31 physician coding compliance auditor jobs found

Coding Auditor And Educator Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: PB Revenue Integrity Work Type: Full Time (Total FTE between 0.9 and 1.0) Shift: Shift 1 Work Schedule: 8 Hr (7:00:00 AM - 3:00:00 PM) Rush offers exceptional rewards and benefits. Learn more at our Rush benefits page. Pay Range: $32.00 - $52.08 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary As a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of EMR documentation of patient encounters to ensure coding accuracy and documentation adequacy. The...

Coding Auditor And Educator Hourly Pay Range: $26.61 - $39.92 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Position: Coding Auditor And Educator Location: Warrenville, IL Full Time/Part Time: Full-time Hours: Monday-Friday 8:00am-5:00pm What You Will Do: Conduct coding and billing training to physicians, non-physician practitioners, coders, and other interested personnel, including developing the curriculum and training materials, and assessing competency. Perform audits with appropriate feedback Monitor coding and billing regulations to assure compliance with governmental and payer regulations Act as a resource to provider and staff regarding coding issues. What You Will Need: Education: Bachelor's degree Skills: Strong analytical, problem solving, interpersonal, verbal/written communication, organizational and team development skills are necessary. Knowledge of Microsoft Office Suite -...

Coding Integrity Specialist - Professional Fee Join to apply for the Coding Integrity Specialist - Professional Fee role at Huron. Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long?term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the...

Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: PB Revenue Integrity Work Type: Full Time (Total FTE between 0.9 and 1.0) Shift: Shift 1 Work Schedule: 8 Hr (7:00:00 AM - 3:00:00 PM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits). Pay Range: $32.00 - $52.08 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary: As a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of EMR documentation of patient encounters to...

We recommend using the following browsers to complete the application: Desktop: Google Chrome, Edge with Chromium Mobile: Google Chrome, Safari Description The Revenue Cycle Coding Auditor will perform reviews for employees in the Coding department. Audits will include, but are not limited to; employee productivity and quality based on proper documentation, accuracy and coding guidelines. The Auditor will also provide feedback and support relating to departmental/role specific productivity and quality expectations. The incumbent for this position will utilize a high level of in-depth knowledge of the coding role to perform all audits based on specific departmental need. #IND1 Examples of Duties PBS Auditor: 100% Conduct quality and productivity reviews of coding staff using structured and consistent review programs and methods. Demonstrate in-depth knowledge and experience with SIU-HC supported applications, including but not limited to Athena IDX,...

Christie Clinic's department of Compliance Quality is seeking a full-time Compliance Auditor/Educator (Sign-On Bonus Available) at our Clark Street location in Champaign from Monday-Friday 8:00am-5:00pm, with no night or weekend requirements. Duties include performing ongoing functions related to quality of care and compliance including government and clinic regulations and policies in support of the Christie Clinic Compliance System. JOB DUTIES: (This list may not include all of the duties assigned.) Screen, review, identify and document potential quality and compliance issues. Perform billing and coding audits with both random samples as well as provider and department specific samples; and as required. Meet with providers to share audit results and guidance for accuracy rate improvement. Prepare educational materials specific to new provider's specialty and assist with orientation sessions. Review new providers' daily charges and offer feedback. Notify...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

Job Description Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: PB Revenue Integrity Work Type: Full Time (Total FTE between 0.9 and 1.0) Shift: Shift 1 Work Schedule: 8 Hr (7:00:00 AM - 3:00:00 PM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits). Pay Range: $32.00 - $52.08 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary: As a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of EMR documentation of patient...

About Us: At Sinai Health System d/b/a Sinai Chicago, we take health care personally. Excellence in health care is about more than just medicine, technology, tests, and treatments, it is about really caring for people with dignity and respect. That is what we do. We are dedicated to providing the best care to meet the needs of people, for our community, for our patients and for you. Position Purpose: The Compliance Coding Auditor will report to the Chief Compliance Officer and will assist in maintaining Compliance with CMS, OIG, and internal coding and billing compliance guidance as dictated by the SMG Coding and Billing Compliance Plan. This individual will be responsible for performing compliance audits on physician charts, provide an accounting of all audits and assess the controls in place to assure that audits are accurate and effective. This individual will also provide education to all new providers and administer yearly education to existing providers. While...

