Coding auditor jobs | Healthcare Careers

Full Time

Coding Auditor

United Health Services Binghamton, NY, USA

Coding Auditor Binghamton, NY Weekly hours: 40 Shift: Days Experienced candidates may be eligible for a sign-on bonus of up to $5,000. Early-career candidates may qualify for up to $11,000–$17,000 in tuition forgiveness . Position Overview This auditor performs quarterly internal coding and documentation audits for CDI and inpatient coders. They will research, analyze, and respond to inquiries regarding coding and documentation compliance in accordance with all coding guidelines and Medicare/Medicaid regulations. This position works closely with the Cobius Team to review all denials and submits written appeals, when appropriate. They are responsible for monthly education for the CDI and inpatient coding staff. They also assist with coding, documentation, and billing questions to ensure compliant coding and billing. This auditor will develop final audit reports based on findings/observations during the audit process to present to providers or other...

Full Time

Coding & Reimbursement Analyst

Patient First Glen Allen, VA, USA

Patient First is accepting applications for Coding & Reimbursement Analyst in the Glen Allen, Virginia area. Patient First provides a friendly work environment that promotes a team-oriented philosophy. The responsibilities of this job include, but are not limited to the following: Completing a periodic review of Physicians’ and Physician Extenders’ charts; Preparing and distributing feedback to Physicians and Physician Extenders after the review process is completed; Coordinating and providing additional training to Physicians and Physician Extenders on E&M and ICD-10 coding as needed; Ensuring ICD-10, CPT (including E&M), and HCPCS coding is performed properly by Physicians and Physician Extenders; Ensuring the coding is performed according to current industry standards and according to commercial payers’ coding guidelines; Monitoring changes in ICD-10, CPT (including E&M), and HCPCS coding guidelines regularly, reporting changes to the Compliance...

Full Time

AAPC Recruiting Services: External Client seeking an On-Site Certified Coder in CA

AAPC Recruiting Services CA, USA

Certified Coder is a nonexempt position responsible for front office and general coding billing duties. Responsible for Coding Audits, Claim, Billing review and compliance. Performance Requirements Knowledge Knowledge of billing practices and clinic policies and procedures. Knowledge of coding and clinic operating policies. Knowledge of medical terminology Knowledge of health care insurance claim practices and compliance. Knowledge of computer systems, programs, and applications. Skills Proficient skills in computer programs. Skill in using a calculator. Abilities Ability to understand and interpret policies and regulations. Ability to read and interpret medical charts. Ability to examine documents for accuracy and completeness. Ability to communicate effectively and work with others. Major Duties and Accountabilities Coordinates with clinical staff to verify charge and/or...

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Contract

Remote Entry Level Certified Medical Coder- CPC-A, CCA, CPC, CCS, RHIA, RHIT, CRC

CSI Companies Remote

Are looking for your first medical coding position? Are you recently certified through the AAPC or AHIMA and would love the opportunity to train and work under a Fortune 500 healthcare company in a FULL TIME REMOTE position? Then please read on! The CSI Companies is hiring an Entry Level Medical Coder for our Fortune 100 healthcare client. As one of the most respected and innovative healthcare companies in the world, you will receive state of the art training within a compassionate company culture, that will allow you to expand your skillset for the future of your career. When future employees see this experience on your resume, you will be a step ahead of the rest. Benefits of the Position: Excellent training under one of the top companies in the world Feedback on performance, coding coaches, and supervisors that want you to succeed. Access to learning resources and CEUs HOURLY pay as well as overtime pay New equipment shipped to you prior to...

Full Time

AAPC Recruiting Services: Senior IR Medical Coder

AAPC Recruiting Services Remote

Essential Job Functions: 100% remote Full-time, permanent opportunity Perform quality assurance audits on internal coders, clients, and procedures, as assigned. Serve as a trusted asset to answer all Coder questions, as they relate to Interventional Radiology Coding. Will accurately perform audits on coders. Will perform any other audits needed as assigned. Perform MIPS Audits as assigned. Assigning CPT, HCPCS, ICD-10-CM and ASA codes. Ensuring compliance with medical coding policies and guidelines. Performs other related duties as assigned. Required Skills: Ability to communicate in a clear, professional, and timely manner with all staff members. Proficient in Microsoft Office Suite. Ability to work independently and in a fast-paced environment. Strong problem-solving skills. Strong analytical skills. Excellent organizational skills and attention to detail. Education and Experience: High school diploma or equivalent required....

