12 quality assurance coder auditor jobs found

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes. Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines.  Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties. Job Responsibilities: Quality Review - Monitors and audits inpatient and outpatient accounts across the system,...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes. Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines.  Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties. Job Responsibilities: Quality Review - Monitors and audits inpatient and outpatient accounts across the system,...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes. Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines.  Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties. Job Responsibilities: Quality Review - Monitors and audits inpatient and outpatient accounts across the system,...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes. Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines.  Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties. Job Responsibilities: Quality Review - Monitors and audits inpatient and outpatient accounts across the system,...

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and...

Outpatient Coder—Revenue Cycle The Outpatient Coder I assesses documentation and verifies the correct ICD and CPT codes to patient medical records monitors records for timely coding turnaround maintains coding and documentation quality standards and performs audits to support data quality and medical necessity. Qualifications: High School Diploma or equivalent completion of additional post-secondary health-related program preferred. E&M experience preferred CPC Apprentice preferred. 2-3 years preferred. Shift Schedule: Full-Time Monday-Friday 8:00AM - 4:30PM or 8:30AM - 5:00PM Flexible scheduling available. Remote work may be an option following the training period and successful demonstration of coding competencies. Benefits: Medical | Dental | Vision Flexible Spending | Health Savings Basic Life and AD&D Insurance (paid by BCH) Supplemental Life and AD&D Insurance Disability Insurance (paid by BCH) Retirement Savings Plans 401k discretionary contributions...

Description ESSENTIAL DUTIES AND RESPONSIBILITIES Review and analyze clinical documentation to assign appropriate ICD-10, CPT, and HCPCS codes. Ensure coding accuracy and compliance with federal regulations, payer requirements, and clinic policies. Collaborate with providers, nurses, and clinical staff to clarify documentation when needed. Abstract relevant information from patient records to support accurate coding and billing. Enter and verify codes in the electronic health record (EHR) or billing software system. Identify and resolve coding errors, rejections, and denials in partnership with the billing team. Maintain current knowledge of coding guidelines, payer rules, and compliance standards (including HIPAA). Participate in regular audits and quality assurance activities to ensure documentation supports billed services. Assist with staff education and training related to coding and documentation best practices. Protect patient confidentiality and maintain the...

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2814 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Advanced...

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

Job Type Full-time Description THIS IS NOT A REMOTE POSITION About Us: ENT Specialties, P.C. is a privately owned practice that has been providing comprehensive ENT services to all ages since 1991. As the largest Otolaryngology practice in Lincoln, we have a dedicated group of physicians, physician assistants, audiologists, nurses and staff that excel in providing the highest quality care with a compassionate touch. Position Overview: The Certified Coder is a vital member of our team, responsible for accurately translating medical documentation into standardized codes for diagnoses, procedures, and services rendered. This role is particularly focused on coding activities within clinic and Ambulatory Surgery Center (ASC) settings. The Certified Coder ensures compliance with current coding guidelines/regulations and aids in the resolution of claim denials. The ideal candidate is an experienced professional with a keen eye for detail, a firm grasp of surgical coding...

Job DescriptionJob DescriptionJefferson Community Health & Life is looking for a Certified Coder to work full-time.This is NOT a REMOTE position.Hours :M through Friday 8am - 4 :30pmNo weekends and no holidays.POSITION SUMMARY :The Clinic Coder is responsible for reviewing, analyzing, and accurately coding patient medical records to support timely and compliant billing.This includes assigning appropriate ICD-10, CPT, and HCPCS codes for diagnoses, procedures, and services while ensuring adherence to legal, regulatory, and medical standards.The role supports revenue cycle accuracy, internal audits, and quality assurance initiatives within the clinic.QUALIFICATIONS :High school diploma or GEDCertified Professional Coder (CPC or CPC-A), preferred, or willingness to obtain certification.Knowledgeable of medical terminology, anatomy and physiology preferred.Experience with ICD-10, CPT and HCPCS coding preferred.Understanding of health insurance and billing practices...