220 physician billing coding auditor jobs found

Physician Billing Coding Auditor at R1 RCM in Boise, Idaho, United States Job Description R1 is currently seeking a Physician Billing Coding Auditor with a background in Physician coding, billing, and reimbursement guidelines. The Auditor must understand medical terminology, coding, contractual agreements, and various payment methodologies. This position requires good time management skills and the ability to work independently. Everyday in this role, you will: + Review physician charges against medical record and all applicable documentation to determine appropriate code assignments for diagnoses and services provided (CPT/HCPCS codes) + Understand billing and coding requirements for government and commercial payers + Abstract statistical data from the patient record and enter information following facility guidelines + Utilize coding resources or applicable reference materials to ensure accuracy in coding for assigned services + Follow all HIPAA regulations and uphold a higher...

R1 is currently seeking a Physician Billing Coding Auditor with a background in Physician coding, billing, and reimbursement guidelines. The Auditor must understand medical terminology, coding, contractual agreements, and various payment methodologies. This position requires good time management skills and the ability to work independently. Everyday in this role, you will: Review physician charges against medical record and all applicable documentation to determine appropriate code assignments for diagnoses and services provided (CPT/HCPCS codes) Understand billing and coding requirements for government and commercial payers Abstract statistical data from the patient record and enter information following facility guidelines Utilize coding resources or applicable reference materials to ensure accuracy in coding for assigned services Follow all HIPAA regulations and uphold a higher standard around privacy requirements. Maintain productivity standards, tracking logs and...

Job Description Job Description Description: POSITION: ProFee Coder / Auditor STATUS: Full-Time LOCATION: Fully Remote SCHEDULE: Monday through Friday FLSA STATUS: Non-Exempt / Eligible for Overtime POSITION SUMMARY: The purpose of the ProFee Coder / Auditor position is to code/audit physician surgical cases and or anesthesia cases to determine appropriate designation of diagnosis, procedure and modifiers while maintaining compliance with coding guidelines and client guidelines. POSITION RESPONSIBILITIES: Analyze, evaluate and review client medical records to ensure accuracy of code assignment including ICD-10-CM diagnosis, CPT procedure codes, ASA codes, and Modifiers. Perform validation audits by analyzing, evaluating and reviewing client medical records to ensure accuracy of code assignment. Demonstrate proficiency in coding and maintain 95% accuracy. Follow and adhere to AHIMA’s Standards of Ethical Coding, all applicable regulations and...

Job Description Job Description PYA is seeking a Professional Coding Auditor/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 coding audits, as well as 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 E/M and surgical coding, especially cardiology and orthopedic surgery. Expertise in facility inpatient and outpatient coding auditing is preferred but not required. The Consultant will assist PYA clients with provider...

Description Come grow with us. Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding. Yeo & Yeo Medical Billing & Consulting maintains a highly trained staff with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes. Our billing specialists receive ongoing training specific to medical specialty. We continually train our staff by updating and maintaining their knowledge of insurance carrier trends and changes in billing rules and policies. Our people are our future - we provide the venue for individuals who...

About the job Medical Record Audit / Coding Auditor OUR CLIENT is a contracting and data management services organization dedicated to primary care physicians throughout Florida IN THIS ROLE YOU are responsible to assist in the development, undertaking and maintenance of a long term comprehensive, clinical coding audit program for inpatient and outpatient activity. To develop and Implement policies to support the clinical coding audit function Receive, review and communicate findings on patient billing coding related complaints. Identify training needs through the audit program of work and liaise with the clinical coding training manager and audit manager to provide the necessary training identified Conduct routine, risk based, proactive or reactive compliance reviews of procedural and diagnosis coding/billing and medical record documentation performed by clinical service providers Prepare reports as required relative to these monitoring and review activities. Work...

Job Description Job Description POSITION IS100% ONSITE at NAS Pensacola, FL. SUMMARY : Responsible for the auditing of medical documentation and codes for compliance with federal coding regulations and guidelines. This will include the assignment of ICD, Current Procedure Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) codes, modifiers, and quantities as documented by the physician. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities. 1. QUALIFICATIONS: 1.1. Mandatory knowledge and skills. 1.1.1. Knowledge of auditing concepts and principles. 1.1.2. Advanced knowledge of medical coding and billing systems and regulatory requirements. 1.1.3. Strong communication and interpersonal skills. 1.1.4. Knowledge of legal, regulatory, and policy compliance issues related to medical coding and billing procedures and documentation. 1.1.5. Knowledge of current and developing issues and...

