Carrier compliance auditor jobs | Healthcare Careers

Carrier Compliance Auditor — Growth, Training & Benefits

Allen Lund Company, LLC La Cañada Flintridge, CA, USA

A transportation brokerage company in La Cañada Flintridge is seeking a Carrier Compliance Auditor to ensure compliance across carrier documentation, maintain carrier files, and provide customer service to branch offices. The ideal candidate should have over a year of customer service experience, be highly organized, and able to work efficiently in a fast-paced environment. Competitive compensation and benefits are offered. #J-18808-Ljbffr

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Carrier Compliance Auditor

Allen Lund Company, LLC La Cañada Flintridge, CA, USA

Our Story With $1,000 in his pocket, Allen Lund made the brave decision to start his own transportation brokerage company. It was 1976, when Allen Lund Company formally opened the first office in Los Angeles. Now, we have 38 offices and continue to grow! We are always looking for exceptional people to join our fast paced, challenging, team-oriented work environment. Our culture fosters personal growth and commitment both in and out of the office. Our diverse workforce is key in delivering outstanding customer service and our commitment to our industry are main components of our unmatched reputation. We hold true the value of hiring, developing and retaining the best employees in the industry. Our management provides an open and innovative environment that promotes professional and personal growth. This is why one half of our employees have been with ALC for over 10 years! Why we’re Awesome!! Inclusive company culture Training and Development Competitive Compensation...

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Carrier Compliance Auditor

Allen Lund Company, LLC Los Angeles, CA, USA

Our Story With $1,000 in his pocket, Allen Lund made the brave decision to start his own transportation brokerage company. It was 1976, when Allen Lund Company formally opened the first office in Los Angeles. Now, we have 38 offices and continue to grow! We are always looking for exceptional people to join our fast paced, challenging, team-oriented work environment. Our culture fosters personal growth and commitment both in and out of the office. Our diverse workforce is key in delivering outstanding customer service and our commitment to our industry are main components of our unmatched reputation. We hold true the value of hiring, developing and retaining the best employees in the industry. Our management provides an open and innovative environment that promotes professional and personal growth. This is why one half of our employees have been with ALC for over 10 years! Why we’re Awesome!! Inclusive company culture Training and Development Competitive...

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Medical Coder

Yeo & Yeo Saginaw, MI, USA

Come grow with us. Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding. Yeo & Yeo Medical Billing & Consulting maintains a highly trained staff with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes. Our billing specialists receive ongoing training specific to medical specialty. We continually train our staff by updating and maintaining their knowledge of insurance carrier trends and changes in billing rules and policies. Our people are our future – we provide the venue for individuals who have the desire...

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Certified Professional Coder Consultant

Yeo & Yeo Saginaw, MI, USA

Come grow with us. Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding. Yeo & Yeo Medical Billing & Consulting maintains a highly trained staff with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes. Our billing specialists receive ongoing training specific to medical specialty. We continually train our staff by updating and maintaining their knowledge of insurance carrier trends and changes in billing rules and policies. Our people are our future – we provide the venue for individuals who have the desire...

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Professional Coding Auditor - Remote

Albany Medical College Albany, NY, USA

Professional Coding Auditor - Remote page is loaded## Professional Coding Auditor - Remotelocations: 1275 Broadway Albany, NY 12204: 211 Church St Saratoga Springs, NY 12866: 100 Park Street Glens Falls, NY 12801: 71 Prospect Avenue Hudson, NY 12534time type: Full timeposted on: Posted 6 Days Agojob requisition id: 65977Department/Unit:Health Information ManagementWork Shift:Day (United States of America)Salary Range:$60,367.47 - $90,551.20Professional Coding Auditor will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding/charging/denials follow-up. Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines. Provide...

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Technical Compliance Auditor

Chapters Health System Florida, NY, USA

Position Technical Compliance Auditor – Chapters Health System Join to apply for the Technical Compliance Auditor role at Chapters Health System . Inspiration It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success! Role The Technical Compliance Auditor audits and reviews technical components of Conditions of Participation and Conditions of Payment, billing and other non-clinical items included in the annual Compliance Auditing and Monitoring Plan to ensure compliance with all regulatory guidelines and quality initiatives. Qualifications High School diploma or equivalent; Associate’s degree preferred Minimum of three (3) years’ applied billing experience; Hospice...

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Health Information Management Inpatient Coding Auditor Sr. FT, Days, - Remote

Prisma Health Columbia, SC, USA

Join to apply for the Health Information Management Inpatient Coding Auditor Sr. FT, Days, - Remote role at Prisma Health . 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 software and documents findings to improve CC/MCC capture, Risk Variable capture, HAC/PSI, HCC and Quality Indicator validation. Uses knowledge of coding and compliance guidelines to identify potential documentation, coding and reimbursement issues and report these to coding leadership. Employ critical thinking skills to alert coding leadership to any trends identified in their reviews and to make suggestions for continual process improvement. Reviews and responds to inpatient denials as needed. Performs Inpatient coding by assigning ICD-CM and ICD-PCS codes as well as DRG assignment. Essential Functions All team members are expected to be...

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Technical Compliance Auditor

Chapters Health System Florida, NY, USA

Technical Compliance Auditor page is loaded## Technical Compliance Auditorlocations: Tavares, FLtime type: Full timeposted on: Posted Todayjob requisition id: R2510027**It’s inspiring to work with a company where people truly BELIEVE in what they’re doing!****When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!**Role: The Technical Compliance Auditor audits and reviews technical components of Conditions of Participation and Conditions of Payment, billing and other non-clinical items included in the annual Compliance Auditing and Monitoring Plan to ensure compliance with all regulatory guidelines and quality initiatives.**Qualifications:*** High School diploma or equivalent; Associate’s degree preferred* Minimum of three (3) years’ applied billing...

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Medical Coder

Yeo & Yeo CPAs & Advisors Saginaw, MI, USA

Description Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever‑changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD‑10 coding. Yeo & Yeo Medical Billing & Consulting maintains a highly trained staff with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes. Our billing specialists receive ongoing training specific to medical specialty. We continually train our staff by updating and maintaining their knowledge of insurance carrier trends and changes in billing rules and policies. Our people are our future – we provide the venue for individuals who have the desire and drive...

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Certified Professional Coder, PAM

DRH Health Duncan, OK, USA

Join to apply for the Certified Professional Coder, PAM role at DRH Health 5 days ago Be among the first 25 applicants Join to apply for the Certified Professional Coder, PAM role at DRH Health JOB SUMMARY: This position is responsible for reviewing a patient’s medical records after a Clinic visit and translating the information into codes that insurers use to process claims for patients. Duties include confirming treatments with medical staff, identifying missing information, and submitting information to insurers for reimbursement. Description JOB SUMMARY: This position is responsible for reviewing a patient’s medical records after a Clinic visit and translating the information into codes that insurers use to process claims for patients. Duties include confirming treatments with medical staff, identifying missing information, and submitting information to insurers for reimbursement. Responsibilities (essential Functions) Accurately assigns and sequences codes...

Full Time

CODING AUDITOR/EDUCATION SPECIALIST

SGMC Health Valdosta, GA, USA

WHAT IT'S LIKE AT SGMC HEALTH Purpose . No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place. Excellence . We strive to do the right thing the right way, are accountable in all we do, require competence of our people, and are compassionate in our service. Team Spirit. We encourage team effort, support personal and professional development, acknowledge individual talents and skills, and support innovation and empowerment. Award Winning Performance. We are committed to providing the best care possible and we are proud to be recognized locally, statewide, and nationally for the exceptional care that our staff provides. WHY YOU WILL LOVE SGMC HEALTH SGMC has great benefit options, depending on the role that you are going into– including healthcare, supplementary benefits, ways to save for the future, opportunities for career advancement, and opportunities to expand...

Full Time

Professional Coding Provider Educator & Reviewer

RWJBarnabas Health Oceanport, NJ, USA

Professional Coding Provider Educator & Reviewer RWJBarnabas Health Oceanport, NJ Full-Time Day Pay Range: $75,597.00 - $106,780.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: The Professional Coding Provider Educator/Reviewer is responsible for preparing educational materials and delivering instruction to Medical Group physicians, Advance Practice Providers, and staff across all RWJBH medical centers, as directed by the System Professional Provider Education Coding Manager and Coding Leadership. Education may be provided in response to compliance reviews, physician onboarding, proactive training, or coding and regulatory updates. This role also conducts...

Full Time

Physician (ProFee) Coding Manager - Remote

Citizens Medical Center Remote (TX, USA)

Assists the CMP Revenue Cycle Director (“Director”) in planning, administering, and directing the day-to-day operations of the coding department of Citizens Medical Professionals (“CMP”). JOB DUTIES AND RESPONSIBILITIES: Develops and carries-out departmental goals and objectives in conjunction with the organization’s mission, strategic plans, and other identified needs, as well as in the planning, supervising, coordinating and directing the activities of the department. (EF) Monitors coding operations and recommends departmental policy and procedures to CMP’s Revenue Cycle Director and complies with and enforces hospital and department policies and procedures, including oversight and compliance with CMP’s coding and documentation policies. (EF) Coordinates with the CMP providers and clinics, as well as physician patient access and billing departments, on coding and documentation processes so that maximum financial reimbursement can be obtained. (EF)...

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Full Time

Medical Coding Auditor

Farragut Square Group Remote

Farragut Square Group provides clients with research and policy advisory services on a range of healthcare topics, including Billing and Coding Claims reviews of physician office practices and in and out-patient facilities. As part of our ongoing commitment to be #AlwaysBetter for our people, clients, and communities, we have created a culture of belonging that champions your individuality and authenticity as both a person and a professional. From our competitive compensation, top benefits and award-winning professional development programs to industry-leading wellness initiatives, we support you through every stage of your life and career so you can live a life you love both in and outside of the office. With us, you’ll find: A Firm where everyone belongs: Our award-winning culture prioritizes warmth and authenticity — we encourage you to be yourself! Enthusiasm for diverse perspectives: We’re smarter and stronger when everyone has a voice and...

Full Time

Charge Review Specialist III - Certified Coder Cath Lab, EP, IR- Remote

Conifer Health Solutions Remote

JOB SUMMARY This job is responsible for ensuring that all appropriate billing charges for complex service lines are being captured, documented, charged and reimbursed for the assigned department in accordance with policies and procedures, and applicable regulatory standards and requirements. Position requires a working knowledge of CPT codes. Focus on work unit and/or service-line reconciliation processes ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Ensures accurate and timely charge-capture and abstracting methodologies are in place and followed for the assigned work unit or service line, and that they are consistent (in terms of standardization) across pertinent areas/facilities as appropriate; reconciles charges against source documents to ensure that charges have been captured completely and accurately; monitors compliance with internal standards and procedures, and report non- compliance issues to proper authority....

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Field Quality Assurance Compliance Auditor - Manufacturing

FM PA, USA

Job Description:Job Description FM Approvals is an international leader in third-party testing and certification services. We test property loss prevention products and services--for use in commercial and industrial facilities--to verify they meet rigorous loss prevention standards of quality, technical integrity and performance. How? By employing a worldwide certification process that's backed by scientific research and testing, and over a century of experience. The FM APPROVED mark is recognized and respected worldwide. Our certification instills confidence and commands respect in your marketplace. Visit our website to learn more about FM Approvals and the amazing work our team does! FM Approvals Website Summary A mid-level auditor position within the Auditing and Quality Assurance department. The role of the Quality Auditor is expected to independently schedule and conduct conformity assessment audits at customer locations. Audits include various manufacturers responsible for...

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Medical Coder I

Ellis Medicine Niskayuna, NY, USA

WHAT WILL I GET AT ELLIS MEDICINE? Comprehensive and affordable Health, Dental and Vision insurance that starts DAY ONE ! Generous paid time off to support a work-life balance, including 6 paid holidays Tuition Reimbursement and professional development opportunities Retirement plan in the form of a 401(3b) with company match after longevity Flexible Spending Account and Dependent Care Account—allowing you to set aside pretax dollars to better care for your health and the health of your loved ones Free yearlong unlimited CDTA Navigator Pass, including Free CDTA bike share program Employee Wellness Program Employee Assistance Program Employer paid Life Insurance WHAT WILL I DO AS A MEDICAL CODER? Basic Function The Medical Coder is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes, but is not limited to managing the charge entry and charge reconciliation process for the assigned practice(s), managing...

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Supervisory Medical Records Technician (Coder)

South Dakota Staffing SD, USA

Medical Records Technician (Coder) Supervisory Position Summary MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings. These coding practitioners analyze and abstract patients' health records, and assign alpha-numeric codes for each diagnosis and procedure. Major Duties Include, but are not limited to, the following: Supervising coding staff at the facility level Performing all duties of a MRT (Coder) Responsible for program management of a coding section/unit to ensure performance monitors are established and met Performing a full range of supervisory responsibilities Evaluating the performance of subordinate staff Approving sick and annual leave requests Identifying educational or training needs Resolving employee complaints Informing higher level management of anticipated vacancies or increases in workload Recommending employees for promotions, reassignments, recognitions, retention...

