16 coding auditor facility jobs found

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...

At Datavant, we're transforming healthcare by improving data collaboration. Our mission is to ensure health data is secure, accessible, and actionable. As a key player in the healthcare ecosystem, we provide crucial data solutions for providers, health plans, researchers, and life sciences companies. Whether fulfilling a single patient's medical records request or driving innovation in healthcare with AI, our dedicated team is committed to shaping the future of health data. Join our vibrant and cooperative team as a Full-Time Inpatient Coding Auditor . This fully remote role offers a flexible schedule, enabling you to make a significant impact in healthcare from the comfort of your workspace. In this position, you will play an essential role in addressing consulting and educational needs concerning coding quality, compliance assessments, external payer reviews, and more. Your Responsibilities Will Include: Conducting inpatient coding audits on medical records, ensuring...

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...

Coding Compliance & Education Coordinator You'll be diving into clinical documentation and coding records, performing detailed audits to ensure every code is accurate, complete, and compliant with regulatory standards. You'll analyze patterns, identify discrepancies, and provide actionable feedback that supports optimal reimbursement and quality reporting. You'll assist with developing and delivering training sessions for coding staff, clinical providers, and other stakeholders. You'll serve as the go-to expert for ICD-10-CM, ICD-10-PCS, CPT, and sequencing guidelines, helping teams stay current with evolving standards. You'll work closely with the Coding Manager and other leaders, ensuring coding practices align with organizational goals. Whether you're refining audit processes, answering complex coding questions, or creating educational materials, your work directly impacts compliance, revenue integrity, and patient care quality. Why Work at Regional West Health...

Job Type Full-time Description Ear, Nose & Throat Medical Billing Specialist is responsible for managing and overseeing the billing process for all medical services provided in the clinic and surgical center. This role requires in-depth knowledge of healthcare billing, coding, and insurance requirements to ensure that all claims are processed and paid accurately and efficiently. The Billing Specialist will collaborate with healthcare providers, insurance companies, and patients to resolve billing discrepancies and ensure timely payment. We specialize in Otolaryngology and are committed to excellence in both clinical and administrative operations. We are seeking an experienced Medical Billing Specialist to join our administrative team. The ideal candidate will have a strong understanding of coding, billing, and reimbursement processes. This position is responsible for accurately submitting insurance claims, following up on accounts, and ensuring timely reimbursement...

Coding Auditor - Professional page is loaded## Coding Auditor - Professionalremote type: On-Site or Remotelocations: Sarah Bush Lincoln Health Centertime type: Full timeposted on: Posted Todayjob requisition id: JR103873**Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.**Coding Auditor - Professional**Job Description**Coder Auditor-Professionals are responsible for auditing of coding assignment with providers and coders, training of coding professional staff, pro-fee based coding includes the assignment of Assigns ICD-CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.Department: Physician codingHours: Full-Time, 40 hours a week requiredRequired: High School Diploma, CPC, CEMA within 6 months of hire, CPMA within 1 year of hirePay: Based one experience, starting at...

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 Datavant, a leading data collaboration platform in healthcare, as we strive to make health data secure, accessible, and actionable. Our mission empowers providers, health plans, researchers, and life sciences companies to transform the way data is utilized for better health outcomes. By becoming a part of our team, you will contribute to meaningful innovations in healthcare from the comfort of your own workspace. Exciting Opportunities Available: Full-Time and PRN Positions with up to $5,000 Sign-On Bonus! What We're Looking For As an experienced inpatient coder, you will play a vital role in our team. We seek candidates with meticulous attention to detail and an extensive knowledge of medical terminology. This fully remote position offers a flexible schedule to help you thrive. Your Responsibilities: Assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS codes. Abstract and sequence medical codes accurately from patient records while...

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...

Overview 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...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Overview 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. Responsibilities Will be an experienced medical coding auditor with in-depth experience in outpatient DME coding disputes...

Job Type Part-time Description ESSENTIAL DUTIES AND RESPONSIBILITIES Review and analyze clinical documentation to assign appropriate ICD-10, CPT, and HCPCS codes. Ensure coding accuracy and compliance with federal regulations, payer requirements, and clinic policies. Collaborate with providers, nurses, and clinical staff to clarify documentation when needed. Abstract relevant information from patient records to support accurate coding and billing. Enter and verify codes in the electronic health record (EHR) or billing software system. Identify and resolve coding errors, rejections, and denials in partnership with the billing team. Maintain current knowledge of coding guidelines, payer rules, and compliance standards (including HIPAA). Participate in regular audits and quality assurance activities to ensure documentation supports billed services. Assist with staff education and training related to coding and documentation best practices. Protect...

Why work for Nebraska Methodist Health System? At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care - a culture that has and will continue to set us apart. It's helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient's needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in. Job Summary: Location: Methodist Corporate Office Address: 825 S 169th St. - Omaha, NE *this is not a remote position* Work Schedule: Mon - Fri, full-time, flexible 8-hour daytime shifts Codes professional charges for surgical...

Coder Hospital Lead page is loaded## Coder Hospital Leadremote type: On-Site or Remotelocations: Sarah Bush Lincoln Health Centertime type: Full timeposted on: Posted Todayjob requisition id: JR103959**Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.**Coder Hospital Lead**Job Description**The Coder Hospital Lead oversees all coding related activities. Their primary responsibilities include maintenance of coding quality program, education of staff, training of new staff and of contract staff. Assigns ICD-CM/PCS, CPT, and HCPCS codes, modifiers, selection of MS Diagnosis Related Groups (MS-DRG), APR-DRG, EAPG, and Ambulatory Payment Classifications (APC), and coding for severity of illness. Coordinate and implement projects and personnel-related activities. Works under the guidance of the Supervisor. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside...

Certified Surgical Coder I – Nebraska Methodist Health System Join to apply for the Certified Surgical Coder I role at Nebraska Methodist Health System . Why work for Nebraska Methodist Health System? At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in. Job Summary Location: Methodist Corporate Office Address: 825 S 169th St., Omaha, NE Work...