9 consultant coding auditor jobs found

Medical Data Coder Lead GeoControl Systems, Inc. as a HUBZone company, is required to maintain a Federally mandated level of employees that reside (home residence) in a qualified HUBZone. ONLY applicants whose home address lies in a qualified HUBZone will be considered for this position. You can verify whether you reside in a HUBZone by using the following website: https://maps.certify.sba.gov/hubzone/map Medical Data Coder Lead Belong. Connect. Grow. with the Human Health and Performance Contract 2 (HHPC2). We are a team of innovators, thinkers, creators, explorers, volunteers and dreamers and we all share one goal: to improve the world responsibly and safely. On HHPC2 we are at the forefront of safeguarding astronaut health, ensuring human performance, and advancing technologies for human space exploration. We are seeking a Medical Data Coder Lead to support the Lifetime Surveillance of Astronaut Health (LSAH) at the Johnson Space Center (JSC). What You'll Do: You will be a...

The Harris Center for Mental Health and IDD, known as "The HARRIS CENTER," is seeking an experienced Medical Coder Relief to join our team. Under the direction of Director of Revenue Management, the Medical Coder utilizes knowledge of insurance regulations, health insurance contracts, and medical coding to perform a variety of revenue cycle support activities. Additionally, the medical coder is responsible for reviewing medical records to assure proper billing of the medical record, comparison of physician selected CPT and ICD-10 codes to the physicians' documentation to substantiate the level of coding, physician services to include identification of professional services and complete review of medical records to accurately optimize all professional services documented for billing. Your role in Action: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Extracts...

Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to medical coding and...

Description Are you a detail-oriented professional with a passion for precision and financial integrity? Join us at Clay Consulting as a Biller and play a vital role in supporting our mission to serve our nation's veterans with excellence and care. In this role, you'll combine your analytical skills with administrative expertise to ensure accurate billing and payment processing . Step into a purpose-driven career where your work directly contributes to the success of our healthcare operations. Location: 580 Westlake Park Blvd. Ste 700. Houston, Tx 77079 DUTIES/RESPONSIBILITIES: Process and post billing statements manually and electronically. Accept and reconcile payments from patients and insurance providers. Prepare and manage payment batches and deposits. Conduct audits of billing cycles to ensure accuracy and compliance. Review and assess Explanation of Benefits (EOBs) from insurance companies. Maintain accurate billing records and report...

Labela is seeking certified U.S. medical coders for high-level coding and documentation consulting. You will serve as a subject matter expert to validate, refine, and audit the coding logic and documentation reasoning of frontier AI models. This is a flexible, remote role designed for practicing coders and auditors to influence the accuracy and compliance of medical AI at scale. Responsibilities include auditing coding logic, validating E/M level selection, MS-DRG and APC assignments, and #J-18808-Ljbffr

Experienced Associate, Healthcare ForensicsThe Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients.Job Duties:Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance mattersContributes to forensic engagements related to medical coding and...

Medical Data Coder Lead GeoControl Systems, Inc. as a HUBZone company, is required to maintain a Federally mandated level of employees that reside (home residence) in a qualified HUBZone. ONLY applicants whose home address lies in a qualified HUBZone will be considered for this position. You can verify whether you reside in a HUBZone by using the following website: https://maps.certify.sba.gov/hubzone/map Medical Data Coder Lead Belong. Connect. Grow. with the Human Health and Performance Contract 2 (HHPC2). We are a team of innovators, thinkers, creators, explorers, volunteers and dreamers and we all share one goal: to improve the world responsibly and safely. On HHPC2 we are at the forefront of safeguarding astronaut health, ensuring human performance, and advancing technologies for human space exploration. We are seeking a Medical Data Coder Lead to support the Lifetime Surveillance of Astronaut Health (LSAH) at the Johnson Space Center (JSC). What You'll Do: You will...

We are hiring a part-time Medical Coder to assign procedure and diagnosis codes for insurance billing, review claims data, research and correspond with insurance companies in an effort to obtain accurate reimbursement for healthcare claims. Responsibilities Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing. Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission. Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims. Adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ICD-9 and ICD-10. Answer coding questions. Review clinical documentation to ensure it meets level of CPT codes and ICD-10 codes. Perform related duties, as requested. Uphold the Organization's...

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