9 physician coding auditor jobs found

Job Description Job Description PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity team in a professional coding auditor role . RESPONSIBILITIES: Responsible for the accurate review of PYA clients’professional fee coding per industry coding audit standards, support of the management team with project management tasks, support of the verbal and written reporting to the client, and conducting provider coding and documentation education ( generally, conducted remotely ). Coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including...

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...

Job Description Job Description Description: *Required to work on-site in Manhattan, KS* Position Summary: The Medical Billing and Coding Specialist processes insurance claims, invoices and payments ensuring medical information and patient data is accurately communicated between patients, physicians, and third-party payers. They use medical coding protocols to create claims or statements. Essential Functions: Transcribe patient information into medical codes and ensures the accuracy of the codes and medical reports Prepare and submit claims for payment, follow up on unpaid claims and correct rejected claims Prepare and send invoices for remaining balances Track outstanding payments and follow up with patients and insurance companies about outstanding bills. Communicate with medical providers, insurance companies and patients Verifies insurance coverage and eligibility and communicates with insurance companies. Correct rejected claims and re-submit as needed....

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

Hospital/Facility Revenue Cycle Manager 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. Responsibilities: Lead a team of billing and coding professionals, providing guidance, support, and mentorship. Foster a positive and inclusive work environment that encourages collaboration, teamwork, and professional growth. Conduct regular performance evaluations, provide...

DRG Coding Auditor Principal _Virtual: _ _ ​_ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group...

3 days ago Be among the first 25 applicants Job Description ASC–CIRCC Certified Coder (Cardiovascular / Interventional Radiology) Department: Revenue Cycle / Business Office Reports To: Revenue Cycle Manager FLSA Status: Non-Exempt Location: Remote Position Summary The ASC–CIRCC Certified Coder is responsible for accurately assigning CPT®, ICD‑10‑CM, and HCPCS codes for cardiovascular and interventional radiology procedures performed in an ambulatory surgery center (ASC) or hospital outpatient setting. This role ensures compliant coding, appropriate reimbursement, and adherence to federal, state, and payer regulations. The coder works closely with physicians, clinical staff, billing teams, and compliance personnel to support revenue integrity and audit readiness. Key Responsibilities Assign accurate CPT®, ICD‑10‑CM, and HCPCS Level II codes for cardiovascular and interventional radiology procedures Apply correct modifiers in accordance with payer and regulatory guidelines...

A healthcare provider in St. John, IN, is seeking a Coder for their clinic. The role involves assigning diagnostic and procedure codes, performing charge entry, and conducting coding audits. Candidates should have a high school diploma, potentially some college coursework in health information, and experience in billing/coding, preferably in a physician practice. Familiarity with EPIC is advantageous. This is an entry-level full-time position with remote availability. #J-18808-Ljbffr

Coder - Clinic 219 Health Network Location: St. John Outpatient Center, St. John, IN 46373; Remote availability Job Summary Under general supervision and according to industry standards, identifies and assigns diagnostic and procedure codes for distinct patient encounters from source documentation using current ICD and CPT recommendations. Performs charge entry, review, reconciliation, and error correction tasks to ensure full and accurate charge capture. Performs regular manual and electronic charge and coding audits. Possesses a thorough knowledge of the coding process, coding resource material, coding rules and guidelines and applicable classification systems. Education & Experience Requirements High School graduate (or GED equivalent) required. Completion of college coursework in health information degree or certificate program preferred. 1-2 years professional billing/coding experience. Physician practice setting preferred. Previous use of EPIC preferred....