5 medical coding auditor jobs found in Jackson, MS

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and...

Become a part of our caring community The Medical Coder extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters, and manipulates databases. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure correct...

Serco is seeking a Medical Coding Auditing Specialist to support the Defense Health Agency’s Medical Coding Program Branch. The role involves auditing DHA facilities, developing annual audit plans, and conducting targeted coding/documentation audits to ensure compliance with coding policies and standards. Candidates must have 7+ years in medical coding/auditing across multiple specialties, with required professional and institutional certifications; pre-employment screening may apply. #J-18808-Ljbffr

Supervisor - Medical Lab - Cytology Provides technical expertise and support to Laboratory and Pathology Services. Assists in laboratories' technical operations in providing efficient, timely, and cost-effective laboratory services that support exceptional patient experiences. Serves as technical resource for all outside labs. Seeks direction from Lab Director and Medical Director as needed. Education & Experience: Bachelor's degree in a Chemical, Physical, or Biological Science or Medical Technology from an accredited institution, Cytotechnologist, or Histotechnologist plus four (4) years of related experience in area(s) to be managed. CERTIFICATIONS, LICENSES OR REGISTRATION REQUIRED: Active credentials with one of the following: American Association of Bioanalyst (AAB) – MT American Medical Technologist (AMT) – MT National Credentialing Agency for Laboratory Personnel (NCA) – CLS or CLSP (CG) International Society for Clinical Laboratory Technology (ISCLT) –...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...