13 coding auditor and provider educator 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 team in a professional coding auditor role . RESPONSIBILITIES: Responsible for the accurate review of PYA clients’professional fee coding per industry coding audit standards, support of the management team with project management tasks, support of the verbal and written reporting to the client, and conducting provider coding and documentation education ( generally, conducted remotely ). 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...

Job Description Job Description Join KVC Hospitals as a Medical Coding Specialist Work wellbeing score of 82 on Indeed – where your career and purpose align Are you an expert in medical coding with a passion for precision and compliance? KVC Hospitals is seeking a Medical Coding Specialist to lead our coding initiatives, maximize billing opportunities, and ensure documentation accuracy across our hospital network. This role is vital to maintaining financial health while upholding our commitment to quality care and regulatory compliance. Salary Salary up to $55,000 annually, based on education and experience . Why KVC? At KVC, we value our people. Our work wellbeing score of 82 on Indeed reflects our dedication to creating a positive, supportive, and purpose-driven workplace. You’ll join a team that embraces innovation, respects diversity, and works collaboratively to make a real difference in the lives of children and families. Key Responsibilities Serve as the...

Health Ministries Clinic (HMC) is seeking a Coding Auditor (with PCP auditing experience) as a trusted expert to join our integrated care team in Newton, Kansas. This is a full-time, on-site position offering the opportunity to support patient care in a collaborative, mission-driven environment. At Health Ministries Clinic, we offer more than just primary care with a full spectrum of services including behavioral health, lab, diagnostic, pharmaceutical and dental. We are seeking an experienced Coding Auditor with a multi-speciality coding background. The Coding Quality Auditor is responsible to ensure Health Ministries Clinic's compliance with national coding guidelines, FQHC coding guidelines and regulations. The Coding Auditor plays a crucial role in minimizing coding errors and preventing fraudulent activities. The Coding Auditor is responsible to ensure accurate and consistent coding which results in appropriate reimbursement and data integrity. This role requires...

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 candidate...

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...

Details Department: Revenue Cycle Mgmt Schedule: Full Time, 40 hours weekly, Flexible hours between 6am - 6pm. Monday - Friday (with some overtime possible particularly at month end) Clinic: Via Christi Bayley Location: 3720 Bayley, Wichita, KS 67218 ( Open to Onsite, Partially Remote, Remote ) Via Christi associates are eligible for tuition discounts and priority placement in select healthcare programs through our academic partnership with Wichita State University. Benefits Paid time off (PTO) Various health insurance options & wellness plan Retirement benefits including employer match plan Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and...

Revenue Cycle Management Coding Specialist Via Christi associates are eligible for tuition discounts and priority placement in select healthcare programs through our academic partnership with Wichita State University. Benefits include paid time off, various health insurance options & wellness plans, retirement benefits including employer match plans, long-term & short-term disability, employee assistance programs (EAP), parental leave & adoption assistance, and tuition reimbursement. Ways to give back to your community are also available. Responsibilities include applying the appropriate diagnostic and procedural code to patient health records for purposes of document retrieval, analysis and claim processing. Abstract pertinent information from patient records. Assigns the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient...

Join KVC Hospitals as a Medical Coding Specialist Work wellbeing score of 82 on Indeed - where your career and purpose align Are you an expert in medical coding with a passion for precision and compliance? KVC Hospitals is seeking a Medical Coding Specialist to lead our coding initiatives, maximize billing opportunities, and ensure documentation accuracy across our hospital network. This role is vital to maintaining financial health while upholding our commitment to quality care and regulatory compliance. Salary Salary up to $55,000 annually, based on education and experience . Why KVC? At KVC, we value our people. Our work wellbeing score of 82 on Indeed reflects our dedication to creating a positive, supportive, and purpose-driven workplace. You'll join a team that embraces innovation, respects diversity, and works collaboratively to make a real difference in the lives of children and families. Key Responsibilities Serve as the subject matter expert on...

Job Description Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Hybrid or Remote Job Responsibility Leverages clinical expertise to identify and validate DRG code assignment. Full review of CDI suggested code changes. Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. Applies coding rules and regulations to the validation review process. Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. Communicates DRG changes and rationale to the coding and CDI staff. Identifies appropriate coding changes...

Overview Health Ministries Clinic (HMC) is seeking a Coding Auditor (with PCP auditing experience) as a trusted expert to join our integrated care team in Newton, Kansas. This is a full-time, on-site position offering the opportunity to support patient care in a collaborative, mission-driven environment. We provide a full spectrum of services including behavioral health, lab, diagnostic, pharmaceutical and dental. We are seeking an experienced Coding Auditor with a multi-speciality coding background. The Coding Quality Auditor is responsible for ensuring Health Ministries Clinic's compliance with national coding guidelines, FQHC coding guidelines and regulations. The role minimizes coding errors and prevents fraudulent activities, ensures accurate and consistent coding which results in appropriate reimbursement and data integrity. This role requires the ability to detect and correct discrepancies and coding errors, provide feedback and collaborate across departments to correct...

A leading health data platform company is seeking an Inpatient Auditing Specialist to perform coding audits and provide education. The ideal candidate should have over 5 years of inpatient coding experience with expertise in MS-DRG and APR-DRG coding. This fully remote role offers a flexible schedule and a supportive work environment with comprehensive benefits. Competitive pay offered between $35 and $45 per hour. #J-18808-Ljbffr

Datavant is a leading data platform company revolutionizing health data exchange. Our mission is to ensure that every healthcare decision is made with the right data, delivered timely and in the appropriate format. Powered by the most extensive health data network in the U.S., our platform guarantees secure, accessible, and usable data to enhance health decisions. We are proud to be trusted by the foremost life sciences organizations, government bodies, and healthcare providers. By joining our team, you will be part of a high-performing and values-driven culture. Together, we are addressing some of healthcare's most challenging issues with innovative technology solutions. We embrace a diverse array of professional and personal experiences among our team members as we pursue our ambitious goals for healthcare. What We're Seeking We are on the lookout for seasoned and certified inpatient coders to join our team. The perfect candidate will have exceptional attention to...

Overview Become a part of our caring community and help us put health first 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, and responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction with guidance where needed. Follows established guidelines/procedures. Responsibilities 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...