13 documentation coding auditor jobs found

Job Description Job Description Salary: Medical Coding Auditor Position Overview The Medical Coding Auditor performs detailed audits of both outpatient and inpatient medical records to ensure coding accuracy, compliance, and consistency with regulatory and payer standards. This role identifies errors, provides corrective feedback, and supports quality assurance and revenue integrity. Key Responsibilities Conduct audits of outpatient and inpatient medical records for coding accuracy, completeness, and compliance. Review cases against ICD-10-CM, CPT, and HCPCS coding standards, including DRG assignments for inpatients. Identify coding discrepancies, documentation deficiencies, and compliance issues. Provide detailed audit reports and actionable recommendations. Collaborate with coders and providers to improve coding accuracy and documentation practices. Track audit findings and maintain records for management and regulatory review. Support compliance initiatives and...

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...

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. 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 terminology. This role is fully remote with a flexible schedule, allowing...

Job Description Job Description Salary: Inpatient Medical Coder Position Overview The Inpatient Medical Coder is responsible for reviewing and coding medical records for inpatient hospital encounters. This role ensures compliance with ICD-10-CM, CPT, and HCPCS coding standards and supports accurate reimbursement, revenue integrity, and regulatory compliance. Key Responsibilities Review and code documentation for hospital admissions, procedures, surgeries, and other inpatient services. Assign accurate ICD-10-CM, CPT, and HCPCS codes based on physician and hospital documentation. Ensure compliance with federal, state, and third-party payer regulations, including CMS and DRG coding rules. Collaborate with providers and clinical staff to resolve documentation gaps or discrepancies. Maintain high accuracy and meet productivity and quality metrics for inpatient coding. Participate in ongoing training and remain current with coding updates, new regulations, and DRG...

Job Description Job Description Salary: Outpatient Medical Coder Position Overview The Outpatient Medical Coder is responsible for reviewing and accurately coding medical records for outpatient encounters, ensuring compliance with ICD-10-CM, CPT, and HCPCS coding guidelines. This role supports accurate billing, revenue cycle management, and adherence to federal, state, and payer regulations. Key Responsibilities Review and code clinical documentation for outpatient visits, including clinic visits, procedures, and diagnostic services. Assign ICD-10-CM, CPT, and HCPCS codes based on provider documentation. Ensure coding is compliant with federal, state, and third-party payer requirements, including CMS guidelines. Collaborate with providers to clarify documentation discrepancies or missing information. Maintain accuracy and timeliness of coded records, meeting productivity and quality metrics. Participate in ongoing training and stay current with coding updates,...

Overview Job Summary: Demonstrates through behavior Decatur Morgan Hospital's mission, vision and values. The Certified Professional Coder is responsible for accurate coding assignments of services performed in a medical office setting, hospital setting or outpatient surgical setting for physician and non-physician providers professional fees. Based upon the provider documentation as well as other supporting clinical documentation/reports where acceptable and appropriate the coder using their training, expertise and software tools will assign/confirm diagnoses and procedures as indicated in the patient medical record. Classification systems include Current ICD-10-CM and current CPT edition, current HCPCS Level II and all coding is in accordance with official coding guidelines from the American Medical Association and AAPC - Codify All work is carried out in accordance with the Decatur Morgan approved policies and procedures. Responsibilities Key Responsibilities /...

Insurance And Medical Billing Specialist At Plastic Surgery of Tuscaloosa, our goal is to offer naturally beautiful aesthetic results. At our state-of-the-art surgical facility on Commons North Drive in the North River section of Tuscaloosa, we are proud to offer a wide range of procedures, including spa-like treatments, nonsurgical treatments, and surgical or more invasive treatments. We are dedicated to going the extra mile to ensure our patients get the results they deserve. That's why we offer cutting-edge treatments in a premier facility that is set up for more invasive techniques. Additionally, we're proud to offer treatments that you won't find elsewhere this includes specializing in tummy tucks for patients with a higher BMI. This, combined with our dedication to patient results, leads to patients visiting us from areas all over the country. We know that surgery can be an intimidating undertaking, and with our focus on personalized patient care, we will be supporting...

About Us At Plastic Surgery of Tuscaloosa, our goal is to offer naturally beautiful aesthetic results. At our state-of-the-art surgical facility on Commons North Drive in the North River section of Tuscaloosa, we are proud to offer a wide range of procedures, including spa-like treatments, nonsurgical treatments, and surgical or more invasive treatments. We are dedicated to going the extra mile to ensure our patients get the results they deserve. That's why we offer cutting-edge treatments in a premier facility that is set up for more invasive techniques. Additionally, we're proud to offer treatments that you won't find elsewhere - this includes specializing in tummy tucks for patients with a higher BMI. This, combined with our dedication to patient results, leads to patients visiting us from areas all over the country. We know that surgery can be an intimidating undertaking, and with our focus on personalized patient care, we will be supporting you every step of the way....

Overview A Certified Professional Coder (CPC) job description generally involves reviewing patient medical records, abstracting relevant clinical information, and assigning appropriate medical codes using ICD-10, CPT, and HCPCS code sets. CPC responsibilities also include ensuring accurate documentation and coding, facilitating claims processing, and complying with regulatory requirements. Responsibilities Coding and Abstracting: Accurately translate patient encounters into standardized medical codes (ICD-10, CPT, and HCPCS). Documentation Review: Analyze patient records for completeness, accuracy, and compliance with coding guidelines. Reimbursement Analysis: Research and analyze data needs for accurate and timely reimbursement. Auditing and Compliance: Conduct chart audits, identify coding discrepancies, and implement corrective actions. Communication and Collaboration: Communicate effectively with healthcare providers to clarify coding issues and...

Overview USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community. USA Health is changing how medical care, education and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists and researchers provide the region's most advanced medicine at multiple facilities, campuses, clinics and classrooms. We offer patients convenient access to innovative treatments and advancements that improve the health and overall wellbeing of our community. Responsibilities Performs correct coding (CPT4/ICD10) for provider services; audits services billed without prior coding review to ensure accuracy; provides education, payer coding updates and documentation to leaders and providers to ensure coding is being performed based on current guidelines; performs periodic reviews and ongoing audits of claims to ensure accuracy of coding/billing and sufficiency of...

Certified Professional Coder A Certified Professional Coder (CPC) job description generally involves reviewing patient medical records, abstracting relevant clinical information, and assigning appropriate medical codes using ICD-10, CPT, and HCPCS code sets. CPC responsibilities also include ensuring accurate documentation and coding, facilitating claims processing, and complying with regulatory requirements. Responsibilities Coding and abstracting: Accurately translate patient encounters into standardized medical codes (ICD-10, CPT, and HCPCS). Documentation review: Analyze patient records for completeness, accuracy, and compliance with coding guidelines. Reimbursement analysis: Research and analyze data needs for accurate and timely reimbursement. Auditing and compliance: Conduct chart audits, identify coding discrepancies, and implement corrective actions. Communication and collaboration: Communicate effectively with healthcare providers to clarify coding issues...

Job Overview A Certified Professional Coder (CPC) job involves reviewing patient medical records, abstracting relevant clinical information, and assigning appropriate medical codes using ICD-10, CPT, and HCPCS code sets. CPC responsibilities also include ensuring accurate documentation and coding, facilitating claims processing, and complying with regulatory requirements. Responsibilities Coding and abstracting: accurately translate patient encounters into standardized medical codes (ICD-10, CPT, and HCPCS). Documentation review: analyze patient records for completeness, accuracy, and compliance with coding guidelines. Reimbursement analysis: research and analyze data needs for accurate and timely reimbursement. Auditing and compliance: conduct chart audits, identify coding discrepancies, and implement corrective actions. Communication and collaboration: communicate effectively with healthcare providers to clarify coding issues and ensure accurate documentation. Staying...

Overview Job Summary: Demonstrates through behavior Decatur Morgan Hospital’s mission, vision and values. The Certified Professional Coder is responsible for accurate coding assignments of services performed in a medical office setting, hospital setting or outpatient surgical setting for physician and non-physician providers professional fees. Based upon the provider documentation as well as other supporting clinical documentation/reports where acceptable and appropriate the coder using their training, expertise and software tools will assign/confirm diagnoses and procedures as indicated in the patient medical record. Classification systems include Current ICD-10-CM and current CPT edition, current HCPCS Level II and all coding is in accordance with official coding guidelines from the American Medical Association and AAPC – Codify All work is carried out in accordance with the Decatur Morgan approved policies and procedures. Responsibilities Review appropriate provider...