Outpatient coding auditor jobs | Healthcare Careers

Full Time

Medical Coding - Trainer Specialist (New Paltz, NY HYBRID)

The Institute for Family Health Hybrid (New Paltz, NY, USA)

SUMMARY: Great opportunity for someone who is out going, loves teaching and appreciates the value in training clinicians how to code and document for the services provided. Looking for a dynamic individual who will serve as an expert source of information regarding the impact of coding and documentation as it relates to patient care, quality outcomes measures, risk of mortality/severity of illness indicators, and correct reimbursement. This individual will be responsible for the planning, management, implementation and delivery of coding reviews, engaging presentations, as well as provide assistance in the development of EHR best practice workflows. This position assists in the development of proper documentation and coding policies and procedures. This position will provide training for a variety of audiences including clinical staff and administrative staff. Travel to various Institute locations will be required. RESPONSIBILITIES: Shall take the lead on...

CH

Full Time

CPC Certified Billing Specialist - Flexible Hybrid Schedule - Relocation Available - $2,500 Sign On Bonus

Complete Health Hybrid (Jacksonville, FL, USA)

It’s an exciting time to join the Complete Health Team in Jacksonville, FL! We are currently paying $22.50 up to $28.50/hour for CPC Certified Billing Specialists! For the right candidate, we are also offering a flexible hybrid schedule, relocation and a $2,500 sign on bonus! SUMMARY OF JOB DUTIES: The person handling this position is responsible for ensuring all risk ICD-10 codes are properly documented with appropriate treatment plans on the encounter and these specific risk codes are attached to the correct CPT code for all VBC plans. This person is also responsible for making sure that the claim is fully processed by the payor so that they receive the HCC diagnosis. ESSENTIAL JOB FUNCTIONS: Daily key punching into computer when needed to assure accuracy of billing for all services rendered in patients account in a timely manner. Ensure completion of documentation and coding on the EMR when needed on charges entered in...

Full Time

Ambulatory Procedure Visit Coder (APV Coder) - 45 mins North of San Diego - Hybrid

AAPC Recruiting Services Hybrid (CA, USA)

Responsibilities : Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for outpatient encounters in a US Government facility. Plays a significant role in coding compliance activities. Knowledge and Skill: Excellent computer/communication skills Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines (outpatient), documentation requirements, familiarity with medications and reimbursement guidelines; and encoder experience. Ability to handle multiple projects and appropriately prioritize tasks to meet deadlines Education/Certifications: RHIT, RHIA, CPC, CCS-P Obtain the required CEU requirements to maintain current and proper certifications Experience: Minimum of 3 years in the...

Full Time

Medical Billing Professional in Florida

AAPC Recruiting Services Remote (FL, USA)

AAPC Recruiting Services is working an organization that is on a mission to redefine the way that healthcare is delivered so that private practices in the healthcare sector can transform patient care delivery in an ever-changing healthcare environment. They are a deconstructed "MSO" that offers consulting, education, and management services inclusive of being a third-party medical billing agency, They are currently seeking a certified medical billing professional with 5 years of full revenue cycle management expertise within the niche of pediatric outpatient Occupational Therapy, Physical Therapy, Speech Therapy, & ABA . Ideally the candidates will have direct experience in this specialty, strong work retention (only 1 employment gap in past 5 years), and experience working in the following EMR's: Raintree EMR Web PT Fusion Web Clinic Advanced MD Kareo Please be advised of the following: This role is designed to be 5 days per...

Full Time

Outpatient Medical Coder - 45 mins North of San Diego - Hybrid

AAPC Recruiting Services Hybrid (CA, USA)

Responsibilities : Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for outpatient encounters in a US Government facility. Plays a significant role in coding compliance activities. Knowledge and Skill: Excellent computer/communication skills Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines (outpatient), documentation requirements, familiarity with medications and reimbursement guidelines; and encoder experience. Ability to handle multiple projects and appropriately prioritize tasks to meet deadlines Education/Certifications: RHIT, RHIA, CPC, CCS-P Obtain the required CEU requirements to maintain current and proper certifications Experience: Minimum of 3 years in the...

UH

Outpatient Coding Auditor - Remote

UnitedHealth Group Inc. Minneapolis, MN, USA

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Outpatient Coding Compliance Auditor conducts audits of outpatient facility and/or professional services coding to validate the integrity of ICD-10-CM diagnoses, CPT, HCPCS, modifiers and/or professional Evaluation and Management(E/M) codes assigned for all specialties and chart types. The Auditor validates assigned codes for accuracy based on medical record documentation and established...

