347 outpatient coding auditor jobs found

Outpatient Coding Auditor (PRN) CSI Companies is actively seeking REMOTE Outpatient Auditors with one of our clients, a leading non-profit hospital system that is taking the level of care to the next level! Candidates may sit anywhere in the United States. This is a contract, remote Inpatient coding opportunity. Position Overview: PRN Consulting position; part-time hours available. 100% Remote position – nationwide. Responsible for independently reviewing coded data quality through ongoing analysis and evaluation of outpatient records. . Performs con-current audits on accuracy of APC, ASC or MS-DRGs as well as on quality of medical record documentation needed for accurate coding. Prepare reports and performs constant tracking and trending of audit results as well as prepare presentations for Coding Staff education. Create consistency and efficiency in outpatient claims processing and data collection to optimize APC, ASC or DRG reimbursement. Performance...

Who We Are UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast...

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: Responsible for auditing coded inpatient or outpatient medical records applying ICD-10 CM/PCS and/or CPT-4. Reviews Ambulatory Payment Classification (APC), Medicare Severity Diagnosis Related Groups (MSDRG) and All Patients Refined Diagnosis Related Groups (APRDRG) assignment and queries following official coding guidelines and regulatory requirements. Provides training and education based on audit results and any regulatory changes that effect Federal, State and American Health Information Management Association (AHIMA) guidelines. Responsibilities: Performs all other duties as assigned. Maintains thorough knowledge of ICD-10CM/PCS, and CPT coding principles and...

Job Description Job Description The Position : NO RELOCATION required, work for HOME. FULL AND PART TIME POSITIONS AVAILABLE. Responsible for conducting Inpatient and/or Outpatient Coding Compliance Reviews/Audits at an expert level. The candidate should be able to provide the review/audit findings in a detailed report, and should feel comfortable presenting the findings in a REMOTE education session. The position provides an exciting opportunity to be recognized as an industry leader/expert and educator. Key Job Responsibilities include : · Must be able to perform Inpatient DRG reviews and/or Outpatient Coding reviews  Audit Medical Records for Coding Accuracy with an Expert level knowledge of hospital coding guidelines Create comprehensive reports to indicate review findings of the record review, to include coding accuracy rates Evaluate Clinical Documentation and Physician Query Opportunities Provide Coder and CDI Educational sessions based on the review finding...

Job Description Job Description PYA is seeking a Professional Coding Auditor-QA/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity team in a quality assurance and project management role . RESPONSIBILITIES: Responsible for the accurate quality assurance review of PYA professional fee coding auditors, support of the management team for project management tasks, support of the verbal and written reporting to the client, and conducting provider coding and documentation education ( generally, conducted remotely ). Coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in...

Overview: Pay : $24-$28 per hour Schedule : Monday through Friday. 8 hours each day Akahi Associates offers a competitive benefit package for full time employees that includes the following: Paid time off for vacation, sick and holiday leave. Medical Dental Vision Life Accidental Death and Dismemberment Short Term Disability Optional benefits include: 401K matching with employee participation in 401K plan Qualifications: Experience: Required to possess a minimum of four (4) years of medical coding and /or auditing experience in two (2) or more medical, surgical, and ancillary specialties within the past ten (10) years. A minimum of one (1) year of performance in a specialty is required to qualify. Education: An Associates degree or higher in Health Information Management OR A university certificate in medical...

Overview: Location: Elmendorf, Alaska - Remote or Onsite Pay rate: $24-$30/hr + Health & Wellness $4.57/hr worked (in lieu of benefits) Work Schedule: Monday through Friday (8hrs each day) not to exceed 80 hours every two weeks. Site location is in Alaska. Benefits: PTO, sick leave, holiday leave, Life, Accidental Death and Dismemberment, Short Term Disability Optional Benefits: Medical, Dental, Vision, 401(K) matching with employee participation in 401(K) plan Inpatient Coder: Outpatient and inpatient diagnosis coding; outpatient clinic/office, Emergency Department, Critical Care, Observation, and inpatient E&M coding; CPT code assignment; use of modifiers; HCPCS coding; ICD-PCS coding. Responsibilities: Coder productivity will be measured on a monthly basis by dividing the number of encounters coded by the number of available hours for coding, after subtracting hours for leave, holidays, weekends, non-coding tasks, and computer...

Job Description Job Description PYA is seeking a Professional Coding Auditor-QA/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity team in a quality assurance and project management role . RESPONSIBILITIES: Responsible for the accurate quality assurance review of PYA professional fee coding auditors, support of the management team for project management tasks, support of the verbal and written reporting to the client, and conducting provider coding and documentation education ( generally, conducted remotely ). Coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in...

Description IntroductionExperience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: as Work from Home Inpatient Coding Auditorwith Parallon.BenefitsParallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital...

JOB SUMMARY The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) WORK MODEL/SALARY 100% Remote The pay range for this position is $32.02 (entry-level qualifications) - $49.63 (highly experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior experience. ESSENTIAL FUNCTIONS OF THE ROLE Performs routine coding quality reviews on all coders including third party suppliers as appropriate. Performs coding quality reviews in collaboration with or for internal...

Hospital Coding Auditor at R1 RCM in Boise, Idaho, United States Job Description R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.? As our Hospital Coding Auditor, you will review hospital charges against medical record and all applicable documentation to determine appropriate code assignments on services provided (CPT/HCPCS codes). The Auditor must have a comprehensive understanding of medical terminology, coding, contractual agreements, and various payment methodologies.? This position requires good time management skills and the ability to work independently. Here's what you will experience working as a...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Health's Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions. General Description of the Job Class Coordinate/review the work of vendor outsourcing partners and assist with the training and continuing education programs. Code medical records utilizing ICD-9-CM/ICD-10CM and CPT-4 coding conventions. Review the medical record to ensure specificity of diagnoses, procedures, and appropriate/optimal reimbursement...

