20 coding auditor jobs found

A leading U.S. healthcare company is seeking a Medical Coding Auditor who will review medical claims to ensure correct coding guidelines are followed. The position requires a minimum of 3+ years' experience with outpatient specialty surgeries and a relevant certification. This remote role includes varied work assignments, and candidates must be detail-oriented and able to manage multiple priorities. A competitive pay range and bonuses are part of the offer. #J-18808-Ljbffr

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. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews Maintain strict patient and physician...

A healthcare organization is looking for a Coding Auditor Team Lead to oversee ambulatory coders in a remote position. The role involves problem-solving missing charges, addressing coding errors, and monitoring coding accuracy and productivity. Candidates should possess a high school diploma or G.E.D., coding certification (CPC or CCS-P), and at least a year of supervisory experience, along with familiarity with electronic medical records systems. Apply now to be part of a family focused on clinical excellence and teamwork. #J-18808-Ljbffr

Coding Auditor Team Lead page is loaded## Coding Auditor Team Leadlocations: Kentuckytime type: Full timeposted on: Posted Todayjob requisition id: R26099840**Summary****Job Description:*****BHMG is looking for a Coding Auditor Team Lead to join our team! This is a remote position that requires residency in Ky or IN***Assist in overseeing the daily operations of specialty and ambulatory coders in the provision of coding as it pertains to physician services for Baptist Health Medical Group. Function in a fully accountable role with respect to assisting in overall quality of the Ambulatory Coding Department. Works with Supervisor and Manager to problem solve missing charges, coding errors, codes for new services, missing documentation, denials and updates to computer systems. Monitors and reports to the supervisor and regional coding manager coding accuracy, productivity and charge posting.***Qualifications:**** High School Diploma or G.E.D. required, Bachelor's degree...

Summary Job Description: BHMG is looking for a Coding Auditor Team Lead to join our team! This is a remote position that requires residency in Ky or IN Assist in overseeing the daily operations of specialty and ambulatory coders in the provision of coding as it pertains to physician services for Baptist Health Medical Group. Function in a fully accountable role with respect to assisting in overall quality of the Ambulatory Coding Department. Works with Supervisor and Manager to problem solve missing charges, coding errors, codes for new services, missing documentation, denials and updates to computer systems. Monitors and reports to the supervisor and regional coding manager coding accuracy, productivity and charge posting. Qualifications: High School Diploma or G.E.D. required, Bachelor's degree preferred. Coding certification of either CPC or CCS-P required. 1+ years in a supervisor position preferred. A minimum of one year experience with Epic...

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...

A data platform company is seeking an Inpatient Auditing Specialist to conduct coding audits and provide education with a focus on MS-DRG and APR-DRG. This remote role offers a flexible schedule and requires 5+ years of coding or auditing experience. Candidates should have CCS, RHIA, or RHIT certifications and a strong customer service focus. The job offers a competitive hourly rate between $35 and $45, along with other employment benefits. #J-18808-Ljbffr

A leading health organization is looking for a Clinical Investigator in Behavioral Health. This remote position involves conducting detailed reviews of medical records, analyzing billing practices, and identifying fraud and abuse. Successful candidates will have a Master's degree, relevant clinical experience, strong analytical and investigative skills, and knowledge of coding. Centene offers a competitive benefits package, including health insurance, 401(k), and flexible work options. #J-18808-Ljbffr

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 Coder.

A leading healthcare consulting firm based in Louisville, Kentucky, is hiring a Medicare Auditor responsible for reviewing medical records and claims for Medicare compliance. The role involves conducting audits, ensuring accuracy in coding and documentation, and identifying compliance risks. Ideal candidates will have strong analytical skills and a background in medical auditing. This position is critical for maintaining adherence to Medicare regulations and improving overall healthcare processes. #J-18808-Ljbffr

Medical Coder Join our team: Position Title: Medical Coder Location: Crittenden Community Hospital Department: HIM Employment Type: Full-time JOB SUMMARY Codes hospital discharge records for the purpose of reimbursement, research, and compliance with federal regulations according to diagnoses, operations, and procedures using ICD-10-CM, ICD-10-PCS, HCPCS, and CPT classification systems. ESSENTIAL DUTIES AND RESPONSIBILITIES Identifies and assigns accurate codes to inpatient hospital discharge records using ICD-10-CM and ICD-10-PCS, ensuring appropriate MS-DRG assignment for reimbursement and reporting. Reviews hospital discharge records for completeness, accuracy, and appropriate documentation prior to final coding and billing, in accordance with standards established by the Director and regulatory agencies. Codes outpatient encounters using ICD-10-CM, HCPCS, and CPT classification systems, ensuring accurate APC assignment for reimbursement and data reporting. Queries...

