36 coding auditor jobs found

Inpatient Medical Coding Auditor - PPI Coding Disputes Become a part of our caring community and help us put health first. The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/PCS coding assignments for accuracy within the coding disputes team from a variety of medical records. The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. Responsibilities: Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG) Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner. Leverages advanced auditing expertise to make coding...

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2675 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Advanced knowledge...

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...

DRG Coding Auditor Principal Virtual:? ?? This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. 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...

A leading data collaboration company is seeking an Inpatient Auditing Specialist to conduct coding audits and provide education on coding quality and compliance. This fully remote role requires 3+ years of coding experience and familiarity with coding standards. Key responsibilities include preparing audit reports, conducting coder education, and ensuring compliance with regulations. Join a collaborative team focused on transformative healthcare solutions and enjoy comprehensive benefits including medical, dental, and paid time off. #J-18808-Ljbffr

A leading accounting firm in Kansas City is seeking an experienced professional for coding and auditing responsibilities. The ideal candidate has over 5 years of experience with revenue cycle processes, strong analytical skills, and a healthcare-related degree. Certifications such as CPC, RHIT, or RHIA are required. This role involves conducting audits, collaborating with teams, and changing compliance education. Competitive pay and inclusion in a dynamic work environment offered. #J-18808-Ljbffr

A nonprofit health system is seeking a Senior Data Quality Specialist to perform coding audits and manage payer denials from a remote location. The ideal candidate will educate coding teams on trends and assist in creating appeal letters. This full-time role requires 6-9 years of relevant experience and certification as a Coding Specialist. Join a respected provider in Kansas City and contribute to patient care in an inclusive environment. #J-18808-Ljbffr

Details Location: Remote Department/Speciality: Compliance Schedule: Full time, Days Salary range : $29.74- 40.23 per hour #LI-Remote Benefits Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance Time to recharge: pro-rated paid time off (PTO) and holidays Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources Family support: parental leave, adoption assistance and family benefits Other benefits: optional legal and pet insurance, transportation savings and more Benefit options and eligibility vary by position, scheduled hours and location....

A leading healthcare organization in St. Louis is seeking an experienced auditor to ensure compliance and accuracy in coding practices. This role includes responsibilities such as analyzing inquiries on compliance, training specialty providers, and conducting thorough reviews of documentation. Candidates should have 5-10 years of experience, a high school diploma or GED, and CCS/CPC certification. This position offers a remote opportunity and comprehensive benefits from day one, including medical, dental, and retirement contributions. #J-18808-Ljbffr

A healthcare provider in Kansas City is looking for a Compliance & Coding Audit Specialist to support their Corporate Compliance Program. The role involves conducting audits, interpreting medical records, and educating providers on compliance standards. The ideal candidate should have a high school diploma, relevant credentials, and at least three years of coding experience. This is an on-site position with a standard schedule of 40 hours per week, Monday to Friday. Competitive compensation is offered. #J-18808-Ljbffr

Ambulatory Procedure Visit-Outpatient Coder COMPANY OVERVIEW: Health Partners Management Group, Inc (HPMG) is a government contracting company in Poplar Bluff, Missouri. HPMG currently has a contract with the Federal Government. You would be a W-2 employee for HPMG and NOT a government employee. SUMMARY: Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for ambulatory procedure visits. Trains and educates MTF staff on coding issues and plays a significant role in departmental and clinic-wide coding compliance activities. MANDATORY KNOWLEDGE AND SKILLS: Position requires excellent computer/communication skills for provider and staff interactions. Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines (outpatient and...

A leading healthcare organization is seeking an Outpatient Coder Auditor Trainee to review medical records and ensure accuracy in coding for outpatient visits. The ideal candidate will be a medical or nursing graduate with strong interpersonal and communication skills, and must be proficient in using encoder software. This full-time role offers competitive compensation ranging from $25.00 to $30.00 per hour, along with comprehensive benefits, including medical and retirement plans. #J-18808-Ljbffr

Position Title HIM Outpatient Surgery/Ambulatory Coder Liberty Hospital Position Summary / Career Interest: The HIM Outpatient Surgery/Ambulatory Coder is responsible for reviewing outpatient/inpatient EHR. This position monitors CPT, ICD-10, and HCPCS code changes. Audits and/or assigns codes (CPT, HCPCS, and diagnosis) for professional and hospital accounts for Primary Care/Medical Specialty/Simple Procedural services from clinical documentation for accurate professional billing and facility APC assignment. The HIM Outpatient Surgery/Ambulatory Coder is a resource for the physicians and other health care providers in regard to coding and to review medical documentation to insure appropriate physician and facility coding and billing. Responsibilities and Essential Job Functions Reviews outpatient/inpatient EHR for appropriate documentation and signatures, and reviews interface charges prior to billing. Reviews departmental reporting structures and requests...

A prominent educational institution in St. Louis is seeking a Coding Specialist to ensure accurate coding of evaluation, management, diagnoses, and procedures. Responsibilities include reviewing documentation, assisting physicians, conducting audits, and preparing reports. The ideal candidate should have an associate degree or equivalent experience and know ICD-10 as well as CPT coding. This role offers competitive health benefits, up to 22 days of vacation, and supports a healthy work-life balance. #J-18808-Ljbffr

Hiring Department University Physicians Job Description #upjobs This position is a dual post linked to Job ID 58429-MCS-C- University Physicians, and the department will be hiring for two positions Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10-CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Assist in the audit of medical records in order to identify potential problems with the coding and reimbursement process such as edits, denials, appeal letter, etc. Act as liaison between third party payers and assigned departments in order to coordinate all aspects of professional coding. Provide assistance to faculty, residents and department staff in the standards of medical record documentation and coding of medical records. Assist in the presentation of training sessions for faculty, residents and staff to inform them of changes...

