29 inpatient coding auditor jobs found

Datavant is the data collaboration platform trusted for healthcare. Our mission is to make the world’s health data secure, accessible, and actionable, offering essential data solutions for a diverse array of healthcare entities, including providers, health plans, researchers, and life sciences companies. Whether fulfilling a single patient's request for their medical records or energizing the AI revolution in healthcare, our team at Datavant is dedicated to reshaping the future of health data connectivity and utilization. By joining Datavant, you will be part of a dynamic and collaborative team that is passionate about creating meaningful change in the healthcare landscape. As an Inpatient Coding Auditor, your expertise will be crucial in addressing various consulting and educational needs pertaining to coding quality, compliance assessments, external payer reviews, and coding education. This fully remote role offers you the flexibility to contribute to healthcare...

Join Datavant and be a part of our mission to transform healthcare through our innovative data collaboration platform. We provide essential solutions to a wide range of organizations within the healthcare ecosystem, including providers, health plans, researchers, and life sciences companies. Our team's dedication to enhancing data connectivity is paving the way for improved health outcomes. As an Inpatient Auditor Specialist, you will have a vital role in supporting our consulting and educational efforts related to coding quality, compliance assessments, and coding workflow operations. Your insights will exceed customer expectations while addressing and resolving their challenges. This is a fully remote position with a flexible schedule, allowing you to shape the future of healthcare from the comfort of your workspace! Key Responsibilities: Conduct comprehensive inpatient facility coding audits according to the specified scope of work, onboarding, focused reviews, service...

A leading healthcare company is seeking an experienced Inpatient Medical Coding Auditor to work remotely. The role involves reviewing inpatient hospital claims for accuracy, ensuring proper reimbursement, and contributing to overall cost reduction through meticulous analysis and correct coding practices. Candidates should have RHIA/RHIT or CCS certification, experience in coding/auditing, and a strong attention to detail. This position offers competitive benefits and a compensation range of $71,100 - $97,800 per year, with potential bonuses based on performance. #J-18808-Ljbffr

A leading healthcare data firm is seeking an Inpatient Auditing Specialist to perform coding audits and provide education on coding quality. This fully remote role offers flexibility and requires over 5 years of experience in inpatient coding or auditing. Success will depend on maintaining regulatory knowledge and a high accuracy rate. The firm emphasizes a collaborative work culture and provides essential equipment and training for its employees. #J-18808-Ljbffr

Become a part of our caring community and help us put health first 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. 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...

Job Description Job Description PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity team in a professional coding auditor role . RESPONSIBILITIES: Responsible for the accurate review of PYA clients’professional fee coding per industry coding audit standards, support of the management team with project management tasks, support of the verbal and written reporting to the client, and conducting provider coding and documentation education ( generally, conducted remotely ). Coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including...

Coding Auditor Are you driven by precision and committed to maintaining excellence in clinical coding? The Professional and Ancillary Audit Department at BCBST is seeking a skilled Coding Auditor to join our team in conducting comprehensive claims payment quality reviews and clinical coding compliance audits. In this role, you'll play a key part in identifying improvement opportunities and ensuring our processes consistently meet the highest industry standards. The ideal candidate will have a Bachelor's degree or equivalent experience, along with a minimum of two years of professional or facility inpatient/outpatient coding and auditing experience. An active AHIMA or CPC certification is required, or the ability to obtain CPC within one year of hire. Experience with Facets is a plus. We are looking for a candidate who is excited and interested in leveraging Enterprise-AI approved tools in their daily work. Join us in helping elevate healthcare quality and compliance! Job...

Job Description Job Description PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity team in a professional coding auditor role . RESPONSIBILITIES: Responsible for the accurate review of PYA clients’professional fee coding per industry coding audit standards, support of the management team with project management tasks, support of the verbal and written reporting to the client, and conducting provider coding and documentation education ( generally, conducted remotely ). Coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including...

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:...

Overview Coding Educator, Clinical Document Integrity Full Time, 80 Hours Per Pay Period, Day Shift Must be located in East TN. Remote with onsite requirements.. Covenant Medical Group is Covenant Health’s employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology. Position Summary: Provides consulting services to the organization’s management and staff and may coordinate requested coding investigations. Responsible for education and training for all Covenant coders, CDI, and/or physician...