Responsibilities $2500 SIGNING BONUS! The Ridge Behavioral Health System is seeking a talented and dynamic Medical Records Certified Coder to join our team of dedicated healthcare professionals! Monday - Friday, Dayshift *This is an onsite position at our facility in Lexington, KY. 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. 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. Job Duties include: Meets coding quality score of 95% accuracy in...

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...

This position plays a dual role in supporting the organization's compliance program and ensuring accurate clinical documentation and coding practices. This position is responsible for conducting audits, providing educational feedback to the providers from audited batches to ensure compliance with coding and billing requirements established by the payors, and supporting the development and implementation of compliance initiatives that align with federal and state regulations, payer requirements, and internal policies This position keeps Supervisor and Manager informed of daily progress and issues related to hospital and professional coding and compliance issues. Responsible for obtaining information for billing staff to follow-up on outstanding claims or recording of charges. Minimum Education, Experience, Training, and Licensures Required: High School Diploma or GED required Bachelor's degree preferred Certified Professional Coder - CPC Certification [or] Certified...

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...

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 practice's 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 procedural information, significant reportable...

Join our team: Position Title: Medical Coder Location: Crittenden Community Hospital Department: HIM Employment Type: Full-time JOB SUMMARY: Codes hospital discharge records for the purpose of reimbursement, research, and compliance with federal regulations according to diagnoses, operations, and procedures using ICD-10-CM, ICD-10-PCS, HCPCS, and CPT classification systems. ESSENTIAL DUTIES AND RESPONSIBILITIES: 1.Identifies and assigns accurate codes to inpatient hospital discharge records using ICD-10-CM and ICD-10-PCS, ensuring appropriate MS-DRG assignment for reimbursement and reporting. 2.Reviews hospital discharge records for completeness, accuracy, and appropriate documentation prior to final coding and billing, in accordance with standards established by the Director and regulatory agencies. 3.Codes outpatient encounters using ICD-10-CM, HCPCS, and CPT classification systems, ensuring accurate APC assignment for reimbursement and data reporting. 4.Queries...

Responsibilities $2500 SIGNING BONUS! The Ridge Behavioral Health System is seeking a talented and dynamic Medical Records Certified Coder to join our team of dedicated healthcare professionals! Monday - Friday, Dayshift *This is an onsite position at our facility in Lexington, KY. 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. 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. Job Duties include: Meets coding quality...

Position Summary Performs ambulance coding and reviews records and conducts audits. Maintains a steady workflow and productive relationship with Commonwealth Financial Resources. Communicates coding rules and regulations to EMS staff. Provides secretarial support and clerical duties as directed by the department's management. Contributes to the effectiveness of the department through performance of clerical functions. Minimum Qualifications Work Experience Previous experience related to Emergency Medical Services strongly preferred. Education Associate's degree or vocational training in related field preferred. Certifications/Licensure Certified Ambulance Coder required within one year of hire or placement. Certified Professional Coder (CPC) or other medical coding certification (i.e. CCS, CCA, Medical Coding and Reimbursement Specialist) preferred. Job Specific Performance Standards The duties listed below are a...

Overview Drees Homes is a family-owned home building company with a passion for making custom homes easy. For over 95 years, we have taken care of our employees and our customers. It's why we rank as the 21st largest privately-owned builder in the country and have a track record of long-tenured employees. We're proud of being named a 2023 and 2024 U.S. Best Managed Company, a program sponsored by Deloitte Private and The Wall Street Journal, and we've been officially certified as a Great Place to Work in both 2023 and 2024. Enrich your career at a company that values integrity, excellence, opportunity, stability and success. Headquartered in Fort Mitchell, Kentucky, Drees has operations in ten metropolitan areas: Greater Cincinnati and Cleveland, Ohio; Austin, Dallas and Houston, Texas; Indianapolis, Indiana; Jacksonville, Florida; Nashville, Tennessee; Raleigh, North Carolina; and Washington, DC. Responsibilities/Qualifications First Equity Mortgage , a subsidiary of Drees...