7 documentation coding auditor jobs found

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews Maintain strict patient and...

Working Conditions Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure The Coding Auditor, Senior performs code audits and is responsible for chart auditing processes as well as contributing to the education of providers and internal stakeholders on coding topics. The position is responsible for keeping up to date on the newest coding guidelines and best practices while promoting compliance with existing American Medical Association (AMA) and Centers for Medicare and Medicaid Services (CMS) guidelines. Specific approaches to job duties vary depending on the department. Estimated Hiring Range $81,000.00 - $99,000.00 Bonus Target Bonus - SIP Target, 5% Annual Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. Essential Responsibilities Perform and lead a variety of coding-related audits for providers and other entities. Review medical records to verify that complete and accurate...

IconicCare is a leader in providing post-acute ancillary services. We partner with many Skilled Nursing and Long Term Care Facilities across multiple states. We embed physiatrists (PM&R) into the facilities to manage both acute recovery and complex, chronic pain. Our mission is to empower our providers by ensuring their clinical expertise is translated into a record that accurately ‘paints the picture’ of every patient’s journey. The Role We are seeking a subject matter expert who thrives on the ‘nitty-gritty’ of high-volume coding but has the vision and desire to move beyond the production line. This is a cornerstone hire to the RCM Team for an experienced, tenacious, productive coder who wants to help build the processes and team that will support our growth. This is a collaborative, builder-state role requiring a full-time presence in our Lehi, UT office Key Responsibilities Execute high-volume, accurate coding for a diverse mix of PM&R encounters Design the SOPs,...

Job Description Job Description Salary: At Revere Health, we believe there is a better path to healing and healthcare maintenance, and were working on this missionone patient at a time. Were a national leader in a movement called value-base care which aims to improve treatment outcomes and keep costs down. Our internal culture is one that promotes respect and consistently recognizes the impact that individual employees have on the mission of the organization. Position Summary:The Revenue Cycle Compliance Coder performs detailed reviews of clinical documentation and coding to ensure services are billed accurately and in compliance with payer and regulatory requirements. This role focuses on identifying trends and systemic risk, not just individual errors, and supports payer audit defense and provider education efforts. Essential Job Functions:Conducts pre-bill and post-bill compliance audits across specialties and payers. Reviews E&M leveling, procedure coding,...

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...

Join Datavant, a pioneering force in health data exchange, and play a crucial role in transforming the future of healthcare decisions. Our innovative platform is dedicated to securely and efficiently delivering data that enhances decision-making in the healthcare sector. In this fully remote position, you will become part of a vibrant, values-driven team that tackles complex healthcare challenges using cutting-edge technology. We celebrate diverse experiences and encourage collaborative efforts to achieve our shared goals. What We Are Looking For: We are seeking certified and detail-oriented inpatient coders with a robust understanding of medical terminology. This position offers flexible hours, allowing you to work conveniently while making a significant impact in healthcare! Your Key Responsibilities: Accurately assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS standards. Abstract and sequence medical codes from patient records, ensuring...

About IconicCare: IconicCare is a leader in providing post-acute ancillary services. We partner with many Skilled Nursing and Long Term Care Facilities across multiple states. We embed physiatrists (PM&R) into the facilities to manage both acute recovery and complex, chronic pain. Our mission is to empower our providers by ensuring their clinical expertise is translated into a record that accurately 'paints the picture' of every patient's journey. Location: Lehi, UT (on-site) Reports To: RCM Director The Role: We are seeking a subject matter expert who thrives on the 'nitty-gritty' of high-volume coding but has the vision and desire to move beyond the production line. This is a cornerstone hire to the RCM Team for an experienced, tenacious, productive coder who wants to help build the processes and team that will support our growth. This is a collaborative, builder-state role requiring a full-time presence in our Lehi, UT office Key Responsibilities:...