24 outpatient coding auditor jobs found

Outpatient Coding Auditor Join UASI today and work with the top HIM experts in the industry! We are currently seeking an experienced Facility Outpatient Coding Auditor to join our team working remotely from a home office. Responsibilities include: Performs coding quality audits and reviews on a variety of facility outpatient records including but not limited to: same day surgery, observations and ED Provides feedback and education to coding staff 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 Assists in developing educational training content and materials for coding staff Presents educational seminars to clients and staff Work with other members of the Consulting Division on Senior Level Projects such as assessment and analysis, development of tools to assist in the audit process, develop coding test material for applicants and develop coding content...

A healthcare organization is seeking an experienced Facility Outpatient Coding Auditor to join their remote team on a PRN basis. Responsibilities include performing coding quality audits, providing feedback and education to staff, and extracting clinical information for coding. Candidates should possess AHIMA or AAPC certification and have 2-3 years of experience in facility outpatient audits. This position offers opportunities for professional growth in a dynamic work environment with competitive pay. #J-18808-Ljbffr

Overview Join Our Award-Winning Team and Work with the Best! We are excited to share that UASI has been recognized as a Top Workplace by the Cincinnati Enquirer in 2022, 2023 and 2024. With over 40 years of experience and enduring partnerships with our valued clients, we are proud of the stability we have built and the long-term success of our dedicated team. We are currently seeking an experienced Facility Outpatient Coding Auditor to join our team working remotely from a home office on a PRN basis. Responsibilities Performs coding quality audits and reviews on a variety of facility outpatient records including but not limited to: Same Day Surgery, Observations, ED and Infusions/Injections Provides feedback and education to coding staff 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 Assists in developing educational training content and materials for...

Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and...

Position Physician Practice E&M Auditor Educator, MCVI Administration, FT, 8A-4:30P About Baptist Health Baptist Health is the region’s largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami‑Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith‑based mission of medical excellence. For 25 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, and in the 2024‑2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high‑performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues...

A healthcare provider in New York is seeking a Medical Coder and Auditor to perform coding audits and ensure accuracy in billing. The ideal candidate should have a CPC certification and at least two years of outpatient coding experience. Benefits include flexible schedules, competitive hourly rates, and comprehensive health benefits. This position is full-time with a commitment to community health and professional development. #J-18808-Ljbffr

Description Nym empowers healthcare providers with AI-based solutions that simplify healthcare administration and optimize revenue cycle management processes. Our innovative technology understands clinical language and transforms medical records into clear, actionable information. By fully automating medical coding, Nym improves operational efficiency, optimizes financial performance, and reduces administrative burdens, ultimately enabling providers to focus more time on patient care. Our AI-powered coding engine supports six specialties: emergency medicine, radiology, outpatient surgery, outpatient visits, inpatient services, and urgent care. At Nym, the future is bright. Our engine currently processes over six million charts annually in more than 300 healthcare facilities across the US, enabling clinical and administrative teams to spend more time on patient care. We are backed by top-tier VCs and growing rapidly, with offices in New York City and Tel Aviv. Join us!...

Medical Coder and Auditor - Family Care Practice Full-Time Monday - Friday Flexible Schedule $22.00 - $28.00 per hour (depending on experience) Medical Coder and Auditor Benefits: Generous paid time-off that increases with years of service 8 paid holidays per year Closed on major holidays Free onsite parking Health, dental and vision benefits availablewith coverage effective the first of the month following date of hire Full complement of voluntary benefits $1,000 annual employer HSA contribution for employeesenrolled in CNYFC high deductible health plan Free office visits with NP or PA employees who are patients of the practice and enrolled in CNYFC high deductible health plan Waiver program for health benefits ($3,000 annually) 401K after six months with up to 7% combined employer match and annual discretionary profit-sharing contribution Annual performance review, performance-based merit increase CNY Family Care's commitment to excellence sets us apart and guides us as we...

Job TypePart-timeDescriptionRequired :3-5 years of experience in acute care facility (hospital) medical coding auditing or complianceLocation :RemoteJob Summary :The Medical Coding Auditor is responsible for reviewing medical records to ensure accurate coding and compliance with regulatory requirements.This role ensures continuous quality improvement in coding practices while maintaining compliance with healthcare laws and organizational policies.Occasional travel may be required for audits or meetings.Key Responsibilities :Conduct reviews and audits of medical records for coding accuracy (ICD-10-CM, CPT, HCPCS) and documentation compliance.Ensure compliance with federal, state, and payer-specific regulations, including CMS guidelines.Identify and address coding discrepancies and recommend corrective actions.Prepare detailed audit reports with findings and provide feedback on documentation and coding practices.Collaborate with relevant departments to resolve audit findings and...

