Outpatient Coding Auditor - Optimize Claims & Compliance
$65k - $85kTrend Health Partners
Trend Health Partners is looking for an Outpatient Coding Auditor to ensure accurate coding compliant with CMS guidelines. The position offers a salary range of $65,000 to $85,000 and includes a competitive benefits package. Responsibilities include reviewing medical documentation, ensuring coding accuracy for outpatient claims, and assisting in new concept development. Candidates must have a coding certification and proficient knowledge in ICD-10, CPT, and HCPCs coding. A collaborative work environment is fostered with continual development opportunities. #J-18808-Ljbffr
- ...West Virginia*** The Senior Compliance Auditor reviews complex audits,... ...chart audits on inpatient and outpatient records, and to provide analysis... ...Auditor audits VCUHS coding and billing (DRG, CPT, HCPCS... ...documentation and/or billing claim data. Essential Job Statements...ClaimsWork experience placementWork at officeLocal area
- ...DRG Nurse Auditor The Atlantic Region CBO is seeking a dynamic... ...responsible for analyzing clinical claim denials, drafting detailed... ...of audited diagnosis codes and underlying payer clinical... ...behavioral health facilities, outpatient facilities and ambulatory care...ClaimsWork at office
- ...designing, implementing, and optimizing end‑to‑end business... ...in CPT/HCPCS coding for behavioral health, inpatient and outpatient services. Hands‑on experience... ...experience with 837P/837I claims, UB‑04 formatting, and... ...documentation and compliance requirements. Experience...ClaimsWork experience placementWork at office
- ...healthcare services provider is seeking an Inpatient Medical Coding Auditor to work remotely. This role involves extracting clinical information... ...and ensuring proper reimbursement for inpatient hospital claims. Ideal candidates will have at least four years of experience...ClaimsContract workRemote work
$71.1k - $97.8k
...caring community The Inpatient Medical Coding Auditor extracts clinical information from a... ...coding auditor to review inpatient hospital claims for proper reimbursement, handle... ...Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation...ClaimsBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...from advisory and implementation to optimization, training, and support. Our success... ..., accurate charge capture, and compliance with organizational and regulatory... ...functionality Support charge capture, coding, billing edits, and claim generation processes Analyze billing...ClaimsTemporary work
- ...LogixHealth, we provide expert coding and billing services that... ...solutions, including coding and claims management and the latest... ...employee handbook to ensure legal compliance and alignment with... ...audit standards Evaluate and optimize payroll systems and processes...ClaimsHourly payLocal areaRemote work
$80k - $150k
...Senior Auditor Employment Type: Full Time, Mid-level Department: Financial Services CGS... ...district legal staff by conducting medical claims data analysis, forensic investigations,... ...government bureaucracy through the optimization of human, technical, and financial resources...ClaimsFull timeFlexible hours- ...procedures while maintaining HIPAA compliance to protect patient privacy.... .... Submit insurance claims and assist in tracking outstanding... ...efficient patient flow while optimizing office productivity.... ...verification procedures, plans and coding. Understanding of HIPAA regulations...ClaimsFull timeWork at office
$70k - $80k
...Diagnosis Related Group (DRG) Auditor III Join to apply for the... ...comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy... ...trends, coding updates, and compliance regulations to maintain... ...Remote Coding Specialists, Outpatient Surgery and Observations Remote...Full timeWork experience placementReliefRemote workWork from homeHome officeRelocation package$100k - $170k
...services. Summary: The Senior Cybersecurity Auditor provides independent security assessment and compliance oversight in support of the Defense Logistics... ...client executive management on system improvements, optimization, and maintenance in the following areas:...Contract workLocal areaRemote work- ...scalable AI outcomes. In insurance, our work spans claims document processing, aerial and satellite imagery... ...most constrained. Claims automation, underwriting optimization, catastrophe modeling, and regulatory compliance are all being reshaped by machine learning. Yet most...Claims
- ...commitment to excellence and innovation, we help clients optimize performance, ensure compliance, and uphold the highest standards of safety. Job... ...Position Summary We are seeking an experienced ISO 9001 Lead Auditor to join our team as an Independent Contractor. In this...For contractorsRemote work
- ...Prepare, review, and submit accurate dental claims to insurance companies or government... ...inquiries and resolve payment issues. Ensure compliance with healthcare regulations and billing... ...Strong knowledge of dental billing and coding, including ICD-10, CPT, and HCPCS codes....ClaimsImmediate startRemote work
- ...accuracy in processing complex medical claims. If you are eager to make a positive impact... ...and procedures, ensuring accuracy and compliance. Critical Analysis Adjudicate claims according... ...Familiarity with ICD‑10, CPT, and HCPCS coding systems. Understanding of medical...ClaimsFull timeFor contractorsWork at officeRemote workMonday to FridayFlexible hours
