12 outpatient coding compliance auditor jobs found

Onvida Health in Yuma, Arizona, is seeking a Compliance Auditor to perform proactive and reactive audits and investigations related to documentation, coding and billing for hospital and outpatient services. The role requires a High School Equivalency Diploma, 3-5 years related experience, and a Coding Certificate through AHIMA or AAPC (or the ability to obtain one within 6 months). This position is remote. #J-18808-Ljbffr

Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks Shift: Days Pay Rate Type: Annual Salary Location: Remote Listed is the base hiring salary range offered for this position. Actual salaries may vary depending on factors, including but not limited to skills and experience. The salary range listed is just one component of the total rewards/compensation package offered to candidates. Min = $68,875.27 Mid = $86,094.08 Max = $103,312.90 Summary The Compliance Auditor performs proactive and reactive internal and external audits and investigations related to documentation, coding and billing, and regulatory guidelines for hospital and outpatient services. Responsibilities Performs proactive and reactive internal and external audits and investigations for hospital and outpatient services rendered to ensure proper documentation, medical necessity, accurate coding and billing are supported. Continually monitors regulations, standards and regulatory guidelines in coding...

About Optima Medical :Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130medical providers, who care for more than 200,000 patients statewide.Our mission is to improve the quality of life throughout Arizona by helping communities Live Better, Live Longer through personalized healthcare, with a focus on preventing the nation's top leading causes of death.We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services.We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard.This position requires an initial 60-day training period at our corporate office in Scottsdale, Arizona.Upon successful completion of training, the position will transition to a fully remote role.Job Responsibilities :Audit Medical Records...

Quadris Team, LLC - A Revenue Cycle Management Group, is searching for a dynamic person to join us, working with our highly skilled Medical Coding Team to fill the role of Medical Coding Auditor & Educator.We are a 100% remote team supporting our clients across the United States! See us at.The ideal applicant will be a subject matter expert in both Facility and Profee medical coding auditing.Job Focus :The Senior Coding Auditor may be responsible for a variety of duties and obligations, depending on the client and assignment.These responsibilities may include inpatient / outpatient / professional fee facility auditing, denial management, coding, implementation specialist, job aid creation, training, and specialty coding.The position may also be responsible for management of the audit team and project management.All coding and auditing are performed within the scope of regulatory and compliance law expectations.Auditing Responsibilities :May include conducting inpatient,...

GENERAL DESCRIPTION The Medical Coding Supervisor oversees daily operations of the coding staff in the HIM Dept which includes coding, auditing, peer review, chart review, charge capture, documentation improvement and compliance. Ensures efficient and effective department operations by managing employee relations as well as guiding and coaching staff to achieve operational goals in all areas of the revenue cycle. Supervisor will develop and foster a professional working relationship with hospital leadership. Supervisor may perform administrative and financial tasks as assigned by Revenue Cycle Director. ESSENTIAL JOB DUTIES Oversight of the HIM department. Build and generate reports from the EMR. Complete accurate and timely audits to ensure compliance in all areas of the revenue cycle, including registration, coding, and billing. Monitor's patient complaints to ensure resolution on a timely basis. Maintains a good working relationship with physicians and will...

Join to apply for the Professional Billing Coder II role at Onvida Health 2 days ago Be among the first 25 applicants Join to apply for the Professional Billing Coder II role at Onvida Health Get AI-powered advice on this job and more exclusive features. Job Description Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks Job Description Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks Shift: Days Pay Rate Type: Hourly Location: Remote Listed is the base hiring salary range offered for this position. Actual salaries may vary depending on factors, including but not limited to skills and experience. The salary range listed is just one component of the total rewards/compensation package offered to candidates. Min = $22.62 Mid = $28.28 Max = $33.93 Summary The Professional Billing Coder II is an intermediate-level coding professional responsible for independently reviewing medical documentation and assigning accurate diagnostic and...