Outpatient Coding Auditor - Remote

UnitedHealth Group Houston, TX, USA

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.** The Outpatient Coding Compliance Auditor conducts audits of outpatient facility and/or professional services coding to validate the integrity of ICD-10-CM diagnoses, CPT, HCPCS, modifiers and/or professional Evaluation and Management(E/M) codes assigned for all specialties and chart types. The Auditor validates assigned codes for accuracy based on medical record documentation and established...

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Outpatient Coding Auditor

iMedX, a RapidCare Group company Stafford, TX, USA

Job Description Job Description iMedX has an immediate opening for a Part-time employee Outpatient Coding Consultant with a strong background to perform advice cases. This is a remote/telecommute job. The potential exists for this to progress to a full-time position based on client needs and other operational factors. Purpose The Coding Consultant reviews clinical information from health records and audit for accurate and complete ICD-10-CM and CPT-4 codes in accordance with Official Guidelines for Coding and Reporting, iMedX guidelines and facility guidelines as appropriate. Reviews facility records for accuracy and completeness of APC-reimbursed ICD-10CM and CPT coding assignment. Organizational Structure: The Coding Consultant reports to the Core Measure and Registry Manager. Key Responsibilities: Reviews relevant clinical information from the health record with a focus on correct coding assignment. Identifies the principal and secondary diagnoses based on the...

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Coding Auditor

CoxHealth Springfield, MO, USA

Summary Job Summary The Coding Auditor will work with Coders from Hospital and Professional Coding to ensure coding adheres to Quality accuracy based on Coding guidelines and other rules set forth to govern Coding practices. This includes the Official Coding Guidelines and AHA Coding Clinic for ICD 10 CM coding and CPT 4 guidelines. The Outpatient Coding Auditor will participate in developing and maintaining the CoxHealth Outpatient Coding Guidelines as well working with the Coding Leadership to keep it updated. The Outpatient Coding Auditor will audit coders on a monthly basis and enter the results in the 3M Audit Expert Compliance software. They serve as the Coding expert in Outpatient and Professional Coding and are involved in Coding Leadership meetings. Their expertise will be used to access new products, education changes and working with other departments to resolve issues. Abides by the Standards of Ethical coding as set forth by the American Health Information...

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Coding Compliance Auditor 2 HIM

Jackson Health System Miami, FL, USA

Jackson Memorial Hospital Health Information Management Dept. Days, FT Position Summary: The HIM Coding/Compliance Auditor 2 analyzes abstracted, coded data for the purpose of ensuring coding accuracy. Serves as a resource for expert knowledge in coding and documentation requirements. Performs coding audits on inpatient and outpatients coders, reviews SMART edits, external coding audits, claim denials and audits from insurance companies, as well as, any other coding audits. Works very closely with the CDI Department. Must be an expert on ICD-9 and CPT Coding systems. Must have ICD-10 knowledge. This position acts in a confidential capacity to assist or aid department management. The position will have a significant role in processing confidential information. Duties & Responsibilities: Performs Internal Coding Audits on inpatient and outpatient coders providing feedback and re-training as required. Reviews findings from External Coding Audits for validity of DRG...

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Coding QI Compliance Auditor and Trainer II, Emergency Dept *Remote*

Providence Health & Services Portland, OR, USA

Job Description Providence St. Joseph Health is calling a Coding QI Compliance Auditor and Trainer II to work remotely within our footprint states: AK, CA, MT, OR, TX and/or WA. The Coding QI Compliance Auditor and Trainer II, Emergency Dept is critical to the coding compliance program. By performing audits of hospital coding, training new coding staff, preparing and presenting educational sessions for the coders and staying current with official coding guidelines and regulations, the incumbent ensures the proper coding of PH&S hospital medical records. This position includes obtaining, recording and reporting essential data, assisting in problem solving of coding issues and acting as a subject matter expert for coding staff. Providence caregivers are not simply valued - they're invaluable. Join our team at Revenue Cycle Business Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice...

VA

MEDICAL RECORDS TECH (CODER) AUDITOR

Veterans Affairs, Veterans Health Administration Martinsburg, west VA, USA

Summary This position is located in the Health Information Management (HIM) section at the Martinsburg 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. Responsibilities Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). Adheres to accepted coding practices, guidelines and conventions when choosing...

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Coding QI Compliance Auditor and Trainer II, Emergency Dept *Remote*

Providence Portland, OR, USA

**Description** **Providence St. Joseph Health is calling a Coding QI Compliance Auditor and Trainer II to work remotely within our footprint states: AK, CA, MT, OR, TX and/or WA.** The Coding QI Compliance Auditor and Trainer II, Emergency Dept is critical to the coding compliance program. By performing audits of hospital coding, training new coding staff, preparing and presenting educational sessions for the coders and staying current with official coding guidelines and regulations, the incumbent ensures the proper coding of PH&S hospital medical records. This position includes obtaining, recording and reporting essential data, assisting in problem solving of coding issues and acting as a subject matter expert for coding staff. Providence caregivers are not simply valued theyre invaluable. Join our team at Revenue Cycle Business Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice...

