49 quality assurance coding auditor jobs found

Assists with execution of the daily activities of the Enterprise Quality Assurance program Performs first level quality audits on vendor coding results Identifies provider query opportunity, creates and sends compliant query to rendering provider Pro Quality Assurance, Auditor, Assurance, Audit, Remote, Health, Healthcare, Business Services

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference The Opportunity: CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and...

Job Description Job Description Salary: Job Title: DRG Coding Auditor Location: Dallas / Open to remote Position Type: Part-Time / Contract. Immediate Hiring    Plutus Health Inc. is a leading provider of Revenue Cycle Management (RCM) services with SOC2 Certification. We are dedicated to helping healthcare providers improve their financial performance. Our expertise spans across various specialties. We are committed to delivering exceptional service and innovative solutions to our clients. As a result, Plutus Health Inc. has been recognized on the 5000 list of the fastest-growing private companies in America and ranked 100 in the Dallas area. Additionally, the company has been a 2024 finalist in the EY Entrepreneur Of The Year. Job Summary: The DRG Coding Auditor is responsible for reviewing and auditing medical records to ensure accurate coding and billing according to Diagnosis-Related Group (DRG) guidelines. The role involves verifying the correctness...

IDR is seeking a Coding Auditor to join one of our top healthcare clients Remotely. If you are looking for an opportunity to join a large organization and work within an ever-growing team-oriented culture, please apply today! Position Overview for the Coding Auditor: Coding Education Program: Implement and manage the Coding Education Program by conducting focused audits, monitoring coder accuracy, and carrying out educational initiatives. Educational Delivery: Develop and deliver coding education for assigned groups, addressing questions related to coding and documentation requirements and improving the integrity and quality of patient data. Compliance Support: Serve as a coding resource for department managers, physicians, and administration, providing guidance on ethical coding standards and regulatory requirements. Quality Assurance: Supervise and ensure coding quality for assigned foundations, develop strategies to address non-compliant or high-risk coding practices, and...

Position Description: This position is responsible for reviewing, prioritizing, and analyzing adverse medical events related to medical devices that are submitted on MedWatch reporting forms via hard copy or electronically to our customer, the Food and Drug Administration (FDA). Additionally, this position is responsible for processing and coding a variety of reports from device manufacturers (MFR), importers, user facilities, health care professionals, and customers. While Analyst Coders may be assigned to perform the primary functions shown above, they will also be cross-trained to perform secondary duties according to business needs. Required Qualifications: Must Possess a Bachelor's degree in related health science fields such as nursing, pharmacy, veterinary, and/or certified licensed technicians as appropriate for each center. Good telephone etiquette. Clinical experience in the different medical specialties. Team player, good organizational skills, flexible,...

At HeiTech Services, our employees are our biggest assets. HeiTech Services is dedicated to attracting highly skilled and motivated professionals. We value our employees. We offer our employees challenging opportunities that facilitate professional growth and development while also providing the support you need to succeed. We are committed to your success because we understand that our employees are the driving force behind HeiTech Services' continued growth. Our mission is to help the Federal Government keep Americans safe. Position Description: This position is responsible for reviewing, prioritizing, and analyzing adverse medical events related to medical devices that are submitted on MedWatch reporting forms via hard copy or electronically to our customer, the Food and Drug Administration (FDA). Additionally, this position is responsible for processing and coding a variety of reports from device manufacturers (MFR), importers, user facilities, health care...

Overview: Position Summary Functions as a full-time treating clinician and works with Director of Medical Operations to ensure consistency of clinical care delivery and market staffing. Assumes CMD responsibilities within center(s) while acting in ADMO Market Float position. 100% clinical coverage, treating in centers and Onsites Responsibilities: The Details Spends 100% of time in a center providing direct patient care, leading by example, and demonstrating an exceptional patient experience. Assumes the role and responsibilities of CMD, whether functioning in the capacity of CMD at a specific location or in the capacity of the Market Float. Identifies and communicates to DMO opportunities to improve clinical quality, workflows, and safety at the center and market levels. Drives patient and client experience and satisfaction metrics. Practices excellent service delivery and leads by example. Works with DMO and DTO to identify clinical improvement...

