324 professional coding auditor jobs found

At Children's Wisconsin, we believe kids deserve the best. Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country. We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today. Please follow this link for a closer look at what it's like to work at Children's Wisconsin: https://www.instagram.com/lifeatcw/ The Professional Coding Auditor will work with the Primary Care, Urgent Care...

Employment Type:Full timeShift:Description:General Summary: The Professional Coding Auditor Educator performs medical record audits including but not limited to analysis of medical record documentation, validation of primary and secondary diagnoses and procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS). Monitors accuracy of centralized coders' charge capture and coding with proper ICD-10, CPTs, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. Partners with leadership to improve HCC, high risk scoring, with provider and coder education. Conducts ongoing reviews of patient medical record documentation and procedural and diagnosis coding by each practitioner. Responsible for practitioner education in areas related to coding, documentation and compliance. Works closely with leadership and the department to establish and modify...

At Children's Wisconsin, we believe kids deserve the best.Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country.We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.Please follow this link for a closer look at what it's like to work at Children's Wisconsin: https://www.instagram.com/lifeatcw/The Professional Coding Auditor will work with the Primary Care, Urgent Care and...

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

Professional Coding Auditor - FT - Days - HIMS - Medical Records @ MV page is loaded Professional Coding Auditor - FT - Days - HIMS - Medical Records @ MV Apply locations Mountain View, CA time type Full time posted on Posted Yesterday job requisition id R00011427 El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen. Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for. FTE 1 Scheduled Bi-Weekly Hours 80 Work Shift Day: 8 hours Job Description The Professional Coding Auditor performs reviews for professional/clinic based clinic visits and hospital...

Job Type Full-timeDescriptionThe Coding Quality Auditor and Educator conducts risk-based coding quality audits of provider services encounters to validate code assignment follows official coding guidelines and regulatory requirements, as supported by clinical documentation in the medical record. This includes performing internal audits, overseeing external audits, and delivering coding/documentation education and training to providers and coders. Responsible for monitoring coding activities of all UMP practices in support of the organization's adherence to applicable CMS requirements, official coding guidelines, government regulations and internal policies. Serves in an advisory capacity to leadership and providers as it relates to documentation, coding, and regulatory compliance.RequirementsESSENTIAL DUTIES AND RESPONSIBILITIES (Other duties may be assigned)As a key member of the Coding team the Coding Quality Auditor and Educator:Conducts coding, billing, and documentation...

Summary The Health Administration Service is seeking a full-time Lead Medical Records Technician (Coder) (Inpatient and Outpatient) for the VA Medical Center in Tuscaloosa Alabama. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Clarification from the agency NOTE: First consideration will be given to current, permanent Tuscaloosa VA employees. Videos Duties This position is in the Health Information Management (HIM) section at the Tuscaloosa 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. The duties may include but are not limited to: Assigns codes to documented patient care encounters (inpatient and/or outpatient) covering the full range of health care services provided by the VAMC. Selects and assigns codes...

The Integrity & Compliance Auditor (Auditor) contributes to the fulfillment of the organization’s mission, vision, and values by auditing the regulated practices (including but not limited to billing and coding) throughout the organization to ensure compliance with all applicable state and federal laws and regulations. The Auditor will review compliance of standards and/or regulations imposed by the health system’s internal controls. To perform the obligations of this position, the Auditor must understand operations and practices within the health system and must establish and/or maintain a collaborative and consultative relationship with all caregivers, including leaders and providers. The Auditor performs coding, billing and abstracting functions of professional fee encounters for providers in our multi-specialty group and facility encounters. The Auditor reviews medical records for documentation to ensure medical necessity is met according to CMS Local Coverage Determination...

Hospital Billing Compliance Auditor Hybrid Full-time Shift: Day Position Type: Exempt At the University of Maryland Medical System (UMMS), the health of Maryland is ourmission — and our passion. We are the one health system that is focused on our stateand delivering healthcare that’s made for Marylanders. Being among the top 25 employers in the state and recently recognized as America’sBest Large Employer 2021 by Forbes, UMMS brings together a diverse andcollaborative team of innovators committed to caring for our Marylanders, advancingmedicine, and transforming lives. At UMMS, people are our priority – and that includesour patients, our community and our employees. We take your wellbeing, growth andwork-life balance seriously. (Hybrid schedule: work from home & office) 2 days in office, 3 days from home. Training will be in office. TheUniversity of Maryland Medical Systemisa 14-hospital system with academic, community and specialty medical services reaching every part of...

The Compliance Coding Auditor will be responsible for conducting scheduled audits of provider-based encounters including coding unit audits; conducting nonscheduled audits as assigned. Must have strong auditing skills with experience in multiple specialties and settings. This individual is expected to have a thorough understanding of general auditing principles and procedures including outpatient coding guidelines. Experience with multiple EMR's is preferred. Must have strong attention to detail with 95% or higher quality maintained. Job Relationships Reports to Billing Compliance Manager Principal Responsibilities Serve as auditor of physician clinic and hospital-based coded work by the Coding Unit. Audit physician medical records and charges to ensure compliance with coding standards. Reviews encounters to identify ICD-10-CM diagnoses, CPT/HCPCS procedures and modifiers are correct. Auditing all documentation to ensure third-party billing and/or Medicare criteria is met....

