ability to manage complex cases efficiently, you will be eligible to join our team of highly knowledgeable coders. We cover approximately 19 specialties performed in ASCs. You will be responsible for outpatient service types, providing feedback to coders and clients, and improving coding compliance through the reduction of coding liability and identification of lost revenue to a wide variety of healthcare entities. If you have experience working in large healthcare organizations and thrive in a challenging, dynamic setting, we encourage you to apply.   Key Responsibilities: Review...

Job Description Job Description Pay Rate: Highly competitive based on experience. Start Date: Immediate - Full or Part time Overview: We are seeking an experienced ASC / Outpatient Coding Auditor to join our team in a fast-paced, high-volume healthcare environment. This role is fully remote and offers competitive pay. If you have 3-5 years of ASC coding and auditing experience, and the ability to manage complex cases efficiently, you will be eligible to join our team of highly knowledgeable coders. We cover approximately 19 specialties performed in ASCs. You will be responsible for outpatient service types, providing feedback to coders and clients, and improving coding compliance through the reduction of coding liability and identification of lost revenue to a wide variety of healthcare entities. If you have experience working in large healthcare organizations and thrive in a challenging, dynamic setting, we encourage you to apply.   Key Responsibilities: Review...

Description Position at GoHealth Urgent Care Job Description: The Coding Auditor is responsible for conducting medical coding audits to evaluate compliance with regulatory guidelines. The work will include performing and documenting audit test work, communicating audit issues to management, writing audit reports, and identifying and evaluating emerging areas of organizational risk. These individuals may coordinate with external third-party consultants as needed and report directly to the Coding Audit Manager. Responsibilities: Conducts coding, billing, and documentation compliance audits within established timeframe and in accordance with the standards defined by GoHealth. Prepares a report of findings and recommendations for improvement for each audit. Serves as a subject matter expert on coding/billing topics. Research issues/questions and responds to internal inquiries. Assists the Provider Educators with developing a detailed audit plan for area being reviewed....

Job Description Job Description Salary: Medical Coding Auditor - Houston, TX Senior PsychCare is looking for a Medical Coding Auditor with at least 2 years of experience in mental health coding to join our Compliance Team in Houston. About Us: Senior PsychCare provides comprehensive behavioral health services to long-term care patients at their facilities. Our services include therapy, diagnostic evaluation, and collaborative care between therapy and psychiatric teams. Job Overview: As a Medical Coding Auditor, you will ensure the accuracy of medical coding and compliance with industry guidelines. This role involves reviewing medical records, auditing coding, and supporting billing processes. Key Responsibilities: Audit medical records for accurate coding of diagnoses and procedures (ICD-10, CPT, HCPCS). Ensure compliance with federal, state, and payer-specific regulations (e.g., HIPAA, CMS). Identify coding errors and collaborate with staff to correct...

Job Description NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations, a children's hospital, three emergency rooms and a level 1 trauma center. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute designated comprehensive cancer center, and NYU Grossman School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. At NYU Langone Health, equity, diversity, and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive. We embrace diversity, inclusion, and individual skills, ideas, and knowledge. For more information, go to nyulangone.org, and interact...

Job Description Job Description Job description Our Hospital Coding Auditor is responsible for reviewing and ensuring the accuracy of all medical coding and billing practices. This role is crucial in ensuring that our hospital maintains compliance with coding standards, which directly impacts billing accuracy and overall financial health. Key Responsibilities: 1. Review and Audit: Examine patient medical records and coding to ensure that coding practices are accurate and comply with coding standards and regulations (e.g., ICD-10, CPT, HCPCS). 2. Compliance and Accuracy: Verify that coding meets regulatory requirements and payer guidelines, and identify discrepancies or errors in coding. 3. Documentation: Prepare detailed audit reports and documentation to support findings and recommendations for improvements or corrections. 4. Training and Support: Provide training and guidance to coding staff on best practices, coding updates, and compliance issues. 5. Collaborate:...

Job Description Job Description Pay Rate: Highly competitive based on experience. Start Date: Immediate - Full or Part time Overview: We are seeking an experienced ASC / Outpatient Coding Auditor to join our team in a fast-paced, high-volume healthcare environment. This role is fully remote and offers competitive pay. If you have 3-5 years of ASC coding and auditing experience, and the ability to manage complex cases efficiently, you will be eligible to join our team of highly knowledgeable coders. We cover approximately 19 specialties performed in ASCs. You will be responsible for outpatient service types, providing feedback to coders and clients, and improving coding compliance through the reduction of coding liability and identification of lost revenue to a wide variety of healthcare entities. If you have experience working in large healthcare organizations and thrive in a challenging, dynamic setting, we encourage you to apply.   Key Responsibilities: Review...

Job Description Job Description Pay Rate: Highly competitive based on experience. Start Date: Immediate - Full or Part time Overview: We are seeking an experienced ASC / Outpatient Coding Auditor to join our team in a fast-paced, high-volume healthcare environment. This role is fully remote and offers competitive pay. If you have 3-5 years of ASC coding and auditing experience, and the ability to manage complex cases efficiently, you will be eligible to join our team of highly knowledgeable coders. We cover approximately 19 specialties performed in ASCs. You will be responsible for outpatient service types, providing feedback to coders and clients, and improving coding compliance through the reduction of coding liability and identification of lost revenue to a wide variety of healthcare entities. If you have experience working in large healthcare organizations and thrive in a challenging, dynamic setting, we encourage you to apply.   Key Responsibilities: Review...

Job Details Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare! ChristianaCare has an exciting opportunity for a passionate, and hardworking healthcare coding professional to join our team. The Compliance Coding Auditor supports the department through assigned auditing activities to ensure effective documentation as well as accurate coding and billing. Through communication and training activities, they deliver information or clarification on audit results, compliance inquiries, coding, documentation standards, guidelines, and regulatory requirements. They provide operational, technical, and auditing and coding support for the Office of Compliance & Privacy. The successful candidate will have proven experience with medical claims' billing/payment systems, provider billing guidelines, payer...