Quality compliance auditor jobs | Healthcare Careers

Full Time

Physicians Choice LLC Remote

Physicians' Choice is currently seeking a highly proficient and seasoned Medical Coding Auditor specializing in Evaluation and Management (E/M) services, with a comprehensive understanding of Emergency Medicine, to join our esteemed team. If you possess extensive expertise in current E/M coding guidelines and have a strong background in auditing, we invite you to apply for this exceptional opportunity. Job Description: As a Medical Coding Auditor you will play a vital role in ensuring accurate and compliant coding practices within our organization. You will be responsible for conducting detailed audits of medical records, coding documentation, and related billing processes to verify compliance with established coding guidelines, regulatory requirements, and internal policies. Responsibilities: Perform comprehensive audits of medical records, coding documentation, and billing processes. Evaluate the accuracy, completeness, and appropriateness of medical...

MH

Full Time Part Time

Certified Medical Coder/Professional Biller

MJP Healthcare Consulting LLC Remote (WI, USA)

Work Location: Remote - Even though this position is remote, we are looking for candidates who are located in Wisconsin. Job Overview We are seeking a detail-oriented and motivated Certified Medical Coder/Professional Biller to join our dynamic healthcare consulting team. In this vital role, you will be responsible for accurately coding medical diagnoses, procedures, and services using standardized coding systems such as ICD-10, CPT, and DRG. Your expertise will ensure precise billing processes, optimize revenue cycle management, and facilitate seamless communication between healthcare providers and payers. This position offers an exciting opportunity to contribute to high-quality patient care through meticulous documentation and coding accuracy. Responsibilities Review and analyze medical records to verify appropriate ICD-10 diagnosis codes, CPT procedure codes, and modifiers. Ensure all billing information complies with current healthcare regulations...

Full Time

Provider Education Auditor

WellStreet Urgent Care Remote (Alabama, Arkansas, Arizona, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Michigan, Missouri, Mississippi, North Carolina, Nebraska, New Jersey, New Mexico, New York, Ohio, Pennsylvania, South Carolina, Tenessee, Te)

The Provider Education Auditor works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to all patients, as well as ensuring compliant reimbursement of patient care services. Responsibilities: Responsible for reviewing and analyzing all aspects of the department clinical documentation and care to ensure timely, accurate, and compliant charge capture and submission Works as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these charges Collaborates with Coding Supervisor and Regional Medical director to ensure clinical documentation in high-risk areas is consistent and complete Duties include charge entry, ensuring...

Full Time

Lead Coding Specialist, Day Shift, Medical Coding

Adventist Healthcare Gaithersburg, MD, USA

Adventist HealthCare seeks to hire an experienced Lead Coding Specialist for our Medical Coding Department who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing. As a Lead Coding Specialist, you will: Conduct reviews to validate I-10-CM diagnosis codes and PCS procedure codes for inpatient bill hold related to PSI, PPC & other reimbursement conventions to be resolved prior to final coded data. Manages daily DNFB and DNFC reports and work queues for un-coded or outstanding records. Under the direction of the coding manager, the coding specialist lead should be proficient in communicating with the coding team. Oversees coding corrections, abstracts elements for HSCRC submissions, and ensures coding compliance with coding standards. Liaison between coding and other departments, managing coding-related tasks and denials. Provides mentoring support to coders on coding...

4 quality compliance auditor jobs found