671 documentation coding auditor jobs found

41281BR Extended Job Title: Documentation & Coding Auditor Org Level 1: Texas Tech Unv Hlth Sci Ctr El Paso Position Description: Performs coding and documentation quality audits; provides feedback to coding and reimbursement specialists, coders, and educates them. This job has no supervisory responsibilities. Requisition ID: 41281BR Travel Required: Up to 25% Major/Essential Functions: Maintains current knowledge of billing and coding requirements, risks and billing compliance requirements. Regularly reviews JH-MAC website and Texas Medicaid policies. Demonstrate knowledge of compliance documentation and coding standards, seeking guidance from supervisor as necessary. Research payer policies to accurately and completely address billing compliance questions. Participate in coding/billing educational programs and report relevant information to supervisor. Network with peers. Monitors and addresses payer audits reviews. Establish process to obtain copies of...

Job Description Job Description TTF is recruiting for DRG Auditors who have worked in Inpatient Revenue Integrity to work remotely for a company based out of the Southwest. We are seeking individuals with experience in CDI with either CCDS, CCS, or RHIT certifications. This is a full-time, direct-hire role, where you can work anywhere in the United States. The starting salary is $46-$52/hour and comes with full benefits. Qualified candidates must have: CCDS, CCS, RHIT certifications Five years acute care coding experience Prior experience as CDI/Coding Auditor is preferred but not required For consideration, please send resumes to Jason at JGreer@TTFrecruit.com TTF is a healthcare search and staffing company that partners with hospitals, physician groups, TPA's, medical management companies, pharmaceutical and pharmacy benefit plan organizations, surgery centers, DME/home health, consulting companies, and all other healthcare fields. The TTF Coding and HIM Division...

The Medical Group Coding Auditor and Educator is responsible for auditing clinical documentation and coding practices to ensure accuracy, compliance, and adherence to national standards. This role involves educating both medical coders, providers and Auditor, Educator, Audit, Healthcare, Medical, Coder, Accounting

Employment Type: Full time Shift: Day Shift Description: The Coding Auditor & Educator performs medical record audits including analysis of medical record documentation; validation of primary and secondary diagnoses and procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS). Monitor's accuracy of centralized coder's charge capture and coding with proper ICD-10, CPTs, HCPCs, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. Partners with leadership to improve HCC and other Risk Adjustment capture with provider and coder education. Conducts ongoing reviews of patient medical record documentation and procedural and diagnosis coding by each practitioner. Educates practitioners on coding, documentation, and compliance matters. SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE: 1. CPC, RHIT, CRC or CDEO accreditation is...

Job Description Job Description PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity team in a professional coding auditor role . RESPONSIBILITIES: Responsible for the accurate review of PYA clients’professional fee coding per industry coding audit standards, support of the management team with project management tasks, support of the verbal and written reporting to the client, and conducting provider coding and documentation education ( generally, conducted remotely ). Coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength...

Job Description Job Description LMHS Compliance Auditor Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare organization, passionately dedicated to improving the health and well-being of our community. With a history dating back to 1898, LMHS remains a cornerstone of healthcare excellence, catering to the evolving needs of Licking County. Our cutting-edge facility provides a comprehensive spectrum of patient care services, from life-saving emergency medicine to the comforting embrace of home healthcare, with a unique range of specialized medical services, including cancer, heart health, maternity, and mental wellness. When you join the LMHS team, you become a vital part of your local community Hospital. Working at LMHS is not just a job, it is a unique opportunity to directly impact the health and well-being of your friends, family, and neighbors. You will be providing care in a place in which you are personally connected, where the impact of your work...

