25 coding auditor jobs found

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...

Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered - and we couldn't do it without you. Make a Difference The Certified Coding Auditor conducts internal coding audits with a primary focus on diagnosis and procedure coding accuracy. This role enhances documentation, specificity, and coding precision to ensure continuity of care and clean claims for appropriate reimbursement. Responsibilities include reviewing coding accuracy, applying coding updates, ensuring...

Become a part of our caring community and help us put health first 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 Durable Medical Equipment (DME) auditing and is part of the PPI Coding Disputes Team with Humana. The Disputes Auditor - DME Outpatient Coding 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 DME coding disputes and expertise in...

A leading health insurance provider is seeking an experienced Inpatient Medical Coding Auditor to extract and assign medical codes to patient records. This remote position involves reviewing hospital claims to ensure proper reimbursement and facilitating provider disputes. Candidates should possess RHIA, RHIT, or CCS certifications and have significant experience in inpatient coding audits. This role demands excellent communication skills and a strong attention to detail, with a commitment to confidentiality and the capability to juggle multiple priorities. #J-18808-Ljbffr

Registered Nurse - Diagnosis Related Group Coding Auditor Principal – Carelon Payment Integrity Location: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate, and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients. Specializes in review of DRG coding via medical records and attending physician’s statements provided by acute care hospitals on paid DRG,...

Join Datavant and be a part of our mission to transform healthcare through our innovative data collaboration platform. We provide essential solutions to a wide range of organizations within the healthcare ecosystem, including providers, health plans, researchers, and life sciences companies. Our team's dedication to enhancing data connectivity is paving the way for improved health outcomes. As an Inpatient Auditor Specialist, you will have a vital role in supporting our consulting and educational efforts related to coding quality, compliance assessments, and coding workflow operations. Your insights will exceed customer expectations while addressing and resolving their challenges. This is a fully remote position with a flexible schedule, allowing you to shape the future of healthcare from the comfort of your workspace! Key Responsibilities: Conduct comprehensive inpatient facility coding audits according to the specified scope of work, onboarding, focused reviews, service...

ResponsibilitiesEvaluates coding based on Coding Guidelines.Reviews records for all care settings.Identifies high volume, high risk coding, and reimbursement and quality problems.Responsible for accurate assessment, analysis and summary of findings for coding validation.Provide auditing and feedback that is incorporated into training education programs.This position offers a fully remote work opportunity.Employees in this role must reside in one of the following states to be considered for fully remote positions :Kentucky, Indiana, Missouri, Ohio, Tennessee, Alabama, Virginia, Mississippi, North Carolina, South Carolina or Louisiana.QualificationsRequired :One year coding in healthcare settingOne of :CCA or CCS or CPCDesired :DiplomaCertified Coding Associate OR Certified Coding Specialist OR Certified Professional CoderJ-18808-Ljbffr.

A leading healthcare company seeks a Nurse Auditor 2 to perform clinical audits and ensure accurate medical record documentation. This remote role involves interpreting coding and making clinical decisions based on provider information. Candidates must possess a valid U.S. RN license and at least one year of clinical experience, particularly with the Home Health Care Payment Driven Groupings Model. The position offers competitive pay ranging from $78,400 to $107,800, with additional benefits and a bonus incentive plan. #J-18808-Ljbffr

Responsibilities Functions as Auditor and Coder for the CPG Central Billing Office and in collaboration with the CPG Compliance Officer. Perform daily review of coded inpatient medical records to validate principal diagnosis, secondary diagnoses and principal procedure sequencing and code assignment. Provide feedback relating to corrections to coders and practice leaders. The Medical Coder Auditor will collaborate with practice leaders, CBO manager, Compliance Officer, providers and other coders regarding discrepancies. Work Schedule This position may be filled full-time or part-time and will work 1st shift hours. Qualifications The Medical Coder Auditor should have minimum of five years coding experience. Bachelor's degree from four-year college or university; or Completion of Registered Health Information Technician program; or completion of AHIMA or other independent study coding program; or a combination of education, certification and experience. CCS, CPC, CPC-H, RHIA,...

