257 medical auditor jobs found

Patient First is accepting applications for Coding & Reimbursement Analyst in the Glen Allen, Virginia area. Patient First provides a friendly work environment that promotes a team-oriented philosophy.  The responsibilities of this job include, but are not limited to the following: Completing a periodic review of Physicians’ and Physician Extenders’ charts; Preparing and distributing feedback to Physicians and Physician Extenders after the review process is completed; Coordinating and providing additional training to Physicians and Physician Extenders on E&M and ICD-10 coding as needed; Ensuring ICD-10, CPT (including E&M), and HCPCS coding is performed properly by Physicians and Physician Extenders; Ensuring the coding is performed according to current industry standards and according to commercial payers’ coding guidelines; Monitoring changes in ICD-10, CPT (including E&M), and HCPCS coding guidelines regularly, reporting changes to the Compliance...

Your Role   The Medi-Cal Operations team is responsible for Claims processing and ensuring Medi-Cal benefits are applied. The Medical Coder Auditor Senior will report to the Director of Medi-Cal Performance. In this role you will Serve as an expert Medi-Cal resource in the areas of coding, documentation, auditing, including CMS/HHS regulations and compliance issues surrounding requirements for risk adjustment. Review and monitors all Medi-Cal, HIPAA and CMS regulations for updates and changes pertaining to Medi-Cal programs. Determine and implement changes needed for systems and processes.   Your Work   In this role, you will: Perform audit projects, including and not limited to Government RADVs, and internal compliance audits Support and implement prospective, retrospective and auditing project strategy to support improved clinical documentation and coding Be responsible for facilitating and/or performing an audit of the providers’ medical...

Coding Auditor Binghamton, NY Weekly hours: 40 Shift: Days Experienced candidates may be eligible for a sign-on bonus of up to $5,000. Early-career candidates may qualify for up to $11,000–$17,000 in tuition forgiveness . Position Overview This auditor performs quarterly internal coding and documentation audits for CDI and inpatient coders. They will research, analyze, and respond to inquiries regarding coding and documentation compliance in accordance with all coding guidelines and Medicare/Medicaid regulations. This position works closely with the Cobius Team to review all denials and submits written appeals, when appropriate. They are responsible for monthly education for the CDI and inpatient coding staff. They also assist with coding, documentation, and billing questions to ensure compliant coding and billing. This auditor will develop final audit reports based on findings/observations during the audit process to present to providers or other...

Seasonal assignment of July 17 through December 15, 2023.  Completion of the seasonal assignment includes a bonus of $1,500. Medical Record Coder duties include performing audits of health status by performing primary source validation comparison of medical record documentation to the corresponding paid claim to ensure all risk adjusted diagnosis in the medical record and on the claim align and originate from a valid source.  Successful Looks Like: Accurate validation of health status elements, service codes, and quality assurance reviews Timely and efficient review of medical records. Maintain required individual interrater reliability rate. Core duties and responsibilities include the following: Performs quality reviews on records to validate coding according to the International Classification of Diseases Manual (ICD-10) for diagnoses and coding guidelines. Review medical records to validate diagnosis on the claim are supported by 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...

Are looking for your first medical coding position? Are you recently certified through the AAPC or AHIMA and would love the opportunity to train and work under a Fortune 500 healthcare company in a FULL TIME REMOTE position? Then please read on! The CSI Companies is hiring an Entry Level Medical Coder for our Fortune 100 healthcare client. As one of the most respected and innovative healthcare companies in the world, you will receive state of the art training within a compassionate company culture, that will allow you to expand your skillset for the future of your career. When future employees see this experience on your resume, you will be a step ahead of the rest. Benefits of the Position: Excellent training under one of the top companies in the world Feedback on performance, coding coaches, and supervisors that want you to succeed. Access to learning resources and CEUs HOURLY pay as well as overtime pay New equipment shipped to you prior to...

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....

Coding Compliance Educator Johnson City, NY Shift:  Days Hours per week:  40 hours Salary range : $27.47-$41.21 Experienced candidates may be eligible for a sign-on bonus of up to $5,000. Early-career candidates may qualify for up to $11,000–$17,000 in tuition forgiveness. United Health Services is seeking a Coding Compliance Educator to join our UHS team in Binghamton, NY. This position ensures that the coding of diagnoses, procedures, and data complies with all coding rules, laws, and guidelines. Coding Compliance Educator Overview The educator is responsible for the coordination of activities to monitor physician documentation in the medical record with regard to applicable regulations and billing to support services rendered. Provides education to physicians and coders regarding documentation improvement opportunities for both facility and/or professional billing. They will research, analyze, and respond to inquiries regarding coding and documentation...

The Program Integrity Coding & Research Medical Coder acts as a Medical Coding subject matter expert for complex coding concerns and serve as primary coding resource for Program Integrity. The Program Integrity Coding & Research Medical Coder Functions as a Subject Matter Expert for Risk Adjustment and Professional Coding at CSI and is allocated to projects that require a coding professional with significant technical acumen in coding conventions for both CAI and CDPS.  This teammate is key to assisting a technology vendor validate software tools that are business enablers, and when improperly functioning, can have a detrimental impact to the public persona and profitability of the vendor.  The Medical Coder is in a position of high visibility for CSI, and has access to proprietary tools in a position requiring high trust and confidentiality. The What you Want to Know: 100% Remote Contract, Full-Time Hours ( 30 hour minimum commitment) Active,...

NMA is a unique , niche medical industry. We provide professional services associated with intraoperative neuromonitoring. We value our employees and recognize and reward hard work. We offer our employees a full benefits package that includes: Medical, Dental, Vision, Life, 401k with matching, and more.   Job Responsibilities   We are currently looking for a full-time Certified Medical Coder to work out of our McKinney, Tx office. Duties and responsibilities include, but are not limited to the following:   Serve as an expert in all matters related to coding and billing.   Verify accuracy of billing data and audit claims. Review chart elements including face sheet, operative reports, History and Physical (H&P), Professional and Technical Reports and Superbills   Consult with Technologists, Surgeons, and Physician Reader’s as needed to obtain information required for Coding.   Create CMS...

A Career in Healthcare has Purpose. PBOA offers candidates of all experiences the opportunity to break into, or continue, a strong career in the healthcare industry. With various open positions available, qualified candidates will realize: The opportunity to break into the healthcare industry with zero experience; A pathway for professional growth and opportunity; Comprehensive certifications in safety, privacy, compliance and ethics; A sense of fulfillment by supporting local orthopedic care; The development of new skills and education; A supportive and collaborative team environment. We might be a great match if You: Find Empathy and Kindness are important; Have an enthusiastic personality with a desire to help others; Name problem-solving as part of your daily fulfillment; Retain a strong ability to communicate kindly and directly with co-workers; Embrace technology and systems are part of your life (i.e. a basic understanding of Microsoft...