14 professional coding auditor jobs found

Coding Auditor Sr Anticipated End Date: 2025-12-12 Job Description JR171732 Coding Auditor Sr. CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through homecare and community-based services. The CareBridge Coding Auditor Sr is responsible for auditing coders that diagnosis data collected from physician and hospital medical records to ensure proper ICD-10 coding and compliance with risk adjustment requirements. Location Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), providing maximum flexibility and autonomy. Hours 8:00 a.m. - 5:00 p.m., Monday - Friday How you will make an impact Audits coders that diagnosis data retrieved from physician and hospital medical records and/or data...

A major health company is seeking a Coding Auditor Sr to conduct audits of medical coders to ensure proper coding and compliance. The ideal candidate will have a strong background in ICD-10 coding with a minimum of 3 years experience. This position offers maximum flexibility through virtual work, with opportunities for professional growth and a variety of benefits including medical and 401(k) plans. #J-18808-Ljbffr

Join a forward-thinking health company as a DRG Coding Auditor, where you will play a crucial role in ensuring the accuracy of inpatient medical records and claims. This position involves utilizing advanced coding expertise and audit tools to assess claims, identify new recovery opportunities, and contribute to process improvements. With a commitment to enhancing lives and communities, this innovative firm offers a supportive environment for professional growth. If you're passionate about making a positive impact in healthcare, this is the perfect opportunity for you. #J-18808-Ljbffr

Anticipated End Date: 2025-04-11 Position Title: DRG Coding Auditor Job Description: DRG CODING AUDITOR Location: This position will work virtually. Alternate locations may be considered. The DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician’s statement sent in by acute care hospitals on submitted DRG. How you will make an impact: Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Utilizes...

Siu Coding Auditor Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family. About The Role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our...

Anticipated End Date: 2025-04-11 Position Title: DRG Coding Auditor Job Description: DRG CODING AUDITOR Location: This position will work virtually. Alternate locations may be considered. The DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician’s statement sent in by acute care hospitals on submitted DRG. How you will make an impact: Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Utilizes...

An established industry player is seeking a detail-oriented DRG Coding Auditor to enhance the quality of healthcare claims. In this role, you will audit inpatient medical records, ensuring coding accuracy and compliance with clinical guidelines. Your expertise in ICD-10 coding and claims auditing will be crucial in identifying new claim types and improving processes. This position offers the opportunity to work virtually, contributing to a company dedicated to simplifying healthcare and improving community health. Join a team that values innovation and professional growth while making a significant impact on the healthcare industry. #J-18808-Ljbffr

Join to apply for the Medical Billing Specialist role at Hospital to Home LLC 6 months ago Be among the first 25 applicants Join to apply for the Medical Billing Specialist role at Hospital to Home LLC Brief Description Brief Description Position Title: Medical Billing Specialist Title of Immediate Supervisor: Accounting Manager Risk of Exposure to Bloodborne Pathogens: Limited Job Summary The Medical Billing Specialist is responsible for facilitating all aspects of the billing and follow up process. Duties/Responsibilities Timely and accurate coding and submission of claims and invoices. Working of claim denials and follow up. Gathering appropriate information for billing purposes. Managing, tracking, and processing payments on behalf of customers. Maintaining detailed and organized financial records for accurate reporting. Collaborating with customers, third party institutions, and other team members to resolve billing inconsistencies and errors. Performing other...

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from...

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...

Occupational Therapist Scheduled Weekly Hours: 0.01 Work Shift: Days (United States of America) PRN - as needed including 1 weekend per month 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 evaluation, re-evaluation and develops treatment and discharge plans per department policies and procedures. Plans and administers medically prescribed...

Responsibilities Our Business Department is currently welcoming a temporary full time Certified Medical Coder Specialist! This position is fully in-person and not remote Key Responsibilities: Assemble and analyzes all discharged records and maintains an organized system for notification of deficiencies. Responsible for sending reports to referral sources and healthcare providers as identified. Assigns appropriate medical codes to charts to assure accurate billing. Assists with data collection and presentation for facility PI activities. Responsible for release of medical record information from active and discharge files in accordance with all applicable legal, accrediting and regulatory agency requirements. Files all loose reports into discharged records. Maintains “copy” file and outside information file. Maintains permanent file and incomplete chart file. Coordinates the transcription of dictated or written materials for medical record reports. The Medical Coder...

Certified Medical Coder Specialist Our Business Department is currently welcoming a temporary full-time Certified Medical Coder Specialist! This position is fully in-person and not remote. Key responsibilities include assembling and analyzing all discharged records and maintaining an organized system for notification of deficiencies. Responsible for sending reports to referral sources and healthcare providers as identified. Assigns appropriate medical codes to charts to assure accurate billing. Assists with data collection and presentation for facility PI activities. Responsible for release of medical record information from active and discharge files in accordance with all applicable legal, accrediting, and regulatory agency requirements. Files all loose reports into discharged records. Maintains "copy" file and outside information file. Maintains permanent file and incomplete chart file. Coordinates the transcription of dictated or written materials for medical record reports....

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 treatment needs....