Job Description: Job Title: Auditor & Educator - Revenue Integrity Primary Location: Chicago, IL (Hybrid / Onsite as required) Position Type: Direct Hire Overview TalentFish is casting a line for an Auditor & Educator - Revenue Integrity to support a high-performing healthcare organization. This role is a key member of the Revenue Integrity team and is responsible for auditing EMR documentation, ensuring accurate coding and documentation, and partnering closely with clinical providers to improve revenue cycle integrity. The Auditor & Educator identifies trends, provides targeted education, and supports compliance initiatives to optimize reimbursement and reduce denials. What You Bring to the Role (Ideal Experience) Bachelor's Degree OR Associate's Degree with 5+ years of auditing experience Active CPC or CCS-P certification RHIA or RHIT certification with physician-based coding experience (contingent upon obtaining CPC or CCS-P within 6...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

Job Description Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Revenue Cycle Revenue Integrit Work Type: Full Time (Total FTE between 0.9 and 1.0) Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits). Pay Range: $29.36 - $47.79 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary: The Billing Coding Auditor uses advanced knowledge of billing, coding, auditing, documentation requirements, and charge capture to...

Abstractor/Coder The University of Chicago Physicians Group (UCPG) team is responsible for the overall management of clinical revenue for physician billing. This includes frontend revenue capture, working of edits and conducting audits for physician education. Ensuring the workflow of charge capture through invoice creation. UCPG is seeking an Abstractor/Coder to work with providers and staff on professional billing and compliance activities. Strong knowledge of evaluation and management coding guidelines and requirements is strongly preferred. This position is eligible for a flexible work arrangement. Responsibilities: Obtain appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits. Analyze denial and rejection reports, and appeal wherever appropriate. Submit charges in a timely manner. Work in collaboration with the Clinical Revenue Supervisor and others, provide guidance to faculty and staff on...

Billing Coding Auditor Location: Chicago, Illinois Work Type: Full Time (Total FTE between 0.9 and 1.0) Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM) Pay Range: $29.36 - $47.79 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary: The Billing Coding Auditor uses advanced knowledge of billing, coding, auditing, documentation requirements, and charge capture to solve complex charging scenarios, provide education and assistance to operational departments, support fellow team members, and develop processes/procedures to ensure accurate and timely capture of all chargeable procedures. The Billing Coding Auditor also monitors interfaces...

Pro Fee Coder, Surgical Hourly Pay Range: $26.61 - $39.92 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Position: Pro Fee Coder, Surgical Location: Hybrid (Skokie, IL and remote) Position Type: Full-time Hours: Monday-Friday, standard 8.5 hour workday, must be flexible to accommodate early am or pm physician meetings as needed. Travel: Flexible WFH arrangement, however this is not a fully remote position. Candidate must be able to occasionally travel between NS locations. What You Will Do: Provide virtual and in-person coding and documentation education to physicians, advance practice providers, practice managers, and revenue cycle coders. Perform billing provider audits to identify missed revenue and/or compliance risk. Analyze progress notes, op reports, pathology reports, explanation of benefits, patient insurance information, and various other health information documents for coding and billing...

Overview This position is responsible for timely and accurate quality review of both internal and vendor coding team members to assure compliance with coding guidelines and standards in addition to their foundation coding responsibilities. The position performs quality checks on coding and provides feedback to coders to assure the timely and accurate coding of medical charts for billing. This position also reviews and response to coding-based denials for inpatient, hospital outpatient and professional fee claims and advises leadership on trends related to denials. In collaboration with HIM coding management, the coder/quality review analyst will assist with selection of coders and encounters to be reviewed, as well as education to be presented to the coder based on review outcomes. The coder/quality review analyst will also bring forward any issues related to documentation or systems as they are discovered during the review process. This position participates in the onboarding...

Hourly Pay Range: $26.61 - $39.92 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Po sition Highlights: Position: Pro Fee Coder, Surgical Location: Hybrid (Skokie, IL and remote) Full Time/Part Time: Full-time Hours: Monday-Friday, standard 8.5 hour workday, must be flexible to accommodate early am or pm physician meetings as needed. Travel: Flexible WFH arrangement, however this is not a fully remote position. Candidate must be able to occasionally travel between Endeavor locations. What you will do : Provide virtual and in-person coding and documentation education to physicians, advance practice providers, practice managers, and revenue cycle coders. Perform billing provider audits to identify missed revenue and/or compliance risk. Analyze progress notes, op reports, pathology reports, explanation of benefits, patient insurance information, and various other...

