23 coding auditor jobs found

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.    As our Revenue Integrity Facility Coding Auditor , you will review hospital charges against medical record and all applicable documentation to determine appropriate code assignments on services provided (CPT/HCPCS codes). The Auditor must have a comprehensive understanding of medical terminology, coding, contractual agreements, and various payment methodologies.   This position requires good time management skills and the ability to work independently.   Here’s what you will experience working as a Revenue Integrity Facility Coding Auditor...

University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 3,500 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado.   We are seeking 2 motivated Medical Coding Auditor to join our Audit, Compliance & Education team.  The specialty areas we are targeting are: Psychiatry Pathology Anesthesiology   This job can be performed 100% remotely. The Auditor will provide formal and informal coding and regulatory education to all CU Medicine coding/charge...

Certified Professional Medical Auditor is responsible for reviewing and auditing medical documentation, including patient records, charts, and clinical notes, to ensure accuracy, compliance with regulations, and adherence to industry standards. This role is crucial in maintaining the integrity of medical records, billing processes, and healthcare facilities' compliance with applicable laws and regulations. Key Responsibilities Medical Documentation Review: Conduct thorough audits of patient medical records, including physician notes, progress notes, discharge summaries, and other relevant documentation. Examine medical records to verify their completeness and conformity with established standards, ensuring they accurately reflect the patient's condition, diagnosis, treatment, and other pertinent information. Verify that documentation adheres to established coding guidelines, such as ICD-10 and CPT, and compliance with healthcare regulations (e.g., HIPAA, Medicare,...

HCCS currently has multiple full-time and part-time openings for experienced and certified Pro Fee and Pro Clinic/Outpatient Coders. The ideal candidate will need to have three plus years of current medical coding experience in coding Pro Fee/Clinic charts, along with a current coding credential from AHIMA or AAPC (CCA and CPC-A credentials are not accepted).   Full-time candidates will be expected to work 40 hours per week, M-F. Part-time candidates will be expected to work 20 hours per work week, S-M ** Sign-on Bonuses Available** Position Requirements:   Current coding certification from AHIMA or AAPC   CCA and CPC-A not accepted   Three or more years of coding experience in Pro Fee IP/OBS/SDS and/or Clinic/Outpatient Coding   Three or more years of E/M Leveling experience   Recent experience in production coding within the past six months   Proficiency in coding using the 2023 coding...

AAPC is seeking a highly motivated and dedicated coding professional to join our team as a Contract Coder. This position is a fully remote contract role. The ideal candidate must have at least 5 years of coding experience for physician practices, with various surgical specialties as well as E/M. The position requires one to be resourceful, organized, and extremely driven. The ideal candidate will possess the following: Minimum 5 years of coding experience Extensive coding in multiple specialties including: all primary care specialties, anesthesia, general surgery, dermatology, and orthopedics. Excellent written and verbal communication skills Detail oriented and deadline driven attitude Sound knowledge of medical terminology Strong computer skills (Excel, Word, and internet) Ability to multitask and keep a sense of urgency Excellent customer service skills Strong time management, organization skills, and work ethic Job Duties:...

Radiology Chartered is seeking an in-person Certified Medical Coding Specialist with a passion for healthcare, precision and attention to detail. As a Certified Medical Coding Specialist, you will play a critical role in ensuring accurate and efficient coding of medical procedures and diagnoses for our radiology department. Key Responsibilities: - Assign appropriate codes to medical procedures and diagnoses in compliance with current coding guidelines, regulations, and policies. - Review and analyze patient medical records to accurately capture all relevant procedures and diagnoses. - Collaborate with radiologists, physicians, and other healthcare providers to clarify and obtain necessary information for accurate coding. - Maintain up-to-date knowledge of current coding guidelines and regulations, as well as changes in healthcare laws and regulations. - Ensure coding accuracy and efficiency to maximize reimbursement and minimize claim denials. -...

