1709 certified coding auditor jobs found

Title: Senior Certified Coding Auditor and Trainer Location: Columbia, SC Status: Full-Time Who Are We? Part of the Novant Health family based in North Carolina, Novant Health Urgent Care (formerly Doctors Care) provides exceptional healthcare through our network of more than 50 urgent care centers and 20 physical therapy facilities across South Carolina. Our Columbia-based headquarters delivers non-medical management and administrative services to support these locations. For decades, we have been committed to delivering exceptional, convenient, and affordable healthcare experiences to families and communities throughout the Palmetto State. What Do We Offer? Competitive wages Generous PTO that increases with tenure 403B Health, dental, vision insurance Flexible Spending Account Short term and Long term Disability Whole and Term Life Insurance Rewarding Careers What Are We Looking For? Novant Health Urgent Cares is currently seeking a...

Working remotely, the full-time Certified Coding Auditor will ensure accurate and timely reimbursement by resolving medical coding claim defects, optimizing the revenue cycle, and maintaining financial integrity. Key responsibilities Research and review coding-related claim denials, providing expert guidance on necessary corrections Proactively address pre-billing resolution of coding defects to prevent reimbursement impacts Utilize analytical skills to maximize financial accuracy and efficiency within the coding process Required qualifications High school diploma or equivalent Minimum of one year of coding experience or two years in a healthcare environment Certification from AAPC or AHIMA (e.g., CPC, CCA, CCS, CCS-P, RHIT, RHIA) Working knowledge of human anatomy, physiology, and medical terminology Ability to work under pressure to meet deadlines with minimal supervision #J-18808-Ljbffr

To enhance the effectiveness of the Clinical Chart Validation team, the full-time Certified Coding Auditor Trainer will be responsible for planning, developing, and delivering technical training, mentoring team members, and assessing training outcomes while collaborating with various stakeholders in a remote environment. Key responsibilities Develop and deliver technical training plans and materials to improve audit productivity and performance Mentor and support audit team members, including conducting orientation for new hires and promoting audit accuracy Evaluate training effectiveness and provide recommendations for improvements based on performance assessments Required qualifications Associates Degree or equivalent relevant experience; Bachelor's degree in a related field preferred 5 to 7 years of experience in claims auditing, quality assurance, or recovery auditing Coding certification (e.g., CCS, CPC) required, with a willingness to obtain within 6 months for candidates...

Providing expert analysis and education, the full-time remote Certified Coding Auditor and Educator will conduct comprehensive audits, deliver targeted training, and ensure compliance with coding standards in professional services. Key responsibilities Conduct comprehensive audits of coding and documentation for accuracy and compliance with regulatory guidelines Provide actionable feedback to improve documentation quality and coding accuracy for providers and coders Develop and deliver education and training programs based on audit findings and regulatory updates Required qualifications Associate degree in Health Information Management or a related field, or equivalent education and experience Comprehensive knowledge of ICD-10, HCPCS, CPT, and HCC guidelines, as well as medical terminology and regulatory guidelines Three to five years of professional coding or auditing experience Certification as a Registered Health Information Technician (RHIT), Registered Health Information...

Working remotely, the full-time Certified Coding Auditor will ensure accurate and timely reimbursement by resolving medical coding claim defects, optimizing the revenue cycle, and maintaining financial integrity. Key responsibilities Research and review coding-related claim denials, providing expert guidance on necessary corrections to prevent future issues Proactively address pre-billing resolution of coding defects to safeguard against reimbursement impacts Utilize a robust understanding of medical coding and reimbursement methodologies to maximize financial accuracy and efficiency Required qualifications High school diploma or equivalent Minimum of one (1) year of coding experience or two (2) years in a healthcare environment or medical office setting Certification from AAPC or AHIMA, such as CPC, CCA, CCS, CCS-P, RHIT, or RHIA Working knowledge of human anatomy, physiology, disease processes, and medical terminology Ability to work under pressure to meet deadlines with...

To enhance the effectiveness of the Clinical Chart Validation team, the full-time Certified Coding Auditor Trainer will be responsible for planning, developing, and delivering technical training, mentoring team members, and assessing training outcomes while collaborating with various stakeholders in a remote environment. Key responsibilities Develop and deliver technical training plans and materials to improve audit productivity and performance Mentor and support audit team members, including conducting orientation for new hires and promoting audit accuracy Evaluate training effectiveness and provide recommendations for improvements based on performance assessments Required qualifications Associates Degree or equivalent relevant experience; Bachelor's degree in a related field preferred 5 to 7 years of experience in claims auditing, quality assurance, or recovery auditing Coding certification (e.g., CCS, CPC) required, with a willingness to obtain within 6 months for...

Providing expert analysis and education, the full-time remote Certified Coding Auditor and Educator will conduct comprehensive audits, deliver targeted training, and ensure compliance with coding standards in professional services. Key responsibilities Conduct comprehensive audits of coding and documentation for accuracy and compliance with regulatory guidelines Provide actionable feedback to improve documentation quality and coding accuracy for providers and coders Develop and deliver education and training programs based on audit findings and regulatory updates Required qualifications Associate degree in Health Information Management or a related field, or equivalent education and experience Comprehensive knowledge of ICD-10, HCPCS, CPT, and HCC guidelines, as well as medical terminology and regulatory guidelines Three to five years of professional coding or auditing experience Certification as a Registered Health Information Technician (RHIT), Registered Health...

Title: Certified Coding Specialist/Auditor Team Lead Location: Columbia, SC Status: Full-Time Who Are We? Part of the Novant Health family based in North Carolina, Novant Health Urgent Care (formerly Doctors Care) provides exceptional healthcare through our network of more than 50 urgent care centers and 20 physical therapy facilities across South Carolina. Our Columbia-based headquarters delivers non-medical management and administrative services to support these locations. For decades, we have been committed to delivering exceptional, convenient, and affordable healthcare experiences to families and communities throughout the Palmetto State. What Do We Offer? Competitive wages Generous PTO that increases with tenure 403B Health, dental, vision insurance Flexible Spending Account Short term and Long term Disability Whole and Term Life Insurance Rewarding Careers What Are We Looking For? Novant Health Urgent Cares is currently seeking a...

Location: Corporate Office Columbia, SC Job Id: 8839 # of Openings: 1 Location: Columbia, SC Status: Full-Time Who Are We? Part of the Novant Health family based in North Carolina, Novant Health Urgent Care (formerly Doctors Care) provides exceptional healthcare through our network of more than 50 urgent care centers and 20 physical therapy facilities across South Carolina. Our Columbia-based headquarters delivers non-medical management and administrative services to support these locations. For decades, we have been committed to delivering exceptional, convenient, and affordable healthcare experiences to families and communities throughout the Palmetto State. What Do We Offer? Competitive wages Generous PTO that increases with tenure 403B Flexible Spending Account Short term and Long term Disability Whole and Term Life Insurance What Are We Looking For? Novant Health Urgent Cares is currently seeking a Certified Coding Specialist/Auditor Team Lead to join our team....

Job Title Melville,NY - USA Position Requirements Use coding skills to review clinical documentation to accurately code for anesthesia services. Retrieve information from hospital EMR systems to resolve coding questions to support offshore vendors. To work daily tasks/edits in billing system. Primary Responsibilities Review medical record documentation to identify correct coding based on billing and payor guidelines. Research, analyze and respond to inquiries regarding compliance and inappropriate coding denials. Retrieve missing patient documentation required for accurate billing. Work task queues within various systems. Support offshore vendor coding questions. Recommend vendor education based on tasks reviewed. Required Qualifications Minimum of 2 years' professional medical coding experience. CPC or CCS-P certification. Proficient computer skills Desired/Preferred Qualifications Insurance billing knowledge Excel Knowledge of CMS guidelines Total...

Job Title Melville,NY - USA Position Requirements Use coding skills to review clinical documentation to accurately code for anesthesia services. Retrieve information from hospital EMR systems to resolve coding questions to support offshore vendors. To work daily tasks/edits in billing system. Primary Responsibilities Review medical record documentation to identify correct coding based on billing and payor guidelines. Research, analyze and respond to inquiries regarding compliance and inappropriate coding denials. Retrieve missing patient documentation required for accurate billing. Work task queues within various systems. Support offshore vendor coding questions. Recommend vendor education based on tasks reviewed. Required Qualifications Minimum of 2 years' professional medical coding experience. CPC or CCS-P certification. Proficient computer skills Desired/Preferred Qualifications Insurance billing knowledge Excel Knowledge of CMS...

Providing coding quality auditing services, the remote Quality Assurance Auditor will ensure compliance with coding guidelines and maintain a minimum 96% coding accuracy rate while supporting various coding initiatives across Care Delivery. Key responsibilities: Assist with the execution of the National Quality Assurance program's daily activities Perform first-level quality audits on vendor and Care Delivery coding teams' results Identify issues and trends in coding and documentation that affect coding accuracy and recommend process improvements Required qualifications: Coding Certification required (CPC, COC, CIC, CCS, CCS-P, or RHIT; CPC-A or CCA not acceptable) 4+ years of recent ICD-10-CM coding experience, preferably in a Managed Care setting 2+ years of recent Medicare Risk Adjustment experience (HCC coding) with knowledge of CMSHCC model and guidelines 1+ years of recent experience in a coding auditor role Ability to work during normal business hours,...

Job DescriptionResponsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives. Performs data entry of required abstracted patient information into the system. Queries physicians when appropriate.QualificationsHigh School diploma, general equivalency diploma (GED), and/or GED equivalent programs.Certified Professional Coder with Minimum of two to three year of coding for professional servicesStrong understanding of physiology, medical terms and anatomy.Proficiency in computer skills including typing speed and accuracy.Excellent written and verbal communication skills.Proficient computer skills including but not limited to Microsoft OfficeMust be able to achieve and maintain appropriate coding quality and productivity as...

Title: Certified Coding Specialist/Auditor Team Lead Location: Columbia, SC Status: Full-Time Who Are We? Part of the Novant Health family based in North Carolina, Novant Health Urgent Care (formerly Doctors Care) provides exceptional healthcare through our network of more than 50 urgent care centers and 20 physical therapy facilities across South Carolina. Our Columbia-based headquarters delivers non‑medical management and administrative services to support these locations. For decades, we have been committed to delivering exceptional, convenient, and affordable healthcare experiences to families and communities throughout the Palmetto State. What Do We Offer? Competitive wages Generous PTO that increases with tenure 403B Health, dental, vision insurance Flexible Spending Account Short term and Long term Disability Whole and Term Life Insurance Rewarding Careers Job Duties Reviews and analyzes medical records to ensure accurate coding and billing. Assigns...

Novant Health Urgent Care, located in Columbia, SC, is looking for a Certified Coding Specialist/Auditor Team Lead. This role involves reviewing and analyzing medical records to ensure proper coding while conducting training for new staff. A strong commitment to accurate billing and coding is essential. The ideal candidate will have a medical coding certification and a minimum of one year of coding experience. Join a team that is dedicated to providing exceptional healthcare in the Palmetto State. #J-18808-Ljbffr

To support the Amazon One Medical Revenue Cycle team, the full-time Certified Coding Compliance Auditor will conduct detailed audits of medical coding practices, ensuring compliance with regulatory requirements and organizational policies while working remotely. Key responsibilities Conduct regular audits to verify the accuracy of ICD-10-CM, CPT, HCPCS, and modifier medical codes Review documentation to ensure appropriate code assignment and adherence to medical necessity requirements Track and report coding errors and findings, maintaining detailed records of audit results Required qualifications Associate's degree in a related field 3+ years of coding/auditing experience in professional fee and/or risk adjustment settings Knowledge of industry standard code sets and guidelines (ICD-10-CM, CPT, HCPCS) CPC certification through AAPC and/or CCS certification through AHIMA required CPMA and CRC certification through AAPC required

Humana Inc is seeking a Medical Coding Auditor to join their SIU clinical review team. The role entails reviewing medical records for coding accuracy and communicating audit results to stakeholders. Required qualifications include CPC Certification and experience in acute outpatient coding. The position offers remote work with occasional travel and provides a pay range from $59,300 to $80,900 per year, along with a comprehensive benefits package including medical, dental, and 401(k). #J-18808-Ljbffr

To ensure optimal coding efficiency and compliance, the full-time remote Certified Physician Coding Auditor will perform audits on professional coding, analyze physician and coder charges, and collaborate with the Education Team to identify documentation improvement opportunities. Key responsibilities Conduct internal audits of professional coding across all service lines and monitor results for inaccuracies Review medical records for coding accuracy and communicate improvement opportunities to physicians and staff Collaborate with the Physician Coding Education Team to ensure compliance with payor guidelines and coding standards Required qualifications High School diploma or equivalent CPMA certification or equivalent coding credential required, with five years of auditing experience preferred Five years of professional coding experience in multiple specialties Exceptional knowledge of official coding guidelines as per AMA, AHCA, and CMS Proficiency in Microsoft Office Suite...

To ensure optimal coding efficiency and compliance, the full-time remote Certified Physician Coding Auditor will perform audits on professional coding, analyze physician and coder charges, and collaborate with the Education Team to identify documentation improvement opportunities. Key responsibilities Conduct internal audits of professional coding across all service lines and monitor results for inaccuracies Review medical records for coding accuracy and communicate improvement opportunities to physicians and staff Collaborate with the Physician Coding Education Team to ensure compliance with payor guidelines and coding standards Required qualifications High School diploma or equivalent CPMA certification or equivalent coding credential required, with five years of auditing experience preferred Five years of professional coding experience in multiple specialties Exceptional knowledge of official coding guidelines as per AMA, AHCA, and CMS Proficiency in Microsoft Office...

To support the Amazon One Medical Revenue Cycle team, the full-time Certified Coding Compliance Auditor will conduct detailed audits of medical coding practices, ensuring compliance with regulatory requirements and organizational policies while working remotely. Key responsibilities Conduct regular audits to verify the accuracy of ICD-10-CM, CPT, HCPCS, and modifier medical codes Review documentation to ensure appropriate code assignment and adherence to medical necessity requirements Track and report coding errors and findings, maintaining detailed records of audit results Required qualifications Associate's degree in a related field 3+ years of coding/auditing experience in professional fee and/or risk adjustment settings Knowledge of industry standard code sets and guidelines (ICD-10-CM, CPT, HCPCS) CPC certification through AAPC and/or CCS certification through AHIMA required CPMA and CRC certification through AAPC required

Working remotely on a full-time basis, the Certified Inpatient Coding Auditor will perform inpatient coding audits and review services for client sites, identify trends, and provide educational support to clients. Key responsibilities Conduct coding audits and review services on various inpatient facility record types Identify trends from audit findings and recommend corrective action plans Provide in-service education and assist in developing educational seminars for clients and staff Required qualifications RHIA, RHIT, or CCS certification 2-5 years of experience in performing inpatient facility audits and coding Strong initiative for research to maintain knowledge and skills Ability to remain impartial and objective in audit findings Proficient in using audit software and secure file transfer in compliance with HIPAA policies

CommonSpirit Health is seeking a Certified Coding Auditor to work remotely in a full-time capacity. This role requires you to ensure accurate reimbursement by resolving medical coding claim defects, optimizing the revenue cycle, and maintaining financial integrity. The ideal candidate will possess a certified qualification in medical coding and have a strong understanding of human anatomy and medical terminology. You will be responsible for addressing coding defects proactively and ensuring efficient coding processes. #J-18808-Ljbffr

Datavant is seeking a Profee Auditing Specialist in Jefferson City, Missouri. This role involves conducting professional fee coding audits, providing education on coding standards, and ensuring compliance. Candidates must have over 5 years of experience in fee coding and be a Certified Professional Coder (CPC). Benefits include comprehensive training, healthcare, a 401(k), and paid time off. Join Datavant to contribute to transformative change in healthcare through accurate data solutions. #J-18808-Ljbffr