A healthcare organization in Jeffersonville, Indiana is seeking a Medical Coder Auditor. This role involves auditing and coding for the CPG Central Billing Office and requires a minimum of five years coding experience along with specific educational requirements. The position can be filled either full-time or part-time during 1st shift hours. Ideal candidates should possess relevant certifications and the ability to collaborate effectively with practice leaders and coders. #J-18808-Ljbffr

Job Description Responsibilities Wellstone Regional Hospital is a -bed acute care facility located in Jeffersonville, Indiana and has been providing quality health care to the residents of Southern Indiana and the Louisville area since 3. Wellstone specializes in the treatment of adolescents, children, and the adult population. In addition to our inpatient services, we offer outpatient programs as well. Wellstone is currently searching for a Coder/HIM Clerk. Under the direction of the HIM Director, the Coder/Clerk will follow hospital, state, and federal rules on release of information, review requests for patient information, and determine if the release is valid. The role is responsible for the accurate abstracting and coding of information according to the current classification system. This is an hourly non‑exempt position. Essential Functions of the job: Assemble discharge charts for completeness in order for them to be coded Process discharge charts for completeness and...

Candidate should ideally be located in Indianapolis, IN or St.Louis, MO Monro’s family of brands is one of the leading automotive service and tire dealers in the United States. We work on approximately five million vehicles a year, but with us, it is personal. Every guest is important, and every teammate is valued. That is our people-first approach.  Headquartered in our hometown of Rochester, New York, where our founder, Chuck August, opened his first store in 1957, we have grown to 1,115 auto repair shops and tire dealers in 32 states from coast to coast. Monro powers 16 highly respected tire and auto service brands, supporting each company’s regional strength and community connections. From big cities to small towns to rural crossroads, you will find us in neighborhoods of every shape, size, and color.  Under the Monro banner, we are united TEAM, and share the same mission to bring our guests the highest quality tire and auto service in the industry.  Do you have what...

Company Description *Candidate should ideally be located in Indianapolis, IN or St.Louis, MO* Monro's family of brands is one of the leading automotive service and tire dealers in the United States. We work on approximately five million vehicles a year, but with us, it is personal. Every guest is important, and every teammate is valued. That is our people-first approach. Headquartered in our hometown of Rochester, New York, where our founder, Chuck August, opened his first store in 1957, we have grown to 1,115 auto repair shops and tire dealers in 32 states from coast to coast. Monro powers 16 highly respected tire and auto service brands, supporting each company's regional strength and community connections. From big cities to small towns to rural crossroads, you will find us in neighborhoods of every shape, size, and color. Under the Monro banner, we are united TEAM, and share the same mission to bring our guests the highest quality tire and auto service in the industry. Do...

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...

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....

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...

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....

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. ***** FT and PRN Openings *** Up to $5,000 Sign On Bonus ***** 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...

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...

*PFS Analyst (Physician Billing) - Revenue Cycle Services* *Location:* Remote (Must reside in Indiana) *Contract Length:* 6 Months *Pay:* $16/hr *Schedule:* Flexible start between 6:00-9:00 AM (8hour shift) Are you skilled at navigating the complex world of medical billing, insurance claims, and physician revenue cycles? Do you enjoy investigative work, digging into claim issues, and securing timely reimbursements? This *PFS Analyst* opportunity offers the chance to contribute to a large, fastpaced revenue cycle team supporting multiple healthcare entities across Indiana-all from the comfort of home. *About the Role* As a PFS Analyst, you'll play a key role in the financial health of the organization by ensuring claims are processed, followed up on, and resolved accurately and efficiently. This is a *productionbased, transactional role* where detailorientation and persistence are essential. You will work within multiple billing and claims platforms, research unpaid accounts,...

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...

Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered - and we couldn't do it without you. Partner with Community Health Network and Deaconess Health System - IHCI The Innovative Healthcare Collaborative of Indiana LLC (IHCI) is a company formed through the partnership of Community Health Network (CHNw) and Deaconess Health System (DHS). Both CHNw and DHS place high importance on continuing and advancing population health and value-based care to improve patient health...

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...

PFS Analyst (Physician Billing) – Revenue Cycle Services Location: Remote (Must reside in Indiana) Contract Length: 6 Months Pay: $16/hr Schedule: Flexible start between 6:00–9:00 AM (8‑hour shift) Are you skilled at navigating the complex world of medical billing, insurance claims, and physician revenue cycles? Do you enjoy investigative work, digging into claim issues, and securing timely reimbursements? This PFS Analyst opportunity offers the chance to contribute to a large, fast‑paced revenue cycle team supporting multiple healthcare entities across Indiana—all from the comfort of home. About the Role As a PFS Analyst, you’ll play a key role in the financial health of the organization by ensuring claims are processed, followed up on, and resolved accurately and efficiently. This is a production‑based, transactional role where detail‑orientation and persistence are essential. You will work within multiple billing and claims platforms, research unpaid accounts, determine...