Must have trauma coding experience The practice offers physician services in trauma, emergency general surgery, and surgical critical care. The Certified Coder is responsible for accurately interpreting and billing trauma and general surgery physician charges. This role involves conducting research to ensure compliance with regulatory coding requirements, as well as analyzing and recommending solutions to prevent future coding errors. A strong understanding of medical terminology and anatomy is essential. The ideal candidate should also have a solid grasp of accounts receivable and familiarity with various payers, including CA Medi-Cal and Medicare.  ·         Conduct initial charge reviews to identify the appropriate ICD-10 and CPT codes for accurately reporting physician services to third-party payers. ·         Analyze progress notes, operative reports, discharge summaries, and charge documents to determine the services provided, ensuring accurate assignment of CPT...

The Physician Coder III is responsible for coding of physician and/or mid-level provider professional services. Recognizes and completes a high-volume workload accurately and in a timely manner, with minimal direct supervision. Follows set procedures to achieve goals. Displays professional office skills and ability to navigate a practice management system. Functions as liaison between management, the physician practices and employees working within physician practices. Coder will provide CPT, HCPCS and ICD-10-CM coding a minimum of 1-4 specialties. Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include OT, PT, Urgent Care, ED, or a variety of other specialties. Services can include all visit types for a coder I and coder II and includes coding of surgical cases. Responsibilities Include: - Review and analyze information...

Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and communities we serve The  Clinical Analyst/Senior Clinical Analyst  reports to the Risk Adjustment Programs Manager in Government Markets. The key responsibilities of this role include: Responsible for analyzing member clinical charts, diagnosis data, CPT Codes, and any other diagnostic data for Independence’s Medicare Advantage and Commercial HIX plans to assess chart coding accuracy and determine opportunities for improvement.  The Clinical Analyst will perform and participate in prospective chart coding reviews and recommend solutions to improve the quality and accuracy of clinical data for the Government Markets Unit.  Responsible to identify and communicate trends in provider coding and documentation. Work closely...

Job Posting: Medical Billing and Coding Specialists   Location: Lucid Medical Solutions – On Site in Oak Brook, IL   Position Type: Full-Time   Salary: $20/hr   About Us: Lucid Medical Solutions is a leading authority in split claim billing, dedicated to delivering exceptional care and administrative support. We specialize in empowering private medical practices by simplifying operations, enhancing profitability, and offering bespoke consulting services. Our commitment extends to helping practices remain independent and thrive through the use of advanced technology and strategic guidance. We are currently seeking a skilled and experienced Medical Billing and Coding Specialist to join our dynamic team. This crucial role ensures that our revenue cycle processes operate smoothly and efficiently, providing essential support to both our clinical team and patients. At Lucid Medical Solutions, we are committed partners in your long-term growth, driving success...

Are you passionate about transforming data into actionable insights and driving software solutions forward? Alpha II seeks a skilled Healthcare Billing & Coding Research Analyst to join our dynamic team! In this role, you will be instrumental in the growth and maintenance of our software solutions by researching industry trends, analyzing data sets, and identifying opportunities for enhancement. Your role will involve quantitative and qualitative analysis, a process-oriented mindset, and collaborative teamwork.  Ideal candidates will bring at least 3 years of hands-on experience in Healthcare Billing and Coding or AR Recovery, demonstrating strong technical skills and a deep understanding of the healthcare and health insurance sectors.  If you excel at interpreting complex technical information and defining business requirements, we invite you to contribute your expertise and help us innovate in a fast-paced environment. Responsibilities: • Work closely with...

General Purpose of Job: Ensures that coding compliance initiatives are met with all record types. Reviews and analyzes medical records and abstracted data submitted by the coding staff to determine the accuracy of code assignment and adequacy of clinical documentation according to regulatory requirements. Performs frequent internal reviews and education maintenance long-term to ensure accuracy in the ever-changing environment of coding, documentation, quality initiatives, and impact to reimbursement. Can code, train, and educate on all types of outpatient medical records to provide timely coverage in all coding areas helping to ensure accuracy, stability, and efficiency in our revenue cycle. Code surgeries, clinic and hospital visits. Attach diagnosis and CPT codes for billing. Assist with auditing by pulling medical records and billing records, research correct coding rules, keep up with audit schedule including re-audits and new physician education. Assist with productivity...