278 coding auditor jobs found

Medical Coding Auditor/Educator Granger Medical Clinic has an immediate opening for a full-time Medical Coding Auditor/Educator - this is a remote position. Candidates must live in one of these states: Utah, South Carolina, Arizona, Texas, Kentucky, or Wyoming. Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and ability required. Essential Functions and Duties: Supports and implements the organization's vision, mission, and values. Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies as necessary or required. Effectively communicates with providers/Coders to clarify diagnoses, procedure coding and documentation requirements, including proper sequencing....

Job Description Job Description Bright Vision Technologies has an immediate opportunity for Inpatient Coding Auditor in Clackamas, OR. Title: Inpatient Coding Auditor Role: Onsite Location: Clackamas, OR. Skills: Advanced knowledge of medical terminology, pharmacology and medial coding principles for ICD-10-CM, ICD-10-PCS, HCPCS/CPT and coding. Advance knowledge of disease processes, diagnostic and surgical procedures, ICD-10-CM, ICD-10-PCS, HCPCS/CPT classification systems, health information/medical record department responsibilities with knowledge of government regulations and areas of scrutiny for potential fraud and abuse issues. Experience Minimum five (5) years experience in coding with four (4) years inpatient facility coding. Education High School Diploma or General Education Development (GED) required. The candidate must have 1 from the following list: Registered Health Information Technician Certificate Certified Coding Specialist Registered Health...

Fast paced medical billing company seeking full-time remote Interventional Radiology Coding Auditor. Experience in radiology and/or interventional radiology preferred. Seeking an individual that can: work independently; is a quick learner with critical thinking skills; is resourceful with the capability of making decisions; and is able to code and audit interventional radiology procedures accurately and in a timely fashion. *Must have Interventional Radiology coding experience. You may eventually be working with clients that perform complex endovascular and neurovascular interventional procedures (this experience is a plus)! Responsibilities and Duties include but not limited to: Coding/ Auditing charges for clients that perform Interventional Radiology. Review and audit for the accuracy of: Documentation to support the CPT code billed. Diagnosis Billed. Modifiers assigned. Date of Service. Provider being billed out. Document issues and errors found in each client,...

The Coding Auditor will work with Coders from Hospital (Inpatient and Outpatient) and Professional Coding to ensure coding adheres to Quality accuracy based on Coding guidelines and other rules set forth to govern Coding practices. This includes the Official Coding Guidelines and AHA Coding Clinic for ICD 10 CM coding and CPT 4 guidelines. The Coding Auditor will participate in developing and maintaining the CoxHealth Coding Guidelines as well working with the Coding Leadership to keep it updated. The Coding Auditor will audit coders on a monthly basis and enter the results in the 3M Audit Expert Compliance software. They serve as the Coding expert in Hospital and Professional Coding and are involved in Coding Leadership meetings. Their expertise will be used to access new products, education changes and working with other departments to resolve issues. Abides by the Standards of Ethical coding as set forth by the American Health Information Management Association and American...

The Medical Coding Auditor is responsible for performing internal QA audits on coding staff and supporting the quality of coding provided by coders. Minimum of three (3) years of inpatient hospital auditing experience required Must hold at least one of the following certifications: RHIA, RHIT, CCS Essential Duties and Responsibilities: Monitors coding quality with regards to accuracy and correct coding of hospital services, including ICD-9-CM, present on admission (POA), discharge disposition, and MS-DRG assignment Reviews charts for accurate and timely coding that is supported by medical record documentation and is in accordance with facility and Official Coding Guidelines Responds to questions from assigned both Maxim and Clients coding staff Orients new Maxim and Clients staff Communicates effectively and timely with Client contracts Communicates any and all concerns regarding client and/or staff to Remote Operations Manager or Director of HIM Services Maintains and adheres to...

Responsibilities Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve. To learn more about IPM visit . POSITION OVERVIEW The Coding Auditor is responsible for determining that ICD-10, CPT-4, and HCPCS coding is supported by the clinical documentation in the medical record as well as validating medical necessity per CMS Local Coverage Determination (LCD). Applies working knowledge of medical terminology, anatomy, CPT-4 and ICD-10 codes and...