LaSalle Network has partnered with a medical provider in their search for an Inpatient Facility Coder . The Inpatient Facility Coder will be responsible for accurately coding inpatient medical records using ICD-10-CM and ICD-10-PCS coding systems. The ideal candidate will have a strong understanding of medical terminology, anatomy and pathophysiology, as well as the ability to ensure compliance with federal regulations and guidelines. This position requires a Certified Coding Specialist (CCS) certification and a minimum of 2 years of inpatient coding experience. Inpatient Facility Coder Responsibilities: Review and analyze inpatient medical records to identify relevant diagnoses and procedures for coding Assign appropriate ICD-10-CM and ICD-10-PCS codes to inpatient records Ensure coding accuracy and compliance with established guidelines and regulations Collaborate with healthcare providers to clarify documentation and coding discrepancies Participate in regular...

Summary Reemployed annuitant: This vacancy does not meet the criteria for appointment of annuitants. Learn more about this agency Help Overview * Accepting applications * Open & closing dates 08/29/2024 to 09/12/2024 * Salary $117,962 - $153,354 per year * Pay scale & grade GS 13 * Help Location 1 vacancy in the following location: * Falls Church, VA * Remote job No * Telework eligible Yes-as determined by the agency policy. * Travel Required 25% or less - You may be expected to travel for this position. * Relocation expenses reimbursed Yes-You may qualify for reimbursement of relocation expenses in accordance with agency policy. * Appointment type Permanent * Work schedule Full-time * Service Competitive * Promotion potential None * Job family (Series) * 0511 Auditing * Supervisory status Yes * Security clearance Sensitive Compartmented Information * Drug test Yes * Position sensitivity and risk Special-Sensitive (SS)/High Risk *...

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions. This is a remote opportunity within and outside the State of Arizona. Purpose of the Job Responsible for utilizing clinical acumen, medical coding, and managed care expertise related to researching, resolving and recouping pre- and post-payment over utilization, fraud, waste and abuse. Works independently with senior leaders and Medical Directors. Maintains emphasis on privacy, accuracy, meeting all regulatory and compliance timelines. Qualifications REQUIRED QUALIFICATIONS Required Work Experience Experience in clinical and health insurance or other healthcare related field Level 1 -...

Job Description Job Description The Certified Outpatient  Medical Risk Adjustment Professional Coder  is responsible for reviewing encounter notes and other supporting documentation and assigning diagnosis codes and procedure codes to create claims. Also, responsible for assigning appropriate level II codes to quality measures for HEDIS reporting. Follows official coding guidelines and insurance regulations. It is critical for the Certified Outpatient  Medical Risk Adjustment Professional Coder  to have knowledge of Medicare Risk Adjustment Methodology, HEDIS, CMS coding guidelines, and coding/documentation and billing standards and regulations. THIS POSITION MAY REQUIRE TRAVEL TO OTHER LOCAL MEDICAL CENTERS. Duties & Responsibilities Conducts workflows in Coding and Quality processes, medical record completion and department projects for accuracy in medical record documentation as needed. Ensures proper code selection for compliance with ICD-10-CM Official...

Coder I - Full Time - Days Department: CODING Job Summary Under the general direction of the Director CDI/Coding or designee, the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International Classification of Disease system- 10 (ICD), CM, and PCS codes according to AHA - AMA Guidelines, CMS and NGS. Core Job Responsibilities + Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer + Audit charges and establish proper coding in collaboration with providers + Initiate and follow up on queries with providers + Assist departments with diagnostic and procedural coding + Respond to Insurance, compliance and RAC denials + Review and assist in the maintenance of coding related policies and procedures + Perform other duties as required. Education/Experience Requirements Required: + AS in Health Information Management , a related degree or equivalent...

Description Home Search Jobs Job Description Medical Coder Contract: Newark, New Jersey, US Salary: $40.00 Per Hour Job Code: 353066 End Date: 2024-09-21 Days Left: 6 days, 3 hours left Apply Title: Senior Medical Coder Location: New Jersey 100% Remote Duration: 06+ Months 100% Remote opportunity. Candidates from NJ , NY , PA , DE , CT only. Responsibilities: Compile chart review findings statistics, analyze data results and implement meaningful action plans that improve providers' performance levels Education new staff to produce and maintain high quality data abstraction and chart reviews Develop quality assurance processes to ensure data integrity of all submitted diagnoses to regulatory agencies and key stakeholders Evaluate and improve the effectiveness of risk adjustment coding programs, policies & procedures and work flow Work closely with inter-departmental team management to support coding initiatives related to risk...

