12 outpatient coding auditor jobs found

***To be considered for the role, you must permanently reside in one of the following states: Alabama, Arkansas, Florida, Georgia, Kentucky, Kansas, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, South Carolina, Tennessee, Texas, Virginia, or West Virginia*** The Senior Compliance Auditor reviews complex audits, performs quality assurance reviews, acts as a peer mentor, and assists management with onboarding process of new auditors. The Senior Compliance Auditor supports the audit supervisor with the development and maintenance of the quarterly audit work plan and audit workflow processes. The Senior Compliance Auditor recommends changes to improve business operations by using professional judgement and knowledge of best practices. This position contributes to special projects, as applicable. The Senior Compliance Auditor performs documentation/chart audits on inpatient and outpatient records, and to provide analysis of the records (provider and facility)...

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: Benefits may vary based upon position type and or level. Job...

Summary This position is located in the Health Information Management (HIM) section at the Central Virginia Health Care System, Fredericksburg Virginia. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Responsibilities Total Rewards of a Allied Health Professional Outpatient MRTs (Coder) at this level perform the full scope of outpatient coding including ambulatory surgical cases, diagnostic studies and procedures, outpatient encounters, and/or inpatient professional services. Specific Functions: Assigns codes to documented patient care encounters (outpatient and/or inpatient professional services) covering the full range of health care services provided by the VAMC. Patient encounters are often complicated and complex requiring extensive coding expertise. Applies advanced knowledge of medical...

Position: Medical Coding Specialist (Outpatient) Location: Falls Church, VA (Hybrid-3 days onsite) Duration: Long Term(03/24/2026 - 09/23/2026 with 960 hours in total and with further extensions) Job Description: • We are seeking a certified and experienced Medical Coding Specialist (Outpatient) to support Client- Patient Administration Division (PAD) initiatives. The ideal candidate will have strong expertise in outpatient coding, auditing, and compliance within Military Health System (MHS) and MHS GENESIS environments, ensuring accurate and timely coding aligned with DoD standards. Responsibilities: • Perform accurate Outpatient Medical Coding using ICD-10-CM, CPT, and HCPCS in compliance with Client and DoD guidelines • Conduct Coding Audits and Quality Reviews to ensure accuracy, completeness, and regulatory compliance • Review and analyze clinical documentation to assign appropriate diagnosis and procedure codes • Work within MHS (Military Health Systems) and...

USA Government Jobs - - Responsibilities: Perform outpatient medical coding using ICD-CM, CPT, and HCPCS; Review health records to abstract diagnoses and procedures; Consult with clinical staff to clarify documentation; Use encoder software to assign codes and transmit data; Ensure audit findings are corrected and refiled

Newport News, Virginia FOR APPLICATION REVIEW - PROVIDE YOUR CREDENTIAL OR AHIMA ID NUMBER ON YOUR APPLICATION OR RESUME This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA. Overview Responsible for maintaining coded data quality through ongoing quality review and assessment of outpatient or inpatient records. Performs audits on accuracy of APC or MSDRGs as well as on quality of medical record documentation needed for accurate coding. Works with DRG and CPT denials from commercial payers and writes appeal letters as indicated. What you will do Ensures coding compliance. Applies all coding guidelines and principles as defined in the Coding Clinic and leading authorities. Complies with standardized coding standards, conventions and regulations, corporate compliance standards and reimbursement policies. Identifies training needs and provides education to team members. May teach...

Under the direction of the Health Information Management Director, the Outpatient Coder I accurately determines ICD-10-CM diagnosis, ICD-10-CM, CPT and HCPCS procedure codes for all outpatient medical records, which may include Emergency Department (ED), outpatient laboratory, diagnostic imaging, minor outpatient procedures, infusion and injections, outpatient labor and delivery, recurring accounts and observation stays. POSITION RESPONSIBILITIES Abstract pertinent information from patient records within various outpatient types and assign appropriate ICD-10-CM, ICD-10 PCS, and HCPCS codes, creating ambulatory payment classifications (APC). Monitor and manage the discharged not final billed (DNFB) accounts within assigned patient types daily to meet financial goals and expectations. Meet coding productivity standards and accuracy rates as determined by company policy. Query clinical staff to achieve accuracy in coding. Educate, train and communicate with medical staff...

