94 inpatient coding auditor virtual jobs found

Coding Compliance Auditor Conducts coding compliance audits of inpatient and outpatient encounters to validate code assignment. Follows the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that are integral to appropriate payment methodology. Job Requirements Minimum Education Associates degree in relevant field preferred or combination of equivalent of education and experience Minimum Work Experience Five (5) years coding experience including; but not limited to; hospital inpatient and outpatient encounters Required Licenses/Certifications AHIMA and/or AAPC Coding Credential; CCS preferred Required Skills; Knowledge; and Abilities Ability to consistently and accurately audit coding of inpatient and outpatient encounters Ability to create clear and concise audit reports and maintain productivity standards Must successfully pass pre-hire coding assessment Knowledge of medical...

Job Description Job Description Description: About e4health At e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do: Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth. Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day. WE GROW: We believe in win/win outcomes—when our customers win, we win. GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions. Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. Our...

A company is looking for a Quality Medical Auditor. Key Responsibilities Conducts validation reviews of Diagnosis Related Groups (DRG), Ambulatory Procedure Codes (APC), and Never Events Coordinates rate adjustments with claims areas and creates monthly/quarterly reports on trends and outcomes Manages records retrieval, HIPAA compliance, and serves as a resource for coding issues Required Qualifications Associates degree in a job-related field or equivalent 2 years of job-related work experience 3 years of experience in medical record management, including coding and validation review Registered health information administrator (RHIA) or technician (RHIT), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Professional Medical Auditor (CPMA), or active RN licensure Extensive knowledge of medical records and coding Working knowledge of contract evaluations and claims processing practices

A company is looking for a Registered Nurse Coding Auditor - HCS-D, COS-C - Full Time. Key Responsibilities Validates Acute Inpatient coded charts for accurate diagnostic information and compliance Conducts coding audits and reviews Medicare/non-Medicare charts to ensure adherence to coding guidelines Communicates coding changes and rationale to coding and CDI staff, ensuring proper documentation Required Qualifications Graduate from an accredited School of Nursing Bachelor's Degree in Nursing or equivalent combination of education and experience Current License to practice as a Registered Professional Nurse in New York State Specialized certifications such as HCS-D and COS-C are required Prior CHHA Nursing experience is strongly preferred

A company is looking for an Inpatient Coding Auditor, remote based in the US. Key Responsibilities Conduct regular audits of medical records and coding to ensure compliance with guidelines and regulations Identify coding errors and collaborate with the coding team to provide education and implement corrective actions Maintain audit records and generate reports on coding accuracy and compliance for management review Required Qualifications High school diploma or equivalent (Bachelor's degree preferred) Certified Professional Coder (CPC) or other coding certification required Minimum of 3 years of coding experience in a healthcare setting Strong knowledge of coding guidelines (e.g., ICD-10, CPT, HCPCS) and regulatory requirements Familiarity with coding software and electronic health record (EHR) systems

A company is looking for a Facility Inpatient Coding Auditor. Key Responsibilities Conduct comprehensive audits of inpatient facility coding for accuracy and compliance Identify coding errors and trends, providing feedback and coaching to team members Ensure adherence to coding guidelines, regulatory requirements, and organizational standards Required Qualifications Active coding credential: RHIA, RHIT, CCS (required) Minimum 3 years of inpatient facility auditing experience Expert knowledge of ICD-10-CM/PCS, MS-DRGs, and POA indicators Strong understanding of CMS regulations and compliance standards Experience working with global or remote coding teams

A company is looking for an Inpatient Coding Compliance Auditor. Key Responsibilities Audit coded inpatient or outpatient medical records for compliance with coding guidelines Provide training and education based on audit results and regulatory changes Collaborate with coding managers to resolve claim denials and improve coding accuracy Required Qualifications, Training, and Education Accredited program in Health Information Management Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT) certification Three years of inpatient coding experience Proficiency in ICD-10-CM/PCS and CPT coding principles Experience with electronic medical record systems and coding audits

Summary This position is located in the Health Information Management (HIM) section at the Beckley VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Learn more about this agency Duties Help Total Rewards of a Allied Health Professional Major duties: Complete and accurate diagnostic and procedural coded data are necessary for research, epidemiology, outcomes and statistical analysis, financial and strategic planning, reimbursement, evaluation of quality of care, and communication to support the patient's treatment. Diagnoses and procedures will be coded utilizing the current edition of International Classification of Diseases (ICD) Clinical Modification (CM) and Procedure Coding System (PCS), Current Procedural Terminology (CPT), and/or Healthcare Common...

Job Summary: Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc. Job Responsibilities/Duties: • Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or MS-DRG assignment. Adheres to...

Job Description Job Description Job Summary: Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc.   Job Responsibilities/Duties: · Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or...

A company is looking for an Inpatient Coding Compliance Auditor. Key Responsibilities Audit coded inpatient or outpatient medical records for compliance with coding guidelines Provide training and education based on audit results and regulatory changes Collaborate with coding managers to resolve claim denials and improve coding accuracy Required Qualifications, Training, and Education Accredited program in Health Information Management Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT) certification Three years of inpatient coding experience Proficiency in ICD-10-CM/PCS and CPT coding principles Experience with electronic medical record systems and coding audits

A company is looking for a Registered Nurse Coding Auditor - HCS-D, COS-C - Full Time. Key Responsibilities Validates Acute Inpatient coded charts for accurate diagnostic information and compliance Conducts coding audits and reviews Medicare/non-Medicare charts to ensure adherence to coding guidelines Communicates coding changes and rationale to coding and CDI staff, ensuring proper documentation Required Qualifications Graduate from an accredited School of Nursing Bachelor's Degree in Nursing or equivalent combination of education and experience Current License to practice as a Registered Professional Nurse in New York State Specialized certifications such as HCS-D and COS-C are required Prior CHHA Nursing experience is strongly preferred

Data Quality Auditor Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc. Job Responsibilities/Duties: Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). IP, OP Coding: Reviews medical records for the determination of accurate assignment of all documented ICD-10-CM codes for diagnoses and procedures. Abstracts accurate required data elements (facility/client specific elements) including appropriate discharge disposition....

Registered Nurse - Diagnosis Related Group Coding Auditor Principal – Carelon Payment Integrity Location: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate, and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients. Specializes in review of DRG coding via medical records and attending physician’s statements provided by acute care hospitals on paid DRG,...

Billing Specialist Job Summary: Post patient charges, includes checking coding, ABN documentation, and verification of patient demographics. Posts payments. Files appeals when necessary and assists in determining final claim status. Maintains accurate count of collections received each day. Maintain daily count of physician, procedure, nursing home, hospital and nurse visits. Job Duties: Submits claims to accounts as appropriate. Submits claims to carriers and intermediaries as appropriate. Checks coding to insure accuracy and medical necessity. Insures information is appropriate for client or insurance billing. Assists in follow-up on payment and billing errors. Send medical records requested by insurance companies. Send monthly deposit reports to accounting. Fill out paperwork for patient/insurance refunds. Help answer the phone and make appointments. Perform other duties as assigned by supervision. Other duties as assigned by Director associated with clinic...

# **About Our Company**We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies , , , , and .When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.**Please Note:** We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com.# **Job...

Lead Medical Coder Fully Remote Home Office - Oklahoma City, OK 73134 Overview Level: Experienced Position Type: Full Time Job Shift: Day Education Level: Certification Travel Percentage: None Category: Health Information Management (HIM) Description Essential functions include but not limited to: Ensures that coding compliance initiatives are met with all record types. Conducts regular internal coding audits and quality assurance reviews to monitor coding accuracy, identify areas for improvement, and implement corrective measures and education as needed. Assist with productivity reporting and reducing DNFC. Oversees team coding turnaround times (TAT) performance, identifying root causes of delays, addressing operational barriers, and ensuring adherence to service level expectations. Performs accurate coding of Inpatient and Swing bed accounts while consistently meeting established TAT expectations. Ensures consistent coding coverage by providing backup and/or...

Job Description Job Description Description: About e4health At e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do: Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth. Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day. WE GROW: We believe in win/win outcomes—when our customers win, we win. GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions. Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. Our...

GoTo Telemed seeks an exceptional Remote Medical Biller to manage comprehensive Revenue Cycle Management (RCM) operations for our rapidly expanding telehealth platform serving multiple medical specialties and healthcare providers nationwide. As a key member of our distributed RCM team, you will process, manage, and optimize medical claims for an increasing portfolio of telehealth providers-with new clients and provider networks added every month as our organization scales. In this critical role, you will be the financial backbone of our provider network, managing the complete end-to-end billing lifecycle including patient eligibility verification, insurance claim submission, payment posting, accounts receivable follow-up, and comprehensive denial management. Your expertise in medical coding (CPT, ICD-10-CM, HCPCS), telehealth modifiers, payer policies, and compliance will directly impact provider revenue, patient satisfaction, and our organizational growth trajectory. This...

Job Title This position is responsible for accurately coding accounts from at least one main outpatient work type (Observation, Same Day Surgery, and/or ER) as well as assisting with the coding of other outpatient work types as needed. All accounts should be completed within three (3) days following discharge. Position Supervisory Responsibilities Reports To: HIM Coding Manager Supervises: None Position Requirements Minimum Education: Completion of college level course work in Medical Terminology and Anatomy and Physiology. Minimum Work Experience: Required: A minimum of two (2) years coding experience in an acute care hospital. Required Licenses/Certifications: CCA credentials (Certified Coding Associate) or CPC credentials (Certified Professional Coder) Required Skills, Knowledge, and Abilities: Completion of college level course work in Medical Terminology and Anatomy and Physiology. Preferred Qualification: CCS credentials (Certified Coding...

Under the direction of the Health Information Management Director, the Outpatient Coder I accurately determines ICD-10-CM diagnosis, ICD-10-CM, CPT and HCPCS procedure codes for all outpatient medical records, which may include Emergency Department (ED), outpatient laboratory, diagnostic imaging, minor outpatient procedures, infusion and injections, outpatient labor and delivery, recurring accounts and observation stays. POSITION RESPONSIBILITIES Abstract pertinent information from patient records within various outpatient types and assign appropriate ICD-10-CM, ICD-10 PCS, and HCPCS codes, creating ambulatory payment classifications (APC). Monitor and manage the discharged not final billed (DNFB) accounts within assigned patient types daily to meet financial goals and expectations. Meet coding productivity standards and accuracy rates as determined by company policy. Query clinical staff to achieve accuracy in coding. Educate, train and communicate with medical staff...