Job Description Job Description Compliance Auditor Corporate Compliance Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare organization, passionately dedicated to improving the health and well-being of our community. With a history dating back to 1898, LMHS remains a cornerstone of healthcare excellence, catering to the evolving needs of Licking County. Our cutting-edge facility provides a comprehensive spectrum of patient care services, from life-saving emergency medicine to the comforting embrace of home healthcare, with a unique range of specialized medical services, including cancer, heart health, maternity, and mental wellness. When you join the LMHS team, you become a vital part of your local community Hospital. Working at LMHS is not just a job, it is a unique opportunity to directly impact the health and well-being of your friends, family, and neighbors. You will be providing care in a place in which you are personally connected, where the...

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...

Description Come grow with us. Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding. Yeo & Yeo Medical Billing & Consulting maintains a highly trained staff with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes. Our billing specialists receive ongoing training specific to medical specialty. We continually train our staff by updating and maintaining their knowledge of insurance carrier trends and changes in billing rules and policies. Our people are our future - we provide the venue for individuals who...

Description Come grow with us. Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding. Yeo & Yeo Medical Billing & Consulting maintains a highly trained staff with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes. Our billing specialists receive ongoing training specific to medical specialty. We continually train our staff by updating and maintaining their knowledge of insurance carrier trends and changes in billing rules and policies. Our people are our future - we provide the venue for individuals who...

Description The Revenue Integrity team within UI Health Care's Finance and Accounting Services has a new opportunity for a skilled Quality Assurance Coding Auditor to join the team. Under the direction of the Coding Quality Assurance & Education Manager, the Quality Assurance Coding Auditor conducts professional, facility, clinic, external vendor, coder, system, and denial coding audits. The role is responsible for creating, reviewing, and updating department processes, guidelines, and standards in adherence to regulatory changes and organizational compliance laws and regulations. This position will also identify, create, and provide individual or group education for clinical staff, providers, and coders. The Quality Assurance Coordinator liaises with Clinical Departments, Patient Financial Services, Revenue Integrity, clinical staff, and provider relations. Hybrid within Iowa: This position is eligible for a combination of on-campus and remote work. Remote work must...

Job Description Job Description Are you looking for the best place to work?  Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees! Are you passionate about serving in an environment of shared purpose and shared goals while driving the ARC mission and values to excellence for our clients, patients and team members?  ARC has been leading the way and has become one of the fastest growing healthcare systems in Kentucky (and beyond!) in addiction treatment, mental health services and improving lives by creating opportunities for people to discover hope and live their God-given destiny! ARC is ready to offer you “The B.E.S.T. of ARC” (Balance, Energy, Safety, Training) on day 1 when you enter through our doors.  ARC is a thriving, dynamic, and fast-paced healthcare system environment where compassion, accountability, respect for the dignity of life,...

Description Introduction Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: as Work from Home Inpatient Coding Auditor 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,...

Job Description Job Description PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity team in a professional coding auditor role . RESPONSIBILITIES: Responsible for the accurate review of PYA clients’professional fee coding per industry coding audit standards, support of the management team with project management tasks, support of the verbal and written reporting to the client, and conducting provider coding and documentation education ( generally, conducted remotely ). Coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength...

Inspire health. Serve with compassion. Be the difference. Job Summary All team members of the Compliance Department are expected to be knowledgeable and comply with Prisma Health's Code of Excellence to Inspire Health, Serve with Compassion and Be the Difference. In addition, this position requires analytical skills and close attention to detail. This position is responsible for assisting Coding Compliance Manager/Supervisor and Director, Compliance Services in the execution of the annual Coding Compliance Plan. Assists in conducting project planning and developing appropriate audit procedures, and conducts audit procedures and reports findings. Coordinates efforts between the Office of Compliance Services and Physician Practices of the University Medical Group Administration to improve medical record documentation and overall compliance rates. Remote work may be considered for this position. Accountabilities Under the direction of the Coding Compliance...