Are you driven by precision and committed to maintaining excellence in clinical coding? The Professional and Ancillary Audit Department at BCBST is seeking a skilled Coding Auditor to join our team in conducting comprehensive claims payment quality reviews and clinical coding compliance audits. In this role, you'll play a key part in identifying improvement opportunities and ensuring our processes consistently meet the highest industry standards. The ideal candidate will have a Bachelor's degree or equivalent experience, along with a minimum of two years of professional or facility inpatient/outpatient coding and auditing experience. An active AHIMA or CPC certification is required, or the ability to obtain CPC within one year of hire. Experience with Facets is a plus. We are looking for a candidate who is excited and interested in leveraging Enterprise-AI approved tools in their daily work. Join us in helping elevate healthcare quality and compliance! Job Responsibilities...

Company: Allegheny Health Network Job Description: GENERAL OVERVIEW: Join our dynamic team as a Coding Auditor Instructor, where you will play a critical role in ensuring the accuracy and compliance of coding, billing, and medical documentation. You will conduct comprehensive audits on medical records relating to DRGs, APCs, CPTs, and HCPCS Level II codes. Your expertise will help us optimize reimbursement strategies and improve data quality while adhering to regulatory requirements. ESSENTIAL RESPONSIBILITIES: Lead audits and assess the documentation, coding, and billing practices across various AHN entities. Develop and implement training programs tailored to address deficiencies discovered during audits, ensuring compliance with regulatory standards. Work closely with management on external audit findings and participate in strategic discussions to resolve issues. (20%) Create detailed audit reports to highlight coding, documentation, and financial...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching...

Location :RemoteSalary :$85,000depending on experienceSkills :Auditing, Inpatient Coding, DRG Validation, Quality ReviewAbout the Company / Opportunity :Are you passionate about upholding quality standards in health information management and coding practices? Our client, an industry leader in the hospitals and health care sector, provides nationwide revenue cycle services to a vast network of hospitals and physician practices.This remote opportunity allows you to leverage your expertise in coding quality review, ensuring compliance with national guidelines and maintaining data integrity.Join a mission-driven organization focused on supporting patient outcomes and enhancing health care delivery through excellence in coding quality.Responsibilities :Lead, coordinate, and perform all functions of quality review for inpatient and outpatient coding across multiple facilities.Conduct routine, pre-bill, policy-driven, and incentive plan-driven coding quality audits to ensure compliance...

Job Description Job Description Salary: DOE Reading and transcribing patient charts. Turning patient information into the correct codes. Submitting billing as an insurance claim. Acting as a liaison between insurers, medical offices, and patients. Handling confidential information and abiding by HIPAA laws. Conducting audits. Ensuring maximum reimbursement for services provided. Reviewing patient medical records and assigning codes to diagnoses and procedures. Submitting claims to insurance companies for reimbursement. Interpreting the type of care a patient receives and using medical coding to assign a special designation for their services. Certified Medical Coder preferred

Surgical Coder The Surgical Coder in an Ambulatory Surgery Center (ASC) is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS Level II codes to surgical and procedural services based on thorough review of patient medical records. This role ensures coding compliance with current healthcare regulations and supports timely, accurate billing and data reporting. The ideal candidate has strong knowledge of surgical procedures, anatomy, and medical terminology, and is comfortable collaborating with clinical and administrative teams. This is a non-exempt position. Key Responsibilities: Assign appropriate diagnosis and procedure codes (ICD-10-CM, CPT, HCPCS) in accordance with documentation and regulatory requirements Analyze patient medical records, operative reports, and other clinical documentation to ensure completeness and accuracy in coding. Work closely with surgeons, nurses, and billing staff to clarify documentation and resolve coding discrepancies. Follow...