VH

Inpatient Coding Auditor

Virginia Hospital Center Arlington, VA, USA

Overview: Inpatient Coding Auditor VHC Health is a 453-bed nationally recognized Hospital and teaching facility that has been delivering high quality care to the Washington, DC metropolitan area for over 75 years. VHC is a proud member of the Mayo Clinic Care Network (a national network of independent healthcare organizations), a designated Level II Trauma Center and a recognized Magnet Hospital by the American Nurses Credentialing Center. We are proud to announce that the Leapfrog Group has awarded the hospital with an 'A' grade in Hospital Safety for the 19th year in a row, achieved an Outstanding Patient Experience Award for the 10th year in a row and VHC has ranked Number 2 in Best Hospitals in the Washington, DC metropolitan area by U.S. News and World Report's 2021-2022 rankings. At VHC we are always striving to provide continued excellence and growth for our employees as well as top notch care for our patients. Join our team and unlock your...

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Medical Coder (BONUS AVAILABLE)

Posterity Group, LLC Nellis Air Force Base, NV, USA

Job Description Job Description An excellent opportunity exists to work for a government contractor with competitive compensation and work-life balance. Posterity Group is seeking an experienced Ambulatory Procedure Visit Medical Coder for the Nellis AFB Base, NV Location: Nellis AFB, Nevada Role and Responsibilities: Summary : Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for ambulatory procedure visits. Trains and educates MTF staff on coding issues and plays a significant role in departmental and clinic-wide coding compliance activities. Performance Outcomes : Responsible for assignment of accurate E&M, ICD, CPT and HCPCS codes and modifiers from medical record documentation into the Government computer systems. Identifies...

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Outpatient Medical Coder

Destiny Management Services Hightower, OK, United States, OK, USA

Job Description Job Description Salary: Depends on experience Destiny Management Services, LLC is a leading source of staffing services and business solutions to the Federal Government. Founded in 1996, we have provided job opportunities for more than 1000 employees nationwide in various fields. We are looking for experienced professional medical coders for the medical treatment facility (MTF) and its geographic area of responsibility. 1. Experience MSS personnel in this position are required to possess a minimum of three (3) years of medical coding and/or auditing experience in two (2) or more medical, surgical and ancillary specialties within the past 10 years. A minimum of one (1) year of performance in the specialty is required to be qualifying. 2. Other Knowledge, Skills and Abilities Practical knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural...

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Outpatient Medical Coder

Destiny Management Services Columbus, MS, USA

Job Description Job Description Salary: Depends on experience Destiny Management Services, LLC is a leading source of staffing services and business solutions to the Federal Government. Founded in 1996, we have provided job opportunities for more than 1000 employees nationwide in various fields. We are looking for experienced professional medical coders for the medical treatment facility (MTF) and its geographic area of responsibility. 1. Experience MSS personnel in this position are required to possess a minimum of three (3) years of medical coding and/or auditing experience in two (2) or more medical, surgical and ancillary specialties within the past 10 years. A minimum of one (1) year of performance in the specialty is required to be qualifying. 2. Other Knowledge, Skills and Abilities Practical knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural...

DM

Outpatient Medical Coder

Destiny Management Services San Angelo, TX, USA

Job Description Job Description Salary: Depends on experience Destiny Management Services, LLC is a leading source of staffing services and business solutions to the Federal Government. Founded in 1996, we have provided job opportunities for more than 1000 employees nationwide in various fields. We are looking for experienced professional medical coders for the medical treatment facility (MTF) and its geographic area of responsibility. 1. Experience MSS personnel in this position are required to possess a minimum of three (3) years of medical coding and/or auditing experience in two (2) or more medical, surgical and ancillary specialties within the past 10 years. A minimum of one (1) year of performance in the specialty is required to be qualifying. 2. Other Knowledge, Skills and Abilities Practical knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural...

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Compliance Auditor - To 67K - Cherry Hill, NJ - Job # 2929

The Symicor Group Cherry Hill, NJ, USA

Job Description Job Description The Position We seek to fill a Compliance Auditor role in the Cherry Hill, NJ area. The candidate will be responsible for supporting the corporate compliance program. The position includes a generous salary of up to $67K and benefits. (This is not a remote position). Compliance Auditor responsibilities include: Conducting audits of inpatient and outpatient hospital regulatory requirements, including billing, coding, and documentation, and related processes to determine the organizational integrity of billing facility and technical hospital fees, including detection and correction of documentation, coding, and billing errors. Preparatory work for reviews/audits including developing a scope of work. Reviewing available documentation. Assisting in the development of policies and procedures that establish standards for compliance, as well as preparation of other guidance documents and tools to assist providers and staff in appropriate billing,...