Full Time

Coding Compliance Educator

United Health Services Johnson City, NY, USA

Coding Compliance Educator Johnson City, NY Shift: Days Hours per week: 40 hours Salary range : $27.47-$41.21 Experienced candidates may be eligible for a sign-on bonus of up to $5,000. Early-career candidates may qualify for up to $11,000–$17,000 in tuition forgiveness. United Health Services is seeking a Coding Compliance Educator to join our UHS team in Binghamton, NY. This position ensures that the coding of diagnoses, procedures, and data complies with all coding rules, laws, and guidelines. Coding Compliance Educator Overview The educator is responsible for the coordination of activities to monitor physician documentation in the medical record with regard to applicable regulations and billing to support services rendered. Provides education to physicians and coders regarding documentation improvement opportunities for both facility and/or professional billing. They will research, analyze, and respond to inquiries regarding coding and documentation...

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Contract

Program Integrity Coding & Research Medical Coder CPC, CRC,CCS

CSI Companies Remote

The Program Integrity Coding & Research Medical Coder acts as a Medical Coding subject matter expert for complex coding concerns and serve as primary coding resource for Program Integrity. The Program Integrity Coding & Research Medical Coder Functions as a Subject Matter Expert for Risk Adjustment and Professional Coding at CSI and is allocated to projects that require a coding professional with significant technical acumen in coding conventions for both CAI and CDPS. This teammate is key to assisting a technology vendor validate software tools that are business enablers, and when improperly functioning, can have a detrimental impact to the public persona and profitability of the vendor. The Medical Coder is in a position of high visibility for CSI, and has access to proprietary tools in a position requiring high trust and confidentiality. The What you Want to Know: 100% Remote Contract, Full-Time Hours ( 30 hour minimum commitment) Active,...

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Full Time

Certified Professional Coder

ENTAA Care Hybrid (Odenton, MD, USA)

Essential Skills of The Certified Professional Coder (CPC) Obtains operative reports for all posted surgeries and scans them into patient record. Uses correct coding guidelines to appropriately code surgical cases and posts surgical charges. Specializes in Workman’s Compensation claims, including obtaining authorizations as needed. Assists with review, assessment and retraining on provider audits. Prepares quarterly Assistant Surgeon Report. Trains and instructs providers and staff on appropriate coding and compliant documentation. Collects and enters patient’s insurance information into data base when appropriate. Responds to telephone calls from patients regarding account information, balances and insurance questions. Trains personnel new to the practice as necessary. Provides cross coverage for other billing personnel as required to ensure workflow is consistent. Additional duties as assigned and necessary for the function of both...

NM

Full Time

Certified Medical Coder

NMA Remote

NMA is a unique , niche medical industry. We provide professional services associated with intraoperative neuromonitoring. We value our employees and recognize and reward hard work. We offer our employees a full benefits package that includes: Medical, Dental, Vision, Life, 401k with matching, and more. Job Responsibilities We are currently looking for a full-time Certified Medical Coder to work out of our McKinney, Tx office. Duties and responsibilities include, but are not limited to the following: Serve as an expert in all matters related to coding and billing. Verify accuracy of billing data and audit claims. Review chart elements including face sheet, operative reports, History and Physical (H&P), Professional and Technical Reports and Superbills Consult with Technologists, Surgeons, and Physician Reader’s as needed to obtain information required for Coding. Create CMS...