Description IntroductionExperience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: as Work from Home Inpatient Coding Auditorwith Parallon.BenefitsParallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital...

Overview Ardent Health Services (AHS) is a national health care services company headquartered in Nashville, TN. Through its subsidiaries, Ardent owns and operates nearly 200 sites of care. Our subsidiaries own and operate hospitals and multispecialty physician practices in six states. Ardent includes 30 hospitals, 4,423 patient beds, 23,000 employees, and 1,700 employed physicians. Within the industry, we are noted for recognizing that every hospital is as unique as the community it serves. This in-depth understanding of how health care works at the local level is one of our great strengths. POSITION SUMMARY The Hospital Coding Auditor performs in depth audits of hospital (inpatient and outpatient) claims for compliance with federal and state coding regulations and guidelines. Responsibilities Perform in-depth quality assurance audits of hospital (inpatient and outpatient) claims to support ICD-10-CM and ICD-10 PCS codes and MS-DRG and APR-DRG assignments...

Job Description Job Description PYA is seeking a Professional Coding Auditor-QA/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity team in a quality assurance and project management role . RESPONSIBILITIES: Responsible for the accurate quality assurance review of PYA professional fee coding auditors, support of the management team for project management tasks, support of the verbal and written reporting to the client, and conducting provider coding and documentation education ( generally, conducted remotely ). Coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in...

Compliance Auditor - Regulatory Compliance - Sharp Copley - Day Shift - Full Time Compliance Auditor - Regulatory Compliance - Sharp Copley - Day Shift - Full Time Apply locations San Diego, CA time type Full time posted on Posted Yesterday job requisition id JR158654 Hours : Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: 06:00-9:00 am to 14:30-17:30 Weekend Requirements: No Weekends On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $33.090 - $42.700 - $52.310 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business...

Job Description Job Description PYA is seeking a Professional Coding Auditor-QA/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity team in a quality assurance and project management role . RESPONSIBILITIES: Responsible for the accurate quality assurance review of PYA professional fee coding auditors, support of the management team for project management tasks, support of the verbal and written reporting to the client, and conducting provider coding and documentation education ( generally, conducted remotely ). Coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in...

Join UPMC Corporate Compliance as an Intermediate Compliance Auditor! Are you passionate about ensuring accuracy and compliance in healthcare documentation and billing? Do you thrive in a dynamic environment where your expertise can make a significant impact? UPMC Corporate Compliance is seeking a dedicated and detail-oriented Intermediate Compliance Auditor to join our team! This position will be based out of Forbes Tower in Pittsburgh, PA . This is an onsite position with the potential to work from home. Key Responsibilities: · Comprehensive Auditing: Conduct UPMC-wide audits to ensure medical record documentation supports the services coded and billed in accordance with state and federal regulations. · Code Validation: Validate ICD-10-CM, CPT, and HCPCS codes to ensure consistency and efficiency in claims processing, data collection, and quality reporting. · Regulatory Compliance: Conduct audits on various compliance topics to evaluate adherence to state and...

Job Description Job Description PYA is seeking a Professional Coding Auditor-QA/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity team in a quality assurance and project management role . RESPONSIBILITIES: Responsible for the accurate quality assurance review of PYA professional fee coding auditors, support of the management team for project management tasks, support of the verbal and written reporting to the client, and conducting provider coding and documentation education ( generally, conducted remotely ). Coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in...

Career Opportunities: Coding Auditor (24856) Requisition ID 24856 - Posted 03/10/2025 - CareOregon - Full Time - Permanent - Portland - Multi Location (2) Job Description Print Preview Candidates hired for remote positions must reside in Oregon or Washington. Job Title Coding Auditor Requisition # 24856 Exemption Status Exempt Management Level n/a Direct Reports n/a Manager Title Director Risk Adjustment Department Finance Pay and Benefits Estimated hiring range $71,340 - $87,200 / year, 5% bonus target, full benefits. www.careoregon.org/about-us/careers/benefits Posting Notes This is a fully remote role, but you must reside in Oregon or SW Washington. Job Summary The Coding Auditor performs code audits and is responsible for chart auditing processes as well as contributing to the education of providers and internal stakeholders on coding topics. The position is responsible for keeping up to date on the newest coding guidelines and best practices while promoting...

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 MS-DRG assignment. Adheres to...

Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation’s leading health systems with nearly 50,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team! Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based...

City/State Norfolk, VA Work Shift First (Days) Overview: Overview Performs a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara's patients, and also assures that the coding practices fall within established compliance guidelines. Both ICD and CPT coding methodologies are used in the internal audit activity. The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment methodology, including the impact on Relative Value Unit (RVU) value related to Non-Physician Practitioner (NPP) services, Provider Based Billing (PBB) locations, and all other complex coding protocols within one...

Join UPMC Corporate Finance as a Compliance Auditor, Associate! Are you detail-oriented and passionate about ensuring compliance in healthcare? UPMC Corporate Finance is looking for a dedicated and meticulous Compliance Auditor, Associate to join our team. This role is crucial in maintaining the integrity of our coding and billing processes, ensuring they meet state and federal regulations. Key Responsibilities: Comprehensive Auditing: Conduct UPMC-wide auditing and monitoring to ensure that coding/documentation combinations and medical record documentation adequately support services coded and billed in accordance with appropriate state and federal regulations and standards. Code Validation: Validate the ICD-10-CM, CPT, and HCPCS codes or CPT and HCPCS ICD-10-CM-PCD and DRG assignment appropriateness to ensure consistency and efficiency in claims processing, data collection, and quality reporting. Post-Audit Training: Conduct post-audit compliance training sessions for...