Overview The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters. Qualifications Certifications: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC); Certified Inpatient Coder (CIC) - American...

Medical Coder The Medical Coder is responsible for accurate coding, abstraction, and auditing of patient encounters to support compliant reimbursement, reporting, and regulatory requirements. This role reviews medical records to ensure documentation integrity, identifies diagnostic and procedural information, and validates that services rendered are fully supported by clinical documentation. The Medical Coder serves as a subject matter expert and consultant to providers and coding staff, identifies discrepancies and opportunities for improvement, and supports ongoing education, quality initiatives, and special projects. Essential duties/responsibilities include but are not limited to: Diagnosis coding for all services, inpatient and outpatient Procedural coding for outpatient and inpatient services Auditing of charges for outpatient services Assists in documentation audits as needed Abstracting Maintains current coding competence regarding ICD-10-CM, ICD-10-PCS,...

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...

Overview Assists in the provision of an efficient and effective clinical coding service within Carle by providing accurate and timely auditing and coding education to providers and coding team members to include CPT EM coding, CPT Procedural Coding, ICD10CM and ICD10 PCS coding, as applicable. Assist Coding Audit and Education Supervisor in managing audits and audit schedules for providers and coding team members. Auditors work closely with HIM leadership and Compliance to assure Carle providers and coding team members are following all regulatory requirements for code assignment. Auditors help identify training needs through ongoing internal provider and staff audits and assist with remediation and reaudit post education. Auditors are responsible to produce coding education materials in formats such as power point or LMS educations systems. Qualifications Certifications: Registered Health Information Administrator (RHIA) - American Health Information Management Association...

Job Summary: The Medical Coder is responsible for accurate coding, abstraction, and auditing of patient encounters to support compliant reimbursement, reporting, and regulatory requirements. This role reviews medical records to ensure documentation integrity, identifies diagnostic and procedural information, and validates that services rendered are fully supported by clinical documentation. The Medical Coder serves as a subject matter expert and consultant to providers and coding staff, identifies discrepancies and opportunities for improvement, and supports ongoing education, quality initiatives, and special projects. Essential Duties/Responsibilites include but are not limited to: • Diagnosis coding for all services, inpatient and outpatient • Procedural coding for outpatient and inpatient services • Auditing of charges for outpatient services • Assists in documentation audits as needed • Abstracting • Maintains current coding competence regarding ICD-10-CM,...

Job Purpose: The Medical Coding Specialist is responsible for daily charge capture for all assigned providers and/or ancillary services ensuring correct coding guidelines are followed. Primary Duties and Responsibilities: • Retrieves relevant information from medical records for appropriate billing using current CPT and ICD 10 code guidelines • Reviews daily charge capture for all assigned Providers/Ancillary Services • Reviews claims requiring follow-up appeal • Analyzes operative reports to assign correct CPT, ICD 10, HCPCS codes and modifier usage when capturing surgery charges • Enters codes/charges in EHR system • Audits provider dictation for compliance and accuracy • Handles incoming patient and internal issues regarding coding • Ensures compliance with medical coding policies and guidelines, including attending webinars, conferences, and maintaining CPC certificate through continuing education Competencies: • Service: We align our actions and...

Hourly Pay Range: $24.86 - $37.29 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Medical Coder II The Medical Coder II plays a key role in our hospital's revenue cycle by accurately coding diagnoses and procedures in accordance with established coding guidelines. This position is essential in maintaining financial accuracy and compliance with regulatory requirements. Position Highlights: Position: Medical Coder II Location: Warrenville, IL Full Time/Part Time: Full-time (40 hours per week) Hours: Monday-Friday, during normal business hours What you will do: Assign accurate diagnostic (ICD-10-CM) and procedural (CPT) codes to medical records based on clinical documentation, ensuring adherence to coding guidelines and conventions. Conduct internal audits of medical records and coding work to ensure the accuracy and consistency of code assignments. Examine clinical documentation in...