Job Description Job Description DESCRIPTION- CODING AUDITOR - HEALTH INFORMATION MANAGEMENT CODING AUDITOR - HEALTH INFORMATION MANAGEMENT Full-Time *Telecommuting is allowed with approval from HIM Management* The CODING AUDITOR - HEALTH INFORMATION MANAGEMENT will have the following job responsibilities: Address appeals and review needed information for insurance denials to facilitate expedient resolution and reimbursement. Participates in mandated Medical Record Review processes. Interprets and applies American Hospital Association (AHA) Official Coding Guidelines to articulate and support appropriate principal, secondary diagnoses and procedures. Knowledge of discharge disposition and reimbursement outcomes. Other responsibilities include: Adherence to Health Information Management (HIM) Coding policies. Adherence to The Joint Commission (TJC) and other third party documentation guidelines in an effort to continually improve coding quality and accuracy....

Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals. On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country. Job Summary Reporting to the Director of Ambulatory Business Services, the Coding Auditor provides professional services auditing including training, consultation, audit and feedback to clinicians on their documentation and coding to ensure Emanate Health Medical Group receives appropriate reimbursement and conforms to applicable guidelines and regulations. Advocates compliance with all third party billing and reimbursement requirements including, but not limited to, the requirements of Medicare and Medicaid...

Fathom is on a mission to use AI to understand and structure the world's medical data, starting by making sense of the terabytes of clinician notes contained within the electronic health records of the world's largest health systems. Our deep learning engine automates the translation of patient records into the billing codes used for healthcare provider reimbursement, a process today that costs hospitals in the US $15B+ annually and tens of billions more in errors and denied claims. We are a venture-backed company that completed a Series B round of financing for $46M in late 2022. Fathom is looking for an experienced Medical Coding Auditor to join the team. As a Medical Coding Auditor, you will support the QA and audit functions, as well as provide education and training to the Fathom engineering and product teams. We are looking for someone with outpatient and multi-specialty auditing experience in a professional environment. Fathom will also provide a budget for ongoing...

About the job Medical Record Audit / Coding Auditor OUR CLIENT is a contracting and data management services organization dedicated to primary care physicians throughout Florida IN THIS ROLE YOU are responsible to assist in the development, undertaking and maintenance of a long term comprehensive, clinical coding audit program for inpatient and outpatient activity. To develop and Implement policies to support the clinical coding audit function Receive, review and communicate findings on patient billing coding related complaints. Identify training needs through the audit program of work and liaise with the clinical coding training manager and audit manager to provide the necessary training identified Conduct routine, risk based, proactive or reactive compliance reviews of procedural and diagnosis coding/billing and medical record documentation performed by clinical service providers Prepare reports as required relative to these monitoring and review activities. Work with...

About the Medical Coding Auditor position We are looking for a skilled Medical Coding Auditor to join our revenue cycle department and will be responsible for conducting audits according to the Internal Audit Program standards and specifications. A successful candidate should be highly responsible and keep close attention to detail. We also expect you to be good in supervised teamwork and able to meet tight deadlines. Medical Coding Auditor responsibilities are: Responsible for conducting audits according to the Internal Audit Program standards and specifications. Prepares reports of findings and meets with providers to provide education and training on accurate coding practices and compliance issues. Ensures review findings are clear and accurate; responsible for reporting audit trends as an opportunity for education, training, and corrective actions. Interacts with physicians, APPs, coders, and other appropriate staff regarding billing and documentation policies, procedures,...

Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Responsibilities The Medical Coding Auditor confirms appropriate diagnosis related group (DRG) assignments. This position will be a business partner with Resolution working Appeals from a clinical perspective to collaboratively complete appeal cases utilizing DRG knowledge. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. WORK STYLE: 100% remote, work at home WORK HOURS: Monday-Friday, 5...

Bright Vision Technologies has an immediate opportunity for Inpatient Coding Auditor in Clackamas, OR. Title: Inpatient Coding Auditor Role: Onsite Location: Clackamas, OR. Skills: Advanced knowledge of medical terminology, pharmacology and medial coding principles for ICD-10-CM, ICD-10-PCS, HCPCS/CPT and coding. Advance knowledge of disease processes, diagnostic and surgical procedures, ICD-10-CM, ICD-10-PCS, HCPCS/CPT classification systems, health information/medical record department responsibilities with knowledge of government regulations and areas of scrutiny for potential fraud and abuse issues. Experience Minimum five (5) years experience in coding with four (4) years inpatient facility coding. Education High School Diploma or General Education Development (GED) required. The candidate must have 1 from the following list: Registered Health Information Technician Certificate Certified Coding Specialist Registered Health Information Administrator Certificate Would you like...

Practice Resources, LLC (PRL) is seeking a Remote Medical Coding Auditor. Job Description: •Qualified medical coding specialist will monitor and validate charge capture utilizing CPT, HCPCS Level II and ICD-10-CM codes. •Review medical documentation from physicians and other healthcare provider to assign modifiers, diagnostic and procedure codes for symptoms, diseases, injuries, surgeries and treatments according to official classification systems and standards. •Experience with coding/reviewing split visits, preventive services, transitional care management, chronic care management and office procedures. •Experience with coding/reviewing professional hospital Evaluation and Management Services. •Medical coding specialist will convey coding guidelines to physicians and other healthcare providers to improve the accuracy of medical record documentation. •Certified medical coding specialist will maintain a thorough understanding of National Correct Coding Initiative (NCCI)...

Description Introduction Sign-On Bonus Eligible* Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Coding Auditor today with Parallon. Benefits Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet...

Description Introduction Sign-On Bonus Eligible* Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Coding Auditor today with Parallon. Benefits Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet...

Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i and the Pacific Region with high quality, compassionate care. Its four medical centers - Kapi'olani, Pali Momi, Straub and Wilcox - specialize in innovative programs in women’s health, pediatric care, cardiovascular services, cancer care, bone and joint services and more. Hawai'i Pacific Health is recognized nationally for its excellence in patient care and the use of electronic health records to improve quality and patient safety. The Compliance department at Hawai‘i Pacific Health aims to provide a framework for the organization’s workforce to know, understand and adhere to applicable workforce regulations and provide mechanisms for the prevention, detection and resolution of problems. This team ensures that Hawai‘i Pacific Health employees receive training that stresses the personal obligation to...

Insight Global is looking for an Inpatient Coding Auditor. This candidate will be performing a thorough review of medical record documentation to accurately assign diagnosis and procedure codes for complex inpatient and outpatient records in addition to auditing and analysis of coding related activities. They will utilize the encoder system to sequence the codes assigned and calculate the corresponding MS-DRG/APR DRG/APC grouper. Abstract patient information into the computerized medical record and billing systems, ensuring the accuracy and integrity of the medical record data abstracted and encounter information prior to finalizing the encounter. They will also work with a multidisciplinary team to review and discuss documentation, coding and reimbursement issues of patients and identify documentation needs for medical staff and other health care providers, providing education as needed. This candidate must be knowledgeable in the requirements of the industry with regard to...

Medical Coding Auditor - Risk Adjustment page is loaded Medical Coding Auditor - Risk Adjustment Apply locations Telecommuter time type Full time posted on Posted 7 Days Ago job requisition id R26824 Join Our Team: Do Meaningful Work and Improve People’s Lives  Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare. To better serve our customers, we’re creating a culture that promotes employee growth, collaborative innovation, and inspired leadership. Forbes ranked Premera among America’s 2023 Best Midsize Employers because we are committed to creating an environment where employees can do their best work and where best-in-class talent comes, stays, and thrives! The Medical Coding Auditor is responsible for reviewing and diagnostic coding of medical...