Facility University Medical Center of El Paso Department HIM NHC Schedule - Shift - Hours Full Time - Days The Certified Coding Auditor accurately codes, sequences, abstracts and audits outpatient medical records according to ICD-10-CM, CPT coding guidelines CPT coding guidelines and abstracts supported HCC (Hierarchical Condition Category Coding) diagnosis codes that are clinically significant in a risk adjustment payment model to achieve accurate and timely reimbursement and populate statistical databases. Queries physicians for clarification on documentation. Performs duties within approved practices, exercising independent judgment within pre-determined guidelines. Work Experience: Two years of outpatient coding experience required; experience with Hierarchical Condition Coding and Auditing preferred. License/Registration/Certification: Certified Professional Coder (CPC) or Certified Coding Specialist- Physician based (CCS-P) required Education and Training:...

Job Summary The Supervisor Coding Audit and Education is responsible for overseeing medical coding accuracy, compliance, and education initiatives within the Medical Group. This role supervises Coding Auditor & Educators and conducts coding audits, ensuring adherence to national standards, and educating both coders and healthcare providers or staff on best practices. Applies experience in medical coding, team leadership, compliance regulations, and education methodologies. Core Job Responsibilities Supervise and coordinate the daily work of the Coding Auditor & Educators. Relay work instructions, distribute assignments and monitor work for accuracy, quality and completeness. Serves as a resource and role model and provide guidance, mentorship, and support on complex coding related questions. Develop strategies to improve coding accuracy, efficiency, and workflow. Responsible for team performance in auditing coding activities for accuracy, productivity and quality...

Join to apply for the HCC Coding Auditor Senior - Health Plan Admin role at TieTalent . Get AI-powered advice on this job and more exclusive features. Summary The HCC Coding Auditor Senior will perform code audits and abstraction using the Official Coding Guidelines for ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and procedures. Responsibilities include quality assurance auditing and risk adjustment code abstraction for programs such as Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). This position offers onsite work with a remote option. Responsibilities Perform medical record reviews and audits, including prospective, concurrent, and retrospective workflows, to ensure accurate diagnoses for risk adjustment. Conduct code abstraction and coding quality audits to support compliance with CMS (HCC) guidelines. Review...

Job Details Job Location : Washington Regional Med. Ctr. - Fayetteville, AR Position Type : Full Time Education Level : Certification in related field Salary Range : Undisclosed Job Shift : Day Job Category : Admissions & Billing Services Description Organization Overview, Mission, Vision, and Values Our mission is to improve the health of people in the communities we serve through compassionate, high-quality care, prevention, and wellness education. Washington Regional Medical System is a community-owned, locally governed, non-profit health care system located in Northwest Arkansas in the heart of Fayetteville, which is consistently ranked among the Best Places to live in the country. Our 425-bed medical center has been named the #1 hospital in Arkansas for four consecutive years by U.S. News & World Report. We employ 3,400+ team members and serve the region with over 45 clinic locations, the areas only Level II trauma...

Profee Coding Auditor (Full-Time, Monday-Friday) Join to apply for the Profee Coding Auditor (Full-Time, Monday-Friday) role at Washington Regional Profee Coding Auditor (Full-Time, Monday-Friday) 1 week ago Be among the first 25 applicants Join to apply for the Profee Coding Auditor (Full-Time, Monday-Friday) role at Washington Regional Get AI-powered advice on this job and more exclusive features. Organization Overview, Mission, Vision, And Values Our mission is to improve the health of people in the communities we serve through compassionate, high-quality care, prevention, and wellness education. Washington Regional Medical System is a community-owned, locally governed, non-profit health care system located in Northwest Arkansas in the heart of Fayetteville, which is consistently ranked among the Best Places to live in the country. Our 425-bed medical center has been named the #1 hospital in Arkansas for four consecutive years by U.S. News & World Report. We...

Description Summary: HCC Coding Auditor Senior will perform code audits and abstraction using the Official Coding Guidelines for ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). This is an onsite position with a remote option. Responsibilities: Perform Medical Record reviews and audits based on organizational priorities. These can include both prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing. Review and audits may lead to the addition, deletion, adjustment, or confirmation of diagnoses for risk...