91 inpatient coding auditor ii jobs found

Medical Records Technician (Coder) Auditor This position is in the Health Information Management (HIM) section at the Durham VA Health Care System. The Medical Record Technician (Coder) Auditor is responsible for abstracting medical record data and assigning codes using current clinical classification systems appropriate for the type of care provided. The duties of the Auditor will include, but are not limited to: Serves as expert of current coding conventions and regulations related to professional and facility coding. Performs audits of encounters to identify areas of non-compliance in coding. Provides recommendations on appropriate coding and is responsible for maintaining current knowledge of the various regulatory guidelines and requirements. Works with staff to ensure that regulations are met or areas of weakness are identified and reported to appropriate supervisor for corrective actions. Performs prospective coding audits and utilizes results to identify processing...

Z. Wilson Talent Solutions is proud to partner with a premier healthcare organization to recruit experienced Inpatient Coding Auditors for a full-time, fully remote opportunity. This role is open to qualified candidates across the United States and offers a competitive salary, annual bonus, comprehensive benefits, and paid overtime. Whether you’re an experienced auditor or a highly skilled inpatient (facility) coder ready to take the next step, this role provides a meaningful path forward. Candidates with strong inpatient coding expertise and a solid understanding of DRG reimbursement will receive training and support to develop auditing capabilities. About the Role As an Inpatient Coding Auditor, you will play a critical role in ensuring accurate DRG assignment, compliant documentation, and appropriate reimbursement. Working closely with physicians and internal stakeholders, you’ll combine your clinical coding expertise with advanced technology and analytics to support quality,...

Job Description Position Summary The coding auditor is responsible for ensuring the integrity of inpatient and/or outpatient medical records by auditing them to confirm that clinical documentation accurately supports the diagnosis, CPT and/or DRG assigned. This position requires a detailed understanding of medical coding principles, coding guidelines, coding clinics, CPT Assistant and the ability to perform objective medical audits. The auditor will conduct audits drawing on advanced ICD-10 and CPT coding expertise, and coding guidelines to substantiate their recommendations. In this role, the auditor will review accounts flagged by Streamline, eValuator and provide recommendations if determined necessary. The auditor will also be responsible for identifying potential trends and educational opportunities. The coding auditor will also conduct focus reviews as determined by the coding manager. The auditor must be task oriented and have strong ability to work independently...

Summary This position is in the Health Information Management (HIM) section at the Durham VA Health Care System. The Medical Record Technician (Coder) Auditor is responsible for abstracting medical record data and assigning codes using current clinical classification systems appropriate for the type of care provided. Duties Help The duties of the Auditor will include, but are not limited to: Serves as expert of current coding conventions and regulations related to professional and facility coding. Performs audits of encounters to identify areas of non-compliance in coding. Provides recommendations on appropriate coding and is responsible for maintaining current knowledge of the various regulatory guidelines and requirements. Works with staff to ensure that regulations are met or areas of weakness are identified and reported to appropriate supervisor for corrective actions. Performs prospective coding audits and utilizes results to identify processing...

Coding Compliance Auditor, Outpatient The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, neurocare, cardiac care, women's and children's health and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland. No organization will give you the clinical variety, the support, or the opportunities for professional growth that you'll enjoy as a member of our team. Job Description I. General Summary Accurately audits hospital inpatient, ambulatory surgery, observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding...

Position Summary The Revenue Cycle Auditor - Credentialed Coder is responsible for end to end auditing of professional and facility claims to ensure accurate, complete, and compliant coding and billing. This role partners closely with revenue cycle leadership, coding teams, and clinical providers to identify root causes of denials, drive best practices in claims resolution, and deliver targeted education that improves documentation quality and reimbursement accuracy. The ideal candidate brings deep working knowledge of ICD 10 CM/PCS, CPT®, and HCPCS Level II, along with hands on experience using NCCI/CCI edits, MUEs, and payer policies across inpatient, outpatient, and professional settings. Key Responsibilities Audit & Compliance • Perform prospective and retrospective audits of medical records and associated charges to validate code selection, modifiers, medical necessity, and documentation sufficiency across inpatient, outpatient, ED, and professional services. •...

Bright Vision Technologies is a forward-thinking software development company dedicated to building innovative solutions that help businesses automate and optimize their operations. We leverage cutting-edge technologies to create scalable, secure, and user-friendly applications. As we continue to grow, we're looking for a skilledNurse Manager II, Hospitalto join our dynamic team and contribute to our mission of transforming business processes through technology. This is a fantastic opportunity to join an established and well-respected organization offering tremendous career growth potential. Job Title: Senior Clinical Coding Auditor & Trainer (RN Required) Location: Remote (US-based) - Travel to New York required twice per year Job Type: Full-Time About the Role The Senior Clinical Coding Auditor & Trainer is responsible for developing, conducting, and analysing inpatient clinical coding audits and training programs. This role supports Fidelis Care by...

GI Alliance is seeking an experienced Coding Auditor & Provider Educator. Duties of this position include, but are not limited to, the following: Position Purpose The Compliance Auditor I will be responsible for researching and analyzing the medical record where there is a discrepancy in coding, validating the coding and preparing reports that summarize audit findings and provide recommendations for corrective actions, if warranted. Responsibilities/Duties/Functions/Tasks : Conducts physician chart audits to identify incorrect coding and prepares reports of findings and issues. Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reports coding patterns identified within the audit process to the Director and identifies corrective measures to problems. Provides second-level review of organization's billing performance to ensure compliance with legal and...

Join to apply for the Medical Records Coder I - PRN role at BayCare Health System Join to apply for the Medical Records Coder I - PRN role at BayCare Health System Get AI-powered advice on this job and more exclusive features. BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Position Details Location: Fully Remote (must reside in the State of Florida) Status: PRN (non-exempt) Shift: 7:00 AM to 3:30 PM Days: Monday through Friday The Medical Records Coder I will work remotely on a PRN basis. This team member must currently reside in the state of Florida. Responsibilities The Medical Records Coder I assigns diagnosis and procedural codes using ICD-10-CM, ICD-10-PCS, and CPT-4 coding systems and monitors bill hold reports and performs other duties as assigned....

Job Title: Medical Biller II Salary: $25hr-$28hr DOE Location: Tustin, CA Openings: 1 Position Purpose: The Medical Billing Specialist II supports the revenue cycle team by independently performing a broad range of billing functions with moderate complexity. This role is responsible for accurate insurance verification, charge entry, claim submission, payment posting, and resolution of routine denials to ensure compliance with payer requirements and timely reimbursement. Core Duties and responsibilities, include but are not limited to: Insurance & Eligibility Verification Verify complex insurance coverage (Medi-Cal, Medicare, Managed Care, Commercial, PPO/HMO). Research and resolve discrepancies in patient coverage or eligibility. Document eligibility outcomes in the EHR/PM system. Charge Entry & Coding Support Perform charge entry and apply CPT, ICD-10, and HCPCS codes. Review encounter forms for accuracy; flag missing or incorrect...

Description Under the general supervision of the Kadlec Clinic Billing Manager, analyzes, codes, and compiles medical records to document patient condition and treatment in Family Practice, Specialty Practice, Hospital and ASC settings. The Clinic - Coder, Certified - Level II will audit Provider documentation and provide continuous, meaningful provider feedback. Providence caregivers are not simply valued - they're invaluable. Join our team at Kadlec Regional Medical Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: Certification from American Academy of Professional Coders upon hire or, Certification from American Health Information Management Association upon hire. 3 years -...

Supervisor, Food Services-Hackettstown Medical Center-Part Time Join to apply for the Supervisor, Food Services-Hackettstown Medical Center-Part Time role at Atlantic Health Supervisor, Food Services-Hackettstown Medical Center-Part Time 2 days ago Be among the first 25 applicants Join to apply for the Supervisor, Food Services-Hackettstown Medical Center-Part Time role at Atlantic Health Get AI-powered advice on this job and more exclusive features. This range is provided by Atlantic Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $24.05/hr - $39.71/hr Job Description Responsible for assisting the Production Manager in the overall management of operations to include quality, product safety, associate safety, making production metrics, staffing, budgeting, maintenance, and raw material planning. Provides advice and oversees standardization of recipes, menu preparation, portion, cost and waste...

