30 acute hospital outpatient compliance auditor jobs found

Acute Hospital Outpatient Compliance Auditor 2 days ago Be among the first 25 applicants Company Description The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women’s and children’s health and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland. No organization will give you the clinical variety, the support, or the opportunities for professional growth that you’ll enjoy as a member of our team. Company Description The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare,...

The University of Maryland Medical System is a 14-hospital system with academic, community, and specialty medical services reaching every part of Maryland and beyond. UMMS is a regional referral center for trauma, cancer care, Neurocare, cardiac care, women’s and children’s health, and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in Maryland. No organization will give you the clinical variety, support, or opportunities for professional growth that you’ll enjoy as a member of our team. Job Description I. General Summary Accurately audits hospital inpatient, ambulatory surgery, observation, and outpatient encounter visits for appropriate reimbursement, research, and compliance with federal and state regulations, according to established ICD-10-CM/PCS coding and CPT-4 procedures. II. Principal Responsibilities and Tasks The following describe the general nature and level of work performed by...

Job Description I. General Summary Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems. II. Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Audits ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient, ambulatory surgery, and observation visits...

1 week ago Be among the first 25 applicants Company Description The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state’s future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System’s anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information,...

Join to apply for the HIM-OUTPATIENT CODER role at LifeBridge Health Join to apply for the HIM-OUTPATIENT CODER role at LifeBridge Health Get AI-powered advice on this job and more exclusive features. FULL-TIME REMOTE OPPORTUNITY Summary HIM OUTPATIENT CODER FULL-TIME REMOTE OPPORTUNITY SIGN-ON BONUS ELIGIBLE $10,000 tion : District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia JOB SUMMARY: Following established conventions and guidelines, codes and abstracts the medical records of the diverse population of facility outpatient records. Assists with coding and leveling ERs as needed. Assists with coding and charging infusion cases as needed. Meets departmental accuracy and production standards. Reviews medical records to determine the providers diagnoses/procedures for outpatient records (ER, Infusion, other outpatient) and assigns ICD-10CM/PCS codes or CPT codes to those diagnoses/procedures. Abstracts predetermined information from ER and outpatient...

Description Introduction Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: as Work from Home Inpatient Coding Auditor with Parallon. Benefits Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness,...

Quality Assurance Nurse Auditor / Nurse Analyst / Coding Auditor PYA is seeking a Quality Assurance Nurse Auditor/Nurse Analyst/Coding Auditor to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will be a member of the Revenue and Compliance Advisory Team . RESPONSIBILITIES Provide advisory services to ambulatory care, acute care, and post-acute care organizations, including documentation review and improvement for: Medical Necessity Level of Care Appropriateness of service and service location Billing documentation requirements and analysis of UB-04, Remittance Advices and Itemized Bills Assist with coding compliance reviews including professional, hospital outpatient, and inpatient hospital services Assist with regulatory compliance for Medicare, Medicaid, and third-party payers to include ambulatory, acute care (inpatient and outpatient), rehabilitation, and behavioral health services...

El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen. Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for. FTE 1 Scheduled Bi-Weekly Hours 80 Work Shift Day: 8 hours Job Description The Clinical Coding Auditor performs complex reviews/audits of facility (hospital setting) coded data in compliance with Official Coding Guidelines /ICD-10-CM/PCS coding conventions for ancillary outpatient, emergency room, ambulatory /observation records, and inpatient case reviews. Promotes the role of auditor ensuring efficient, high level of coded data quality supports appropriate reimbursement, data collection,...

Join to apply for the 3235 - Compliance Coding Auditor role at Sharp HealthCare 1 day ago Be among the first 25 applicants Join to apply for the 3235 - Compliance Coding Auditor role at Sharp HealthCare Hours : Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Weekend Requirements: No Weekends On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $48.140 - $62.110 - $76.080 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do The Compliance Coding Auditor is responsible for the administration of the Sharp...