Job Description Job Description Medical AUDITOR 55-70K We are seeking Internal Auditors to work onsite in Melville. Qualified candidates need to have three (3) years of experience, Medical Coding Certified, and proficient in EPIC. Responsibilities and duties: ·        Displays courtesy, tact, and diplomacy when dealing with employees, physicians, and outside institutions. ·        Identifies risk areas, creates an audit strategy, requests correct reports, concisely identifies the issues and provides recommendations for effective corrective actions. ·        Participates actively and enthusiastically in identifying project issues and workflow. ·        Contributes recommendations in project issue resolution. ·        Conducts follow-up review with requesting/reviewed departments to ensure points of clarification on items are met. ·        Maintain current industries knowledge. ·        Manages time efficiently to meet assigned tasks deadlines as required. ·...

Job Summary: CERIS in Fort Worth, Texas is seeking a DRG Coder/Clinical Auditor. The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to determine correct DRG/coding that is clinically supported as defined by review methodologies specific to the contract for which review services are being provided. This involves completing medical records review, accurately documenting findings and non-findings and providing clinical/policy/regulatory support for the determination. Experience using, ICD-10-CM & PCS coding guidelines, the ability to understand modern pharmacology, disease management and clinical intervention procedures. Job Duties and Responsibilities: * The Clinical Auditor will look at individual medical records to check for missing documentation; * The Clinical Auditor will check for physician's notes supporting the DRGs assigned. * Reviewing medical...

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...

Description: Job Summary: The Compliance Auditor/Monitor has the primary responsibility of developing, implementing and conducting compliance reviews for both multi-specialty professional services and hospital services under the direction of the Manager of Compliance Auditing and Monitoring Services. All such reviews for both professional and hospital claims must be performed in accordance with requirements of Centers for Medicare and Medicaid (CMS) and the Compliance Audit Methodology. In this role, the Compliance Auditor will lead, provide expert technical skills, and assist with highly visible, sensitive, and multifaceted auditing and monitoring projects. He/She will evaluate compliant billing, documentation, and coding requirements, summarize findings, and propose recommendations for multi-specialty professional services and hospital claims. The Compliance Auditor will help determine if corrective action plans are needed to mitigate any risks identified in the audit. The...

Responsibilities Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve. To learn more about IPM visit Physician Services - Independence Physician Management - UHS . The Coding Auditor is responsible for determining that ICD-10, CPT-4, and HCPCS coding is supported by the clinical documentation in the medical record as well as validating medical necessity per CMS Local Coverage Determination (LCD). Applies working knowledge of medical...

Job Description Job Description Full-and Part-Time Employee Benefits Medical, Dental, and Vision Insurance Cancer plan. 401(k) retirement plan with matching Accident plan. Paid time off (PTO) program Critical life events plan. Tuition and certification reimbursement Employee Assistance Program (EAP). Group Term Life Insurance and AD&D Free parking at all locations. Short term and Long term disability Mileage reimbursement for company travel. Un-reimbursed medical and dependent care. POSITION SUMMARY The HIM Auditor and Coding Specialist is responsible for performing concurrent and scheduled audits of the medical records for all locations /corporations (locations) to ensure documentation is complete and in compliance with Arkansas Hospice policy, State and Federal regulations, and HIM professional best practice guidelines. Responsibilities also include preparing audit reports; and identifying documentation trends. Must be skilled in assignment of ICD-10-CM,...

Job Description Job Description Full time M-F 8a-5p schedule Weekly pay- EVERY Friday Remote anywhere in the US Summary Our client is implementing a new web based tool, which has an AI feature that will pull 3 years of history from the EMR and identify suspect opportunities. The coders will be auditing the information pulled by the tool, making a determination if the codes identified are accurate before sending them to providers for review. This is a high-volume review (30-50 per day) Requirements: 1+ years of previous risk adjustment coding, HCC coding or outpatient diagnosis coding Medicare or Medicaid experience is nice to have Any of these listed certifications: Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), Certified Professional Medical Auditor (CPMA), Certified Documentation Expert Outpatient (CDEO), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician-based (CCS-P), Registered Health Information...

TITLE: Coding Compliance Auditor LOCATION: Columbus, Ohio Now is your chance to join a top hospital where career growth and opportunity await you. They are committed to building healthcare teams whose care exceeds the expectations of their patients and community and are looking for individuals who share the same values. You could live or work in a small town close to Columbus, Ohio so you can be offered all the amenities of a small town and big city at the same time? If that sounds like the change you are looking for, please read on.. What they are looking for: •Certified as a Registered Health Information Administrator, Registered Health Information Technician, or Certified Coding Specialist with experience in coding in an acute care facility and/or ambulatory care setting and professional fee services. •Associates or Bachelors degree in Health Information. Hours and compensation potential: •Position is full time day shift(Mon-Fri 8am-4:30pm) •Range is between $50K-$64K...

**Primary City/State:** Arizona, Arizona **Department Name:** Coding-Acute Care Compl & Educ **Work Shift:** Day **Job Category:** Revenue Cycle **Primary Location Salary Range:** $27.17 - $45.29 / hour, based on education & experience In accordance with State Pay Transparency Rules. Great careers are built at Banner Health! We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices including remote work options. The **Banner Health Acute Care Coder Auditor Team** members have expert IP acute care facility and/or OP coding skills with ability to clearly and concisely summarize and defend audit findings. Come be part of 5 auditors who review cases based on internal/external audit requests. Collaborate with the education team to identify education needs and assist with creation of education materials. While part of a collaborative team, you will work independently,...