479 medical coding auditor jobs found

Job Details Job Location Creekside - Idaho Falls, ID Position Type Full Time Education Level CPC-Certified Professional Coder Job Category Health Care Description Mountain View Hospital is looking for a Medical Coding Auditor to join our team! JOB SUMMARY: Medical Record Auditor will be responsible for assisting/ conducting audits of medical records, coding and billing information. The auditor will look at both departments inside the hospital, outside departments and physician records and billing. Auditors will put together informational reports of finding and relay the information to the appropriate source. Reporting will be generated to help track which providers, locations or target areas need to be audited. The medical auditor will assist in putting together appeals/ rebuttals for external auditing sources. Auditor should have audits completed within a timely manner that is set up with the supervisor/ manager. Auditor will be provided as education as...

Overview HarmonyCares is one of the nation's largest home-based primary care practices. HarmonyCares is a family of companies all dedicated to providing high-quality, coordinated health care in the home. This includes HarmonyCares, HarmonyCares Medical Group, HarmonyCares Home Health and HarmonyCares Hospice. Our Mission - To bring personalized, quality-based healthcare to the home of patients who have difficult accessing care. Our Shared Vision - Every patient deserves access to quality healthcare. Our Values - The way we care is our legacy. Every interaction counts. Go the extra mile. Empower and support each other. Why You Should Want to Work with Us Health, Dental, Vision, Disability & Life Insurance, and much more 401K Retirement Plan (with company match) Tuition, Professional License and Certification Reimbursement Paid Time Off, Holidays and Volunteer Time Paid Orientation and Training Great Place to Work Certified Established in 11 states Largest...

About UsSimply put, our purpose at Accelerated Urgent Care is to get you quality care when you need it. We aim to foster a supportive environment where our team members can develop their careers. To promote this goal, we've built a diverse and driven team of employees who are all eager to learn from one another and reach Accelerated Urgent Care's mission of delivering exceptional healthcare to the patients and communities that we are privileged to serve. We are ... a fast-growing company that doubles in size year after year since 2012! Recognized as Kern County's Top Urgent Care center 6 years in a row! Dedicated to our employees' career growth; 65% of our Administration and Management team members have been internal candidates! 16 clinics strong across 5 regions in California and growing! Our Core Values: Friendliness, Competence, Respect, Teamwork, Compassion, Hard work, Integrity, Humility, Dedication! Job SummaryThe Certified Medical Coding Auditor will provide formal and...

Job Description Job Description UNM Medical Group, Inc. is hiring for a Medical Coding Auditor to join our Compliance Team. This opportunity is a REMOTE, full-time, day shift opening located in Albuquerque, New Mexico. *This is a work from home position that requires the selected candidate to have a permanent address and live in New Mexico or be willing to relocate to New Mexico* *$2,000 Sign-on Bonus* Minimum $54,537 - Midpoint $68,172* *Salary is determined based on years of total relevant experience. *Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE. Summary: Under indirect supervision, audits medical charts and records for compliance with federal coding regulations and guidelines. Uses knowledge of UNM Medical group billing systems procedures to provide a review of evaluation and management codes, medical diagnoses and clinical procedures ensuring that accurate...

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...

Job Description Job Description Quadris Team, LLC - A Revenue Cycle Management Group, is searching for a dynamic person to join us, working with our highly skilled Medical Coding Team to fill the role of Senior Coding Auditor/Educator . We are a 100% remote team supporting our clients across the United States! See us at www.quadristeam.com. Job Focus: The Senior Coding Auditor may be responsible for a variety of duties and obligations, depending on the client and assignment. These responsibilities may include inpatient/outpatient/professional fee facility auditing, denial management, coding, implementation specialist, job aid creation, training, and specialty coding. The position may also be responsible for management of the audit team and project management. All coding and auditing are performed within the scope of regulatory and compliance law expectations. Auditing Responsibilities: May include conducting inpatient, outpatient and pro fee coding audits and...