Director, Quality Assurance Compliance/Auditor Job Description At Gilead, we’re creating a healthier world for all people. For more than 35 years, we’ve tackled diseases such as HIV, viral hepatitis, COVID-19 and cancer – working relentlessly to develop therapies that help improve lives and to ensure access to these therapies across the globe. We continue to fight against the world’s biggest health challenges, and our mission requires collaboration, determination and a relentless drive to make a difference. Every member of Gilead’s team plays a critical role in the discovery and development of life-changing scientific innovations. Our employees are our greatest asset as we work to achieve our bold ambitions, and we’re looking for the next wave of passionate and ambitious people ready to make a direct impact. We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at Gilead and Kite. As a people leader now or in the...

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The key challenge of this role centers around your ability to work quickly, accurately, and independently. You'll be challenged with daily production goals as well as maintaining a high accuracy rate to achieve your quality goals. Extensive use of electronic medical records in an ICD-10 environment is also required. Hours : This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 5am - 5pm. It may be necessary, given the business need, to work occasional overtime....

Calling all Facility Inpatient Coders! Fill out your application using the 'Apply Now' button on the right of this page -> Our hiring manager will follow up with next steps! Exclusive opportunity for a Facility Inpatient Coder - KODE is granting company ownership for new hires! At least one year of professional experience is required- CPC-As are not being considered at this time. 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...

Trajectory is the largest revenue cycle management company in Wichita, KS. We provide revenue cycle management for clients throughout the US, managing over $500,000,000 in cash collections per year. We have grown by 50% in each of the last 5 years. This allows us to offer significant opportunity for advancement to those team members that prove excellence and meet our cultural imperatives of teamwork, client focus, and Pursuit of Awesome. We believe our quality of service begins with our quality of team member. We offer exceptional benefits and working environments to exceptional employees. We are seeking a qualified medical coding specialist to join an established and talented team. Position Overview We are seeking a meticulous and detail-oriented Medical Coder specializing in professional services, particularly Evaluation and Management (E&M) and tangential services. The ideal candidate will possess a strong understanding of coding guidelines, regulations, and...

Come grow with us! Elite DNA Behavioral Health is one of the largest providers of behavioral and mental health services in Florida - and we are expanding quickly! We believe in providing high-quality, accessible care to our patients and a supportive environment that allows our team to grow professionally. Our goal is to hire you - the best talent - to support our mission and allow you to grow with us. We thrive on a mutual goal of providing excellent care to our patients through our comprehensive care services and collaborative culture. Elite DNA is the pioneer of the care coordination approach to mental health, where all patients are matched with their ideal services and providers prior to receiving direct care. Our team is at the forefront of providing leading-edge therapy services - from psychotherapy to psychiatry - to specialized programs such as psychosocial rehabilitation, EMDR, and group therapy. Everything we do here at Elite DNA is guided by integrity and compassion...

Overview: Fresno County is the heart of California! Fresno offers outdoor adventures, family-friendly activities, and farm to table dining. The sun shines for more than 300 days of the year, creating the perfect environment to enjoy Concentras work life balance. We look forward to speaking with you! Fresno California-Relocation and Hiring Incentives POSITION SUMMARY This position involves providing direct patient care and leading by example to ensure an exceptional patient experience. The role includes identifying and communicating opportunities for clinical quality improvement, driving patient ,and collaborating with leaders to support a caring treatment environment. Additionally, the position involves mentoring future clinical leaders, fostering a professional and collaborative environment, and maintaining relationships with key stakeholders to drive market growth. Responsibilities: THE DETAILS Spends 100% of time in a center providing direct patient care,...

Fair Haven Community Health Care FHCHC is a forward-thinking, dynamic, and exciting community health center that provides care for multiple generations at nearly 140,000 office visits in 19 locations. Overseen by a Board of Directors, the majority of whom are patients themselves, we are proud to offer a wide range of primary and specialty care services, as well as evidence-based patient programs to educate patients in healthy lifestyle choices. As we grow and are able to bring high-quality health care to more areas that need access, we continue to put our patients first in everything we do. The mission of FHCHC is "To improve the health and social well-being of the communities we serve through equitable, high quality, patient-centered care that is culturally responsive." For over 50 years, we have been a health care leader in our community focused on providing excellent, affordable primary care to all patients, regardless of insurance status or ability to pay. Fair Haven is...