Job Description - Clinical Coding Auditor - Cooley Dickinson Medical Group- Remote (3267764) Clinical Coding Auditor - Cooley Dickinson Medical Group- Remote - ( 3267764 ) About Us With energy and purpose, Cooley Dickinson Health Care, an affiliate of Mass General Brigham, is advancing health care in western Massachusetts. With a broad network of providers and facilities serving the Pioneer Valley, our services span a spectrum of medical and surgical needs, diagnostic care, rehabilitation, social work, behavioral health, and other critical needs of the community. The Cooley Dickinson culture is built on living the values of our organization. Every employee is valued, no matter what professional function. Come work where you can make a difference every day, with opportunities for growth and development, in a great place to call home! The Opportunity We are seeking a full-time, 40-hour Clinical Coding Auditor to support Cooley Dickinson Medical Group in a 100% remote capacity....

About Us With energy and purpose, Cooley Dickinson Health Care, an affiliate of Mass General Brigham, is advancing health care in western Massachusetts. With a broad network of providers and facilities serving the Pioneer Valley, our services span a spectrum of medical and surgical needs, diagnostic care, rehabilitation, social work, behavioral health, and other critical needs of the community. The Cooley Dickinson culture is built on living the values of our organization. Every employee is valued, no matter what professional function. Come work where you can make a difference every day, with opportunities for growth and development, in a great place to call home! The Opportunity We are seeking a full-time, 40-hour Clinical Coding Auditor to support Cooley Dickinson Medical Group in a 100% remote capacity. Focused on compliance and coding, the Auditor is responsible for the usage of the most accurate codes for reimbursement purposes, statistical analysis outcomes, and financial...

About Us With energy and purpose, Cooley Dickinson Health Care, an affiliate of Mass General Brigham, is advancing health care in western Massachusetts. With a broad network of providers and facilities serving the Pioneer Valley, our services span a spectrum of medical and surgical needs, diagnostic care, rehabilitation, social work, behavioral health, and other critical needs of the community. The Cooley Dickinson culture is built on living the values of our organization. Every employee is valued, no matter what professional function. Come work where you can make a difference every day, with opportunities for growth and development, in a great place to call home! The Opportunity We are seeking a full-time, 40-hour Clinical Coding Auditor to support Cooley Dickinson Medical Group in a 100% remote capacity. Focused on compliance and coding, the Auditor is responsible for the usage of the most accurate codes for reimbursement purposes, statistical analysis outcomes, and financial...

Regular Full Time Pay Range: 32.00-39.00 Responsibilities: As a member of our medical audit team, the  Inpatient DRG Coding Auditor  will have an opportunity to make a direct contribution to the companys bottom line in our rapidly growing healthcare business. You will leverage your MS-DRG and APR-DRG coding knowledge and medical claims experience from an inpatient setting, to identify client records with billing coding issues and recovery opportunities. In addition, you will help identify and refine new issues for Performant to present to our clients for audit strategy, assist in developing training material or assist in training for new issues. You must possess a unique blend of medical coding experience, business aptitude and understanding of payables/receivables, commitment to excellence, critical eye for quality and accuracy, team spirit and the self-drive to meet and exceed productivity goals. You must enjoy spending time solving puzzles, researching, and giving attention...

Coding Auditor, 33 Lewis RdUnited Health Services is seeking a Coding Auditor to join our Coding Support Svcs department at 33 Lewis Rd in Binghamton, NY. This position is benefits eligible. Shift: All Shifts Hours per week: 40 Salary range: $26.13 - $40.53 per hour, depending on experience.Coding Auditor / OverviewPerform internal coding and documentation audits. Research, analyze, and respond to inquiries regarding coding and documentation compliance in accordance with all coding guidelines and Medicare/Medicaid regulations. Assist with coding, documentation, and billing questions to ensure compliant coding and billing. Develop final audit reports based on findings/observations during the audit process to present to providers or other appropriate staff members. Help identify areas for audit opportunities based on industry performance, regulatory focus areas and risk areas within the organization. Key Responsibilities and Expectations Education/ExperienceMinimum...