180 coding compliance auditor jobs found

Summary: The position will reduce inpatient  facility, ambulatory procedure visit (APV), or professional services coding (PSC) backlog created by workload  surges, manning shortages, or computer system issues. This position will conduct focused audits for coding  compliance or training purposes; develop standardized coding training; deliver coding education/training to  individuals or groups; and identifying/educating on clinical documentation improvement opportunities. Knowledge and Skill: Knowledge of The International Classification of Diseases, Ninth Revision, Clinical Modification (ICDCM), procedural coding, healthcare common procedure coding system (HCPCS)/current  procedural terminology (CPT) nomenclature, medical and procedural terminology, anatomy and  physiology, pharmacology, and disease processes to perform the duties described. Knowledge of reimbursement systems, including Prospective Payment System (PPS) and Diagnostic Related  Groupings...

This  HMC Medical Coder  position is located in our  Homer Medical Center. Hours:   This is a full-time benefited position, 40 hours per week, day shift.  This position is in-person, and has the potential to be a hybrid schedule (part remote, part in-person). If hybrid, work 2 days in person and 3 days remote. Starting Salary:   $27.23 – $46.18/hr (rate of pay range quoted is for 0-30 years of experience, rate is higher with more years of experience, rate is higher with certification, PLUS shift differentials for evenings, nights and weekends) What you'll do : Be responsible for reviewing, coding, and accurately assigning diagnosis and procedure codes to Homer Medical Center/ South Peninsula Hospital (HMC/SPH) super bills. Identify the appropriate codes to the highest specificity using appropriate coding guidelines, thus ensuring all coded records meet HMC/SPH, state and federal requirements. Perform coding in a timely and accurate manner to...

SUMMARY: Great opportunity for someone who is out going, loves teaching and appreciates the value in training clinicians how to code and document for the services provided.   Looking for a dynamic individual who will serve as an expert source of information regarding the impact of coding and documentation as it relates to patient care, quality outcomes measures, risk of mortality/severity of illness indicators, and correct reimbursement.   This individual will be responsible for the planning, management, implementation and delivery of coding reviews, engaging presentations, as well as provide assistance in the development of EHR best practice workflows.  This position assists in the development of proper documentation and coding policies and procedures. This position will provide training for a variety of audiences including clinical staff and administrative staff. Travel to various Institute locations will be required. RESPONSIBILITIES: Shall take the lead on...

We're looking for a Coding Manager like YOU! Responsible for the management of all coding functions within the system for professional services.   Conducts performance reviews.  Monitors coding accuracy, performs monthly audits of both internal, and contract staff to ensure 95% accuracy maintained consistently.  Reports noncompliance issues detected through auditing to Director. Develops and coordinates corrective action plans, follow-up audits, and ongoing monitoring. Analyzes and adjusts workflow to facilitate productivity and monitors productivity. Trains coding personnel.  Maintains unbilled accounts due to coding at acceptable levels and works to remove barriers that delay coding and billing.  Works with all practice managers and department leads to resolve billing problems. Also, coordinate with the Professional Billing Manager to resolve claims issues. Updates policy and procedure manuals.  Stays up to date on coding conventions and billing compliance...

WHAT YOU CAN EXPECT Quality Assurance: Reviews patient charts to verify all services provided are accurately captured. Reviews procedure codes and diagnosis codes for accuracy. Audits documentation to confirm support for charges. Prepares corrections as needed for provider charges to process correctly. Audits and analyzes software system and charts to identify trends and issues. Researches, resolves, or escalates, as appropriate. Subject Matter Expert: Serves as Subject Matter Expert and resource to direct staff on inquiries and consultation on developing/mapping workflows, technology issues, and unique or complicated coding situations. Audits the staff’s work to comply with standards. Collaboration: Collaborates and communicates with management regarding all aspects related to charge review and coding, including but not limited to workflows, updates, errors, and trends. Identifies solutions to resolve widespread issues where appropriate....

As the Operations Manager, you play a crucial role in ensuring the smooth functioning and efficiency of our organization. Your primary responsibility is to provide leadership to your assigned office and oversee its overall performance. You will work closely with the Director of Operations to drive process improvements, implement changes, and evaluate the success of new initiatives. Your role also involves managing employees in compliance with company policies and regulations, from recruitment and training to performance management and issue resolution. Key Responsibilities: Enhance Organizational Effectiveness: Streamline operational systems, processes, and policies to align with our mission. Improve management reporting, information flow, and organizational planning. Boost Operational Efficiency: Enhance the effectiveness and efficiency of operations in your assigned region. Foster collaboration and communication between support and business functions....

Essential Job Functions: 100% remote Part-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....

CSI Companies seeks interested candidates to join our growing Coding and Clinical Integrity Practice as a Coding Team Leader.  This is an incredible opportunity for an individual who enjoys managing and coaching, operations, creating and forming a team, and developing processes and procedures for maximum efficiency. This Coding Team Leader is responsible for leading a team of coders in the identification, collection, assessment, and validation of claim/encounter information consistent with all regulatory and official coding guidance.  The Team Leader will also be responsible for quality review of the work of others and coaching and remediating performance related issues. Primary Duties May Include, But Are Not Limited To Leads Risk Adjustment and Coding operations including education, data analysis, audits and overseeing record review processes. Oversees day to day operations, including monitoring of performance and operational metrics. Creates reports...

Responsibilities :  Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System  (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for  outpatient encounters in a US Government facility. Plays a significant role in coding compliance activities. Knowledge and Skill: Excellent computer/communication skills Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines (outpatient), documentation requirements, familiarity with medications and reimbursement guidelines; and encoder experience. Ability to handle multiple projects and appropriately prioritize tasks to meet deadlines Education/Certifications: RHIT, RHIA, CPC, CCS-P Obtain the required CEU requirements to maintain current and proper certifications Experience: Minimum of 3 years in the...

Responsibilities :  Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System  (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for  outpatient encounters in a US Government facility. Plays a significant role in coding compliance activities. Knowledge and Skill: Excellent computer/communication skills Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines (outpatient), documentation requirements, familiarity with medications and reimbursement guidelines; and encoder experience. Ability to handle multiple projects and appropriately prioritize tasks to meet deadlines Education/Certifications: RHIT, RHIA, CPC, CCS-P Obtain the required CEU requirements to maintain current and proper certifications Experience: Minimum of 3 years in the...

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 documentation information as needed Audits...

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....