990 physician coding auditor jobs found

Position Summary Department : Patient Accounting- Physicians Status: Full Time Shift: Remote Location: Orlando, FL Title: Physician Coding Auditor Summary: The Physician Coding Auditor performs coding related audits to monitor professional coding to ensure optimal efficiency and follow the controlling compliance guidelines with governmental and private payers. The Physician Coding Auditor is responsible for analyzing Physician and Coder charges for Surgical, procedural and E/M based coding. Forbes has named Orlando Health as one of America's Best-In-State Employers. Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible, so that you can be present for your passions. "Orlando Health Is Your Best Place to Work" is not...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding for health systems, providers, and payers. MedKoder delivers accurate, efficient, and ethical coding, aiming to ensure accurate payment and financial peace for clients. With a team of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote-work flexibility, and a positive workplace culture, earning high employee satisfaction ratings and awards with Best Places to Work in Modern Healthcare and City Business Best Places to Work. Position Location: 100% Remote This is a full-time, remote position that offers a flexible schedule.  Description: Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and...

Shell Lubricants Hub Hamburg is seeking a Physician Coding Auditor and Educator for a remote, full-time position. The ideal candidate will have certification through AHIMA or AAPC and a minimum of three years’ experience in coding and auditing. Responsibilities include auditing multi-specialty professional fee charts, providing education to physicians and coders, and compiling data for presentations. The role offers a flexible schedule along with comprehensive benefit programs. #J-18808-Ljbffr

To ensure optimal coding efficiency and compliance, the full-time remote Certified Physician Coding Auditor will perform audits on professional coding, analyze physician and coder charges, and collaborate with the Education Team to identify documentation improvement opportunities. Key responsibilities Conduct internal audits of professional coding across all service lines and monitor results for inaccuracies Review medical records for coding accuracy and communicate improvement opportunities to physicians and staff Collaborate with the Physician Coding Education Team to ensure compliance with payor guidelines and coding standards Required qualifications High School diploma or equivalent CPMA certification or equivalent coding credential required, with five years of auditing experience preferred Five years of professional coding experience in multiple specialties Exceptional knowledge of official coding guidelines as per AMA, AHCA, and CMS Proficiency in Microsoft Office...

Physician Coding Auditor Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder's internal coding/auditing policies and expectations set forth by department management. The Physician Coding Auditor must prioritize daily duties, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals. Candidates should have recent auditing and education multi-specialty experience, have been client-facing, have experience presenting or educating in-person or virtually, and ideally have expert-level Epic proficiency. Responsibilities: Perform professional compliance audits of coding and documentation including surgeries,...

Physician Coding AuditorThe Physician Coding Auditor performs coding related audits to monitor professional coding to ensure optimal efficiency and follow the controlling compliance guidelines with governmental and private payers. The Physician Coding Auditor is responsible for analyzing Physician and Coder charges for Surgical, procedural and E/M based coding.Orlando Health is committed to providing benefits that go beyond the expected, with career-growing free education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible, so that you can be present for your passions.Orlando Health proudly embraces and honors the individuality of our team members. By sharing different ideas and perspectives and working together as a team, we are better able to relate to, care for and authentically serve our patients and families who make up the collective populations in our community....

Physician Coding Auditor Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder's internal coding/auditing policies and expectations set forth by department management. Physician Coding Auditor must prioritize daily duties, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals. Candidates ideally have recent auditing experience specializing in some of the following profee areas: Ophthalmology, Behavioral Health, Cardiovascular/Cardiothoracic Surgery, Complex ENT Surgery, Dental, Complex Plastic Surgery, Orthopedic Surgery, Peds NICU/PICU, and FQHC/RHC. Responsibilities: Perform professional...

Medical Coding Auditor Responsible for the creation and maintenance of audit and education programs that will ensure success for all staff and employed providers based on their specific needs and support accurate, compliant coding practices for ECU Health Physicians in accordance with coding guidelines. Conducts internal auditing of medical coding activities using concurrent, prospective and retrospective models as appropriate and/or required. Reviews electronic health information to determine accuracy of coding, billing and documentation, including validation of ICD10CM, CPT, HCPCS and modifier assignment related to medical provider professional Part B services according to regulatory and institutional policy. Reports findings, both written and verbal, to leadership as necessary to include provision of corroborating regulatory or policy guidance. Maintains documentation of all audit activities and communicates the findings with leadership. Utilizes findings to generate topics...

Physician Billing (PB) Coding Auditor And Educator Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Physician Billing (PB) Coding Auditor and Educator is responsible for auditing and educating healthcare providers on related applicable clinical documentation. This work supports coding and billing regulations that ensure appropriate reimbursement, public reporting, and various initiatives as directed by the Hackensack Meridian Health (HMH) Network. Responsibilities: Comply with established corporate and...

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Physician Billing (PB) Coding Auditor and Educator is responsible for auditing and educating healthcare providers on related applicable clinical documentation. This work supports coding and billing regulations that ensure appropriate reimbursement, public reporting, and various initiatives as directed by the Hackensack Meridian Health (HMH) Network.

