13 professional coding auditor jobs found

Multispecialty Surgery Coder II The Multispecialty Surgery Coder II will code for multispecialty surgery physicians primarily single path coding. Multi-specialty surgical coding experience, any trauma, urology, ENT, plastics, gen surg, OB/GYN, cardiovascular, interventional radiology, etc. Ability to extract data and apply appropriate ICD-10 diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding managerthe coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM official guidelines for coding and reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and recommending the appropriate action to resolve...

Physician Coding Auditor This is a full-time, remote position that offers a flexible schedule. 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...

Job Description Job Description Medical Coding Compliance Specialist Compensation: Up to $85,000 annually, determined by your experience and qualifications. Job Location: Remote (US) Job Highlights: Work-Life Balance: Monday to Friday schedule for a fulfilling personal and professional life. Competitive Compensation: Be rewarded with a generous salary and benefits package. Career Growth Opportunities: Unlock your potential and advance in your career with our support. Supportive Work Environment: Join a team that values and appreciates your contributions. Comprehensive Training: Enhance your skills and knowledge through our extensive training programs. Compliance and Peace of Mind: Work with confidence knowing that we prioritize compliance with employment laws and regulations. Paid Time Off and Holidays: Enjoy well-deserved time off to relax and recharge. Life Insurance Coverage: Protect your loved ones with our employer-paid life insurance...

Join to apply for the Certified Professional Coder Consultant role at Yeo & Yeo CPAs & Advisors . 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. Our staff is highly trained with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes and our billing specialists receive ongoing, specialty‑specific training. We continually update our staff on insurance carrier trends and billing rule changes. At Yeo & Yeo Medical Billing & Consulting, our people are our future. We provide a venue for individuals who...

A leading educational institution in Ann Arbor seeks a DRG Compliance Auditor to ensure accurate coding and compliance within their records. The successful candidate will review inpatient records, train staff on coding accuracy, and handle third-party appeals. Requirements include a relevant Associate’s degree and at least three years of experience in ICD-10 coding. This role offers opportunities for professional development and contributions to patient care excellence. #J-18808-Ljbffr

Job Description Job Description About Us: We are a busy internal medicine practice dedicated to providing exceptional patient care. We are seeking a highly skilled and detail-oriented Medical Biller & Coder to join our team and ensure accurate billing and coding processes. Key Responsibilities: Accurately code diagnoses and procedures for internal medicine patients using ICD-10-CM, CPT, and HCPCS Level II Submit insurance claims, follow up on denials, and manage appeals efficiently Post patient payments, reconcile accounts, and maintain accurate records Audit charts for coding accuracy and compliance with payer guidelines Communicate professionally with patients, providers, and insurance companies Ensure full HIPAA compliance and patient confidentiality Qualifications: 2+ years of experience in medical billing and coding, preferably in internal medicine Strong knowledge of insurance claims, prior authorizations, and payer rules...

Medical Coder Compliance Spec Perform coding quality audits on outpatient records to assure appropriateness, accuracy, and compliance for CPT/HCPCs, ICD-10-CM code assignments, and modifier assignment in accordance with Center of Medicare and Medicaid Service (CMS) Guidelines, AMA and AHA Official ICD-10-CM Coding Guidelines. Provide ongoing feedback to managers and coders. Develop and implement educational programs regarding elements of the coding compliance program and act as a subject matter expert for the outpatient coding department. Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society....

Job Description Job Description Description: About KODE We’re coding rebels with a cause. KODE is a health-tech company developed by medical coders for medical coders looking to change the way things are done in the industry. Our company may be young but we’re growing rapidly. That also means we’re not buried in outdated policies and bureaucracies. Coders play a critical role in healthcare, but have you ever felt like you’re just a cog in the machine? At KODE there are no cogs, there are people. We aren’t looking for a coder to simply fill an open position. We’re looking for a new teammate with a passion for professional coding who wants to join our collective mission to be awesome. We’re serious about two things: coding and treating you like the professional you are. If this intrigues you, please keep reading. Responsibilities: Review medical records to assign appropriate E/M, ICD-10, CPT, HCPCS codes accurately Review physician documentation and perform...

Job Description Job Description Description: CPC-As are not being considered at this time. We're coding rebels with a cause. KODE is a health-tech company developed by medical coders for medical coders looking to change the way things are done in the industry. Our company may be young but we're growing rapidly. That also means we're not buried in outdated policies and bureaucracies.Coders play a critical role in healthcare, but have you ever felt like you're just a cog in the machine? At KODE there are no cogs, there are people. We aren't looking for a coder to fill an open position simply. We're looking for a new teammate passionate about professional coding who wants to join our collective mission to be awesome.We're serious about two things: coding and treating you like the professional you are. If this intrigues you, please keep reading. About this Role We're looking for a Facility Inpatient Coder to join our company! Responsibilities: Review medical records...

Medical Coder Integrated Management Strategies (IMS) is an award-winning, fast-growing woman-owned small business in the Washington DC area, specializing in healthcare, technology, and management consulting. We are seeking an experienced Medical Coder to join our healthcare consulting practice. The role is fully remote within the US, with infrequent travel to client locations for onboarding and training. We are proud of our national presence, and excited to offer great career opportunities within the organization. What you'll do: Accurately assign ICD-10 CM, E/M, ICD-10 PCS, CPT, HCPCS, modifiers and units based on documentation. Adhere to systems and standards required in multi-specialty medical coding encounters, including Outpatient, Emergency Room, Surgery, Inpatient facilities, Inpatient Professional Rounds, and others. Process encounters within required SLA on contract with deficiencies identified escalated as necessary. Review and respond to each audit within set...

Advanced Coding Position Positions Location: Lansing, MI Job Description General Purpose of Job: Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis Related Group, (APR-DRG) based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as all American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications. Utilizes Optum CAC in accordance with established workflow. Follows University of Michigan Medicine Sparrow policies and procedures and maintains required quality and productivity...

Job Description Job Description Certified Coder - Billing Onsite - Royal Oak, MI About Sciometrix Sciometrix is a leading digital Health company looking for RN Case Manager Spanish. We are a leader in Telehealth -healthcare Virtual care Management. Our mission to engage patients to Deliver better outcomes. Sciometrix is known among customers, peers, and patients for clinical excellence, patient experiences, and provider satisfaction. Since the inception of our patient count, technological solutions have been evolving. We empower healthcare providers with advanced technology and human expertise, revolutionizing a patient's experience. Our propriety software and related technologies ensure HIPAA compliancy with cloud access. We have established HIPAA-compliant Clinicus, an artificial intelligence (AI) bot that monitors patients 24/7 and ensures fast response in their care management program. Clinicas watches each patient's vitals and alerts our licensed team when a...

Job Opportunity Job ID:49762 Positions Location: Lansing, MI Job Description General Purpose of Job: Advanced Description: Positions Location: Lansing, MI Job Description General Purpose of Job : Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis Related Group, (APR-DRG) based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as all American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications. Utilizes Optum CAC in accordance with established workflow. Follows...