Responsible for coding quality audits of all records (outpatient, inpatient, procedures, testing) to assure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines and provide ongoing feedback and analysis of the education needs for the providers and staff; also responsible for assisting with coding inquiries from providers, charge posters, billing staff, etc. Principal Accountabilities: 1. Coordinates, schedules, performs the professional services documentation and coding audits of outpatient, inpatient, procedures and testing records for AMG 2. Evaluates the quality of clinical documentation to identify incomplete or inconsistent documentation that could impact the quality of data being reported 3. Audits codes and professional fee services performed by providers from medical records according to ICD-10, CPT, HCPCS, and CMS guidelines 4. Responsible for maintaining up to date knowledge of coding guidelines as they...

Become a part of our caring community and help us put health first The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, PCS) to patient records. This position works assignments involving moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Responsibilities The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG) assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. +...

1 week ago Be among the first 25 applicants Executive Recruiter, Non-Clinical Healthcare - LHH Recruitment Solutions LHH Recruitment Solutions is partnering with a top healthcare client to fill an Internal Auditor position within their revenue cycle department. This role is based 100% on-site in Melville, NY. Compensation is experience-dependent, ranging from $60K to $70K, plus comprehensive benefits. Essential Duties and Responsibilities: Collaborate effectively with employees, physicians, and external stakeholders. Identify risk areas, develop audit strategies, analyze reports, and provide actionable recommendations to leadership. Participate actively in workflow optimization initiatives. Work with departments to clarify audit findings and collaborate on solutions. Collect, validate, and analyze project data; interpret findings for reporting purposes. Stay informed on industry best practices, policies, and procedures. Manage time efficiently to meet deadlines. Maintain and...

El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen. Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for. FTE 1 Scheduled Bi-Weekly Hours 80 Work Shift Day: 8 hours Job Description The Clinical Coding Auditor performs complex reviews/audits of facility (hospital setting) coded data in compliance with Official Coding Guidelines /ICD-10-CM/PCS coding conventions for ancillary outpatient, emergency room, ambulatory /observation records, and inpatient case reviews. Promotes the role of auditor ensuring efficient, high level of coded data quality supports appropriate reimbursement, data collection,...

Job Description FlexStaff Experienced Compliance Auditor- Full-Time- Hybrid Role- Chappaqua, NY. Exciting Opportunity: Join Our clients as a Compliance Auditor! Are you passionate about healthcare and eager to make a difference in ensuring compliance and excellence in patient care? Our client is seeking a dynamic Compliance Auditor to join this top organization and support their mission of delivering top-tier anesthesia and clinical services. In this pivotal role, you will leverage your healthcare experience-whether as a healthcare coder or in a similar capacity-to conduct comprehensive audits of clinical records, with a special focus on anesthesia documentation and billing accuracy. Your expertise in medical terminology, combined with proficiency in Microsoft Office tools like Word, Excel, PowerPoint, and Outlook, will enable you to analyze data, prepare reports, and communicate findings effectively. As a key member of our compliance team, you will support ongoing...

Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Job Summary: The Compliance Auditor position is responsible for supporting the organization's Revenue Management Compliance department in developing, implementing, and administering an effective compliance program. Accurately audits and provides compliance research support to physicians, non-physician practitioners, leadership, and administrative staff on documentation and coding requirements. Determines the adequacy of medical record documentation, coding, and billing, using established compliance auditing and research guidelines for hospital and professional services. Job Duties: Performs compliance audits to determine the adequacy of medical record documentation, billing, and coding, utilizing policies, procedures, Federal and State, laws, regulations, and standard coding guidelines. Evaluates whether...

Clinical Coding Auditor - FT - Days - HIMS - Medical Records @ MV Clinical Coding Auditor - FT - Days - HIMS - Medical Records @ MV Apply locations Mountain View, CA | time type Full time | posted on Posted Yesterday | job requisition id R00015024 El Camino Health is committed to hiring, retaining, and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: built on compassion, innovation, collaboration, and delivering high-quality care. Join our team that makes this happen. Applicants MUST submit a separate application for each job posting number they are interested in. FTE 1 Scheduled Bi-Weekly Hours 80 Work Shift Day: 8 hours Job Description The Clinical Coding Auditor performs complex reviews and audits of facility (hospital setting) coded data, ensuring compliance with Official Coding Guidelines, ICD-10-CM/PCS, and CPT conventions across outpatient, emergency, observation, and...

