15 coding auditor jobs found in Wildwood, MO

Coding Auditor Department: SIU Employment Type: Full Time Location: Headquarters Description The Coding Auditor is a professional auditing role designed for a certified professional coder. Under direct supervision of Healthcare Fraud Shield SIU management, this position executes routine coding reviews to ensure health records align accurately with billed ICD-10-CM, CPT, HCPCS, Revenue codes. The ideal candidate has a strong foundation in primary medical coding and a keen eye for detail, eager to learn complex audit frameworks, regulatory policies, and documentation validation. Key Responsibilities Compare the procedures and codes billed on a claim to a medical record. Compare information submitted on the claims in order to determine amount and nature of billable services as needed. Determines appropriateness of billing and reimbursement as needed. Documents findings for each claim line in a spreadsheet as needed. Summarize findings in a written report as needed. Abstracts...

Healthcare Fraud Shield is seeking a Coding Auditor to perform routine coding reviews under the supervision of SIU management. The role focuses on ensuring health records align with billed ICD-10-CM, CPT, HCPCS, and revenue codes with strong attention to detail. The ideal candidate has foundational medical coding knowledge, is familiar with regulatory policies, and comfortable handling confidential information in a remote-friendly environment. #J-18808-Ljbffr

Coding AuditorThe Coding Auditor is a professional auditing role designed for a certified professional coder. Under direct supervision of Healthcare Fraud Shield SIU management, this position executes routine coding reviews to ensure health records align accurately with billed ICD-10-CM, CPT, HCPCS, Revenue codes. The ideal candidate has a strong foundation in primary medical coding and a keen eye for detail, eager to learn complex audit frameworks, regulatory policies, and documentation validation.

Healthcare Fraud Shield is seeking a Coding Auditor to perform routine coding reviews and ensure medical records align with billed codes. The role requires strong coding knowledge and meticulous attention to accuracy, with supervision by SIU management. The ideal candidate will review claims, abstract codes, and prepare written summaries while maintaining up-to-date knowledge of coding guidelines and privacy standards. The position emphasizes quality, accuracy, and adherence to regulations. #J-18808-Ljbffr

Healthcare Fraud Shield is seeking a Coding Auditor to perform routine coding reviews under the supervision of SIU management. The role focuses on ensuring health records align with billed ICD-10-CM, CPT, HCPCS, and revenue codes with strong attention to detail. The ideal candidate has foundational medical coding knowledge, is familiar with regulatory policies, and comfortable handling confidential information in a remote-friendly environment. #J-18808-Ljbffr

Coding Auditor Department: SIU Employment Type: Full Time Location: Headquarters Description The Coding Auditor is a professional auditing role designed for a certified professional coder. Under direct supervision of Healthcare Fraud Shield SIU management, this position executes routine coding reviews to ensure health records align accurately with billed ICD-10-CM, CPT, HCPCS, Revenue codes. The ideal candidate has a strong foundation in primary medical coding and a keen eye for detail, eager to learn complex audit frameworks, regulatory policies, and documentation validation. Key Responsibilities Compare the procedures and codes billed on a claim to a medical record. Compare information submitted on the claims in order to determine amount and nature of billable services as needed. Determines appropriateness of billing and reimbursement as needed. Documents findings for each claim line in a spreadsheet as needed. Summarize findings in a written report as needed....

Healthcare Fraud Shield is seeking a Coding Auditor to perform routine coding reviews and ensure medical records align with billed codes. The role requires strong coding knowledge and meticulous attention to accuracy, with supervision by SIU management. The ideal candidate will review claims, abstract codes, and prepare written summaries while maintaining up-to-date knowledge of coding guidelines and privacy standards. The position emphasizes quality, accuracy, and adherence to regulations. #J-18808-Ljbffr

