16 hcc auditor coder jobs found

Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities: Enhances and maintains coding knowledge and skills. Reviews all appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.Reviews medical record documentation to determine all appropriate diagnosis (including HCC Coding Hierarchical Condition Category), procedural...

Cardiology Coding Specialist Use your Cardiology coding expertise to support accurate billing, compliance, and strong revenue cycle performance in a fully remote environment. Work Style: Remote Location Requirement: Must reside in an approved state (FL, GA, MO, PA, SC, NC, TN, or TX) FTE: Full-Time (1.0 FTE) Schedule: Days Reviews and analyzes medical records to assign accurate diagnostic and procedural codes in compliance with established coding guidelines and organizational policies. Collaborates with healthcare providers to clarify documentation, resolve coding discrepancies, and ensure the integrity of coded data for billing and reporting purposes. Maintains current knowledge of coding standards, including ICD, CPT, and HCPCS, and supports the billing process by providing precise coding for claims submission. Participates in auditing activities, supports staff training on coding procedures, and monitors productivity and quality metrics to drive continuous improvement....

Hcc Coder PedIM Healthcare is seeking an experienced HCC Coder to join our growing value-based care team. This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance with CMS guidelines while supporting high-quality patient outcomes. The HCC Coder will be responsible for reviewing medical records, identifying appropriate HCC diagnoses, ensuring documentation integrity, and collaborating closely with providers and clinical teams to optimize RAF scores and coding accuracy. What We Offer Competitive compensation based on experience discussed during interview In-house or remote flexibility Team-oriented, value-driven environment Opportunity to directly impact patient outcomes and organizational performance Long-term growth within a value-based care organization Key Responsibilities Conduct pre-visit and chart reviews to identify known and suspected RAF/HCC conditions prior to patient appointments Conduct post-visit...

Certified Coder – The Villages Citrus Cardiology Consultants is looking for a Coder for our offices in The Villages . This position is responsible for coding clinic and/or hospital charges for maximum billing. Duties Code charges received from physicians, accessing hospital portals for patient records in order to verify accurate billing Ensure patient record documentation meets requirements for selected codes. Work with Denials Department to identify patterns of omission, errors, or other documentation issues, and notify Administration in order to reduce future similar occurrences. Code hospital consults, follow ups and diagnostic testing. Code diagnostic testing performed in clinic as necessary. Seek out and identify any billing errors or omissions on a daily basis. Audit charts and works with the Medical Record Department to ensure accuracy in documentation (diagnosis, indication on reports, Physician signatures) including clinic office notes, hospital records, and...

A healthcare provider in The Villages, FL, is seeking a Certified Coder to manage coding for clinic and hospital charges. The role requires coding skills, experience in cardiology, and the ability to audit patient records for accuracy. The ideal candidate should have 3 to 5 years of relevant experience and prior supervisory roles. The position emphasizes precise documentation to ensure maximum billing and reduce errors. #J-18808-Ljbffr

Job Description Job Description This is not a remote position. This position is on Site. Become a part of our caring community As Certified Medical Coder you will be accountable for timely, accurately coding and filing claims to minimize the number of claim rejections and denials. Location : CenterWell Senior Primary Care office address: Multiple locations, The Villages, FL  Certified Medical Coder Role Overview: Review medical records, provider notes, dictation and other documentation and compare to the actual codes selected by the provider.  In accordance with correct coding guidelines, correct codes and notify provider as needed. Utilize ICD9/ICD10 to code diagnosis and determine principal and significant secondary diagnoses.  Utilize CPT/HPCS to assign and sequence all codes for services rendered. Provide education and teaching to providers and clinical assistants as needed related to properly coding encounters (CPT, ICD-10 and HCC) and compliance with...

OverviewTalent Sourcing Specialist at Memorial Healthcare SystemSummaryReviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing, and compliance.ResponsibilitiesReviews encounters to assign and sequence appropriate diagnoses (including HCC Coding Hierarchical Condition Category) and CPT procedure codes as well as modifiers to complex diagnostic and surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures.Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.Create electronic physicians queries within allowed scope for hospital outpatient coder.Reviews all appropriate work queues daily to address edits and make corrections following Health Information Management (HIM)...

Summary :Reviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing, and compliance.Responsibilities :Reviews encounters to assign and sequence appropriate diagnoses (including HCC Coding Hierarchical Condition Category) and CPT procedure codes as well as modifiers to complex diagnostic and surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures.Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.Create electronic physicians queries within allowed scope for hospital outpatient coder.Reviews all appropriate work queues daily to address edits and make corrections following Health Information Management (HIM) coding policies and procedures.Conducts, audits and / or...