Job Details Job Location Caldwell Medical Center - PRINCETON, KY Position Type Full Time Job Shift Day Medical Billing Specialist 2- Full-Time Medical Billing Specialist 2 DEPARTMENT: Business REPORTS TO: Patient Financial Services Manager POSITION SUMMARY: The Medical Billing Specialist 2 ensures timely and accurate billing and collections of patient's accounts. The Medical Billing Specialist 2 is responsible for the timely processing of any duties or activity affecting prompt reimbursement to the hospital and clinics for services which it has rendered. This includes efficient billing of response to requests and inquiries. Employees work extensively with third party payers, state/federal/local governmental agencies, and physicians. Demonstrates vast experience in healthcare billing and follow up. POSITION RESPONSIBILITIES ESSENTIAL FUNCTIONS: Represents the organization in a positive and professional manner. Maintains and ensures patient and...

Overview Coding Educator Full time, 80 hours per pay period, Day shift Covenant Medical Group is Covenant Healths employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology. Position Summary: Provides consulting services to the organizations management and staff and may coordinate requested coding investigations. Responsible for education and training for all Covenant coders, CDI, and/or physician office staff. Serves as a resource to coders, CDI staff, Quality and Case Managers,...

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 services and outpatient professional services to validate the integrity of ICD-10-CM, CPT, HCPCS, professional Evaluation and Management levels, and modifiers assigned for all specialties and chart types, as well as facility Evaluation and Management codes for the Emergency Department including thorough knowledge of...

Tri-Cities Community Health (TCCH) is looking for a Documentation and Coding Auditor who has a passion for helping others. As a community health center, located in southeastern Washington, serving Pasco, Kennewick, Richland and the surrounding communities. TCCH offers a variety of schedules to support a work-life balance. Most of our clinics offer Monday-Friday day shifts, with no weekends or holidays, competitive salaries and benefits . While providing careers in a fast-paced work environment and opportunities for professional development. We employ a highly diversified group of talented individuals who are dedicated to fulfilling our mission to provide the highest quality patient care with the greatest degree of professionalism and courtesy regardless of a patient's ability to pay. Our Mission: We are dedicated to the communities we serve, bringing together a unified team that delivers the highest-quality health care to every person, every time. Who are we? Our...

Job Description Spectrum Healthcare Resources has a potential opportunity for a Remote Inpatient Medical Coder III for The Air Force Academy in Colorado, Springs! This contract position offers: 8 hour shifts - M-F - Shift will vary based on location. Paid Time Off and other great benefits 11 Paid Holidays Exciting opportunity to care for our active-duty military, veterans, and their families Job Requirements: Required to possess a minimum of five (5) years of medical coding and/or auditing experience in two (2) OR more medical, surgical, and ancillary specialties within the past 10 years; OR a minimum of three (3) years of medical coding or auditing experience if that experience was in an MTF. A minimum of one (1) year of performance in the specialty is required to be documented to be considered qualifying. Advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), and Procedural Coding System (PCS); Healthcare Common Procedure Coding System...

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...

**Overview** **CHI Memorial Mountain Management** CHI Memorial Medical Group (Mountain Management Services), now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health, is a Management Service Organization (MSO) that provides comprehensive office management services for all Memorial Health Partners and many physicians in private practice. We are proud to be a part of the regional referral center of choice providing health care throughout Southeast Tennessee and North Georgia. We care about our employees well-being and offer benefits that complement work/life balance. **We offer the following benefits to support you and your family:** Free Membership to our Care@Work program supporting any child care, pet care, or adult dependent needs Employee Assistance Program (EAP) for you and your family Health/Dental/Vision Insurance Flexible spending accounts Voluntary Protection: Group Accident, Critical Illness, and Identity Theft...

City/State Norfolk, VA Overview Work Shift First (Days) (United States of America) Sentara Health is seeking to hire a qualified individual to join our team as a Compliance Coding Auditor! Position Status : Full-time, Day Shift Position Location: This is a remote position for residents of Virginia or North Carolina . Position Summary: 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...

The rewards at Healogics are immense, starting with the important work we do to change patients' lives. We also understand that meaningful work is hard work, and we are committed to supporting and compensating our employees for the tremendous service they provide. Think you are a great fit? Learn more about this role here: Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. With an aging society, obesity and diabetes on the rise, and an uptick in surgical procedures, the number of patients with non-healing wounds that would benefit from expert care is dramatically increasing. As a result, the company is working to provide our differentiated, quality outcomes to as many patients that would benefit through our out-patient clinic partnerships. The Compliance Coding Auditor is responsible for helping with the Compliance Department's Auditing activities, including...