El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen. Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for. FTE 1 Scheduled Bi-Weekly Hours 80 Work Shift Day: 8 hours Job Description The Professional Coding Auditor performs reviews for professional/clinic based clinic visits and hospital setting claims reviewing provider’s diagnosis and procedural coded claims in ensuring coded data is in compliance with Official Coding Guidelines and American Medical Association CPT/HCPCS procedural coding conventions. The role of the auditor is to educate providers performing services in clinic base and hospital setting in...

Join Our Team at Skin and Cancer Institute! Are you passionate about dermatology and skin health? Do you thrive in a dynamic, patient-focused environment? Skin and Cancer Institute is looking for dedicated professionals to join our team! Why Join Us? At Skin and Cancer Institute, we are committed to excellence in dermatology, skin cancer treatment, and cosmetic procedures. We offer a supportive and collaborative work culture where your skills and dedication make a real impact. What You’ll Do: The Medical Coding Auditor is responsible for reviewing medical records to ensure accurate coding and compliance with regulatory requirements. This role ensures continuous quality improvement in coding practices while maintaining compliance with healthcare laws and organizational policies. The Medical Coding Auditor partners with practices, providers, and other departmental leaders to provide education regarding medical coding and documentation as required by current CMS regulations. The...

Job Description Job Description MEDICAL CODER III ABOUT US: Laredo Technical Services, Inc. provides staffing services to federal Government agencies all over the world.   LTSi connects the right opportunities to the right people.  With our experience in placing our Team Members throughout the United States and overseas, we excel at providing experienced, professional personnel for a wide range of Professional and Office Administration as well as Medical Services. Our goal is to provide the highest quality professionals in the industry. LTSi’s culture delivers a strong work ethic while going above and beyond with a sense of urgency.  We are an employee-driven company.  We strive for excellence every day, which is what sets us apart from all the other government contractors. As a Certified Service-Disabled Veteran Owned Small Business (SDVOSB) Minority Business Enterprise (MBE) that provides a broad range of administrative, project management, and medical staffing support...

Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities May assign and sequence basic CPT (Current Procedural Terminology) procedure codes (non-complex), and modifiers based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP) guidance in encoder software and/or department coding policies and procedures. Using encoder, reviews Ambulatory Payment Classifications (APC) and Enhanced Ambulatory Patient Groups (EAPG)...

Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks Shift: Days Pay Rate Type: Annual Salary Location: Remote Listed is the base hiring salary range offered for this position. Actual salaries may vary depending on factors, including but not limited to skills and experience. The salary range listed is just one component of the total rewards/compensation package offered to candidates. Min = $68,875.27 Mid = $86,094.08 Max = $103,312.90 Summary: The Compliance Auditor performs proactive and reactive internal and external audits and investigations related to documentation, coding and billing, and regulatory guidelines for hospital and outpatient services. Responsibilities: Performs proactive and reactive internal and external audits and investigations for hospital and outpatient services rendered to ensure proper documentation, medical necessity, accurate coding and billing are supported. Continually monitors regulations, standards and regulatory guidelines in...

. Remote Coding Auditor - Risk Adjustment Are you a risk adjustment coder that is wanting to expand into an auditing role?Do you have 3 years or more of risk adjustment coding experience? Perks: Flexible, full time schedule Stable and ongoing consulting position $30-40 an hour! Equipment provided World-class training and technology Job Description The Risk Adjustment Coding Auditor will be responsible for conducting documentation reviews to assess the accuracy, completeness, and highest ICD-10 specificity related to risk adjustment and HCC coding guidelines, and assist educating in medical necessity coverage of diagnostic studies.Responsible for performing quality review audits of medical records coded by Risk Adjustment coding team to ensure the ICD-10 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance...