26 physician coding auditor jobs found

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...

Cognizant is seeking an Inpatient Medical Coding Auditor to audit consultant inpatient records from a remote location within the United States. You will work with stakeholders to ensure coding accuracy and regulatory compliance. You will review inpatient records for diagnostic and procedural coding accuracy, verify physician documentation, apply ICD-10-CM/PCS codes using Solventum (3M), and mentor clients on coding and compliance while maintaining a 98% accuracy rate. #J-18808-Ljbffr

Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Specialist - Concurrent Coding / Inpatient Coder Full-time Company Description Accounting and Finance/Healthcare Job Description Specialist-Concurrent Coding/Inpatient Scottsdale Arizona 85258 Exp 2-5 Degree Associates Job Summary: The Concurrent Coding Specialist performs and facilitates concurrent inpatient coding in order to establish a working DRG. Ensures high quality documentation that is thorough, accurate and complete to ensure accurate reimbursement capture. He or she will concurrently reviews health records, identifies key clinical data elements within the record, and translate this data from verbal description of disease, injuries and procedures into numerical designations, applying ICD coding systems. Audits for documentation opportunities and queries clinical staff with CDI to fill in any gaps, clarify confusing, incomplete or conflicting information and obtain any needed additional documentation in real time. Ensures coding compliance and acts as technical...

Professional Services Certified Coding ReviewerAll KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI's vision to be among the kindest, highest quality health systems in the country.Ensures data quality in compliance with State, Federal and regulatory requirements. Evaluates medical record documentation and charge reports to ensure completeness, accuracy and compliance with the Correct Coding Initiative Edits. Codes all professional charges to ensure accurate and timely billing Perform coding reviews and/or surgical coding for practices and providers. Evaluates and report audit findings or reviews and reports on results to physicians and/or operations directors. Provides technical guidance, training, and on-going coding education when instructed, to physicians and their office staff and other ancillary departments on both general and specific coding issues to include documentation and guidance in quality coding for proper...

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...

Description Position Summary: The Certified Coder is a key position in two ways: First, the employee will be responsible for abstracting medical record data and assigning/reviewing codes using current clinical classification systems appropriate for the type of care provided. Second, the employee will be able to review Medicare Risk Adjustment, understanding Medicare Advantage Plans and evaluating medical records with attention to detail. Requirements Essential Functions 1. Reviewing and assigning codes to diagnosis and procedures in order to ensure proper financial reimbursement from insurance companies. Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests. Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided. Conducts claims audits/reviews, identifying opportunities for improving. 2. The Certified Coder is responsible for...

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...

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...

Full-time Company Description Accounting and Finance/Healthcare Job Description Specialist-Concurrent Coding/Inpatient Scottsdale Arizona 85258 Exp 2-5 Degree Associates Job Summary: The Concurrent Coding Specialist performs and facilitates concurrent inpatient coding in order to establish a working DRG. Ensures high quality documentation that is thorough, accurate and complete to ensure accurate reimbursement capture. He or she will concurrently reviews health records, identifies key clinical data elements within the record, and translate this data from verbal description of disease, injuries and procedures into numerical designations, applying ICD coding systems. Audits for documentation opportunities and queries clinical staff with CDI to fill in any gaps, clarify confusing, incomplete or conflicting information and obtain any needed additional documentation in real time. Ensures coding compliance and acts as technical resource, resolves issues, educates and works closely...

About Optima Medical Optima Medical is an Arizona-based medical group consisting of 30 locations and 130+ medical 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 dedicated professionals aboard. We are currently seeking a Medical Coding Specialist to join our team! This role will transition to a fully remote position after up to 30 days of training To be eligible, you'll need to complete your initial training onsite at our...

Description Position Summary: The Certified Coder is a key position in two ways: First, the employee will be responsible for abstracting medical record data and assigning/reviewing codes using current clinical classification systems appropriate for the type of care provided. Second, the employee will be able to review Medicare Risk Adjustment, understanding Medicare Advantage Plans and evaluating medical records with attention to detail. Requirements Essential Functions 1. Reviewing and assigning codes to diagnosis and procedures in order to ensure proper financial reimbursement from insurance companies. Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests. Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided. Conducts claims audits/reviews, identifying opportunities for improving. 2. The Certified Coder is responsible for...

