3 coding auditor jobs found in Anderson, SC

Outpatient Coding Auditor Insight Global is seeking an experienced Outpatient Coding Auditor to support the accuracy, consistency, and compliance of outpatient coding operations. This role is responsible for reviewing outpatient medical records to validate appropriate ICD-10-CM and CPT coding while ensuring adherence to official coding guidelines, regulatory requirements, and payer policies. The Outpatient Coding Auditor performs routine and quarterly compliance audits; reviews accounts returned for medical necessity and diagnosis-related issues and maintains detailed documentation of audit findings. This position supports concurrent reviews for newly hired coders and partners with revenue cycle and billing teams to assist with RAC denials, emergency department E/M denials, and payer-requested coding changes. The auditor also identifies education opportunities and conducts training sessions as needed to promote coding accuracy and continuous improvement. The ideal candidate is a...

Job Description Insight Global is seeking an experienced Outpatient Coding Auditor to support the accuracy, consistency, and compliance of outpatient coding operations. This role is responsible for reviewing outpatient medical records to validate appropriate ICD-10-CM and CPT coding while ensuring adherence to official coding guidelines, regulatory requirements, and payer policies. The Outpatient Coding Auditor performs routine and quarterly compliance audits; reviews accounts returned for medical necessity and diagnosis-related issues and maintains detailed documentation of audit findings. This position supports concurrent reviews for newly hired coders and partners with revenue cycle and billing teams to assist with RAC denials, emergency department E/M denials, and payer-requested coding changes. The auditor also identifies education opportunities and conducts training sessions as needed to promote coding accuracy and continuous improvement. The ideal candidate is a...

Job Requirements Position Summary The coder will review documentation of providers and assign CPT codes, ICD10 codes, and modifiers for provider professional services. The coder is responsible for providing coding education to providers and completing daily billing functions. Other duties as assigned by Practice Manager. Minimum Requirements Education High School Diploma or equivalent Experience procedural and/or surgery coding experience License/Registration/Certifications Certified Coder-CPC or CCS-P Preferred Requirements Preferred Education Associate's Degree Preferred Experience 2 years billing/coding experience Preferred License/Registration/Certifications N/A Core Job Responsibilities Review provider documentation in the electronic medical record to identify incomplete documentation and communicate with provider for completion Assign appropriate ICD-10 and CPT codes Assign modifiers as appropriate Review and...