Clinical Coding Auditor - FT - Days - HIMS - Medical Records @ MV Clinical Coding Auditor - FT - Days - HIMS - Medical Records @ MV Apply locations Mountain View, CA | time type Full time | posted on Posted Yesterday | job requisition id R00015024 El Camino Health is committed to hiring, retaining, and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: built on compassion, innovation, collaboration, and delivering high-quality care. Join our team that makes this happen. Applicants MUST submit a separate application for each job posting number they are interested in. FTE 1 Scheduled Bi-Weekly Hours 80 Work Shift Day: 8 hours Job Description The Clinical Coding Auditor performs complex reviews and audits of facility (hospital setting) coded data, ensuring compliance with Official Coding Guidelines, ICD-10-CM/PCS, and CPT conventions across outpatient, emergency, observation, and...

Description Introduction Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: as Work from Home Inpatient Coding Auditor with Parallon. Benefits Parallon offers a total rewards package that supports the health, life, career, and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness,...

Medical Biller/Coding Specialist Poudre Infusion Therapy, a division of Columbine Health Systems, is a trusted provider of outpatient infusion services in Northern Colorado. With over 50 years of healthcare excellence through Columbine, our clinic specializes in delivering safe, convenient, and compassionate infusion therapy to patients with chronic and acute conditions. We're proud to combine clinical expertise with a personalized touchensuring our patients receive high-quality care in a comfortable, supportive setting. Our team works closely with physicians, discharge planners, and insurance providers to streamline the infusion process and advocate for the best outcomes. At Poudre Infusion Therapy, we value our team as much as we value our patients. We foster a workplace culture of respect, collaboration, and professional growth. Join us in making a differenceone infusion at a time. Why You'll Love Working Here: Inclusive Culture: We celebrate diversity and are committed...

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...

Job Description Job Description Job Overview Our client is seeking a detail-oriented and knowledgeable Coding Specialist to join their healthcare team. The ideal candidate will be responsible for accurately coding medical records and ensuring compliance with industry standards. This role is crucial in maintaining the integrity of patient data and facilitating efficient billing processes. The Coding Specialist will work closely with healthcare processionals to ensure accurate documentation and coding of diagnoses, procedures, and services. Duties Review and analyze medical records to assign appropriate codes using ICD-10, ICD-9, and DRG classifications. Ensure compliance with medical coding guidelines and regulations. Collaborate with healthcare professionals to clarify documentation and coding discrepancies. Maintain up-to-date knowledge of medical terminology, coding systems, and billing practices. Review claims ensuring accuracy in coding for medical billing and...

CommonSpirit Health Mountain Region CommonSpirit Health Mountain Region is committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happenboth inside our hospitals and out in the community. With locations throughout Colorado, Utah, and Kansas, we deliver the same high standard of care to our employees as we do to our patients. Our 20 hospitals, emergency and urgent care centers, home care and hospice, Flight for Life ColoradoTM, telehealth and over 240 physician practices and clinics offer endless opportunities! Here, you can grow your career and impact the people in the communities you serve. CommonSpirit Health is one of the nations largest nonprofit, faith-based health systems, with a team of over 150,000 employees and 25,000 physicians and advanced practice clinicians. CommonSpirit operates more than 2,200 care sites and 140 hospitals, serving some of the most diverse communities across the...

Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description Must reside in IL, IN, IA, or WI. The Outpatient Coder II reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. Follows ICD-10-CM Official Guidelines for...

Join to apply for the Health Information Management Outpatient Coding Auditor Senior, FT, Days, - Remote role at Prisma Health Join to apply for the Health Information Management Outpatient Coding Auditor Senior, FT, Days, - Remote role at Prisma Health Get AI-powered advice on this job and more exclusive features. Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for leading coding teams, coder training, work queue management, performing prebill and second-level coding reviews utilizing auditing tools and applicable software. Uses knowledge of coding and compliance guidelines to identify potential documentation, coding and reimbursement issues and report these to coding leadership. Employs critical thinking skills to alert coding leadership to any trends identified in their reviews and to make suggestions for continual process improvement. Maintains knowledge of CPT and HCC documentation requirements to ensure correct code assignment....