Coding Auditor II - Education Program at Baylor Scott & White Health in Boise, Idaho, United States Job Description JOB SUMMARY The Coding Auditor 2 is proficient in various types of coding and is responsible for performing coding quality audits, providing feedback to coders and auditors, and providing education via both written and oral presentations. The Coding Auditor 2 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.). ESSENTIAL FUNCTIONS OF THE ROLE Performs routine coding quality reviews on all coders and/or auditors including third party suppliers as appropriate. Performs coding quality reviews in collaboration with or for internal customers of the organization....

Job Description Job Description PYA is seeking a Professional Coding Auditor/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 coding audits, as well as 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 E/M and surgical coding, especially cardiology and orthopedic surgery. Expertise in facility inpatient and outpatient coding auditing is preferred but not required. The Consultant will assist PYA clients with provider...

Job Type Full-time Description POSITION: ProFee Coder / Auditor STATUS: Full-Time LOCATION: Fully Remote SCHEDULE: Monday through Friday FLSA STATUS: Non-Exempt / Eligible for Overtime POSITION SUMMARY: The purpose of the ProFee Coder / Auditor position is to code/audit physician surgical cases and or anesthesia cases to determine appropriate designation of diagnosis, procedure and modifiers while maintaining compliance with coding guidelines and client guidelines. POSITION RESPONSIBILITIES: Analyze, evaluate and review client medical records to ensure accuracy of code assignment including ICD-10-CM diagnosis, CPT procedure codes, ASA codes, and Modifiers. Perform validation audits by analyzing, evaluating and reviewing client medical records to ensure accuracy of code assignment. Demonstrate proficiency in coding and maintain 95% accuracy. Follow and adhere to AHIMA's Standards of Ethical Coding, all applicable regulations and guidelines, and all...

Overview: Compliance Medical Auditor - Stony Brook CPMP Compliance Location: St. James, NY ( At the managers discretion, this role may be eligible for remote work; this position is only available to New York State Residents). Schedule: Full Time Days/Hours: 8am - 4:30pm Salary Range: $69,715 - $76,854 (pay will be determined based on experience, preferred qualifications, and education) Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. Responsibilities: SUMMARY: The SB Clinical Practice Management Plan, Inc. (CPMP) Compliance Medical Auditor...

Job Description Job Description ENT and Allergy Associates, LLP New York & New Jersey's premier ENT and Allergy medical practice, is seeking a self-motivated, people-friendly full time Regulatory Affairs Associate at our Corporate office location. SUMMARY: The Regulatory Affairs Associate (Compliance Medical Auditor) supports the functions of the Compliance Program for ENT and Allergy Associates, LLP, (ENTA) to be compliant with Federal and State guidelines in the prevention of fraud, waste, and abuse. The Compliance Medical Auditor will participate and provide duties such as, but not limited to conducting auditing and monitoring; providing training and education; assessing compliance with policies, procedures, and regulations; and identifying and recommending strategies for process improvements. The Compliance Medical Auditor performs auditing and monitoring of clinical documentation, analyzing medical records, and assessing the accuracy of ICD-10-CM diagnosis code...

Job Description Job Description Description: A Certified Professional Medical Auditor is responsible for reviewing and auditing medical documentation, including patient records, charts, and clinical notes, to ensure accuracy, compliance with regulations, and adherence to industry standards. This role is crucial in maintaining the integrity of medical records, billing processes, and healthcare facilities' compliance with applicable laws and regulations. Key Responsibilities: Medical Documentation Review: Conduct thorough audits of patient medical records, including physician notes, progress notes, discharge summaries, and other relevant documentation. Examine medical records to verify their completeness and conformity with established standards, ensuring they accurately reflect the patient's condition, diagnosis, treatment, and other pertinent information. Verify that documentation adheres to established coding guidelines, such as ICD-10 and CPT, and compliance with...

Support Center If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. Adventist Healthcare seeks to hire an experienced Coding Auditor for our Shared Services department who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing. As a Coding Auditor, you will: •Leads discussions and educational sessions, with manager support, with various impacted Revenue Integrity stakeholders. to improve overall revenue goals and departmental needs. •Analyzes and resolves billing edits and bill holds for areas impacted by coding •Manages assigned work queues and associated tasks to review, analyze, and provide corrective action. •Maintains work queues at agreed-upon levels to keep on task with department goals and objectives •Escalates barriers or concerns to the manager in a timely clearly articulated and documented format •Performs EHR analyses and research along with...