6 professional coding auditor and educator jobs found

Medical Coding Specialist Summary: Review, analyze, and code medical record documentation to include, but not limited to, medical, diagnostic and procedural information for the correct ICD-9 and/or ICD-10 and/or CPT-4 HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for entirety and accuracy and to minimize claim denials. Assesses records and prepares reports. Develops effective working relationships with physicians and other stakeholders. Project Details: Evaluate medical record documentation and charge ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support the visit. Compile necessary documentation prior to coding review; when documentation is not available, performs the appropriate steps to obtain the...

Medical Billing and Coding Specialist Saint Peter’s Healthcare System – Department of Surgery. Responsibilities Perform billing activities in a timely manner, i.e. surgical billing, physician billing and coding; may assist with chart audits to identify areas for improvement and resolve as appropriate. Ensure that claims are coded and processed accurately and timely. Work the primary holds daily for all billing related follow‑up and communicate with the practice staff and physicians to identify improvement when necessary. Billing liaison between the Practices and other Saint Peter’s Healthcare System departments as well as physician billing vendor. Assist Billing/Coding Coordinator with related projects and issues as they arise. Act as the financial interpreter for patients by advising them of their financial responsibility, providing them with concise and easily understood information about healthcare coverage, prior to or at time of service. Coordinate activities with the...

Position Responsibilities: • Abstract billing for outpatient evaluation and management codes, minor surgical procedure(s) and HCPCS (supplies and pharmaceuticals) codes from provider documentation to include; assignment of CPT-4, ICD-10-CM codes and modifiers. • Research simple coding/billing issues for the physicians to identify and recommend the most appropriate method of coding/billing. Research may involve interaction with such organizations as American Medical Association, specialty societies, or other coding consultants. • Analysis of the medical record to determine the appropriateness of coding and potential patterns of abuse. Including working with the Coding/Charge/Audit Analyst(s) to resolve the issue(s). Position Qualifications Required / Experience Required: Minimum of two years records coding experience or equivalent. Ability to perform functions in a Microsoft Windows environment. Ability to be detailed oriented and perform tasks at a high level...

Coder - Full time Wound Care Center Mt Holly Join to apply for the Coder - Full time Wound Care Center Mt Holly role at Virtua Health . Summary Responsible for abstracting clinical information and assigning CPT‑4 and ICD‑9 codes from medical records and documents to support physicians' professional fees, including but not limited to outpatient evaluation and management (E/M) services and procedures in accordance guidelines. Position Responsibilities Abstract billing for outpatient evaluation and management codes, minor surgical procedure(s) and HCPCS (supplies and pharmaceuticals) codes from provider documentation to include assignment of CPT-4, ICD-9-CM codes and modifiers. Research simple coding/billing issues for the physicians to identify and recommend the most appropriate method of coding/billing. Research may involve interaction with such organizations as American Medical Association, specialty societies, or other coding consultants. Analysis of the medical record to...

POSITION SUMMARY: Position Summary The Inpatient Senior Coder is responsible for accurate, compliant, and timely coding and abstracting of inpatient medical records, including the assignment of ICD-10-CM/PCS codes and validation of MS-DRG and APR-DRG groupings. This position ensures proper reimbursement, adherence to regulatory and coding guidelines, and supports overall clinical documentation accuracy for inpatient services. This is a remote position with onsite availability required as needed. EDUCATION: High school diploma or equivalent. CCS (Certified Coding Specialist) Required . EXPERIENCE: * Three to five years of inpatient hospital coding experience * Proficient in ICD-10-CM and ICD-10-PCS coding * In-depth knowledge of MS-DRG and APR-DRG reimbursement systems * Familiarity with coding audits and clinical documentation review * Experience with Observation or complex outpatient cases is a plus * Prior mentoring or training experience preferred...