13 inpatient coding auditor jobs found

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Job Description Job Description Job Duties: The Outpatient Coder I assesses documentation and verifies the correct ICD and CPT codes to patient medical records, monitors records for timely coding turnaround, maintains coding and documentation quality standards, and performs audits to support data quality and medical necessity. Qualifications: High School Diploma or equivalent; completion of additional post-secondary health-related program preferred. E&M experience preferred, CPC Apprentice preferred. 2-3 years preferred. Shift Schedule: Full-Time; Monday-Friday, 8:00AM - 4:30PM or 8:30AM - 5:00PM Flexible scheduling available. Remote work may be an option following the training period and successful demonstration of coding competencies. Benefits: Medical | Dental | Vision Flexible Spending | Health Savings Basic Life and AD&D Insurance (paid by BCH) Supplemental Life and AD&D Insurance Disability Insurance...

Memorial Community Hospital & Health System, located in Blair, NE, is seeking an experienced and detail-oriented Certified Medical Coding Specialist join our Revenue Cycle team. This position plays a critical role in ensuring accurate coding, billing compliance, and quality reporting for both inpatient and outpatient services. This is a hybrid position requiring regular onsite attendance for collaboration, training, meetings, audits, and operational needs, while allowing remote work on approved days. Candidates must be willing and able to work both in the office and from a home-based workspace as scheduled. At MCH, we are more than just a hospital—we are a community dedicated to healing, nurturing, and promoting wellness. What You’ll Do The Certified Medical Coder is responsible for reviewing clinical documentation, assigning accurate ICD-10-CM, ICD-10-PCS, HCPCS, and CPT codes, and ensuring compliance with federal regulations, payer requirements, and coding guidelines. The...

Description ENT Specialties, P.C. is a privately owned practice that has been providing comprehensive ENT services to all ages since 1991. As the largest Otolaryngology practice in Lincoln, we have a dedicated group of physicians, physician assistants, audiologists, nurses and staff that excel in providing the highest quality care with a compassionate touch. Position Overview The Certified Coder is a vital member of our team, responsible for accurately translating medical documentation into standardized codes for diagnoses, procedures, and services rendered. This role is particularly focused on coding activities within clinic and Ambulatory Surgery Center (ASC) settings. The Certified Coder ensures compliance with current coding guidelines/regulations and aids in the resolution of claim denials. The ideal candidate is an experienced professional with a keen eye for detail, a firm grasp of surgical coding guidelines, and a commitment to continuous learning and improvement. Key...

Humana Inc. in Lincoln, NE is seeking a Senior Medical Coding Professional, Inpatient to support payment integrity by reviewing inpatient claims, applying ICD-10-CM/PCS guidelines, and DRG logic. You will report to the Manager, Payment Integrity and collaborate with clinical reviewers and data analysts. This role emphasizes accuracy, audits, and education to improve reimbursement while protecting PHI. #J-18808-Ljbffr

Job Summary Location: Methodist Corporate Office Address: 825 S 169th St., Omaha, NE Work Schedule: Mon - Fri, full-time, flexible 8-hour daytime shifts Codes professional charges for surgical procedures for inpatient and outpatient services, including correct CPT, ICD-10-CM, and modifiers in accordance with medical policies and guidelines. Responsibilities Assigns ICD-10-CM diagnosis, CPT procedure codes, and HCPCS device codes as necessary to outpatient records to ensure maximum reimbursement, utilizing ICD-10-CM and CPT principles of code assignment and UHDDS definitions of principal and secondary diagnosis. Accuracy rate of at least 95% Enters ICD-10-CM diagnosis code(s) and CPT procedure code(s) into the code summary to maintain disease and operation index, allowing timely submission of claims to insurance companies by assigning correct diagnosis and procedure codes and the reason for the encounter per department procedure. Accuracy rate of at least 95% Reviews CPT...

## Certified Surgical CoderApplylocations: Methodist Corporate Office - Omaha, NEtime type: Full timeposted on: Posted Todayjob requisition id: JR115202**Why work for Nebraska Methodist Health System?** At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.**Job Summary:**Location: Methodist Corporate Office Address: 825 S 169th St. - Omaha, NE Work...

Memorial Community Hospital & Health System in Blair, NE, seeks an experienced Certified Medical Coding Specialist to join our Revenue Cycle team. This hybrid role requires onsite collaboration with remote work on approved days. The position focuses on accurate ICD-10-CM/PCS, CPT, and HCPCS coding for inpatient and outpatient encounters, audits, education, and ensuring compliance with payer requirements and HIPAA standards. #J-18808-Ljbffr

Hello, We Are ruralMED! Join our mission of supporting rural healthcare through collaboration focused on strategically tailored services, effective leadership, and industry-specific expertise. How This Role Makes an Impact: Support rural healthcare facilities to achieve excellence and thrive in ever-changing landscapes Work alongside a team of dedicated and driven experts passionate about supporting rural healthcare with revenue cycle expertise Apply problem-solving and critical thinking skills in the development of processes and workflows, enhancing efficiency and accuracy Ensure facilities achieve accurate and compliant coding, providing the highest quality of care to patients and communities What It’s Like Working at ruralMED: Elite and highly skilled professionals driven by delivering superior results, always striving for new levels of excellence Flexibility and autonomy with a company that understands the true value and benefits of work-life balance Personal and...

Lexington Regional Health Center Title: Medical Coder Effective Date: October 29, 2021 Supervisor: Director of Health Information Management Department: Health Information Management FLSA Status: Non-Exempt Principle duties and responsibilities Review medical records to assign accurate diagnostic and procedure codes to patient records, which will play a key role in determining reimbursement and adherence to coding compliance regulations and corporate policies developed to ensure accurate billing. Responsible for coding specific areas of the organization as assigned. May have the potential to transition to a work from home position based on the needs of the organization after on- site orientation and training has been established. Use of encoder software to assign appropriate CPT and ICD-10-CM/PCS codes. Collaborate with the various departments to ensure proper charging and billing for maximum reimbursement. Interact with providers regarding documentation...

Job DescriptionJob DescriptionJefferson Community Health & Life is looking for a Certified Coder to work full-time.This is NOT a REMOTE position.Hours :M through Friday 8am - 4 :30pmNo weekends and no holidays.POSITION SUMMARY :The Clinic Coder is responsible for reviewing, analyzing, and accurately coding patient medical records to support timely and compliant billing.This includes assigning appropriate ICD-10, CPT, and HCPCS codes for diagnoses, procedures, and services while ensuring adherence to legal, regulatory, and medical standards.The role supports revenue cycle accuracy, internal audits, and quality assurance initiatives within the clinic.QUALIFICATIONS :High school diploma or GEDCertified Professional Coder (CPC or CPC-A), preferred, or willingness to obtain certification.Knowledgeable of medical terminology, anatomy and physiology preferred.Experience with ICD-10, CPT and HCPCS coding preferred.Understanding of health insurance and billing practices...