18 coding compliance auditor jobs found

A leading healthcare organization is seeking a Billing Compliance Reviewer to ensure compliance with federal and state regulations. The position involves planning and executing audits, analyzing medical documentation for accuracy, and collaborating with clinical and administrative teams. Candidates should have a high school diploma (Bachelor’s preferred), three years of relevant experience, and certification in coding. Strong analytical and interpersonal skills are a must. A competitive salary range from $84,000 to $91,311 is offered. #J-18808-Ljbffr

Signature Healthcare is Southeastern Massachusetts' premier local provider of quality, personalized medical services. We are comprised of the award-winning not-for-profit Signature Healthcare Brockton Hospital; Signature Medical Group (SMG), a multi-specialty physician group of more than 150 physicians practicing in 18 ambulatory locations. We believe our distinctive Signature Healthcare team approach is the way healthcare should be: medical professionals across many locations communicating and collaborating, taking advantage of technologies and resources to make a difference in the lives and health of our patients. Position Summary: Under the general direction of the Corporate Director, Health Information Management & Privacy Officer provides leadership and technical support for ambulatory coding auditing and educating functions. Responsible for ensuring accurate diagnosis and procedure coding as well as providing documentation and coding related feedback and educational...

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...

Professional Coding Auditor and Educator - Remote Job Profile Summary This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following Health Information Management duties: Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a "hands on" environment. The majority of time is spent in the delivery of support services or activities, typically under supervision. An experienced level role that requires basic knowledge of job procedures and tools obtained through work experience and may require vocational or technical education. Works under moderate supervision, problems are typically of a routine nature, but may at...

Professional Coding Auditor and Educator – Remote Join Tufts Medicine in this role that focuses on revenue cycle operations such as billing, collections, and payment processing, and performs Health Information Management duties including ensuring the accuracy, maintenance, security, and confidentiality of patient health information. Job Overview The position requires frequent daily interactions with physicians and providers, providing coding instruction, chart reviews, coding education, evaluation of denials, and ensuring regulatory compliance. It also involves collaboration with billing specialists and management to improve charge capture. Minimum Qualifications Associate’s degree in Medical Record Technology. Completion of a Certified Medical Coding Program or at least two years of professional coding certification with courses in Medical Terminology, Anatomy & Physiology, or extensive training in physician coding. One of the following certifications: Certified...

Position Title: Inpatient Coder III - Per Diem Hours: Up to 30 hours per week. Assistance needed for month end, vacation coverage, etc. Flexibility with start/end time or weekend hours is available. Location: 100% remote. Requirements: Virtual orientation held on your start date (Monday, 8:30-5). Ability to conduct training during the hours of 6 AM to 6 PM (EST) M-F Job Profile Summary This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following Health Information Management duties: Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a "hands on" environment. The majority of time is spent in the delivery of...

We are seeking a qualified Medical Coder to join our team at Lowell General Hospital's Oncology Department! This role is 100% onsite based out of Lowell General Hospital- Main Campus. Job Overview This position reviews medical records to assure accurate specificity of diagnoses, procedures, and appropriate reimbursement for professional and/or facility charges. Effectively utilizes ICD-10, CPT, and HCPCS, modifier and/or other codes according to coding guidelines. Communicates effectively with providers and/or all appropriate staff regarding missing information such as CPT, ICD-10, and documentation issues, to ensure proper coding and reimbursement. Works with leadership to review denial and reimbursement reports for accuracy, as well as conducting audits to ensure documentation, code capture, and billing are accurate and precise. Performs pre and post visit chart audits to ensure proper code assignment. Hours: Full time / 40 hours / Day shifts, Monday through Friday...

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together. As a Medical Coder, you will be responsible for procedure and diagnostic coding of professional charges. Works closely with clinical department physicians and staff to ensure accurate and compliant coding and maximization of revenue through initial coding. Schedule (38.75 hours): Following training, hours will be Monday-Friday (either 4 x 9.7-hour workdays or 5 x 7.75-hour workdays) between the...

Description and Responsibilities Come join our billing team! Open Sky is looking for a skilled, part-time Behavioral Health Coder to provide coding support to the organization. They will audit clinical documentation for Evaluation and Management and psychotherapy services by validating coded data, ensuring services rendered support reimbursement and reporting purposes. The coder will also evaluate electronic health records to identify any documentation deficiencies and ensure all revenue is captured. This position begins with a hybrid schedule and has the opportunity to become remote after the organizations introductory period is successfully completed. Candiate must c urrently be geographically local to Central Massachusetts for consideration. Other Key Responsibilities: Serve as resource and subject matter expert to staff. Collaborate with clinicians on documentation discrepancies. Support the VP of Accounting & Financial Reporting and the Billing...

Position Title: Inpatient Coder III - Per Diem Hours: Up to 30 hours per week. Assistance needed for month end, vacation coverage, etc. Flexibility with start/end time or weekend hours is available. Location: 100% remote. Requirements: Virtual orientation held on your start date (Monday, 8:30-5). Ability to conduct training during the hours of 6 AM to 6 PM (EST) M-F Job Profile Summary This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following Health Information Management duties: Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a "hands on" environment. The majority of time is spent in the...

