253 physician compliance auditor jobs found

Description Home Search Jobs Job Description Physician Compliance Auditor - Level 2 - Remote Remote: Dallas, Texas, US Salary Range: 25.00 - 40.00 | Per Hour Job Code: 360194 End Date: 2025-04-23 Days Left: 17 days, 3 hours left Apply Job Summary: Work Location: Fully Remote Currently, there is only one level of Physician Compliance Auditor. Although some auditors possess advanced knowledge and skills, they all hold the same designation. A common concern in employee surveys has been the lack of opportunities for advancement in Compliance. Unlike Risk Management and Revenue Cycle Management, which have multiple levels of coders and auditors, Physician Compliance Auditors currently do not. Establishing additional levels would provide auditors with career progression opportunities. Pay Rate Range: $26/hour - $40/hour Temp to Perm: Temporary with possible permanent placement Essential Functions: Perform annual chart...

We are seeking a qualified Physician Compliance Auditor II to join our team on a temp-to-perm basis. This fully remote role is responsible for conducting annual chart audits, developing educational materials, providing coding compliance support, and assisting in specialty coding educational sessions. If you are an experienced auditor with a background in provider education, coding compliance, and auditing, we encourage you to apply.salary: $34.99 - $35 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: High SchoolResponsibilities1. Perform annual chart audits (mostly in their areas of expertise) and formulate recommendations based upon the audit findings and communicate them to the appropriate personnel. 2. Implement annual coding reviews and ensure that compliance issues and areas of risk are identified and addressed. 3. Develop curriculum to be used in orienting and educating providers and staff in the specialty clinics to medical record documentation guidelines and standards...

Innova Solutions has a client that is immediately hiring for a Physician Compliance Auditor 2 Position type: Contract- Full Time Duration: 3 months with possible extension Location: Remote As a Physician Compliance Auditor 2, you will: Perform annual chart audits (mostly in their areas of expertise) and formulate recommendations based upon the audit findings and communicate them to the appropriate personnel. Implement annual coding reviews and ensure that compliance issues and areas of risk are identified and addressed. Develop curriculum to be used in orienting and educating providers and staff in the specialty clinics to medical record documentation guidelines and standards and to diagnostic and procedural coding conventions and methodologies. Assist in specialty coding educational sessions with Revenue Cycle Management (RCM) and Risk Based Coding. Coding compliance resource and consultant for all physicians and advance practice providers,...

Compliance Auditor Corporate Compliance Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare organization, passionately dedicated to improving the health and well-being of our community. With a history dating back to 1898, LMHS remains a cornerstone of healthcare excellence, catering to the evolving needs of Licking County. Our cutting-edge facility provides a comprehensive spectrum of patient care services, from life-saving emergency medicine to the comforting embrace of home healthcare, with a unique range of specialized medical services, including cancer, heart health, maternity, and mental wellness. When you join the LMHS team, you become a vital part of your local community Hospital. Working at LMHS is not just a job, it is a unique opportunity to directly impact the health and well-being of your friends, family, and neighbors. You will be providing care in a place in which you are personally connected, where the impact of your work extends beyond...

Compliance Auditor Corporate Compliance Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare organization, passionately dedicated to improving the health and well-being of our community. With a history dating back to 1898, LMHS remains a cornerstone of healthcare excellence, catering to the evolving needs of Licking County. Our cutting-edge facility provides a comprehensive spectrum of patient care services, from life-saving emergency medicine to the comforting embrace of home healthcare, with a unique range of specialized medical services, including cancer, heart health, maternity, and mental wellness. When you join the LMHS team, you become a vital part of your local community Hospital. Working at LMHS is not just a job, it is a unique opportunity to directly impact the health and well-being of your friends, family, and neighbors. You will be providing care in a place in which you are personally connected, where the impact of your work extends beyond...

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 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...

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,...

Job Description Job Description ABOUT US: Laredo Technical Services, Inc. provides staffing services to federal Government agencies all over the world. LTSI connects the right people to the right opportunity. 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 of professionals in the industry.   LTSI’s culture delivers a strong work ethic while going above and beyond with a sense of urgency. We are the employee-driven company. We strive for excellence every day, which is what sets us apart from all the other government contractors. Our strong work ethic, sense of urgency and commitment to going above and beyond for our clients is what we value most!   As a Certified Service-Disabled Veteran Owned Small Business (SDVOSB) Minority Business Enterprise...

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...

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-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...

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 documentation improvement, reviews for billing and other regulatory compliance with third...

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...

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 documentation improvement, reviews for billing and other regulatory compliance with third...

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...

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 documentation improvement, reviews for billing and other regulatory compliance with third...

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Serves as a lead employee who audits coded records for multiple specialties. Analyzes coded records for compliance with federal, state and third party insurer rules and regulations. Establishes a collaborative relationship with stakeholders to ensure quality standards are met. 100% remote T his is a remote position eligible for hire from: Alabama, Alaska, Arizona, Arkansas, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Michigan, Mississippi Missouri, Montana, Nebraska, New Hampshire, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, West Virginia, Wisconsin and Wyoming. Responsibilities: 1. Accurately assigns International Classification of Diseases 10-CM (ICD-10) diagnostic and...

We are seeking a Sr. Compliance Auditor who will provide on-going training and support to physicians, non-physician providers, professional fee billing staff, clinic staff, administrators, and other affected personnel on documentation and billing requirements. Using auditing and analysis techniques, determines the adequacy of medical records documentation, coding and billing for all providers across all clinical specialties. Works in close collaboration with the clinical departments, Physicians Billing Service, and the Johns Hopkins Health System Compliance Office. The documentation audits are conducted as part of the School of Medicine’s Billing Quality Assurance Compliance Program. Prepares reports for the Sr. Director, Director, and clinical departments regarding the status or results of the reviews. Summary results are presented to the Clinical Practice Association’s Board of Governors, the University’s Trustee Committee for Audits and Insurance and other appropriate offices...

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 documentation improvement, reviews for billing and other regulatory compliance with third...

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...

Job Description Job Description Position Location: 100% Remote This is a full-time, remote position that offers a flexible schedule.  Description: Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder’s internal coding/auditing policies and expectations set forth by department management. Physician Coding Auditor must prioritize daily duties, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals. Candidates ideally have recent auditing experience specializing in some of the following profee areas: Ophthalmology, Behavioral Health, Cardiovascular/Cardiothoracic Surgery, Complex ENT Surgery,...