34 coding auditor and quality coordinator days jobs found

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 The Coding Quality Auditor and Specialist 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. The Coding Quality Auditor and Specialist is required to be the...

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 The Coding Quality Auditor and Specialist 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. The Coding Quality Auditor and...

Description The Revenue Integrity team within UI Health Care's Finance and Accounting Services has a new opportunity for a skilled Quality Assurance Coding Auditor to join the team. Under the direction of the Coding Quality Assurance & Education Manager, the Quality Assurance Coding Auditor conducts professional, facility, clinic, external vendor, coder, system, and denial coding audits. The role is responsible for creating, reviewing, and updating department processes, guidelines, and standards in adherence to regulatory changes and organizational compliance laws and regulations. This position will also identify, create, and provide individual or group education for clinical staff, providers, and coders. The Quality Assurance Coordinator liaises with Clinical Departments, Patient Financial Services, Revenue Integrity, clinical staff, and provider relations. Hybrid within Iowa: This position is eligible for a combination of on-campus and remote work. Remote work must...

Job Description Be a part of a world-class academic healthcare system at UChicago Medicine as a DRG/APC - Coding Auditor for the Health Information Management department. This is a remote, work from home opportunity and you may be based outside of the greater Chicagoland area. In this role, the DRG/APC Coordinator- Coding Auditor is responsible for ensuring accuracy and quality of coding assignments for all records requiring DRG and/or APC coding, and ensures optimal and timely reimbursement. Essential Job Functions Performs data quality reviews on inpatient and outpatient records to ensure proper coding guidelines have been followed and appropriate DRG or APC assignments have been made for appropriate reimbursement Provides DRG/APC and coding quality information and statistical reports to the Coding Manager Communicates with the Medical Staff and House staff as needed to discuss clinical questions with respect to the assignment of ICD-10-CM and ICD-10-PCS...

Job Summary Reviews, interprets, and codes surgical medical records for reimbursement purposes using ICD-10-CM standards. Reviews operative reports for all procedures performed by Excelsior Physicians for completeness and to abstract and code clinical data, using standard classification systems. Operates computer to process, store, and retrieve health information. **This position allows for a hybrid work schedule.** Duties and Responsibilities + Audits accuracy of ICD-10-CM diagnosis codes on all claims prior to submission. + Audits accuracy of HCPCS and CPT codes on all procedures and services performed prior to submission. Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code. + Receives hospital information to properly bill provider services for hospital patients. + Audits medical records to ensure proper coding completed and to ensure compliance with federal and state regulatory...

Job Description Bienvivir All-Inclusive Senior Health ("Bienvivir") is a community-based, patient-centered, comprehensive health care delivery system that advocates and promotes quality of life, optimum independence, dignity, and choices in a nurturing environment for frail seniors. Since 1987, Bienvivir has served the frail seniors of El Paso, Texas through the provision of the Program of All-Inclusive Care for the Elderly ("PACE"). PACE is a unique managed care benefit for frail seniors (referred to as participants) age 55 and older who are certified by the state as needing nursing home level care and who reside in a PACE service area. PACE programs coordinate and provide comprehensive medical and support services so that participants can remain independent and stay in their homes for as long as safely possible. BENEFITS for Full and Part-time employees who work 30 or more hours per week: We pay 100% of the MEDICAL monthly premiums for Employee Only coverage. We pay 100%...

Overview This position is located at Winn Army Community Hospital, Hinesville, Fort Stewart GA. This is an employed civilian Medical Records Technician (Coder) position that affords job security, a competitive base salary, bonuses, moving expenses, full malpractice coverage, up to 26 days paid vacation, 11 days paid Federal Holidays, a sick leave benefit, CME opportunities, and a first-class health and retirement benefit package. Winn Army Community Hospital is a 112-bed community hospital which will feature a new Women's Health and Mammography Center. Our healthcare team provides primary and specialty care for a patient population of over 70,000. As a civilian family practice physician you will play an integral role in providing exceptional healthcare to the Soldiers and Families in our great Army and the 3rd Infantry Division. Key supporting specialties at Winn include OB/Gyn, general and orthopedic surgery, EENT, Psychiatry, Dermatology, and Urology. Enjoy the benefits of...

Job Description Job Description Job Title: Revenue Integrity Coding Auditor FLSA: Non-Exempt We are looking for an exceptional Revenue Integrity Coding Auditor to join our practice! Physicians East, PA is a multi-specialty, multi-campus group based out of Greenville, NC offering a wide range of specialties. In addition to primary care the practice offers pulmonary and critical care medicine, rheumatology, dermatology, oncology, endocrinology, cardiology, obstetrics and gynecology, gastroenterology, surgery, urology, and urgent care. Our 102 providers and over 600 employees provide services for thousands of patients in a 29-county region. Our specialists are on staff at ECU Health, a 900+ bed, level one trauma center and the primary teaching hospital for the East Carolina University Brody School of Medicine (ECU-BSOM). Located in the coastal plain area, only one hour from the Atlantic Ocean, Greenville is the vital center of business, industry, culture,...

Job Description The Clinic Coder 3 abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate codes to patient records according to established procedures. Assigns codes for specialty practices. Works with coding databases and confirms CPT assignments. Reviews and audits Physician Group provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations. Familiar with standard concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job. This position relies on guidelines and some experience and judgment to complete job and works under general supervision. Researches complex coding scenarios. Creates and presents coding education to clinical providers. Responsibilities Coding/Abstracting Determines the appropriate sequencing of diseases, diagnoses, and surgeries. Accurately...

Job Summary The Supervisor Coding Audit and Education is responsible for overseeing medical coding accuracy, compliance, and education initiatives within the Medical Group. This role supervises Coding Auditor & Educators and conducts coding audits, ensuring adherence to national standards, and educating both coders and healthcare providers or staff on best practices. Applies experience in medical coding, team leadership, compliance regulations, and education methodologies. Core Job Responsibilities Supervise and coordinate the daily work of the Coding Auditor & Educators. Relay work instructions, distribute assignments and monitor work for accuracy, quality and completeness. Serves as a resource and role model and provide guidance, mentorship, and support on complex coding related questions. Develop strategies to improve coding accuracy, efficiency, and workflow. Responsible for team performance in auditing coding activities for accuracy, productivity and quality...

Medical Biller Location: Riverview, FL Job Type: Full-Time | In-Office Summary: We're hiring a Medical Biller to oversee the day-to-day billing operations for a multi-location healthcare provider. This is a hands-on leadership role ideal for someone with strong billing knowledge and a passion for team development and operational excellence. Our client is a well-established, mission-driven healthcare organization that serves diverse communities through multiple clinical locations. With a strong focus on access to care, quality outcomes, and patient-centered services , they are committed to making a positive impact on the lives of individuals and families in the region. What They Offer for the Medical Biller: Ongoing professional development and training opportunities Supportive leadership and collaborative work environment Opportunities for advancement within a growing organization Responsibilities for the Medical Biller: Direct billing team activities including...

SummaryThe Medical Records Technician (Coder) is responsible for abstracting medical record data and assigning codes using current clinical classification systems appropriate for the type of care provided. This position is located in the Health Information Management Services (HIMS) section within the Health Administration Service at the Ralph H. Johnson VA Medical Center.This job is open to The publicU.S. Citizens, Nationals or those who owe allegiance to the U.S.Federal employees - Excepted serviceCurrent federal employees whose agencies have their own hiring rules, pay scales and evaluation criteria.Internal to an agencyCurrent federal employees of the hiring agency that posted the job announcement. Clarification from the agencyThis announcement is open to current, permanent VA employees and open to the Public.VideosDutiesBasic Duties:Auditors serve as experts of current coding conventions and regulations related to professional and facility coding. Auditors perform audits of...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $60,367.47 - $90,551.20 The Senior Hospital Coder is responsible for performing detailed coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are highly skilled and considered experts in medical coding. Essential Duties and...

Job Summary: Under indirect supervision, the Lead Coder is regularly assigned to lead, train, coordinate, and review the work of assigned coders and/or others who need assistance, advice, instruction, training and in-service education in coding and abstracting.In addition, the Lead Coder is also expected to code inpatient and all categories of outpatient services, diagnoses, procedures and conditions working from appmpriate documentation in the medical record uhen assigned or needed, using the appropriate coding classification system. Classification systems include ICD-CM (PCS, CPI*, HCPCS as well as odier specialty systems as requited by diagnostic and pmceduralAll work must be performed in accordance with the rules, regulations and coding conventions of the current ICD-CM//PCS official guidelines for coding and repotting Coding Clinic published by the American Hospital Association , the current ICD-CM/PCS code book, CPT, CPT Assistant, CMS, NCCI edits, OSHPD, and Kaiser...

Job Type: Officer of Administration Regular/Temporary: Regular Hours Per Week: 35 Standard Work Schedule: Salary Range: $70,000.00 - $95,000.00 The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting. Position Summary Reporting to the Assistant Director, Revenue Cycle Education, the Trainer - Certified Coder is responsible for conducting specialized training on coding workflows, compliance standards, and revenue cycle software applications for internal clients within the Clinical Revenue Office and external clients within the Medical Center. This role requires certification in medical coding (e.g., CPC, CCS) and focuses on maintaining coding accuracy and...

Job Summary: With minimal supervision, coordinates and conducts code assignments and validation for KFHP professional services and procedures. Utilizes established documentation and coding criteria based on the National Cooperating Party Guidelines and Standards. Responsible for concurrent analysis of coding for all professional evaluation/managementand procedural encounters and provides coding assistance through interpretation of guidelines and query/communication to practitioner. Performs coding assignment and validations and prepares queries for practitioners on their medical service for all practice locations (all Medical Office Buildings). Ensures the organization submits compliant, accurate, and complete clinical encounters for appropriate reimbursement. Conforms to applicable guidelines and regulations (Federal, State, and Internal) and Serves as a liaison with TSPMG staff, NMF, external and internal practitioners, and other regional departments as appropriate including...

Overview Be inspired. Be valued. Belong. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, leadership programs...and more! Description We are seeking an experienced Inpatient DRG Coding Auditor to extract data from patient encounters ensuring the accuracy of DRGs. This individual will: Review inpatient medical records for select payer populations post-discharge and pre-bill; audit the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge Disposition. Review discrepancies between the Clinical...

Join to apply for the Health Information Coder 3 role at UCSF Health 1 day ago Be among the first 25 applicants Join to apply for the Health Information Coder 3 role at UCSF Health Job Summary Sign-on Bonus Eligible 14 Paid Holidays in addition to Vacation/PTO and Sick Time Comprehensive Health and Welfare : Health Insurance, Dental Insurance, Pet Insurance, Life Insurance Robust Retirement Options : Employer Contributions and Supplemental Plans Home and Family : Adoption assistance, Pet Insurance, Legal Insurance, and more! Remote Work UCSF Pride Values HIMS Full Time 84881BR Job Summary Join UCSF: Exceptional Benefits, Extraordinary Impact Sign-on Bonus Eligible 14 Paid Holidays in addition to Vacation/PTO and Sick Time Comprehensive Health and Welfare : Health Insurance, Dental Insurance, Pet Insurance, Life Insurance Robust Retirement Options : Employer Contributions and Supplemental Plans Home and Family : Adoption assistance, Pet Insurance, Legal Insurance, and more!...

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. They must possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). Responsibilities About the Position: This position is located in the Health Information Management (HIM) section at the Northport VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records, and assign alpha numeric codes for each diagnosis and procedure. To perform this...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Under the direction of the Associate Director of Fee-For-Service Coding Education and with minimal supervision, the Provider/Coder Education Supervisor is responsible for the development and delivery of coding education materials, related to Fee-For-Service coding guidelines, coding updates, software updates, coding and billing compliance, and regulatory updates. The Provider/Coder Education Supervisor...

Our patients have the peace of mind knowing that their health and well-being are our primary concerns. We give our health plan clients the confidence that their members are well taken care of. With over 11,000 at-risk members, we provide primary care and other services to seniors and families in our medical centers that are comfortable, convenient and staffed with caring professionals. Our activity and wellness facilities are filled with health plan members who know us for our distinct events and programs that cater to the communities we serve. Every day, we deliver on our promise to bring value based, quality healthcare to our patients. Overview The Certified Outpatient Medical Risk Adjustment Professional Coder is responsible for reviewing encounter notes and other supporting documentation and assigning diagnosis codes and procedure codes to create claims. Also, responsible for assigning appropriate level II codes to quality measures for HEDIS reporting. Follows official coding...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Under the direction of the Associate Director of Fee-For-Service Coding Education and with minimal supervision, the Provider/Coder Education Supervisor is responsible for the development and delivery of coding education materials, related to Fee-For-Service coding guidelines, coding updates, software updates, coding and billing compliance, and regulatory updates. The Provider/Coder Education Supervisor...