Medical Coder - Hematology/Oncology Clinic Duration: 12 Weeks Location: 100% Remote Job Description Review documentation of professional services in EPIC, obtain copies of chart notes, reports (i.e., admission/discharge records, patient medical records) and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services' (CMS) documentation of professional services and assign correct CPT, ICD-9-CM, and HCPCS codes. Utilizes ICD-9-CM, ICD-10, CPT codebook and Coding Clinic references to verify code specificity and follow ICD-9-CM Official Guidelines for Coding and Reporting and AMA Official Guidelines for CPT. Enter billing information into EPIC Resolute. Establish and maintain procedures and other controls necessary in carrying out all insurance billing activity. Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP)....

Health Information Management Role This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following Health Information Management duties: Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a "hands on" environment. The majority of time is spent in the delivery of support services or activities, typically under supervision. An experienced level role that requires basic knowledge of job procedures and tools obtained through work experience and may require vocational or technical education. Works under moderate supervision, problems are typically of a routine nature, but may at times require interpretation or deviation...

We are seeking a qualified Medical Coder to join our team at Lowell General Hospital's Oncology Department! This role is 100% onsite based out of Lowell General Hospital – Main Campus. Job Overview This position reviews medical records to assure accurate specificity of diagnoses, procedures, and appropriate reimbursement for professional and/or facility charges. The coder effectively utilizes ICD-10, CPT, and HCPCS, modifiers, and other codes in accordance with coding guidelines. The coder communicates with providers and staff regarding missing information such as CPT, ICD‑10, and documentation issues to ensure proper coding and reimbursement. The role also involves reviewing denial and reimbursement reports, conducting audits, and performing pre‑ and post‑visit chart audits to ensure accurate code assignment. Hours & Location Full‑time, 40 hours per week, day shifts, Monday through Friday No major holidays; position works on‑site at Lowell General Hospital Location:...

We are seeking a qualified Medical Coder to join our team at Lowell General Hospital's Oncology Department! This role is 100% onsite based out of Lowell General Hospital - Main Campus. Job Overview This position reviews medical records to assure accurate specificity of diagnoses, procedures, and appropriate reimbursement for professional and/or facility charges. Effectively utilizes ICD‑10, CPT, and HCPCS, modifiers and/or other codes according to coding guidelines. Communicates effectively with providers and all appropriate staff regarding missing information such as CPT, ICD‑10, and documentation issues, to ensure proper coding and reimbursement. Works with leadership to review denial and reimbursement reports for accuracy, as well as conducting audits to ensure documentation, code capture, and billing are accurate and precise. Performs pre‑ and post‑visit chart audits to ensure proper code assignment. Hours: Full time / 40 hours / Day shifts, Monday through Friday No major...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Exempt Hiring Range: $39,832.00 - $91,520.00 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday, On Call - Required Scheduled Hours: Monday 8am-4:30pm, Tuesday & Thursday 7:45am-8:15pm, Friday 7:45am-4:15pm Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 26100 - 7003 Milford Urgent Care This position may have a signing bonus available; a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver. At UMass Memorial Health, everyone is a caregiver—regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading‑edge research make UMass...

CodaMetrix is revolutionizing Revenue Cycle Management with its AI-powered autonomous coding solution, a multi-specialty AI-platform that translates clinical information into accurate sets of medical codes. CodaMetrix’s autonomous coding drives efficiency under fee-for-service and value-based care models and supports improved patient care. We are passionate about getting physicians and healthcare providers away from the keyboard and back to clinical care. Overview Reporting to the Manager, Medical Coding & Audit, as a Medical Coder II or III, this role will be a key member of the team responsible for ensuring that CodaMetrix meets—and exceeds—our customers’ coding quality expectations. The Medical Coder II or III will be responsible for leveraging their strong background in coding, billing, and auditing across service lines to review, analyze, and enhance coding processes, both internally and externally. They will play a pivotal role in improving the quality and efficiency of...

A leading cancer research organization in Brookline is seeking a Senior Billing Compliance Reviewer to ensure the accuracy and compliance of hospital billing. The ideal candidate will have a robust background in healthcare coding and auditing, alongside strong analytical and interpersonal skills. This role involves conducting audits, providing education to staff, and ensuring adherence to billing guidelines. The position offers a competitive salary range and a supportive work environment focused on diversity and inclusion. #J-18808-Ljbffr

A healthcare organization based in Brookline, MASS, is looking for a Billing Compliance Reviewer to execute audits and ensure billing compliance with federal regulations. The candidate will collaborate with clinical and administrative teams to enhance documentation practices. The ideal applicant should have at least 3 years of relevant experience and a certified coding credential. The position offers a salary range of $84,000 to $91,311, fostering an inclusive work environment. #J-18808-Ljbffr