Job Description Job Description Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description Must reside in IL, IN, IA, or WI. The Outpatient Coder II reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.  Follows...

Overview: The Professional Coder provides timely and accurate clinical and administration data to ensure optimal reimbursement for professional services performed at acute care, inpatient, outpatient, urgent care or physician offices to meet organizational needs. This position is responsible for ICD10CM diagnosis, CPT-4 coding and charge entry related to coding, documentation, billing and reimbursement issues. Works as a liaison between centralized billing staff, practice managers and office staff and may be required to meet with the office staff and physicians as needed. This position is responsible for the monitoring the quality of coding and stays current on professional coding changes, compliance issues, billing, documentation, reimbursement and interpretation of coding/documentation rules. Primary patient contact is only social. He/she demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards...

Title: Outpatient Coder II Duration: Full Time Employment Location: 100% Remote Start Date: ASAP Job Description: The Outpatient Coder II adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. Follows ICD-10-CM Official Guidelines for Coding and Reporting, Coding Clinics, interprets ICD-10-CM coding conventions and instructional notes to select appropriate diagnoses with a minimum of 95% accuracy. Meets established minimum coding productivity per departmental protocol and guidelines. The Outpatient Coder IIis the coding and reimbursement expert with ICD-10-CM diagnosis coding, HCPCS and CPT codes and modifiers. The focus is on complex outpatient encounters that include Observation stays, Same Day Surgery, Surgery Center, and Outpatient in a bed. Should have more in-depth knowledge of disease process, A&P and pharmacology as it relates to...

Hourly Pay Range: $30.46 - $45.69 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Position Highlights: Position: Medical Coder Quality Specialist Location: Warrenville, IL Full Time Hours: Monday-Friday, [hours and flexible work schedules] Position Summary: Under general supervision, this position is responsible for conducting audits of coding records, educating the inpatient and outpatient coding staff on current trends and developments in the field of coding. Developing and implementing ongoing training for all of the coding staff. Maintaining regular contact with a variety of Hospital personnel in order to facilitate exchange of patient-related information. What you will do: Performs ongoing internal audits of the quality and quantity of the inpatient and outpatient coding reimbursement staff in a consistent, confidential and professional manner. Communicates results to...

At South Shore Health, we come together to improve the health of our family, friends and neighbors by bringing together people, caregivers and excellence in medicine. We are looking for a full-time Surgical Coder to join the SHS Physician Services Admin department in Weymouth, MA. In this position, you will be responsible for the accuracy and timely assignment of codes for all outpatient and inpatient diagnostic and procedural coding. This position is available as remote or hybrid in MA, RI, CT, or NH.   Responsibilities: ·       Assign diagnostic and procedural codes for physicians in the inpatient, outpatient, and observation setting and collaborate with providers and auditors to resolve documentation issues and answer queries with claims appeals ·       Assess and analyze patient medical record documents and consult with providers on record accuracy for procedures, diagnoses, complications and comorbid conditions ·       Assign ICD10CM,...

Certified Coder, Acute Hospital ED, Cancer & Edits Join to apply for the Certified Coder, Acute Hospital ED, Cancer & Edits role at Adventist Health Certified Coder, Acute Hospital ED, Cancer & Edits 2 weeks ago Be among the first 25 applicants Join to apply for the Certified Coder, Acute Hospital ED, Cancer & Edits role at Adventist Health Get AI-powered advice on this job and more exclusive features. Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for...

Job DescriptionLocated in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.Job Summary:Reviews patient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work.Job Requirements:Education and Work Experience: High School Education/GED or equivalent: Preferred Associate's/Technical Degree or equivalent combination of...