Job Title Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Job Description Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities Enhances and maintains coding knowledge and skills. Reviews all appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding. Reviews medical record documentation to determine all appropriate diagnosis (including HCC Coding Hierarchical Condition Category),...

Coding SpecialistAt Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care.An unwavering commitment to our service vision is what makes the difference.It is the foundation of The Memorial Experience.Reviews medical record documentation.May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas / record types to ensure proper billing and compliance.For physician billing, collaborates with billing department to ensure all bills are satisfied.For hospital, routes to billing charge entry errors and / or account edits preventing completion of coding and / or billing.Makes appropriate coding corrections, when advised, and follows procedure to notify billing.Enhances and maintains coding knowledge and skills.Reviews all appropriate work queues daily to address edits and makes corrections following procedures and processes.Seeks...

Job Description Job Description Porter is hiring a Risk Adjustment Coder to join our Team!   Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience.    Position Overview We are seeking a certified coder with expertise in risk adjustment coding and...

Porter is hiring a Risk Adjustment Coder to join our Team! Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter's Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member's specific needs, and directs Porter's team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience. Position Overview We are seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home health...

Description Welcome to Pathways Health Partners, the Accountable Care Organization (ACO) that's leading the charge in helping independent providers transition to Value-Based Care. What We Do: Medicare REACH ACO: We're at the forefront of Medicare innovation. Medicare Advantage MSO: Providing top-notch services to our Medicare Advantage patients. Commercial MSO: Managing care for approximately 16,000 patients across North-West/Central Florida. Where We Operate: From The Villages to St. Petersburg, and across to Mount Dora, we've got you covered! Our Services: Hospital Medicine Group: Delivering exceptional care in hospitals. Affiliated Medical Practices: Managing several top-tier medical practices. Insurance Agency: Offering comprehensive insurance solutions. Join us on our journey to better health and value-based care! Job Summary The HCC Risk Coder plays a vital role in coordinating and supporting retrospective and concurrent chart reviews while...

Job Description Job Description Remote Medical Coder Location: remote, Florida Compensation: $21-26/hr., commensurate with experience and qualifications Our Story : Physician Care Centers (PCC) is a growing healthcare MSO with 70+ value-based primary care clinics serving patients across Florida, Texas, Georgia, South Carolina, and Nevada. With a team of 500+ professionals, we’re committed to delivering exceptional care and improving patient outcomes. The Role: We’re seeking a Medical Coder to ensure accurate, compliant coding that supports revenue integrity and risk adjustment performance. Under the supervision of the Revenue Cycle Manager, you’ll review provider encounters, ensure accurate E/M, CPT, and HCC capture, as well as collaborate with clinical teams and support documentation improvement. What You’ll Do: Review and accurately code all provider encounters (office visits, procedures, preventive care, chronic condition management). Ensure...

Certified Medical Coder This is not a remote position. This position is on site. Become a part of our caring community. As Certified Medical Coder you will be accountable for timely, accurately coding and filing claims to minimize the number of claim rejections and denials. Location: CenterWell Senior Primary Care office address: Multiple locations, The Villages, FL Certified Medical Coder Role Overview: Review medical records, provider notes, dictation and other documentation and compare to the actual codes selected by the provider. In accordance with correct coding guidelines, correct codes and notify provider as needed. Utilize ICD9/ICD10 to code diagnosis and determine principal and significant secondary diagnoses. Utilize CPT/HPCS to assign and sequence all codes for services rendered. Provide education and teaching to providers and clinical assistants as needed related to properly coding encounters (CPT, ICD-10 and HCC) and compliance with medical record...

Location: 700 West Main Street, Leesburg, FL, 34748, United States Employee Type: FT Non-Exempt Required Degree: High school Manages Others: No Contact information Name: HR Phone: 352-600-5017 Welcome to Pathways Health Partners, the Accountable Care Organization (ACO) that's leading the charge in helping independent providers transition to Value-Based Care. What We Do: Medicare REACH ACO: We're at the forefront of Medicare innovation. Medicare Advantage MSO: Providing top-notch services to our Medicare Advantage patients. Commercial MSO: Managing care for approximately 16,000 patients across North-West/Central Florida. Where We Operate: From The Villages to St. Petersburg, and across to Mount Dora, we've got you covered! Our Services: Hospital Medicine Group: Delivering exceptional care in hospitals. Affiliated Medical Practices: Managing several top-tier medical practices. Insurance Agency: Offering comprehensive insurance solutions. Join us on our journey to...