Staff Position Description Position Title: Professional Services Certified Coding Reviewer Position Code: Coder-8125 Department: Health Information Management Safety Sensitive: YES Reports to: HIM Director/Manager Exempt Status: NO Position Purpose: All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision to be among the kindest, highest quality health systems in the country. Key Responsibilities Ensures data quality in compliance with State, Federal and regulatory requirements. Evaluates medical record documentation and charge reports to ensure completeness, accuracy and compliance with the Correct Coding Initiative Edits. Codes all professional charges to ensure accurate and timely billing Perform coding reviews and/or surgical coding for practices and providers. Evaluates and report audit findings or reviews and reports on results to physicians and/or operations directors. Provides technical guidance,...

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...

Certified Professional Coder About OrthoArizona At OrthoArizona, we are bringing the best together. Our organization was created to help serve ALL orthopedic and sports medicine needs throughout the Valley! We have a wide range of orthopedic surgeons and mid-level providers including physical and occupational therapists. Today we are one of Arizona's largest privately owned and most comprehensive orthopedic practices with more than 80 locally and nationally renowned providers across 30 locations, in addition to in house state of the art MRI capabilities. At OrthoArizona we are committed to best-in-class patient care, being a pioneer in research and technology, and most importantly, rewarding and recognizing our team members. As a Certified Professional Coder with OrthoArizona, you will get to: Read and understand Operative and/or Procedure notes. Apply CPT and ICD-10 codes to Operative reports. Communicate with providers regarding complex/unusual cases. Responsible...

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...

Medical Coding Supervisor 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...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Coder (Remote) 30+ days ago Requisition ID: 1131 GENERAL SUMMARY OF DUTIES: Provides coding, audit, and compliance support for all clinical services rendered by the organization. This role ensures accurate code assignment, adherence to FQHC billing and reimbursement regulations, and supports risk mitigation efforts through provider education and ongoing audit activities. SUPERVISION EXERCISED: None ESSENTIAL FUNCTIONS: Conduct routine and targeted provider coding audits to ensure compliance with FQHC billing requirements, Medicare, Medicaid, and commercial payer policies. Analyze audit findings and communicate results to Providers, including corrective action recommendations and education as needed. Serve as a liaison to Providers regarding coding updates, new services, documentation standards, and regulatory changes;...

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...

Specialist - Concurrent Coding / Inpatient CoderFull-timeCompany DescriptionAccounting and Finance/HealthcareJob DescriptionSpecialist-Concurrent Coding/Inpatient Scottsdale Arizona 85258Exp 2-5Degree AssociatesJob Summary: The Concurrent Coding Specialist performs and facilitates concurrent inpatient coding in order to establish a working DRG. Ensures high quality documentation that is thorough, accurate and complete to ensure accurate reimbursement capture. He or she will concurrently reviews health records, identifies key clinical data elements within the record, and translate this data from verbal description of disease, injuries and procedures into numerical designations, applying ICD coding systems. Audits for documentation opportunities and queries clinical staff with CDI to fill in any gaps, clarify confusing, incomplete or conflicting information and obtain any needed additional documentation in real time. Ensures coding compliance and acts as technical resource, resolves...

Job Description Staff Position Description Position Title: Professional Services Certified Coding Reviewer Position Code: Coder-8125 Department: Health Information Management Safety Sensitive: YES Reports to: HIM Director/Manager Exempt Status: NO Position Purpose: All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI's vision to be among the kindest, highest quality health systems in the country. Key Responsibilities Ensures data quality in compliance with State, Federal and regulatory requirements. • Evaluates medical record documentation and charge reports to ensure completeness, accuracy and compliance with the Correct Coding Initiative Edits. • Codes all professional charges to ensure accurate and timely billing • Perform coding reviews and/or surgical coding for practices and providers. • Evaluates and report audit findings or reviews and reports on results to physicians and/or...

Under general supervision of the HIM Director, the Certified Inpatient Coder is responsible for reviewing inpatient medical records and accurately assigning ICD-10-CM diagnosis codes, ICD-10-PCS procedure codes, and MS-DRGs in accordance with official coding guidelines, federal regulations, and Tribal 638 facility policies. Upholds the principles of WIHCC's Vision, Mission, and Value Statements. Maintains confidentiality of all privileged information at all times. This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive. Essential Duties & Responsibilities: Maintains regular attendance and punctuality. Review inpatient medical records to identify all diagnoses and procedures relevant to each patient encounter. Assign ICD-10-CM and ICD-10-PCS codes according to official coding guidelines. Determine and assign the appropriate MS-DRG. Ensure coding reflects the highest level of specificity...