7 medical coding auditor jobs found in Aspers, PA

Inpatient Medical Coding Auditor As an Inpatient Medical Coding Auditor, you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and teams. In this role, you will: Review ICD-10 inpatient patient records for accuracy and compliance Review physician documentation to verify diagnosis and procedures Communicate with physicians to obtain or clarify diagnosis and/or procedures via the query process Assign accurate ICD-10-CM and ICD-10-PCS codes utilizing an electronic encoder application, 3M, in accordance with practice policy and regulatory guidelines Complete reports as requested Provide ICD-10-CM and ICD-10-PCS education and mentoring to Company's clients in coding, billing and compliance Perform Peer Reviews of Company Health Information Management coding auditors and coders Assure that services provided to Clients of Company are current and up-to-date with industry standards...

Job Description Job Description Job Summary We are seeking a detail-oriented and motivated Auditor to join our dynamic team. In this vital role, you will be responsible for reviewing and analyzing medical records, billing practices, and coding accuracy to ensure compliance with industry standards and regulations. Your expertise will help maintain the integrity of healthcare data, improve billing processes, and support the overall quality of healthcare services. This position offers an exciting opportunity to contribute to the efficiency and accuracy of medical documentation and reimbursement processes while working in a collaborative and fast-paced environment. Duties: Conduct thorough audits of medical records to verify completeness, accuracy, and compliance with established guidelines. Review coding practices including DRG (Diagnosis-Related Group), CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding to ensure proper classification of diagnoses and...

Job Posting We are dedicated to providing exceptional care to every patient, every time. St. Luke's Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke's Hospital for over a decade has been recognized for "Outstanding Patient Experience" by HealthGrades. Position Summary: Performs data quality reviews on patient records to validate coding appropriateness, missed secondary diagnoses and procedures, and ensures compliance with all coding related regulatory mandates and reporting requirements. Monitors Medicare and other payer bulletins and manuals and reviews the current OIG Work Plans for coding risk areas. Responsible for...

Company : Allegheny Health Network Job Description : *This role will cover Inpatient Auditors and will require Inpatient (AHIMA) credentials. GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants...

Select Medical - JobID: J45ae1da3034e4d06af95122409da1dd5-1 [Medical Records Clerk] As an Inpatient Coder at Select Medical, you'll: Analyze medical records to assign accurate codes for inpatient services; Ensure compliance with coding guidelines and regulations; Collaborate with healthcare professionals to clarify documentation; Maintain confidentiality of patient information; Participate in coding audits and quality improvement initiatives; Stay updated with changes in coding standards and healthcare regulations...Hiring Immediately >>

Job Title Collects, reviews, retrieves and codes Evaluation & Management services, Pathology, and minor procedures based on documentation in the medical record and reports for quality assessment, audit, and billing purposes. Duties And Responsibilities Essential Functions: Performs chart audits, reviewing for accuracy and compliance. Reviews operative reports and other documentation and assigns appropriate diagnosis (ICD-10) and procedure codes (CPT) for final billing. Researches and processes invoice corrections. Reviews and analyzes coding/billing procedures. Presents training and feedback concerning medical coding, compliance, and reimbursement to physicians/providers. Coordinates and implements reimbursement improvement activities with staff and providers. Adheres to WellSpan Coding Compliance Guidelines. Common Expectations: Maintains job specific standards and expectations relative to productivity and quality. Prepares and maintains appropriate...

Job Summary Supports the Corporate Compliance Specialist, coordinates and conducts internal compliance audits to help ensure compliance with applicable statutory and regulatory requirements and organizational policies and procedures. Identify and resolve operational issues with improvement in the work process. Tracks and trends external audits related to Recovery Audit Contractor (RAC), Certified Error Rate Testing (CERT), Target Probe and Education (TPE), Fraud Waste Abuse (FWA) and other audit request. The Compliance Audit Coordinator position provides guidance, support, and oversight to the organization ensuring effective management of the audit response process for all payers; coordinates with subject matter experts to manage the appeals of the adverse audit determinations as well as the clinical responses provided by Frederick Health; evaluates data associated with audit activities, tracks and measures the effectiveness to responses received. The Compliance Audit...