8 professional coding auditor and educator jobs found

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Position Details: Location: Fully Remote (must reside in the state of Florida, Georgia, South Carolina, or North Carolina) Status: Full Time (non-exempt) Shift: 7:00 AM to 3:30 PM Days: Monday – Friday The Inpatient Coding Auditor is a full-time remote position. Sign on bonuses available! Responsibilities The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related activities and services provided by the BayCare Health System HIM Coding Department. Interacts directly with coders, clinical personnel including Clinical documentation specialists, and/or physicians. Audits include documentation and accurate and complete coding of diagnoses, present on admission (POA),...

Job Title Revenue Cycle Coding Specialist Job Description Apply the appropriate diagnostic and procedural code to patient health records for purposes of document retrieval, analysis and claim processing. Abstract pertinent information from patient records. Assign the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or Diagnosis-Related Group (DRG) assignments. Perform complex coding. Obtain acceptable productivity/quality rates as defined per coding policy. Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Maintain knowledge of, comply with and keep abreast of coding guidelines and reimbursement reporting requirements. Conduct chart audits for physician documentation requirements & internal coding....

Job Description Job Description Job Title: Medical Coding and Compliance Analyst (RN) Location: Columbia, SC - Hybrid (3 days onsite) Contract: W2 - Contract to Hire - 6 months to start Pay Rate:  $31/hour This role is a pivotal function within our compliance team, focusing on the rigorous validation of medical coding data. The primary objective is to safeguard billing accuracy and ensure adherence to all relevant healthcare regulations by performing detailed reviews of classification systems such as Diagnosis Related Groups (DRG) and Adaptive Predictive Coding (APC). The Analyst serves as the critical link between audit findings and operational claims adjustments. The successful candidate will own several key areas of responsibility: We are seeking a detail-oriented professional with a strong background in medical records and compliance. Audit & Validation     Develop and execute methodologies to select cases for review. Validate the accuracy of medical...

Job Description Summary Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type Regular Cost Center CC002278 SYS - Compliance Program Pay Rate Type Salary Pay Grade Health-27 Scheduled Weekly Hours 40 Work Shift Job Description The Compliance Auditor reports to the Internal Audit Coordinator and performs audits to evaluate adherence to laws, regulations and policies by reviewing records, analyzing data, and interviewing staff and stakeholders. These audits include but are not limited to services identified as high-risk via the annual risk assessment, OIG-CMS-PGBA workplan areas, ad hoc audit requests, and “for cause” coding and billing concerns. The audit scope includes a) the regulatory and industry research needed for audit planning, b) pre and post audit meetings with stakeholders, c) cohesive audit report that communicates results and includes a corrective action plan if warranted, and d) education...

Join to apply for the Inpatient Coding Auditor role at BayCare Health System . BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Position Details Location: Fully Remote (must reside in the state of Florida, Georgia, South Carolina, or North Carolina) Status: Full Time (non-exempt) Shift: 7:00 AM to 3:30 PM Days: Monday – Friday The Inpatient Coding Auditor is a full-time remote position. Sign on bonuses available! Responsibilities The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related activities and services provided by the BayCare Health System HIM Coding Department. Interacts directly with coders, clinical personnel including Clinical documentation specialists, and/or physicians. Audits include documentation and...

Job Title Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events (inexcusable outcomes in a healthcare setting) for all lines of business. Coordinates rate adjustments with claims areas. Provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues. Coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department. Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary...

Inpatient Coding Auditor (PRN) Join Our Award-Winning Team and Work with the Best! We are thrilled to share that UASI has been recognized as a Top Workplace by the Cincinnati Enquirer in 2022, 2023, and 2024! With over 40 years of experience and enduring partnerships with our valued clients, we are proud of the stability we've built and the long-term success of our dedicated team. We are currently seeking an experienced facility inpatient Coding Auditor to join our team on a PRN basis. The Coding Auditor will perform inpatient coding audits and review services to client sites remotely from a home office. Additional responsibilities include: Work with clients performing coding audit and/or review services on a variety of Inpatient facility record types Identify trends based on coding audit and review findings and formulate recommendations for corrective action plans Perform necessary research to provide to the client to support findings. Examples of this research include...

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Position Details: Location: Remote (must reside in the state of Florida, Georgia, North Carolina, or South Carolina) Status: Full time (non-exempt) Shift: 8:00am - 4:30pm Days: Monday through Friday This Specialty Coder II opportunity is a full-time remote position. This team member must reside in the state of Florida, George, North Carolina, or South Carolina. Sign on bonuses available! Responsibilities: The Specialty Coder II is a Certified Professional Coder who assigns diagnosis and procedural codes using ICD-10 CM and CPT-4 coding systems. The Specialty Coder audits physician documentation to assign appropriate CPT codes, diagnosis codes, and modifiers....