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Clinical Compliance Auditor

Encompass Health Birmingham, AL, USA

Job Description Job Description ABOUT US As a national leader in post-acute care, Encompass Health (NYSE: EHC) offers facility-based patient care through its network of inpatient rehabilitation hospitals. With a national footprint that spans 157 hospitals in 37 states and Puerto Rico, the Company is committed to delivering high-quality, cost-effective rehabilitation. Encompass Health has been ranked by Modern Healthcare as a Best Place to Work, and our Home Office is consistently rated a Best Place to Work by the Birmingham Business Journal. POSITION PURPOSE The Clinical Compliance Auditor executes audits as a part of the company's compliance audit and controls program. The Clinical Compliance Auditor executes clinically-related (i. e. medical record and related billing) audit procedures to assess compliance-related controls to safeguard company resources, and ensures the effectiveness and efficiency of operations. This position, in conjunction with other Compliance...

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Medical Coding Compliance Specialist ONSITE

Standard Technology Jacksonville, FL, USA

Medical Coding Compliance Specialist (Medical Auditor) POSITION IS ONSITE AT NAS JACKSONVILLE, JACKSONVILLE, FL SUMMARY: Member of the MHS agency Coding Program Office support team. The position will reduce inpatient facility, ambulatory procedure visit (APV), or professional services coding (PSC) backlog created by workload surges, manning shortages, or computer system issues. This position will conduct focused audits for coding compliance or training purposes; develop standardized coding training; deliver coding education/training to individuals or groups; and identifying/educating on clinical documentation improvement opportunities. Mandatory Knowledge and Skills 1) Knowledge of The International Classification of Diseases, Ninth Revision, Clinical Modification (ICDCM), procedural coding, healthcare common procedure coding system (HCPCS)/current procedural terminology (CPT) nomenclature, medical and procedural terminology, anatomy and physiology, pharmacology, and disease...

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Medical Coding Compliance Specialist ONSITE

Standard Technology Jacksonville, FL, USA

Job Description Job Description Medical Coding Compliance Specialist (Medical Auditor) POSITION IS ONSITE AT NAS JACKSONVILLE, JACKSONVILLE, FL SUMMARY: Member of the MHS agency Coding Program Office support team. The position will reduce inpatient facility, ambulatory procedure visit (APV), or professional services coding (PSC) backlog created by workload surges, manning shortages, or computer system issues. This position will conduct focused audits for coding compliance or training purposes; develop standardized coding training; deliver coding education/training to individuals or groups; and identifying/educating on clinical documentation improvement opportunities. Mandatory Knowledge and Skills 1) Knowledge of The International Classification of Diseases, Ninth Revision, Clinical Modification (ICDCM), procedural coding, healthcare common procedure coding system (HCPCS)/current procedural terminology (CPT) nomenclature, medical and...

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Medical Coding Auditor - Professional Services (ONSITE)

Standard Technology Portsmouth, VA, USA

Job Description Job Description Professional Services Medical Coding Auditor -- ONSITE Naval Hospital PORTSMOUTH, VA Qualified candidate will be responsible for the auditing of medical documentation and codes for professional services for compliance with federal coding regulations and guidelines. This will include the assignment of ICD, Evaluation & Management (E&M), Current Procedure Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) codes, modifiers, and quantities as documented by the physician. Will train and educate Military Treatment Facility provider staff on coding issues and plays a significant role in coding compliance activities. Required Qualifications (Education/Experience) Experience. A minimum of five (5) years medical coding experience in multiple clinical specialties and three (3) years of medical auditing experience within the last eight (8) years is required. Expertise must also include ambulatory surgery...

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Medical Coder III A REMOTE

Standard Technology Bethesda, MD, USA

Job Description Job Description The work of the Remote Medical Coder III involves, but is not limited to: review, assignment, and editing of diagnosis, material, medication, procedure, and supply codes for professional service and facility components of inpatient, ambulatory surgical services (i.e., day surgery), observation, Emergency Department, outpatient specialty, External Resource Sharing Agreement (ERSA), and billable outpatient primary care encounters; use of International Classification of Diseases (ICD- latest version) diagnosis and/or procedural codes, American Medical Association Current Procedural Terminology (CPT®) codes, Healthcare Common Procedure Coding System (HCPCS), Current Dental Terminology (CDT®) codes, Diagnostic Related Groups (DRG's), or other code taxonomies used to describe the provision of medical services for one or more medical conditions; uses military medical systems to remotely code facility and/or professional services, inpatient,...

101 outpatient coding auditor jobs found