13 physician coding auditor jobs found

Medical Auditor (Billing & Coding) page is loaded## Medical Auditor (Billing & Coding)locations: Remote VAtime type: Full timeposted on: Posted 10 Days Agojob requisition id: JR100312At OrthoVirginia, you’re part of a team dedicated to delivering expert orthopedic and therapy care across the state. As Virginia’s largest provider of musculoskeletal care, we offer full-time and part-time opportunities in a collaborative, team-oriented environment.With more than 159 physicians in over 35 locations—including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads—OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy. Our nationally recognized specialists treat a full range of musculoskeletal injuries and conditions, helping patients of all ages move, heal, and thrive.Join us and become part of a trusted network committed to excellence in orthopedic care.**JOB SUMMARY:**Responsible for...

Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g., ICD‑10‑CM, CPT, HCPCS). The role requires interpretation and independent determination of the appropriate courses of action, contributing to overall cost reduction by increasing the accuracy of provider contract payments in our payer systems and ensuring correct claims payment for appropriate CPT/HCPCS code assignments. The Auditor analyzes, enters and manipulates database data, responds to or clarifies internal requests for medical information, understands departmental, segment and organizational strategy and operating objectives, and follows established guidelines and procedures while making decisions in ambiguous situations. Where you come in The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g.,...

Occupational Therapist Occupational Therapists are responsible for providing patients with treatment to help them develop and improve their ability to complete everyday tasks related to their job and daily life. They perform patient evaluations and re-evaluations, establish patient treatment plans based on the referral from the physician/referral source (if required), and document the patients' care and direct supportive staff regarding treatment process. This may involve outpatients, inpatients, pediatrics and off-site locations. Essential Job Functions Reviews physician referral, patients condition and medical history to determine occupational therapy treatment needs. Performs and documents patient evaluation, re-evaluation and develops treatment and discharge plans per department policies and procedures/protocols Plans and administers medically prescribed occupational therapy treatments to patients. Designs and constructs special equipment for adaptation of individuals...

Candidate should ideally be located in Norfolk, VA or Raleigh, NC Monro’s family of brands is one of the leading automotive service and tire dealers in the United States. We work on approximately five million vehicles a year, but with us, it is personal. Every guest is important, and every teammate is valued. That is our people-first approach.  Headquartered in our hometown of Rochester, New York, where our founder, Chuck August, opened his first store in 1957, we have grown to 1,115 auto repair shops and tire dealers in 32 states from coast to coast. Monro powers 16 highly respected tire and auto service brands, supporting each company’s regional strength and community connections. From big cities to small towns to rural crossroads, you will find us in neighborhoods of every shape, size, and color.  Under the Monro banner, we are united TEAM, and share the same mission to bring our guests the highest quality tire and auto service in the industry.  Do you have what it...

Occupational Therapist At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. Up to $40K Sign On Bonus Full Time Days Primary Function/General Purpose of Position Occupational Therapists are responsible for providing patients with treatment to help them develop and improve their ability to complete everyday tasks related to their job and daily life. They perform patient evaluations and re-evaluations, establish patient treatment plans based on the referral from the physician/referral source (if required), and document the patients' care and direct supportive staff regarding treatment process. This may involve outpatients, inpatients, pediatrics and off-site locations. Essential Job Functions Reviews physician referral, patient's condition and medical history to determine occupational therapy...

Datavant is a leading data platform company dedicated to health data exchange, with a vision that every healthcare decision is powered by accurate data at the right time. Our network is one of the largest and most diverse in the U.S., ensuring that data remains secure and accessible to enhance health decisions. Our clients include prominent life sciences firms, government agencies, and healthcare providers. Joining Datavant means becoming part of a high-performing, values-driven team that is committed to solving the intricate challenges of healthcare through technological innovations. Our diverse team members bring a rich array of professional, educational, and personal experiences to support our ambitious vision for the future of healthcare. Your Role: We are seeking credentialed inpatient coders who possess meticulous attention to detail and a solid understanding of medical terminology to join our dynamic team. This position offers the flexibility of fully remote work,...

Claims Resolution Coder- Remote Responsible 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 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, radiology and other ancillary, CPT, HCPCS related...

Claims Resolution Coder- Remote page is loaded## Claims Resolution Coder- Remoteremote type: Remotelocations: Norfolk, VAtime type: Full timeposted on: Posted Todayjob requisition id: JR-91627**City/State**Norfolk, VA**Work Shift**First (Days)**Overview:**# **Claims Resolution Coder- Remote**Responsible 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...

This service is set to disconnect automatically after {0} minutes of inactivity. Your session will end in {1} minutes. Click OK to reset the timer to {0} minutes. You have been signed out. This service is set to sign out after {0} minutes of inactivity. POSITION OVERVIEW Under the direction of the Health Information Management Director, the Outpatient Coder I accurately determines ICD-10-CM diagnosis codes and ICD-10-CM, CPT and HCPCS procedure codes for outpatient medical records that 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. Assign ICD-10-CM / ICD-10-PCS codes or HCPCS codes, creating ambulatory payment classification (APC). Monitor and manage the discharged not final billed (DNFB) accounts within...

Overview Job Description - Coder II (7454-1498) Wythe County Community Hospital Description POSITION SUMMARY: Under the direction of the Health Information Management Director, the coder II accurately determines ICD-10-CM diagnosis codes, ICD-10-CM, CPT and HCPCS procedure codes for all patient types including inpatient, observation, surgical day care, Emergency Department (ED) outpatient and recurring patients. Responsibilities Abstract pertinent information from patient records within various inpatient and outpatient types. Assign ICD-10-CM/ ICD-10-PCS codes or 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 to meet financial goals and expectations. Meet coding productivity standards and accuracy rate determined by company policy. (See Coding Productivity and Quality Standards.) Query clinical staff to achieve accuracy in...

Job Description: The HIM Hospital Inpatient & Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and assigns diagnostic information using ICD-10-CM/PCS and CPT codes for a complex range of acute care services for Intermountain Health. The caregiver provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 & CPT codes, DRGs, anatomy and physiology, pharmacology. The analyst also performs audits, provides feedback, and advanced training to clinical teams and physicians on ICD-10 and CPT coding best practices. Essential Functions Reviews and analyzes inpatient medical records for completeness, accuracy, and compliance for Same Day Surgery, Observation and Inpatient acute services at Intermountain Health. Performs coding at an advanced level of complexity for inpatient hospitals including governmental and/or payer...

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. PRN - as needed including 1 weekend per month Primary Occupational Therapists are responsible for providing patients with treatment to help them develop and improve their ability to complete everyday tasks related to their job and daily life. They perform patient evaluations and re-evaluations, establish patient treatment plans based on the referral from the physician/referral source (if required), and document the patients' care and direct supportive staff regarding treatment process. This may involve outpatients, inpatients, pediatrics and off-site locations. Essential Job Functions ? Reviews physician referral, patient's condition and medical history to determine occupational therapy treatment needs. Performs and documents patient...

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...