A healthcare services organization is seeking a Medical Record Audit / Coding Auditor to oversee the development of a clinical coding audit program. The role involves conducting compliance reviews, training coding associates, and ensuring adherence to coding regulations. Candidates must have at least five years of experience in physician coding and be a certified professional coder. This job offers an opportunity to impact billing accuracy and training processes within the organization. #J-18808-Ljbffr

To ensure optimal coding efficiency and compliance, the full-time remote Certified Physician Coding Auditor will perform audits on professional coding, analyze physician and coder charges, and collaborate with the Education Team to identify documentation improvement opportunities. Key responsibilities Conduct internal audits of professional coding across all service lines and monitor results for inaccuracies Review medical records for coding accuracy and communicate improvement opportunities to physicians and staff Collaborate with the Physician Coding Education Team to ensure compliance with payor guidelines and coding standards Required qualifications High School diploma or equivalent CPMA certification or equivalent coding credential required, with five years of auditing experience preferred Five years of professional coding experience in multiple specialties Exceptional knowledge of official coding guidelines as per AMA, AHCA, and CMS Proficiency in Microsoft Office...

To ensure optimal coding efficiency and compliance, the full-time remote Certified Physician Coding Auditor will perform audits on professional coding, analyze physician and coder charges, and collaborate with the Education Team to identify documentation improvement opportunities. Key responsibilities Conduct internal audits of professional coding across all service lines and monitor results for inaccuracies Review medical records for coding accuracy and communicate improvement opportunities to physicians and staff Collaborate with the Physician Coding Education Team to ensure compliance with payor guidelines and coding standards Required qualifications High School diploma or equivalent CPMA certification or equivalent coding credential required, with five years of auditing experience preferred Five years of professional coding experience in multiple specialties Exceptional knowledge of official coding guidelines as per AMA, AHCA, and CMS Proficiency in Microsoft Office Suite...

JOB RESPONSIBILITIES: Abstracts pertinent information from patient records for provider services. Reviews the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT), or Healthcare Common Procedure Coding System (HCPCS) codes, including modifiers, assigned by providers. Works with providers to correct any codes or charges when errors are identified. Reviews medical records for diagnoses that meet medical necessity according to the CMS Local Coverage Determination (LCD) and/or National Coverage Determination (NDC) guidelines. Reviews and interprets provider notes using CPT and ICD coding books and/or software. Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations. Works with providers to correct any identified errors. Conducts chart audits for provider documentation and recognizes when it is necessary to obtain further clarification from providers when documentation is...

Hackensack Meridian Health is seeking a Physician Practice Compliance Specialist to ensure ongoing regulatory compliance across the physician practice enterprise. The role includes audits, documentation reviews, and training to align with Medicare, Medicaid, and payer requirements, with a hybrid work arrangement. Qualifications include a BA/BS, 5+ years coding/audit experience, ICD-10/CPT-4 proficiency, and a CCS/CPC credential. #J-18808-Ljbffr

Hackensack Meridian Health is seeking a Physician Practice Compliance Specialist to assure ongoing compliance within our physician enterprise and affiliated services. The role focuses on documentation, coding accuracy, and regulatory requirements across Medicare, Medicaid, and state programs. The position is hybrid and requires a BA/BS, 5+ years coding/audit experience, and a CCS or CPC credential. Epic Ambulatory proficiency and strong regulatory knowledge are preferred. #J-18808-Ljbffr

Baptist Health is seeking an E&M Coding Auditor/Educator in New York to perform audits on coding and billing integrity. Candidates must have strong E&M coding experience and relevant certifications. This role involves developing educational materials for providers and ensuring compliance with coding regulations. The position offers competitive pay with a range of $26.13 - $33.97 per hour depending on experience. #J-18808-Ljbffr

Coding & Compliance Auditor The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders. The Coding & Compliance Auditor monitors external regulatory and internal process changes and provides support to colleagues in adhering to Federal, State and local requirements. This is a hybrid position: 2 days onsite; 3 days remote option. Compensation Pay Range: $73,000.00 - $104,400.00 Job Responsibilities Establishes, implements, and maintains a formalized review process for coding compliance, including a formal review (audit) process. Responsible for conducting both routine and targeted audits to ensure clinical documentation supports accurate CPT, HCPC's, PCS and ICD-10-CM codes. Perform prospective and retrospective audits to validate medical necessity and documentation...

A healthcare facility in Lawrence is seeking a Medical Coding Auditor responsible for conducting compliance reviews of medical documentation to ensure billing accuracy. The ideal candidate will have a CPC or CCS-P certification and five years of physician coding experience. This role requires strong communication and analytical skills, as well as a thorough understanding of coding regulations. The position offers competitive pay and benefits, focusing on community health and compliance education. #J-18808-Ljbffr

Yeo & Yeo Medical Billing & Consulting Come grow with us. Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding. Yeo & Yeo Medical Billing & Consulting maintains a highly trained staff with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes. Our billing specialists receive ongoing training specific to medical specialty. We continually train our staff by updating and maintaining their knowledge of insurance carrier trends and changes in billing rules and policies. Our people are our future we provide...