Job Description: The HIM Hospital Inpatient & Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and assigns diagnostic information using ICD-10-CM/PCS and CPT codes for a complex range of acute care services for Intermountain Health. The caregiver provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 & CPT codes, DRGs, anatomy and physiology, pharmacology. The analyst also performs audits, provides feedback, and advanced training to clinical teams and physicians on ICD-10 and CPT coding best practices. Essential Functions Reviews and analyzes inpatient medical records for completeness, accuracy, and compliance for Same Day Surgery, Observation and Inpatient acute services at Intermountain Health. Performs coding at an advanced level of complexity for inpatient hospitals including governmental and/or...

OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our team is bringing together leaders to the market place to help drive OneOncology's mission and vision. Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve. Job Description: The Medical Billing Specialist is responsible for all aspects of charge capture including accurate entry of charges, timely charge posting and charge audits. The individual will need to have expertise in medical coding and insurance billing as...

Job Description Job Description About the company Steadfast Health was founded to establish a new standard of substance use disorder (SUD) care. Recognizing that traditional treatment methods often fall short of reaching patients when they're most in need, Steadfast is relentlessly focused on making low-barrier, high quality care accessible to all. We know that the journey to recovery is unique for every individual, and our patient-centered approach ensures we meet patients where they are, providing evidence-based therapies with unwavering support in a compassionate environment that fosters healing and growth. We are growing rapidly and building a dedicated team of professionals who are committed to fulfilling our mission – join us! Position Summary We are seeking our first in-seat Certified Medical Coder to help build and lead our Behavioral Health and Substance Use Disorder (SUD) coding function. The ideal candidate will bring 3–5+ years of hands-on experience coding...

Coder Analyst Specialist, Clinical Document Integrity Analyzes documentation in the medical record to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT-4 codes. Abstracts and codes procedures in conjunction with the provider to code services rendered with correct coding initiatives. Abstracts and enters data from the medical records in order to maintain a database for statistics and reporting. Assists the Billing Department in timely billing and rebilling of patient information. Responsibilities Reviews documentation in the medical record to determine ICD-10 CM and CPT-4 coding that is needed to comply with billing and reimbursement guidelines set forth by government entities. Verifies data in the medical record and accurately abstracts pertinent information for charge entry. Appropriately utilizes CPT-4 and ICD-10 current procedural coding standards in assisting the provider with proper selection and assignment of the principal...

Discover Vanderbilt University Medical Center Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled. Job Summary Applies specialized skills and training independently to evaluate and advise whether professional, outpatient and inpatient hospital documentation meets applicable standards for coverage, accuracy, and completeness as well as coding and general compliance, with the goals of identifying and preventing compliance risk and providing timely and effective education and remediation. Provides hands-on training and day-to-day productivity and...

Overview Coder Analyst Specialist, Clinical Document Integrity Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health’s employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology. Position Summary: Analyzes documentation in the medical record to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT-4 codes. Abstracts and codes procedures in conjunction with the provider to code services rendered with correct coding...

Position Summary: The Surgical Coder in an Ambulatory Surgery Center (ASC) is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS Level II codes to surgical and procedural services based on thorough review of patient medical records. This role ensures coding compliance with current healthcare regulations and supports timely, accurate billing and data reporting. The ideal candidate has strong knowledge of surgical procedures, anatomy, and medical terminology, and is comfortable collaborating with clinical and administrative teams. This is a non-exempt position. Key Responsibilities: Assign appropriate diagnosis and procedure codes (ICD-10-CM, CPT, HCPCS) in accordance with documentation and regulatory requirements Analyze patient medical records, operative reports, and other clinical documentation to ensure completeness and accuracy in coding. Work closely with surgeons, nurses, and billing staff to clarify documentation and resolve coding...

Join Datavant, the trusted data collaboration platform for healthcare. Our mission is to make health data secure, accessible, and actionable. We provide vital data solutions for healthcare providers, health plans, researchers, and life sciences companies. From assisting with individual patient requests to advancing AI in healthcare, our team is dedicated to shaping the future of health data. By becoming a Datavanter, you will be part of a dynamic and collaborative team committed to transformative change in the healthcare landscape. What We’re Looking For We are seeking experienced and certified inpatient coders to join our team. The ideal candidate will have exceptional attention to detail and a solid understanding of medical terminology. This fully remote position offers a flexible schedule, allowing you to influence the future of healthcare from wherever you work best! Key Responsibilities: Assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS...