326 coder auditor jobs found

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Serves as a lead employee who audits coded records for multiple specialties. Analyzes coded records for compliance with federal, state and third party insurer rules and regulations. Establishes a collaborative relationship with stakeholders to ensure quality standards are met. Responsibilities: 1. Accurately assigns International Classification of Diseases 10-CM (ICD-10) diagnostic and Current Procedural Terminology (CPT) codes with modifiers, and other applicable codes. Analyzes information for optimal and proper reimbursement, including coding denial resolution. Ensures compliance with all appropriate coding, billing and data collection regulations and procedures. Uses appropriate software to validate information. 2. Provides information to physicians and other health care staff regarding current coding practices...

Job Description Job Description Coder/Auditor - HIM Department - Santa Ana, CA

Overview: USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community. USA Health is changing how medical care, education and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists and researchers provide the region's most advanced medicine at multiple facilities, campuses, clinics and classrooms. We offer patients convenient access to innovative treatments and advancements that improve the health and overall wellbeing of our community. Responsibilities: Performs correct coding (CPT4/ICD10) for provider services; audits services billed without prior coding review to ensure accuracy; provides education, payer coding updates and documentation to leaders and providers to ensure coding is being performed based on current guidelines; performs periodic reviews and ongoing audits of claims to ensure accuracy of coding/billing and sufficiency of...

Job Description Job Description Actively participates in the review and improvement of processes and services Responsible for analyzing weekly/monthly quality data to identify trends by vendor and coder/auditor that need to be addressed Prepares and presents coder education as needed based on trends and/or problematic areas identified by HSCs or corporate HIM. Collates and presents quality trends and findings to the VRM management team, Vendor teams HSC coding leadership and HIM Leadership Monitors and ensures vendor staff adhere with coding guidelines and policies Demonstrates and applies expert level knowledge of medical coding practices and concepts; assists in ensuring vendor coders adherence with coding guidelines and policy Assists in managing coding vendor daily workflow (e.g., work queues,/worklists, turnaround times, quality) Performs quality reviews of inpatient and/or outpatient records as needed (including concurrent coding); where applicable, validates...

JOB PURPOSE: The Auditor- Educator is primarily responsible for day to day compliance program activities of monitoring, auditing and education to ensure compliance with requirements for billing and payment. This opposition acts to inform and support organizational compliance efforts in all phases of the revenue cycle. JOB FUNCTIONS Audits and Monitoring Plan and perform, or arrange to perform required compliance audits. Verify accuracy of completeness and compliance with program billing requirements. Compile and track audit results. Provide or arrange to provide for follow-up as required. Analyze audit results. Prepare and deliver timely reports to management. Provide recommendations as indicated, and assist to develop detailed audit response plans. Select and monitor specific revenue cycle controls and outcomes using available tools and reports. Investigate as directed or according to corporate policies and procedures. Prepare required periodic compliance...

Job Description Job Description Phys Financial LLC is a leading Medical Coding and Billing organization located in Lexington, KY, dedicated to providing exceptional services to our clients. We are seeking highly skilled and detail-oriented Medical Coders to join our team. The successful candidate will play a crucial role in accurately assigning diagnoses and procedures for inpatient stays and outpatient encounters. As a key member of our team, you will ensure compliance with coding and billing guidelines while maintaining high-quality standards. Core Duties and Responsibilities: Review and interpret medical record documentation to identify relevant diagnoses and procedures, and assign appropriate ICD-10, CPT, HCPCS codes and modifiers. Ensure timely and accurate coding, charging, and abstraction of accounts for assigned specialty areas. Stay updated on coding guidelines through participation seminars, and continuous study. Maintain current certification and CEU's. Review...

Candidates must reside either in Washintgon or Oregon to be considered for this position. To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP),...

JOB DESCRIPTION To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), and Kaiser Permanente organization/institutional coding directives....

Description 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...

Job Description Job Description LACKLAND AFB, TEXAS San Antonio, Texas     ABOUT US: Laredo Technical Services, Inc. provides staffing services to federal Government agencies all over the world.   LTSI connects the right people to the right opportunity.  With our experience in placing our Team Members throughout the United States and overseas, we excel at providing experienced, professional personnel for a wide range of Professional and Office Administration as well as Medical services. Our goal is to provide the highest quality of professionals in the industry.   LTSI’s culture delivers a strong work ethic while going above and beyond with a sense of urgency. We are the employee-driven company.  We strive for excellence every day, which is what sets us apart from all the other government contractors. Our strong work ethic, sense of urgency and commitment to going above and beyond for our clients is what we value most!     As a Certified Service-Disabled Veteran...

Overview: Quincy Medical Group (QMG) is seeking a Compliance Auditor & Educator to enhance our compliance program by facilitating the audit process of medical records to determine compliance with governmental and third-party rules and regulations. QMG is a multi-specialty group practice with more than 155 physicians and providers in West Central Illinois, Southeast Iowa, and Northeast Missouri. We have been a recognized leader in healthcare for more than 85 years, continually leading the way in transforming healthcare. At Quincy Medical Group, we work to understand what matters most to our employees, and we invest in helping them flourish both personally and professionally. We provide a comprehensive benefits package that includes paid leave options, childcare assistance, tuition reimbursement, and paid volunteer and community impact opportunities. This role is Monday - Friday, 8:00am-5:00pm. Responsibilities: The Compliance Auditor & Educator...

Description Position at GoHealth Urgent Care Job Description: The Coding Auditor is responsible for conducting medical coding audits to evaluate compliance with regulatory guidelines. The work will include performing and documenting audit test work, communicating audit issues to management, writing audit reports, and identifying and evaluating emerging areas of organizational risk. These individuals may coordinate with external third-party consultants as needed and report directly to the Coding Audit Manager. Responsibilities: 1. Conducts coding, billing, and documentation compliance audits within established timeframe and in accordance with the standards defined by GoHealth 2. Prepares a report of findings and recommendations for improvement for each audit 3. Serves as a subject matter expert on coding/billing topics 4. Research issues/questions and responds to internal inquiries 5. Assists the Provider Educators with developing a detailed audit plan for area being...

Job Description Job Description POSITION IS100% ONSITE at NAS Pensacola, FL. SUMMARY : Responsible for the auditing of medical documentation and codes for compliance with federal coding regulations and guidelines. This will include the assignment of ICD, Current Procedure Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) codes, modifiers, and quantities as documented by the physician. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities. 1. QUALIFICATIONS: 1.1. Mandatory knowledge and skills. 1.1.1. Knowledge of auditing concepts and principles. 1.1.2. Advanced knowledge of medical coding and billing systems and regulatory requirements. 1.1.3. Strong communication and interpersonal skills. 1.1.4. Knowledge of legal, regulatory, and policy compliance issues related to medical coding and billing procedures and documentation. 1.1.5. Knowledge of current and developing issues and...

About the Role: We are seeking a highly skilled and detail-oriented Coding Auditor Documentation Improvement Specialist to join our team in Coding, In this role, you will be responsible for ensuring the accuracy and completeness of medical coding documentation, as well as identifying areas for improvement and implementing solutions to enhance documentation processes. The successful candidate will play a critical role in ensuring that our organization maintains compliance with all relevant regulations and standards. Minimum Qualifications: Certified Professional Coder (CPC); American Academy of Professional Coders (AAPC) or Certified Coding Specialist (CCS) Minimum of 2 to 3 years of experience in medical coding and documentation Strong knowledge of medical terminology, anatomy, and physiology Excellent attention to detail and analytical skills Preferred Qualifications: Registered Health Information Administrator (RHIA): or Registered Health Information Technician...

Job Description Job Description Overview: J29, Inc. (J29) has been supporting commercial, State, and Federal health and human service programs since company inception in 2017 as an employee-centered healthcare management consulting company. Our team of 260 employees focuses on providing processing, review, and analysis of medical claims, records, data, and audits between areas of compliance, policy, and clinical expertise. Our team is experienced in program, payment, provider, and patient integrity as we continue to support advanced programs of policy, clinical requirements, and compliance measures at the commercial, State, and Federal levels. J29 was founded to be an employee-centric company that prioritizes the well-being and value of its employees. Our mission is to empower our employees to do great things for the benefit of those that need it most. The J29 mission supports not only our health and human service programs, but also the philanthropy efforts of our team. We...

Job Description Job Description Description: KODE is creating a new category in the medical coding space: the “Uber” of medical coding. The KODE platform has created a unique opportunity to solve a growing healthcare labor problem by bringing “gig” work to existing coders and those who haven’t considered medical coding as a career path before. Koders on the platform take control of their careers while gaining valuable experience and mentorship from coding masters who are already a part of our community. They work when, how, and where they want, earning extra income along the way. It’s no secret – the model of coding is inherently flawed. Hospitals and providers have been forced to try to solve a variable problem with a fixed solution. With constantly fluctuating volumes, it’s simply impossible for providers to juggle staffing challenges with a limited FTE workforce. We set out to rectify this by doing what no one else has. Check out this short video to learn more about our...

Coding Auditor II - Education Program at Baylor Scott & White Health in Boise, Idaho, United States Job Description JOB SUMMARY The Coding Auditor 2 is proficient in various types of coding and is responsible for performing coding quality audits, providing feedback to coders and auditors, and providing education via both written and oral presentations. The Coding Auditor 2 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.). ESSENTIAL FUNCTIONS OF THE ROLE Performs routine coding quality reviews on all coders and/or auditors including third party suppliers as appropriate. Performs coding quality reviews in collaboration with or for internal customers of the organization....

Coding Auditor I - Education Program at Baylor Scott & White Health in Boise, Idaho, United States Job Description JOB SUMMARY The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) ESSENTIAL FUNCTIONS OF THE ROLE Performs routine coding quality reviews on all coders including third party suppliers as appropriate. Performs coding quality reviews in collaboration with or for internal customers of the organization. Provides feedback as appropriate depending on findings. Abstracts and validates required data elements...

Job Description Job Description Position Location: 100% Remote This is a full-time, remote position that offers a flexible schedule.  Description: Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder’s internal coding/auditing policies and expectations set forth by department management. Physician Coding Auditor must prioritize daily duties, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals. Candidates ideally have recent auditing experience specializing in some of the following profee areas: Ophthalmology, Behavioral Health, Cardiovascular/Cardiothoracic Surgery, Complex ENT Surgery,...

Job Description Job Description Salary: $18-21/hour Medical Coding Auditor - Houston, TX Senior PsychCare is looking for a Medical Coding Auditor with at least 1 years of experience in mental health coding to join our Compliance Team in Houston. About Us: Senior PsychCare provides comprehensive behavioral health services to long-term care patients at their facilities. Our services include therapy, diagnostic evaluation, and collaborative care between therapy and psychiatric teams. Job Overview: As a Medical Coding Auditor, you will ensure the accuracy of medical coding and compliance with industry guidelines. This role involves reviewing medical records, auditing coding, and supporting billing processes. Key Responsibilities: Audit medical records for accurate coding of diagnoses and procedures (ICD-10, CPT, HCPCS). Ensure compliance with federal, state, and payer-specific regulations (e.g., HIPAA, CMS). Identify coding errors and collaborate with staff to...

Job Description Job Description $5,000 Sign on Bonus Eligible! Medical Record Coding Compliance Auditor & Educator At Bristol Health, we begin each day caring today for your tomorrow. We have been an integral part of our community for the past 100 years. We are dedicated to providing the best possible care and service to our patients, residents and families. We are committed to provide compassionate, quality care at all times and to uphold our values of Communication, Accountability, Respect and Empathy (C.A.R.E.). We are Magnet ® and received the 2020 Press Ganey Leading Innovator award for our rapid adoption and implementation of healthcare solutions during the COVID-19 pandemic. Use your expertise, compassion, and kindness to transform the patient experience. Make a difference. Make Bristol Health your choice. Perform ongoing chart audits of new and established provider medical records and billing documentation along timelines established by Billing Manager....