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CODING AUDITOR/EDUCATION SPECIALIST, REV CYCLE MED GROUP

South Georgia Medical Center Valdosta, GA, USA

Description WHAT IT'S LIKE AT SGMC HEALTH Purpose No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place. Excellence We strive to do the right thing the right way, are accountable in all we do, require competence of our people, and are compassionate in our service. Team Spirit We encourage team effort, support personal and professional development, acknowledge individual talents and skills, and support innovation and empowerment. Award Winning Performance We are committed to providing the best care possible and we are proud to be recognized locally, statewide, and nationally for the exceptional care that our staff provides. WHY YOU WILL LOVE SGMC HEALTH SGMC has great benefit options, depending on the role that you are going into– including healthcare, supplementary benefits, ways to save for the future, opportunities for career advancement, and opportunities to expand your skill set....

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Certified Professional Coder

DCH Health System Fayette, AL, USA

Overview A Certified Professional Coder (CPC) job description generally involves reviewing patient medical records, abstracting relevant clinical information, and assigning appropriate medical codes using ICD-10, CPT, and HCPCS code sets. CPC responsibilities also include ensuring accurate documentation and coding, facilitating claims processing, and complying with regulatory requirements. Responsibilities Coding and Abstracting: Accurately translate patient encounters into standardized medical codes (ICD-10, CPT, and HCPCS). Documentation Review: Analyze patient records for completeness, accuracy, and compliance with coding guidelines. Reimbursement Analysis: Research and analyze data needs for accurate and timely reimbursement. Auditing and Compliance: Conduct chart audits, identify coding discrepancies, and implement corrective actions. Communication and Collaboration: Communicate effectively with healthcare providers to clarify coding issues and ensure accurate...

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Professional Billing Coder II I Remote I Days

Yuma Regional Medical Center Yuma, AZ, USA

Work Status Details Regular Full Time | 80.00 Hours Every Two Weeks Shift: Days Pay Rate Type: Hourly Location: Remote Listed is the base hiring salary range offered for this position. Actual salaries may vary depending on factors, including but not limited to skills and experience. The salary range listed is just one component of the total rewards/compensation package offered to candidates. Min = $22.62 Mid = $28.28 Max = $33.93 Summary The Professional Billing Coder II is an intermediate-level coding professional responsible for independently reviewing medical documentation and assigning accurate diagnostic and procedural codes for outpatient and professional services. This role requires advanced knowledge of coding guidelines and payer-specific requirements to support correct billing, compliance, and optimal reimbursement. The PB Coder II works with minimal supervision and may assist with training or mentoring entry-level coders. Responsibilities Review and interpret...

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Professional Coding Auditor and Educator - Remote

Tufts Medicine Scranton, PA, USA

Professional Coding Auditor And Educator - Remote This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following Health Information Management duties: Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a "hands on" environment. The majority of time is spent in the delivery of support services or activities, typically under supervision. An experienced level role that requires basic knowledge of job procedures and tools obtained through work experience and may require vocational or technical education. Works under moderate supervision, problems are typically of a routine nature, but may at times require interpretation...

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Medical Records Technician (Coder) Auditor-Outpatient and Inpatient

Wyoming Staffing Cheyenne, WY, USA

Medical Records Technician (Coder) Auditor-Outpatient and Inpatient The VA Cheyenne Health Care System is currently recruiting for one Medical Records Technician (Coder) Auditor-Outpatient and Inpatient to care for our Veterans as part of the Business Office. This position currently has a Return to Office (RTO) mid-term extension (180-days). Remote work is currently authorized; however, candidates may be subject to return to office in the event policy changes or the exemption is not extended. Applicants must reside within 50 miles of a VISN 19 facility. Responsibilities include: The duties of this position include: Total rewards of a Allied Health Professional Complete and accurate diagnostic and procedural coded data are necessary for research, epidemiology, outcomes and statistical analysis, financial and strategic planning, reimbursement, evaluation of quality of care, and communication to support the patients treatment. Diagnoses and procedures will be coded utilizing...

262 carrier compliance auditor jobs found