9 documentation coding auditor jobs found

Registered Nurse - Diagnosis Related Group Coding Auditor Principal – Carelon Payment Integrity Location: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate, and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients. Specializes in review of DRG coding via medical records and attending physician’s statements provided by acute care hospitals on paid DRG,...

Division: Eskenazi Health Sub-Division: Hospital Req ID: 25405 Schedule : Full Time Shift : Days Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 333-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus including at a network of Eskenazi Health Center sites located throughout Indianapolis. FLSA Status Exempt Job Role Summary This position completes timely and accurate auditing of coder and/or provider charges and clinical documentation and follows up with coder/provider education for Professional services as appropriate to facilitate compliant and optimized reimbursement, research, and PI initiatives. The Professional Coder, Auditor and Educator assists with workflow suggestions to Leadership. Proactively contributes to Eskenazi Health's mission:...

Radiology Medical Coder Client Profile - An Indiana based independent physician-owned radiology practices founded in 1967. Job Summary - The Radiology Coder is responsible for coding and charge submission activities, including abstracting CPT Professional Fee Coding and inpatient/outpatient coding and billing. This involves reviewing medical records and assigning appropriate ICD, CPT, and HCPCS codes. Job Duties: Review and analyze medical records ensuring the correct assignment of ICD-10, CPT and HCPCS codes. Accurately code diagnostics imaging, interventional radiology procedures and other radiological services. Ensure that documentation supports the assigned codes and matches physician orders and radiology reports. Abstract relevant data such as procedural dates, providers, and patient demographics for billing and reporting. Collaborate with radiologists and other medical professionals to clarify diagnoses and procedures when documentation is insufficient or ambiguous....

Medical Coder Maple City Health Care Center (MCHCC) is a Federally Qualified Health Center dedicated to improving our community's health by making quality comprehensive healthcare accessible to all. We strive for a healthy community where everyone is cared for. The Medical Coder is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS Level II codes for medical, dental, and behavioral health services in compliance with federal, state, payer, and HRSA/FQHC requirements. This role supports timely and compliant billing, reimbursement optimization, and audit readiness. Essential Duties and Responsibilities Review provider documentation to ensure completeness, accuracy, and compliance with coding guidelines. Assign appropriate ICD-10-CM, CPT, and HCPCS codes for: primary care services, behavioral health services, dental services (as applicable). Ensure coding supports medical necessity, scope of practice, and payer requirements. Apply correct modifiers, place of...

Reports to the Manager of Professional Coding. Under general supervision and in accordance with the policies and procedures established by BMG Professional Coding, reviews and accurately codes office and hospital procedures for reimbursement requiring exercise of initiative and judgement. Mission, Values and Service Goals Mission: We deliver outstanding care, inspire health, and connect with heart. Values: Trust. Respect. Integrity. Compassion. Service goals: Personally connect. Keep everyone informed. Be on their team. Responsibilities Perform routine and non-routine revenue cycle, billing, coding and insurance functions, such as extracting relevant information from patient records, examining documents for missing information, liaising with physicians and other parties to clarify information. Analyze documentation and accurately apply CPT, ICD, and HCPCS codes to support compliant coding. Work with rejected and denied claims based on assigned reports, and assist in complex...

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 Type Full-time Description Job Summary: Maple City Health Care Center (MCHCC) is a Federally Qualified Health Center dedicated to improving our community's health by making quality comprehensive healthcare accessible to all. We strive for a healthy community where everyone is cared for. The Medical Coder is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS Level II codes for medical, dental, and behavioral health services in compliance with federal, state, payer, and HRSA/FQHC requirements . This role supports timely and compliant billing, reimbursement optimization, and audit readiness. Essential Duties and Responsibilities Essential Duties and Responsibilities • Review provider documentation to ensure completeness, accuracy, and compliance with coding guidelines. • Assign appropriate ICD-10-CM, CPT, and HCPCS codes for: o Primary care services o Behavioral health services o Dental services (as applicable) • Ensure coding...

Job Description Radiology Medical Coder Job Description Client Profile- An Indiana based Independent Physician-Owned radiology practices founded in 1967. Job Summary- The Radiology Coder is responsible for coding and charge submission activities, including abstracting CPT Professional Fee Coding and inpatient/outpatient coding and billing. This involves reviewing medical records and assigning appropriate ICD, CPT, and HCPCS codes. Job Duties Review and analyze medical records ensuring the correct assignment of ICD-10, CPT and HCPCS codes. Accurately code diagnostics imaging, interventional radiology procedures and other radiological services Ensure that documentation supports the assigned codes and matches physician orders and radiology reports Abstract relevant data such as procedural dates, providers, and patient demographics for billing and reporting. Collaborate with radiologists and other medical professionals to clarify diagnoses and...

Join CommunityThe Innovative Healthcare Collaborative of Indiana (IHCI) is a joint venture between Community Health Network and Deaconess Health system.Its goal is to support our sponsors and partners in their strategic evolution to positively impact and improve the healthcare delivery system.Make a DifferenceReporting to the Clinical Documentation Integrity Manager this role performs patient chart reviews to ensure the appropriateness andcompleteness of diagnostic coding with evidence based on CMS HCC standards.The Risk Adjustment Coder is responsible for :Timely accurate and complete review of patient charts following patient encounters utilizing a variety of technical platforms to completeworkflowsValidating diagnosis codes representing patient conditions along with necessary MEAT documentationEnsuring coding is consistent with guidelines from regulatory entitiesConducting audits to meet compliance with ACA standardsCreating post-visit queries with follow upCollaborating with...