10 coding auditor jobs found in Abilene, TX

Hendrick Health in Abilene, Texas is seeking a Coding Auditor. The role involves conducting coding compliance audits for inpatient and outpatient encounters and validating coding assignments following established guidelines. Candidates should have an Associate's degree in a relevant field and five years of coding experience. The position requires a strong attention to detail, proficiency in MS Office, and excellent interpersonal skills. A coding certification is preferred. This is an opportunity to work in a supportive environment with a focus on accuracy and productivity. #J-18808-Ljbffr

Coding Compliance Auditor Conducts coding compliance audits of inpatient and outpatient encounters to validate code assignment. Follows the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that are integral to appropriate payment methodology. Job Requirements Minimum Education Associates degree in relevant field preferred or combination of equivalent of education and experience Minimum Work Experience Five (5) years coding experience including; but not limited to; hospital inpatient and outpatient encounters Required Licenses/Certifications AHIMA and/or AAPC Coding Credential; CCS preferred Required Skills; Knowledge; and Abilities Ability to consistently and accurately audit coding of inpatient and outpatient encounters Ability to create clear and concise audit reports and maintain productivity standards Must successfully pass pre-hire coding assessment Knowledge of medical...

OverviewThis position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff.This position will support the implementation of changes to the CPT, CDT, HCPCS and ICD-10 codes on an annual basis.ResponsibilitiesEssential Duties :Conduct prospective and retrospective chart reviews (i.e.baseline, routine periodic, monitoring, and focused) comparing medical and / or dental record notes to reported CDT, CPT, HCPCS, and ICD codes with consideration of applicable FQHC and payer / title / grant coding requirements.Identify coding discrepancies and formulate suggestions for improvement.Communicate audit results / findings to providers and / or ancillary staff and share improvement ideas.Work with the Office of the CMO and provider leadership to identify and assist providers with coding.Report findings and recommendations to Compliance...

Job Opportunity At Memorial Hermann At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Description Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs. This position typically reports to the Coding Compliance Manager. Minimum Qualifications Education: High school...

Key Responsibilities:Claims and Billing Operations. Prepare, review, and submit insurance claims (electronic and paper when needed) for professional and or facility services. Verify that claims include accurate patient demographics, insurance information, authorizations, diagnosis codes, procedure codes, modifiers, units, and supporting documentation as applicable. Maintain clean claim workflows and resolve claim edits and clearinghouse rejections promptly. A/R Follow-Up and Denials Management. Monitor accounts receivable aging and prioritize follow-up based on payer rules, dollar value, and timely filing limits. Investigate and resolve denials, underpayments, and request for information (medical records, referrals, authorizations). Submit corrected claims and appeals with appropriate documentation and accurate coding support. Payments and Patient Billing. Post and reconcile payments and adjustments from ERAs and EOBs. Identify and escalate payer payment variances and contract...

Billing Coder IIIInform Diagnostics, a Fulgent Genetics Company, is a nationally recognized diagnostics laboratory focused on anatomic pathology subspecialties including gastrointestinal pathology, dermatopathology, urologic pathology, hematopathology, and breast pathology.Founded in 2011, our parent entity, Fulgent Genetics, has evolved into a premier, full-service genomic testing company built around a foundational technology platform. Through our diverse testing menu, Fulgent is focused on transforming patient care in oncology, anatomic pathology, infectious and rare diseases, and reproductive health. We believe that by providing a wide range of effective, flexible testing options in conjunction with best-in-class service and support, we can redefine the way medicine is managed for patients and clinicians alike. Since integrating with our therapeutic development business, Fulgent is also developing drug candidates for treating a broad range of cancers using a novel...

Job Description:Employment type:Contract (initial 3 months; likely extension) Schedule:Full-time, Monday“Friday (flexible daytime hours) Location:Remote (U.S. only) About the Role We're hiring an experiencedInpatient Medical Coderto support acute-care facility coding for a Level I Trauma Hospital. The ideal candidate is AHIMA-credentialed, highly accurate with ICD-10-CM/PCS and MS-DRG/APR-DRG assignment. Key Responsibilities Review inpatient medical records and assign ICD-10-CM/PCS codes with appropriate DRG assignment (MS-DRG/APR-DRG as applicable). Ensure compliance with AHIMA , AHA Coding Clinic , CMS , and facility guidelines. Query providers per policy to clarify documentation and support compliant code/DRG selection. Meet or exceed productivity and 95“98%quality standards. Collaborate with HIM/CDI teams to resolve discrepancies and optimize documentation integrity. Maintain HIPAA compliance and safeguard PHI in a remote work...

CSI Companies is seeking an experienced Professional Fee (ProFee) Coder with a strong background in Mental Health and/or Primary Care coding. This role is responsible for accurately reviewing, assigning, and validating CPT, ICD-10-CM, and HCPCS codes for outpatient provider services to ensure compliance with federal regulations and payer-specific guidelines. The ideal candidate brings strong knowledge of behavioral health documentation standards, E/M coding guidelines, and regulatory compliance within physician practice or outpatient settings. This role requires high accuracy, productivity, and the ability to work independently in a remote environment. Hours:40 hours/week “ Monday to Friday, standard business hours Location:Remote (CST) “ Must reside in Texas Pay:Competitive Market Rate Position Type:Consultant “ No C2C Work Authorization:Visas are acceptable (any EAD). Candidates must be eligible to work on...

Do you speak fluent CPT with a side of sass? Can you handle prickly provider chats with poise, streamline processes, and make overpayment trends tremble? Then you, my friend, are exactly who we need.Here's the vibe :We're not your average coding operations.We're the ones in the trenches, turning chaos into clarity, and making results art form.You'll be the spark behind smarter recoveries, cleaner audits, better support, and conversations that get results.What you'll need :Resilience and clarity when the provider gets spicyIntuition for what's missing-or what shouldn't be therePattern-spotting skills that'd make a data scientist jealousConfidence that comes with knowing your business operations, consistent follow through and execution of prioritiesCoding audit know-how to review findings with convictionWhat you can expect :Room to shine and show your strategic flairShare your insights with the team to move us forwardChallenges that keep you sharp and impact that feels...

JOB SUMMARYSupport and provide coding and compliance training to clinical personnel, billing, and / or other client staff.Establish effective communication with clinical staff, and / or hospital staff to address documentation, coding, and reimbursement issues.Use knowledge of coding and compliance guidelines to identify potential billing / reimbursement issues.Participate in special audits and system administration as necessary.ESSENTIAL DUTIES AND RESPONSIBILITIESInclude the following.Others may be assigned.Performs diagnosis data submissions to Client, Vendors and internal StakeholdersDevelop monthly productivity and revenue projectionsResponsible for chart assignment oversight and monitoring accounts on holdPrepares data collection reports for leadershipMonitors diagnosis submission progress; Audit diagnosis submission files to ensure accuracyReviews, analyzes and oversight of prebill / post bill reviews and pending accountsWorks to resolve workflow, systems and complex matters...