Lead Medical CoderThe Lead Medical Coder serves as a certified professional coder and assists the Medical Coding Office Manager with oversight of daily coding operations. Performs the full range of coding, assigns ICD, CPT, HCPCS, and medical inpatient codes; abstracts data from the record; performs chart analysis, research coding issues; peer reviews; and serves as a medical documentation and coding technical expert to TONHC providers.Scope of Work: This position is located within Tohono O'odham Nation Health Care (TONHC). The work involves performing specialized medical record tasks and resolving problems using established processes, coding conventions, and guidelines. Performance of duties reflects directly on patient care by recording services performed on the patient. The incumbent works independently under the general supervision of the Supervisor or designee.Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to...

Location: Tucson Employment Type: Full-Time Schedule: Monday – Friday Position Overview The Medical Biller / Coder & Credentialing Specialist will manage key functions of the revenue cycle including coding accuracy, claims processing, payer credentialing, denial management, and provider enrollment. This role works closely with providers, leadership, and clinical teams to ensure accurate billing, compliance with payer requirements, and efficient reimbursement processes. Key Responsibilities Medical Coding Review provider documentation and assign accurate ICD-10, CPT, and HCPCS codes. Ensure coding complies with payer regulations and industry guidelines. Identify documentation gaps and communicate with providers when clarification is required. Support coding compliance and documentation improvement. Claims & Billing Prepare and submit electronic claims through the practice management system. Monitor claim status and follow up on unpaid or denied claims....

Medical Coding SupervisorThe Medical Coding Supervisor oversees daily operations of the coding staff in the HIM Dept which includes coding, auditing, peer review, chart review, charge capture, documentation improvement and compliance. Ensures efficient and effective department operations by managing employee relations as well as guiding and coaching staff to achieve operational goals in all areas of the revenue cycle. Supervisor will develop and foster a professional working relationship with hospital leadership. Supervisor may perform administrative and financial tasks as assigned by Revenue Cycle Director.Essential Job DutiesOversight of the HIM department.Build and generate reports from the EMR.Complete accurate and timely audits to ensure compliance in all areas of the revenue cycle, including registration, coding, and billing.Monitor's patient complaints to ensure resolution on a timely basis.Maintains a good working relationship with physicians and will act as the liaison...

Rockstar is an industry-leading staffing company based in Arizona that helps healthcare businesses across the United States streamline operations by connecting them with skilled remote professionals. We partner with talented individuals from around the world, providing meaningful remote career opportunities that empower personal and professional growth. At Rockstar, we are committed to placing team members who not only meet our clients' operational needs but who also reflect our core values of integrity, excellence, and long-term service. Every placement is an opportunity to make a meaningful difference, for the practice, for patients, and for you. Job Description This is a remote position. Rockstar is seeking an experienced Medical Billing Specialist to support U.S.-based healthcare practices on a full-time remote basis. This is a billing-first role built for professionals who know the full revenue cycle, not just one piece of it, and who take ownership of the financial health...

Overview We are seeking an experienced Emergency Department Facility Coding Specialist to join our remote coding team. This role is responsible for reviewing emergency department medical records and accurately assigning ICD-10-CM, CPT/HCPCS, and facility Evaluation & Management (E/M) codes while ensuring compliance with payer, regulatory, and organizational requirements. The ideal candidate will have recent emergency department facility-fee coding experience, strong knowledge of injection and infusion coding, and an active coding certification through AAPC or AHIMA. Responsibilities Review emergency department medical records and assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers. Accurately assign facility E/M levels based on client-specific emergency department leveling guidelines and facility charging methodologies, including use of the ACEP leveling tool. Analyze documentation from physicians, nursing...

Inpatient/Outpatient Coder job at LaSalle Network. Phoenix, AZ. Are you a coding expert who loves diving into medical records and making sure everything’s accurate? We’re looking for a passionate Inpatient/Outpatient Coder to join our client’s team and keep their coding system running like clockwork. Whether it’s hospital stays or clinic visits, you’ll use your skills to assign ICD-10, CPT and HCPCS codes that ensure correct billing and compliance. Responsibilities Review inpatient and outpatient records to assign accurate ICD-10, CPT and HCPCS codes Ensure compliance with industry standards and regulations, including Medicare and Medicaid guidelines Collaborate with healthcare providers and clinical teams to clarify documentation and resolve coding issues Conduct regular audits to verify coding accuracy and identify any discrepancies Stay up to date on coding changes, regulations and guidelines to keep processes current Requirements 2+ years of experience coding...