5 compliance coding auditor jobs found

Become a part of our caring community 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. Where you Come In 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 accuracy of...

Description Looking for a career where you love what you do and who you do it with? You're in the right place. Healthcare here is different - we're locally owned and led by our physicians, and all decisions are always made right here in Central Iowa. By working at The Iowa Clinic, you'll get to make a difference while seeing a difference in our workplace. Because as one clinic dedicated to exceptional care, we're committed to exceeding expectations, showing compassion and collaborating to provide the kind of care most of us got into this business to deliver in the first place. Think you've got what it takes to join our TIC team? Keep reading... A day in the life... Wondering what a day in the life of Biller/Coder II at The Iowa Clinic might look like? Coding, Audit & Revenue Integrity Performs detailed review of complex patient encounters, procedures, specialty services, and high-risk documentation to ensure accurate, complete, and compliant coding....

JOB SUMMARY: Assigns accurate ICD-10-CM/PCS and CPT codes by thoroughly reviewing medical records and ensuring compliance with coding guidelines, maintaining high accuracy and productivity standards. Abstracts demographic and clinical data to support complete and timely record processing. Assists with coding-related reimbursement issues, identifies and reports documentation deficiencies, and supports claim edits and denials through billing scrubber workflows. Provides cross-coverage across coding areas and contributes to training and audit activities as needed. Minimum knowledge, skills, and abilities: High School Graduate. RHIT, CCS-P, CCS, ROCC/CHONC or CPC certification, required. 3-5 years coding experience preferred. Preferred experience with facility/professional coding as well as Inpatient, Observation, Surgical (e.g. orthopedics, podiatry, spinal, colon resection, and plastics/breast) Experience with Radiation Oncology or Oncology coding, preferred...

Job Type Full-time Description Are you a detail-driven certified coder with a passion for orthopedic care? Join a team where your expertise directly supports surgeons, improves patient outcomes, and ensures the accuracy behind every procedure-from sports injuries to complex joint replacements. We're looking for a skilled orthopedic coder to work onsite and who thrives in a fast-paced environment and takes pride in precision, compliance, and collaboration. The Certified Medical Coder - Orthopedic Specialty is responsible for accurately reviewing, coding, and abstracting medical documentation for orthopedic procedures and services. This role ensures compliance with national coding guidelines, payer regulations, and organizational policies while supporting optimal reimbursement and minimizing denials. The coder works closely with providers, clinical staff, and billing teams to ensure accurate and timely coding of complex orthopedic cases. Requirements Review and...

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...