$119.4k - $136.2k
...divh2Principal Auditor - Cyber, Risk and Analysis Technology Audit... ...through change with candor and optimism./liliYou create energy and an... ...in test scripting or coding (writing, reviewing, assessing... ...committed to non-discrimination in compliance with applicable federal,...Full timePart timeLocal area3 days per week- ...PRO IS, Inc. has an exciting Claims Auditor position available within our Audit Team. The candidate has to have strong reinsurance and direct... .../or ceded claims submissions for accuracy, timeliness, and compliance with reinsurance contract terms (treaty and facultative,...ClaimsContract workWork experience placementRemote work
$25.44 - $45.76 per hour
...provides education for HEDIS measures and coding. Supports the implementation of quality... ...resolving deficiencies impacting plan compliance to meeting State and Federal standards for... ...Quality, Risk Adjustment, Operations (claims and encounters). Schedules doctor appointments...ClaimsHourly payWork experience placementWork at officeRemote workFlexible hours- ...workload, quality assurance, policies/procedures, billing, coding, regulatory compliance, financial management, , clinical trials, outreach,... ...compliance with the OIG Laboratory Compliance Plan and accurate claim submission with appropriate NPI designations (where applicable...ClaimsWork at officeShift work
$87.7k - $100.1k
...divh2Senior Staff Auditor, Compliance (Hybrid)/h2pCapital Ones Audit function is a dedicated group... ...You lead through change with candor and optimism./liliYou create energy and an... ...Law; San Francisco, California Police Code Article 49, Sections 4901-4920; New York...Full timePart timeLocal area3 days per week$48.3k - $65.9k
...caring community and help us put health first Code Edit Disputes team reviews and educates... ...when there is a dispute on adjudicated claims that contain a code editing related... ...of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act...ClaimsBi-weekly payFull timeTemporary workApprenticeshipRemote workWork from homeHome officeMonday to Friday$58.62 - $90.48 per hour
...Job Description: The Senior Compliance Partner provides strategic compliance guidance to... ...regulations related to health care billing, coding, reimbursement, contracting, and risk... ...as Medicare, Medicaid, HIPAA, False Claims Act, Anti-Kickback Statute, Stark Law, and...ClaimsHourly payFull timeCurrently hiringLocal areaRelocationRelocation package- ...UB-04 Facility Claims Processor - Meditech page is loaded## UB-04 Facility Claims Processor - Meditechlocations: Remote - UStime type:... ...Experience Required.*** Computer skills.* Experience in CPT and ICD-10 coding.* Familiarity with medical terminology.* Ability to communicate...ClaimsWork at officeRemote work
- ...healthcare providers. Our highly skilled professionals assist with claims processing and submission, denials management, credit... ...a Hospital Follow-up/Collections specialist and Inpatient/outpatient certified coding professional. The specialists will be responsible for...ClaimsContract workInterim roleRemote work
- ...AVAILABLE FOR HIRE: Authorization Rep CPT Codes & Epic/CS-Link preferred Health... .../CS-Link experience required Recent outpatient clinic and medical office setting... ...MUST HAVE Ukg dimensions and Oracle Claims Auditor/Claims Compliance Analyst Auditor: Knowledge of HMO/IPA...ClaimsFull timeTemporary workWork at officeLocal areaImmediate start
- ...surgery scheduling. Previous experience with CPT and ICD-9 coding for medical claims processing. Work experience using electronic medical billing... ...critical thinking skills to ensure minimal disruption and optimal use of block time. Supervisory responsibilities (if applicable...ClaimsWork experience placementWork at office
$109.9k - $125.4k
...Principal Auditor (Experienced Senior Auditor) Corporate Compliance Audits (Hybrid) Capital One's Audit function is a dedicated group of professionals focused... ...Correction Law; San Francisco, California Police Code Article 49, Sections 4901-4920; New York City's Fair...Full timePart timeLocal area3 days per week- ...Inpatient Medical Coding Auditor – PPI Coding Disputes Reports to the manager and reviews DRG, ICD-10-CM, and PCS coding assignments... ...coding assignments for accuracy. Ensure overall accuracy and compliance of coding dispute reviews by adhering to coding guidelines....Bi-weekly payWork at officeRemote workWork from homeHome officeMonday to Friday
- ...divh2Senior Auditor/h2pAs a Senior Auditor, you will lead and support integrated risk-based internal audits across financial, compliance, operational, and information systems areas. Youll train, assist and mentor staff auditors, review their work, and ensure quality throughout...Temporary workWork experience placementWork at office
$90k - $115k
...Senior Social Compliance Auditor (CSCA Certified) Full-time Compensation: USD 90,000 - USD 115,000 - yearly SGS is the world’s leading... ...Food / Agri industry with minimum 2 years work experience in code of conduct compliance assurance function or safety,...Full timeWork experience placementImmediate startWeekend work
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