Show Map Location 4300 Bartlett St, Homer, AK, 99603, United States Base Pay $37.81 / Hour Job Category Professional, Coding, Health Information Description Join a mission-driven team at South Peninsula Hospital where your expertise in medical coding directly contributes to high-quality patient care and accurate health data management. In-office required. HIGHLIGHTS: Work in a dynamic, supportive healthcare environment with a focus on coding accuracy, compliance, and meaningful contributions to community health outcomes. Community-Centric: Pairing small town values with industry-leading standards, South Peninsula Hospital values and invests in our staff and deeply cares about our patients. Benefits: South Peninsula Hospital provides a competitive salary and industry-leading benefits, including Health/Dental/Vision Insurance with up to a $2000 HRA and generous PTO. Loan forgiveness and tuition reimbursement programs are available. EDUCATION, KNOWLEDGE AND...

Job Description Job Description Qualifications: Medical Billing and Coding Experience in a Primary Care setting Knowledge of CPT-II and ICD-10 coding Experience with Athenahealth Strong communication and interpersonal skills Detail-oriented Entrepreneurial Key Responsibilities: Prepare and submit billing data and medical claims to insurance companies. Ensure the patient’s medical information is accurate and up to date. Prepare bills and invoices, and documents amounts due for medical service. Work closely with office management on Accounts Receivable goals. Monitor and record late or held payments. Follow up on missed payments; resolve financial discrepancies. Examine patient bills for accuracy and request any missing information. Analyzes medical record documentation to determine the principal diagnosis and procedures and the presence of co-morbid or complicating conditions associated with the primary care visit. Assigns ICD9 and CPT2 codes to diagnoses and...

Overview Certified Coder - Billing Onsite - Royal Oak, MI Sciometrix is a leading digital Health company looking for RN Case Manager Spanish. We are a leader in Telehealth -healthcare Virtual care Management. Our mission to engage patients to Deliver better outcomes. Sciometrix is known among customers, peers, and patients for clinical excellence, patient experiences, and provider satisfaction. Since the inception of our patient count, technological solutions have been evolving. We empower healthcare providers with advanced technology and human expertise, revolutionizing a patient\'s experience. Our propriety software and related technologies ensure HIPAA compliancy with cloud access. We have established HIPAA-compliant Clinicus, an artificial intelligence (AI) bot that monitors patients 24/7 and ensures fast response in their care management program. Clinicas watches each patient\'s vitals and alerts our licensed team when a patient\'s program progress or vitals are varying....

Coding Clinic - Coder, Certified Level II Under the general supervision of the Kadlec Clinic Billing Manager, analyzes, codes, and compiles medical records to document patient condition and treatment in Family Practice, Specialty Practice, Hospital and ASC settings. The Clinic - Coder, Certified Level II will audit Provider documentation and provide continuous, meaningful provider feedback. Providence caregivers are not simply valued they're invaluable. Join our team at Kadlec Regional Medical Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: Certification from American Academy of Professional Coders upon hire or, Certification from American Health Information Management Association upon hire. 3 years - Related experience and/or training. Preferred...

Firsthealth Of The Carolinas FirstHealth of the Carolinas is a nationally recognized health care system located in central North Carolina. Comprised of four hospitals with more than 600 beds, the system also offers leading-edge heart care in the Reid Heart Center, the area's only dedicated heart and vascular center. Our growing health system has more than 6,200 employees serving in more than 75 locations throughout a 15-county service area. In addition, FirstHealth has received numerous accolades for its patient care and outcomes, including recognitions from Healthgrades, U.S. News & World Report, and Becker's Healthcare. At FirstHealth of the Carolinas, we believe in supporting our employees' professional growth and personal well-being. That is why we offer a comprehensive benefit package that is designed to help you thrive. Enjoy a free gym-membership to one of our 7 FirstHealth Fitness Centers to stay active and prioritize your health, take advantage of our educational...

Description JOB SUMMARY: Responsible for accurate coding and billing of provider office, inpatient and outpatient charges to ensure coding and billing compliance is maintained. Maintains an extensive knowledge of CPT Procedural Coding, ICD-10 Diagnosis Coding and HCPCS Level II coding along with Evaluation and Management (E&M) documentation requirements. Duties & Responsibilities Responsible for reviewing and submitting charges from the coding workqueues (WQ). Manually enters off-premise charges in Charge Review. If applicable, manually enters in-house charges for certain Specialty areas as designated. Ability to code for many different Specialties as assigned. Provides cross-coverage in the department as needed and directed by the Coding and Compliance Manager /Data Collection Team Leader. Arrives the Surgery Schedule on a daily basis using the DAR function. Checks each patient in to create the visit number. Reviews and processes re-submits. Works closely with the...