Starts out onsite, then transitions to REMOTE 4 days/week. Job Summary: Required Services provide single path medical coding services and related medical records functions. Single path coding combines facility coding and professional coding and allows one coder to code facility and professional codes for the same patient utilizing a single coding platform. perform technically complex professional services coding for medical conditions and assign the correct International Classification of Diseases, ICD-10-CM, Procedure Coding System (PCS) Current Procedural Terminology (CPT), Health Care Financing Administration Common Procedure Coding System (HCPCS), and Evaluation and Management (E&M) codes for diagnosis, acuity of care and procedures for a wide range of medical specialties to include coding of complicated cases identified as difficult to classify such as treatment of burn injuries, combat related injuries, orthopedic surgery, cardiothoracic surgery, interventional...

*TekSystems is currently hiring for several AR Medical Billers in the Chesapeake, VA Area!* *MUST HAVE: 1-3 years of medical AR follow up experience, must have medical billing experience. Prefers EPIC experience!* *Description* Day to day responsibilities: Work out of EPIC work ques or an "ATB report" which is an Aged Trial Balance report to hit aged accounts more quickly (once aged accounts are achieved they will go back to work ques) Work high dollar accounts first, work down from there- organizing their report They will sort by age of claims first and work accounts from oldest to newest Go through the accounts to see what is paid, what is denied and then start working from there Working denials If they need a medical records request they will request it from medical records and then load it onto the provider portal Reaching out to insurance companies to figure out why there are denied claims Getting with the patients to update coordination of benefits Anything that...

Coder RMG (Labor Pool) page is loaded## Coder RMG (Labor Pool)remote type: Remotelocations: Newport Square Professional Center - Newport News, Virginiatime type: Part timeposted on: Posted Todayjob requisition id: 2026-034308Newport News, Virginia**FOR APPLICATION REVIEW - PROVIDE YOUR AAPC CERTIFICATION NUMBER ON YOUR APPLICATION OR RESUME*****This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA.*****Hours:** Labor Pool (as needed)**Overview** Ensures high quality documentation that is thorough, accurate and complete to ensure correct reimbursement capture. Assigns diagnostic and procedure codes to simple record types up to highly complex record types. Contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules and regulations. **What you will do*** Organizes and prioritizes...

Job Description - Coder II (7454-1498) Wythe County Community Hospital POSITION SUMMARY Under the direction of the Health Information Management Director, the coder II accurately determines ICD-10-CM diagnosis, and ICD-10-CM, CPT and HCPCS procedure codes for all patient types to include inpatient, observation, surgical day care, Emergency Department (ED) outpatient and recurring patients. POSITION RESPONSIBILITIES Abstract pertinent information from patient records within various inpatient and outpatient types. Assign International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) / International Classification of Diseases, Tenth Revision, Clinical Modification Procedural Coding System (ICD-10 PCS) codes or Healthcare Current Procedural Coding System (HCPCS) codes, creating ambulatory payment classification (APC) or diagnosis related group (DRG). Monitor and manage the discharged not final billed (DNFB) accounts within assigned patient types daily...

City / StateNorfolk, VAWork ShiftFirst (Days)Overview :Claims Resolution Coder- RemoteResponsible for reviewing medical documentation to assign modifiers to insurance claims with issues identified by the National Correct Coding Initiative (NCCI), Medicare Outpatient Code Editor (OCE),or other third party payer specific claims processing guidelines.Works with Coding, Billing and Reimbursement staff to resolve edits.Is additionally responsible for trending errors, supporting identification of root causes, and effective communication with coding and training staff to improve coding accuracy and clean claims processing.Researches regulations to ensure accuracy of CPT codes and documentation.Associates degree in Health Information Technology or Medical Billing preferred.2 years direct application of coding, medical billing or reimbursement in health care setting, hospital or physician office required.CPC or CCS coding certification required at time of hire.Thorough knowledge of lab,...