Description Responsible for accurate coding and billing of provider office, inpatient and outpatient charges to ensure coding and billing compliance is maintained. Maintains an extensive knowledge of CPT Procedural Coding, ICD-10 Diagnosis Coding and HCPCS Level II coding along with Evaluation and Management (E&M) documentation requirements. DUTIES & RESPONSIBILITIES Responsible for reviewing and submitting charges from the coding workqueues (WQ). Manually enters off-premise charges in Charge Review. If applicable, manually enters in-house charges for certain Specialty areas as designated. Ability to code for many different Specialties as assigned. Provides cross-coverage in the department as needed and directed by the Coding and Compliance Manager /Data Collection Team Leader. If indicated, arrives the Surgery Schedule on a daily basis using the DAR function. Checks each patient in to create the visit number. Reviews and processes re-submits. Works closely with the...

Job Type Full-time Description JOB SUMMARY: Responsible for accurate coding and billing of provider office, inpatient and outpatient charges to ensure coding and billing compliance is maintained. Maintains an extensive knowledge of CPT Procedural Coding, ICD-10 Diagnosis Coding and HCPCS Level II coding along with Evaluation and Management (E&M) documentation requirements. DUTIES & RESPONSIBILITIES: Responsible for reviewing and submitting charges from the coding workqueues (WQ). Manually enters off-premise charges in Charge Review. If applicable, manually enters in-house charges for certain Specialty areas as designated. Ability to code for many different Specialties as assigned. Provides cross-coverage in the department as needed and directed by the Coding and Compliance Manager /Data Collection Team Leader. If indicated, arrives the Surgery Schedule on a daily basis using the DAR function. Checks each patient in to create the visit number....

Medical Record Coder 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. 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. Reviews medical record documentation to determine all appropriate diagnosis (including HCC Coding Hierarchical Condition Category), procedural and modifier code assignments. For hospital coding, reviews medical record documentation (i.e., provider orders); may code outpatient diagnostic and therapeutic encounters requiring minimal procedural coding. Submits daily productivity report to HIM manager by defined deadline. Meets and maintains HIM coding quality and...

Medical Coder Integrated Management Strategies (IMS) is an award-winning, fast-growing woman-owned small business in the Washington DC area, specializing in healthcare, technology, and management consulting. We are seeking an experienced Medical Coder to join our healthcare consulting practice. The role is fully remote within the US, with infrequent travel to client locations for onboarding and training. We are proud of our national presence, and excited to offer great career opportunities within the organization. What you'll do: Accurately assign ICD-10 CM, E/M, ICD-10 PCS, CPT, HCPCS, modifiers and units based on documentation. Adhere to systems and standards required in multi-specialty medical coding encounters, including Outpatient, Emergency Room, Surgery, Inpatient facilities, Inpatient Professional Rounds, and others. Process encounters within required SLA on contract with deficiencies identified escalated as necessary. Review and respond to each audit within set...

Job Description Job Description About the Position: Our busy psychiatric and wellness outpatient practice is seeking an experienced Medical Biller who specializes in mental health billing. The ideal candidate is detail-oriented, familiar with psychiatric codes and insurance processes, and comfortable managing billing for a fast-paced behavioral health environment. Key Responsibilities: Accurately post psychiatric and therapy session charges Prepare and submit electronic and paper claims to insurance companies and clearinghouses Review EOBs and resolve denied or rejected claims promptly Track unpaid claims and follow up with insurers for timely reimbursement Verify insurance benefits and eligibility for psychiatric and therapy services Communicate professionally with patients regarding balances, payment plans, and billing inquiries Conduct internal audits to ensure compliance with payer and documentation requirements Maintain confidentiality and uphold...

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from...

Ambulatory Surgery Center (ASC) Cardiology Coder MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and above all excellent customer service. MedHQ, LLC, is a 2022 Becker's Top 150 Places to Work in Healthcare company. We believe our quality of service begins with our quality of team member. We offer exceptional benefits and working environments to exceptional employees. Position Summary The Ambulatory Surgery Center (ASC) Cardiology Coder is responsible for accurately reviewing,...

**We offer flexibility with hybrid work options based on your preference.** Job Summary We are seeking a detail-oriented and experienced Medical Coder to support our Endoscopy Ambulatory Surgery Center (ASC). This position is responsible for accurate assignment of CPT, ICD-10-CM, and HCPCS Level II codes for GI endoscopic procedures, including EGD, colonoscopy, polypectomy, biopsy, and advanced endoscopic services such as EMR/ESD. The ideal candidate brings strong knowledge of GI endoscopy coding, ASC reimbursement guidelines, and payer regulations. Duties and Responsibilities Demonstrate our core values of being patient centered, team focused, service driven, accountable, and innovative every day. Review and audit physician documentation and surgical reports to accurately assign diagnosis and procedure codes for endoscopy services, including office visits, imaging, and surgical procedures. Ensuring coding practice meets federal and state guidelines,...

Job Summary The Coder is responsible for auditing medical records, including applicable diagnoses and operative/ diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS) and identifying opportunities for improvement as well as assuring compliance with coding and documentation guidelines. In addition the coder is responsible to provide education and training to providers and other agency coders based on the findings of the medical records audits. Does related work as required. Responsibilities Using the current HCPCS, ICD and CPT coding guidelines, audits medical records for coding for accuracy Identifies patterns and opportunities requiring provider education. Works with providers and office staff to educate on proper coding and documentation. Identifies service-specific/provider specific trends for...

Schedule - Shift - Hours Full Time (40 Hours) - Days The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but is not limited to: Managing the charge entry and charge reconciliation process for the assigned practice(s). Managing the Encounter Billing Exception Worklist (EBEW) and related worklists to ensure complete, timely and accurate submission of claims. Facilitating the accuracy and completeness of the practice’s codes and charges in the Service Catalog (Charge Description Master) and related encounter forms. Ensuring compliance with CPT/HCPCS and ICD-9/ICD-10 coding guidelines and government regulations, responsible for reviewing and coding from discharge data abstracts. Ensuring the practice(s) is optimizing reimbursement from third party payors by following and utilizing reimbursement guidelines. Establishing relationships with medical/dental staff, following up with providers to...

The Supervisor, Medical Coding - Outpatient is responsible for the oversight and development of the office coding department. This includes mentorship and direct management of the outpatient medical coding team. The Supervisor of Medical Coding understands the organization’s core information technology and information management competencies to bring value to business processes and quality improvement initiatives. The Supervisor interacts with internal and external customers to ensure continuous improvement efforts are being achieved and new coding practices are being implemented. This will require periodic audits of documentation and productivity reports of staff. The Supervisor is responsible for the planning, organizing, and final execution of all processes necessary to provide timely, accurate, and complete posting and billing of patient demographic and clinical coding data as well as managing and tracking results. SECTION II: EDUCATION AND EXPERIENCE REQUIREMENTS: Bachelors...

This position can be local or remote!! The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but is not limited to: Managing the charge entry and charge reconciliation process for the assigned practice(s). Managing the Encounter Billing Exception Worklist (EBEW) and related work lists to ensure complete, timely and accurate submission of claims. Facilitating the accuracy and completeness of the practice’s codes and charges in the Service Catalog (Charge Description Master) and related encounter forms. Ensuring compliance with CPT/HCPCS and ICD-10 coding guidelines and government regulations, responsible for reviewing and coding from discharge data abstracts. Ensuring the practice(s) is optimizing reimbursement from third party payors by following and utilizing reimbursement guidelines. Establishing relationships with medical/dental staff, following up with providers to ensure documentation...

Senior Hospital Coder - TSH page is loaded## Senior Hospital Coder - TSHlocations: 22 New Scotland Avenue Albany, NY 12208time type: Full timeposted on: Posted Todayjob requisition id: 67645Department/Unit:Health Information ServicesWork Shift:Day (United States of America)Salary Range:$60,367.47 - $90,551.20The Senior Hospital Coder is responsible for performing detailed coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to...

A healthcare facility in New York is seeking a Coder to audit medical records and ensure compliance with coding guidelines. The role requires three to four years of coding experience in an outpatient setting and relevant certifications. Candidates must possess strong knowledge of medical coding and terminology, along with effective communication skills. This position offers an opportunity to educate providers and improve coding accuracy. #J-18808-Ljbffr

Job Summary The Coder is responsible for auditing medical records, including applicable diagnoses and operative/ diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS) and identifying opportunities for improvement as well as assuring compliance with coding and documentation guidelines. In addition the coder is responsible to provide education and training to providers and other agency coders based on the findings of the medical records audits. Does related work as required. Responsibilities Using the current HCPCS, ICD and CPT coding guidelines, audits medical records for coding for accuracy Identifies patterns and opportunities requiring provider education. Works with providers and office staff to educate on proper coding and documentation. Identifies service-specific/provider specific trends for...