DHR Health - US:TX:McAllen - Days Summary: POSITION SUMMARY: The Inpatient coder reviews and analyzes documentation in the medical record for inpatient visits to ensure accuracy of diagnosis and procedure codes. Coder finalizes the coding and abstracting of the medical record according to ICD-10-CM/PCS, CPT, and HCPCS coding conventions and guidelines supported by the clinical documentation in the medical record. Coder analyzes diagnosis and procedure codes concurrently assigned by Clinical Documentation Specialists. The Inpatient Coder assumes primary responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff members with improving quality of clinical documentation. Sequence the diagnoses and procedures using official coding guidelines. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Resolve Inpatient billing edits. Abide by the Standards of Ethical Coding as set...

Job Posting Job Requirements: Discover. Achieve. Succeed. This is a remote, high-level position functioning under general supervision and utilizing independent decision making. The Coder III correctly assigns ICD diagnosis and procedure codes, MS-DRGs, and APR-DRGs for inpatient hospital services for Froedtert Health, which includes an academic, Level I Trauma Center. The level III Coder completes coding on highly complex trauma and acutely ill patients, including mortality, extended length of stay, and high dollar cases. This position is differentiated from the Coder II level by the high complexity and longer lengths of stay. The Coder III will also be required to perform chart audits as needed for Coder Inpatient I's and II's. The senior coding staff in this position will apply all official and departmental coding rules, regulations, and guidelines, and meet or exceed productivity and quality standards. The integrity of the codes assigned and entered into the databases play an...

Crossroads Treatment Centers is an equal opportunity employer.We celebrate diversity and are committed to creating an inclusive environment for all employees.Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder.Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery.This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery.We are committed to bringing critical services to communities across the U.S.to improve access to treatment for over 26,500 patients.Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and...

Job Description The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual health information for data retrieval, analysis, and claims processing. The DRG coder creates consistency and efficiency in inpatient claims processing and data collection to optimize DRG reimbursement and facilitate data quality in hospital inpatient services. Responsibilities The coder abstracts pertinent information from patient records and assigns ICD-9-CM/ICD-10-CM, ICD-10-PCS or CPT/HCPCS codes, creating APC or DRG group assignments. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. The coder keeps abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to supervisor or department manager for resolution. Abides by the standards of Ethical Coding as set forth by the American Health Information...

Hourly Pay Range: $24.86 - $37.29 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Medical Coder II The Medical Coder II plays a key role in our hospital's revenue cycle by accurately coding diagnoses and procedures in accordance with established coding guidelines. This position is essential in maintaining financial accuracy and compliance with regulatory requirements. Position Highlights: Position: Medical Coder II Location: Warrenville, IL Full Time/Part Time: Full-time (40 hours per week) Hours: Monday-Friday, during normal business hours What you will do: Assign accurate diagnostic (ICD-10-CM) and procedural (CPT) codes to medical records based on clinical documentation, ensuring adherence to coding guidelines and conventions. Conduct internal audits of medical records and coding work to ensure the accuracy and consistency of code assignments. Examine clinical documentation in...

divh2Medical Coder II - Surgery Days/h2pThis position has a deep understanding of disease process, AP and pharmacology and acts as a key collaborator with Providers and Clinical areas to ensure the medical record accurately reflects the patients service./ppPosition Highlights:/pulliPosition: Medical Coder II/liliLocation: Elmhurst Hospital/liliFull Time/Part Time: Full Time/liliHours: Monday-Friday, day shift/li/ulpWhat you will do:/pulliAssigns diagnostic and procedure codes for compliant physician reimbursement and for both evaluation/management, preventive (HCC risk adjustment) and surgical services under general supervision./liliCommunicates daily regularly with physicians and staff to resolve discrepancies with patient records and coding selections./liliPerforms provider audits on E/M services and HCC review on Medicare/Medicare Advantage preventive services and educates providers as needed./liliTrains physicians and other staff regarding documentation, billing and coding,...