Full Time

Certified Medical Coder - Orthopedic Coding

Plymouth Bay Orthopedic Associates Plymouth, MA, USA

A Career in Healthcare has Purpose. PBOA offers candidates of all experiences the opportunity to break into, or continue, a strong career in the healthcare industry. With various open positions available, qualified candidates will realize: The opportunity to break into the healthcare industry with zero experience; A pathway for professional growth and opportunity; Comprehensive certifications in safety, privacy, compliance and ethics; A sense of fulfillment by supporting local orthopedic care; The development of new skills and education; A supportive and collaborative team environment. We might be a great match if You: Find Empathy and Kindness are important; Have an enthusiastic personality with a desire to help others; Name problem-solving as part of your daily fulfillment; Retain a strong ability to communicate kindly and directly with co-workers; Embrace technology and systems are part of your life (i.e. a basic understanding of Microsoft...

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Medical Coding Auditor

Infinx Healthcare Remote, OR, USA

Job Description Join the fast-growing team at Infinx Healthcare, as we transform healthcare reimbursement and revenue cycle. For too long healthcare providers have struggled with healthcare payments, revenue leakage and reimbursements. This leads to less-than-ideal conditions for patient care and satisfaction. Our solutions and people remain focused on improving the revenue cycle continuum so that healthcare providers can take care of patients while we ensure they get paid. We work with the leading hospitals, health systems and physician groups across the country. Good talent is the bedrock of our success. So, we treat our talent well, developing individual capabilities, kindling an entrepreneurial spirit, and ensuring that everyone has a rewarding and productive career here. That's just part of our DNA. And it's evidenced everywhere, from our fun and flexible work culture to our generous salaries, benefits packages, and defined career paths. Working Hours Required: 8:00 am - 5:00...

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Medical Coding Auditor - Professional Services (ONSITE)

Standard Technology Portsmouth, VA, USA

Job Description Professional Services Medical Coding Auditor -- ONSITE Naval Hospital PORTSMOUTH, VAQualified candidate will be responsible for the auditing of medical documentation and codes for professional services for compliance with federal coding regulations and guidelines. This will include the assignment of ICD, Evaluation & Management (E&M), Current Procedure Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) codes, modifiers, and quantities as documented by the physician. Will train and educate Military Treatment Facility provider staff on coding issues and plays a significant role in coding compliance activities. Required Qualifications (Education/Experience) Experience. A minimum of five (5) years medical coding experience in multiple clinical specialties and three (3) years of medical auditing experience within the last eight (8) years is required. Expertise must also include ambulatory surgery coding/auditing for the outpatient auditor...

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Ambulatory Medical Coding Auditor

Standard Technology Quantico, VA, USA

Job Description POSITION IS 100% ONSITE NAVAL HOSPITAL CLINIC QUANTICO, QUANTICO, VA The Ambulatory Medical Coding Auditor is responsible for the auditing of medical documentation and codes for compliance with federal coding regulations and guidelines. This will include the assignment of ICD, Current Procedure Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) codes, modifiers, and quantities as documented by the physician. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities. Must be able to satisfy the eligibility requirements for obtaining a government issued security clearance (US citizenship is required). Requires a physical, proof of immunization, including COVID vaccination and annual immunizations such as TB testing and flu shots. Must successfully pass a coding assessment and credential verification. Mandatory knowledge and skills • Knowledge of auditing concepts and principles. • Advanced knowledge...

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Coding Auditor

Anthem, Inc Miami, FL, USA

Position Title:Coding AuditorJob Description:Coding AuditorLocation: This is not a remote position. Candidate would need to work onsite from our location of 3713 NW 7th St, Miami.The Coding Auditor is responsible for auditing diagnosis data collected from physician and hospital medical records to ensure proper ICD9 coding and compliance with risk adjustment requirements.Primary duties may include, but are not limited to:Collects and analyzes data to formulate recommendations and solutions based on audit trends and results.Provides regular feedback to Operations leadership on performance improvement opportunities as a result of performance gaps.Participates in and represents the department in business leadership groups.Assesses and identifies training opportunities.Assists the business with research and documentation of workflows, policies and procedures and other materials.Maintains current knowledge of requirements and guidance required in the performance of audit duties.Reviews...

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Medical Coding Auditor

Centerwell Springfield, MO, USA

Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva and CenterWell a wholly-owned subsidiaries of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives. Responsibilities The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations and guidelines. provide a second level review of codes assigned to medical diagnoses and clinical...

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Medical Coding Auditor/Educator - Remote Position (UT, SC, AZ, TX, KY, WY) - Full-Time

Granger Medical West Jordan, UT, USA

Job Description 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. * Monitors all coding...

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Medical Coding Auditor

Centerwell Louisville, KY, USA

Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva and CenterWell a wholly-owned subsidiaries of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives. Responsibilities The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations and guidelines. provide a second level review of codes assigned to medical diagnoses and clinical...

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Medical Coding Auditor

Centerwell Metairie, LA, USA

Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva and CenterWell a wholly-owned subsidiaries of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives. Responsibilities The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations and guidelines. provide a second level review of codes assigned to medical diagnoses and clinical...

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Medical Coding Auditor

Centerwell Las Vegas, NV, USA

Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva and CenterWell a wholly-owned subsidiaries of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives. Responsibilities The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations and guidelines. provide a second level review of codes assigned to medical diagnoses and clinical...

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Facility Outpatient Coding Auditor/Educator-100% Remote

Northeast Georgia Health System, Inc GA, GA, USA

Job Category:Revenue CycleWork Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health of our communities.About the Role:Job SummaryThe Coding Auditor/Educator is fully competent to independently code the most complex inpatient and/or outpatient service types. Responsible for auditing coding accuracy and providingÂ detailed feedback. Responsible for training new and existing employees. Provides educational feedback to coding department, clinical staff, and other departments as needed. Investigates and responds to coding related questions and denials. Â Â Minimum Job QualificationsLicensure or other certifications: Certified Coding Specialist (CCS). Certified Professional Medical Auditor (CPMA), Certified Evaluation and Management Coder (CEMC) or other Nationally recognized healthcare auditing certification required at hire or required to obtain within six (6) months of hire.Educational Requirements: Associate...

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Senior Medical Coding Auditor

PacificSource Springfield, OR, USA

Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age. Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Position Overview: Subject matter expert on researching and resolving grievance and appeals for the commercial line of business. Utilizing expert level of adjudicator expertise, clinical interpretation and...

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Clinical Coding Auditor (Hybrid)

Partners Healthcare Northampton, MA, USA

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! General Overview The Clinical Coding Auditor performs a variety of duties related to compliance and coding for Cooley Dickinson Medical Group (CDMG), ensuring the usage of the most accurate codes for reimbursement purposes, statistical analysis outcomes, and financial and strategic planning. The Auditor is expected to...

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Coding Auditor

Anthem, Inc Fort Lauderdale, FL, USA

Position Title:Coding AuditorJob Description:Coding AuditorLocation: This position is not remote. Candidate must work onsite from our clinic location of 4850 W Oakland Park Blvd, Lauderdale Lakes, FL.The Coding Auditor is responsible for auditing diagnosis data collected from physician and hospital medical records to ensure proper ICD9 coding and compliance with risk adjustment requirements.Primary duties may include, but are not limited to: Collects and analyzes data to formulate recommendations and solutions based on audit trends and results.Provides regular feedback to Operations leadership on performance improvement opportunities as a result of performance gaps.Participates in and represents the department in business leadership groups.Assesses and identifies training opportunities.Assists the business with research and documentation of workflows, policies and procedures and other materials.Maintains current knowledge of requirements and guidance required in the performance of...

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Coding Auditor

Anthem, Inc Miami Gardens, FL, USA

Job Family: Medical and Clinical Type: Full time Date Posted:Apr 06, 2023 Req #: JR63326 Location: FL, MIAMI GARDENS Description Coding Auditor Location: This position will require candidate to work onsite from our Pasteur clinic location of 5900 NW 183rd St, Miami Gardens. The Coding Auditor is responsible for auditing diagnosis data collected from physician and hospital medical records to ensure proper ICD9 coding and compliance with risk adjustment requirements. Primary Duties May Include, But Are Not Limited To Collects and analyzes data to formulate recommendations and solutions based on audit trends and results. Provides regular feedback to Operations leadership on performance improvement opportunities as a result of performance gaps. Participates in and represents the department in business leadership groups. Assesses and identifies training opportunities. Assists the business with research and documentation of workflows, policies and...

183 coding auditor jobs found