5 coding auditor specialist jobs found

Join to apply for the Supervisor Medical Staff Svcs role at CHI Job Summary and Responsibilities The overall function and responsibility of this position is to ensure the coordination of the credentialing provided by the CHI Health Centralized Credentialing Office. This includes both internal credentialing for CHI Health Facilities as well as credentialing services provided by the CHI Health Credentialing Verification Organization. This includes providing leadership and supervision of staff in the continuous and accurate credentialing of physicians and advanced practice clinicians, assuring compliance with regulatory bodies (Joint Commission, NCQA, URAC, CMS, federal and state), as well as Medical Staff Bylaws, Rules and Regulations, policies and procedures, and delegated contracts. Discretion is required at all times in sensitive and confidential matters. Responsibilities Has the authority to interview, hire, orient, terminate, promote, train and conduct performance...

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 Schedule: Mon - Fri, full-time, flexible 8-hour daytime shifts Codes professional charges for surgical procedures for inpatient and outpatient services including...

Company Description : Job Summary : We are seeking a knowledgeable and detail oriented Certified Ambulance Biller / Coding Specialist to join our billing team. This role is responsible for reviewing patient care reports, applying proper ambulance billing codes, ensuring compliance with federal and state regulations, and submitting clean claims for timely reimbursement. The ideal candidate understands EMS industry billing practices and has experience with accurate documentation review and denial prevention. Responsibilities : Review Patient Care Reports (PCRs), run sheets, and supporting documentation for accuracy and completeness. Apply correct ambulance billing codes, including HCPCS, CPT, and ICD 10, according to documentation and payer requirements. Determine appropriate levels of service (BLS, ALS1, ALS2, SCT, mileage, etc.) based on medical necessity and documentation. Enter and validate charges in the billing system prior to claim submission....

Job Type Full-time Description About Us: ENT Specialties, P.C. is a privately owned practice that has been providing comprehensive ENT services to all ages since 1991. As the largest Otolaryngology practice in Lincoln, we have a dedicated group of physicians, physician assistants, audiologists, nurses and staff that excel in providing the highest quality care with a compassionate touch. Position Overview: The Certified Coder is a vital member of our team, responsible for accurately translating medical documentation into standardized codes for diagnoses, procedures, and services rendered. This role is particularly focused on coding activities within clinic and Ambulatory Surgery Center (ASC) settings. The Certified Coder ensures compliance with current coding guidelines/regulations and aids in the resolution of claim denials. The ideal candidate is an experienced professional with a keen eye for detail, a firm grasp of surgical coding guidelines, and a commitment to...

A Day in the Life of the 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...