5 coding auditor jobs found in Anderson, SC

Coding Auditor Location: Anderson, SC Pay: $24-34/hour based on experience Schedule: Monday-Friday, 8am-5pm ExecuSource is representing a client within the healthcare space. This is an immediate need for an experienced Coding Auditor to manage the provider documentation audits for their practice. What you get to do: Review claims for providers Resolve complex coding issues Work with AR to resolve coding related denials Act as the liaison between Physician Network Services and other departments Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-9/ICDD-10 materials What you need to succeed: CPC certification required Minimum of 2 years CPT, HCPCS, and ICD-10-CM coding required Strong systems, and understanding of third party carriers and insurance required Previous Auditing experience required What's in it for you: Benefits: 401k, PTO, insurance, and more! Apply now! One...

SUMMARY: Performs random provider documentation audits and provides feedback and education to providers regarding correct coding and documentation requirements. Resolves complex coding scenarios. Works with AR to resolve coding-related denials. Serves as a liaison between the practice and Physician Network Services and/or other departments. SOME SPECIFIC DUTIES MAY INCLUDE: Conduct pre-submission review of a minimum of five claims per provider on an annual basis. Conduct pre-submission review of a minimum of five claims and meet with all new AnMed providers within 60 days of start date. Discuss audit results and issues with physicians, non-physician practitioners, operation managers, and office managers. Conduct special audits as determined by monthly utilization reports. Perform education to physicians, non-physician practitioners, office management, and staff on special audit results. Review and code complex operative procedures for all service lines....

SUMMARY: Performs random provider documentation audits and provides feedback and education to providers regarding correct coding and documentation requirements. Resolves complex coding scenarios. Works with AR to resolve coding related denials. Serves as liaison between the practice and Physician Network Services and/or other departments SOME SPECIFIC DUTIES MAY INCLUDE: Conduct pre-submission review of a minimum of five claims per provider on an annual basis Conduct pre-submission review of a minimum of five claims and meet with all new AnMed providers within 60 days of start date Discuss audit results and issues with physicians, non-physician practitioners, operation managers and office managers Conduct special audits as determined by monthly utilization reports Perform education to physicians, non-physician practitioners, office management and/or staff on special audit results Reviews and codes complex operative procedures for all service lines QUALIFICATIONS...

Inspire health. Serve with compassion. Be the difference. Job Summary All team members of the Compliance Department are expected to be knowledgeable and comply with Prisma Health's Code of Excellence to Inspire Health, Serve with Compassion and Be the Difference. In addition, this position requires analytical skills and close attention to detail. This position is responsible for assisting the Coding Compliance Manager/Supervisor and Director, Compliance Services in the execution of the annual Coding Compliance Plan. Assists in conducting project planning and developing appropriate audit procedures, and conducts audit procedures and reports findings. Coordinates efforts between the Office of Compliance Services and Physician Practices of the University Medical Group Administration to improve medical record documentation and overall compliance rates. Remote work may be considered for this position. Accountabilities Under the direction of the Coding Compliance...

Job Description Job Description Job description Overview We are seeking a detail-oriented and knowledgeable Coding Specialist to join our healthcare team. The ideal candidate will play a crucial role in ensuring accurate coding for medical records, billing, and collections. This position requires a strong understanding of medical terminology, coding systems, and compliance regulations. The Coding Specialist will work closely with medical staff to ensure that all coding is completed accurately and efficiently, contributing to the overall quality of patient care. Responsibilities Review and analyze medical records to extract relevant information for coding purposes. Assign appropriate codes Ensure compliance with federal regulations and guidelines related to medical billing and coding. Collaborate with healthcare providers to clarify diagnoses and procedures when necessary. Maintain up-to-date knowledge of coding standards, medical terminology, and billing...