Hiring Department University Physicians Job Description #upjobs This part-time position is a dual post linked to Job ID 58803 -MCS-C - University Physicians, and the department will be hiring for one position. Job Duties: Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10-CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Assist in the audit of medical records in order to identify potential problems with the coding and reimbursement process such as edits, denials, appeal letter, etc. Act as liaison between third party payers and assigned departments in order to coordinate all aspects of professional coding. Provide assistance to faculty, residents and department staff in the standards of medical record documentation and coding of medical records. Assist in the presentation of training sessions for faculty, residents and staff to...

Hiring Department University Physicians Job Description #upjobs This part-time position is a dual post linked to Job ID 58799 -MCS - University Physicians, and the department will be hiring for one position. Job Duties: Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10-CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Assist in the audit of medical records in order to identify potential problems with the coding and reimbursement process such as edits, denials, appeal letter, etc. Act as liaison between third party payers and assigned departments in order to coordinate all aspects of professional coding. Provide assistance to faculty, residents and department staff in the standards of medical record documentation and coding of medical records. Assist in the presentation of training sessions for faculty, residents...

Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we\'ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina and one of the nation\'s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast and have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! This open position is within one of our subsidiary companies called CGS Administrators. CGS has been a proven provider of administrative and business services for state Medicaid agencies, managed care organizations, commercial health plans, Medicaid members, Medicare beneficiaries, healthcare...

Overview Internal Reference Number: R1049162 Summary: Why should you join the BlueCross BlueShield of South Carolina family of companies? We are the largest insurance company in South Carolina, a leading administrator of government contracts, and operate one of the Southeast's most sophisticated data processing centers. We are a diverse family of subsidiary companies that enables us to build on multiple business strengths and deliver outstanding service to our customers. This open position is within CGS Administrators, a subsidiary that provides administrative and business services to state Medicaid agencies, managed care organizations, commercial health plans, Medicaid members, Medicare beneficiaries, healthcare providers, and medical equipment suppliers. We are expanding our Medicare Part A Medical Review team focused on Prior Authorizations, adding five new staff to enhance service to Medicare recipients. This position will lead a team of four to ten Medical Reviewers and...

Outpatient/Professional Lead Coder BJC is hiring for an Outpatient/Professional Lead Coder. We are looking for previous coding experience in ancillary or ED. This role is responsible for being a mentor for the coders on the team. At least one of the following certifications is required for this position: RHIA, RHIT, CCS, CCS-P, CPC, COC, or CCA. Open remotely to the following states: Alabama Iowa North Carolina Wisconsin Arkansas Kansas Ohio Florida Kentucky Oklahoma Georgia Louisiana South Carolina Illinois Mississippi Tennessee Indiana Missouri Texas Overview BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health...

Spine Surgery Coder Remote Role 6-Month Contract to Hire Compensation: $30 per hour Start Date: ASAP ABOUT THE ROLE Our client is seeking a highly skilled Spine Surgery Coder for a remote, 6-month contract-to-hire opportunity. In this role, you will leverage your expertise in spine surgery coding—particularly within the outpatient Ambulatory Spine Center (ASC) environment—to ensure accurate and compliant coding of spinal procedures. You will play a critical part in supporting revenue integrity, audits, and denials prevention, while adhering to regulatory and payer-specific guidelines. The ideal candidate will have a strong background in CPT and ICD-10-CM coding for spine surgeries, with a focus on neurostimulator procedures, and familiarity with the Epic electronic health record system is preferred. This is an immediate need with a start date as soon as possible. WHAT YOU’LL DO Review full operative reports to assign accurate CPT and ICD-10-CM codes for outpatient spine...

* Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment.* Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-10 code.* Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up.* Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required.* Assists with efforts to increase physician awareness of documentation requirements.* Prepares case reports and initiates follow-up for billing process.* Conducts chart audits.* Previous coding experience or experience equivalent to an associate degree in a related field.* Knowledge of ICD-10 and CPT coding.* Up to 22 days of vacation, 10 recognized holidays, and sick time.* Competitive health insurance packages with priority...

Additional Information About the Role BJC is hiring for a Outpatient/Professional Lead Coder. We are looking for previous coding experience in ancillary or ED. This role is responsible for being a mentor for the coders on the team. At least one of the following certifications is required for this position: RHIA, RHIT, CCS, CCS-P, CPC, COC, or CCA. Open remotely to the following states: Alabama Iowa North Carolina Wisconsin Arkansas Kansas Ohio Florida Kentucky Oklahoma Georgia Louisiana South Carolina Illinois Mississippi Tennessee Indiana Missouri Texas Overview BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health...

A prominent educational institution in St. Louis is seeking a Coding Specialist to ensure accurate coding of evaluation, management, diagnoses, and procedures. Responsibilities include reviewing documentation, assisting physicians, conducting audits, and preparing reports. The ideal candidate should have an associate degree or equivalent experience and know ICD-10 as well as CPT coding. This role offers competitive health benefits, up to 22 days of vacation, and supports a healthy work-life balance. #J-18808-Ljbffr