Remote Chicago - 550 Van Buren North Carolina Nevada Virginia Texas Florida Maryland Tennessee New York-New York City Wyoming Idaho Massachusetts Michigan-Other West Virginia-Other Nebraska Maine West Virginia-Charleston Washington-Seattle Wisconsin Pennsylvania-Pittsburgh Colorado-Denver California-San Francisco Vermont Delaware-Wilmington Iowa Ohio-Other District of Columbia Georgia Missouri-St. Louis New Hampshire Indiana-Other Mississippi Pennsylvania-Philadelphia Minnesota Arkansas Utah Missouri-Kansas City Kentucky-Other Michigan-Detroit New Jersey Montana California-Los Angeles Alabama-Other New Mexico North Dakota South Carolina Rhode Island Full time JR-0015943 Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives,...

Job description Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties: Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to...

Experienced Multi-Specialty Surgery CoderOpportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together.Job Description:The experienced multi-specialty surgery coder is responsible for daily coding, denial management, charge hold, RAI resolution and abstraction. The coder is responsible for escalation of coding questions and requests for coding guidance to the Coding Coordinator and/or Supervisor. Participate in internal QA audits and provide feedback in the compliance QA process.Hours:...

Washington University in St. Louis is seeking a Coding Supervisor to oversee departmental coding activities and coach coders. The role ensures accurate documentation, charge capture, and adherence to billing policies under the Manager, Coding and Compliance. The position involves reviewing documentation with physicians, guiding documentation improvements, and participating in audits and performance initiatives across the revenue cycle. #J-18808-Ljbffr

Washington University in St. Louis is seeking a Coding Supervisor to oversee departmental coding activities and coach coders. The role ensures accurate documentation, charge capture, and adherence to billing policies under the Manager, Coding and Compliance. The position involves reviewing documentation with physicians, guiding documentation improvements, and participating in audits and performance initiatives across the revenue cycle. #J-18808-Ljbffr

Job DetailsJob Location: Maryville, IL 62062Position Type: PRN (12 Hours)Salary Range: $20.00 - $33.66 HourlyJob Shift: DaysJob Category: Business ProfessionalJob Summary: Responsible for the assignment of ICD-10 CM, ICD-10PCS codes to the record of patients treated at Anderson Hospital. These records can include Inpatient. Job Responsibilities: 1. Reviews the medical record for selection of the principal and all secondary diagnosis and principal and all secondary procedures. 2. Works with the medical staff should there be any clarification needed regarding a complete and accurate medical record to support the code assignment. 3. Utilizes coding software to select the appropriate diagnosis and procedure code numbers. 4. Maintains AHIMA Ethical code of Behavior. 5. Works with internal and external auditors. 6. Participates in educational process, reading of support references and newsletters to keep abreast of coding changes. 7. Works with other departments, especially clinical...

Anderson Hospital in Maryville, IL seeks a PRN hospital coder to assign ICD-10-CM/PCS codes to inpatient and related records. This role requires accurate coding using specialized software, adherence to AHIMA ethics, and collaboration with clinical staff and auditors. The position offers hourly compensation in the stated range, with responsibilities including maintaining coding quality, participating in peer reviews, and staying current with regulatory changes relevant to coding and medical #J-18808-Ljbffr

Inpatient Coder - Revenue Systems - Prn Days Optional Work from Home • Maryville, IL 62062 Salary Range $20.00 - $33.66 Hourly Position Type PRN (12 Hours) Job Shift Days Category Business Professional Description Job Summary: Responsible for the assignment of ICD-10 CM, ICD-10PCS codes to the record of patients treated at Anderson Hospital. These records can include Inpatient. Job Responsibilities: Reviews the medical record for selection of the principal and all secondary diagnosis and principal and all secondary procedures. Works with the medical staff should there be any clarification needed regarding a complete and accurate medical record to support the code assignment. Utilizes coding software to select the appropriate diagnosis and procedure code numbers. Maintains AHIMA Ethical code of Behavior. Works with internal and external auditors. Participates in educational process, reading of support references and newsletters to keep abreast of coding...