Billing and Coding Auditor
DaMar Staffing
Billing and Coding Auditor Banyan Treatment Centers is seeking a detail-oriented and experienced Billing and Coding Auditor to support the accuracy and compliance of our billing practices across our behavioral health services. This critical role ensures the integrity of our claims processes and supports continuous quality improvement, staff education, and adherence to payer regulations. As a nationally recognized provider of addiction and mental health care accredited by The Joint Commissionwith 18 locations, robust Telehealth services, and backed by TPG's Rise Fund since 2023our 1,600employees are dedicated to delivering compassionate, high-quality care that transforms lives. Positions DetailsLocation:Flexible On-site (Pompano Beach, FL), Hybrid or Remote (USA)Reports to:Auditing Manager & Director of RCMSchedule:Full-time Key Responsibilities Conduct regular audits of behavioral health billing and claims for accuracy and compliance. Review coding of all services (ICD-10, CPT, HCPCS) to ensure alignment with industry standards and payer contracts. Identify discrepancies, potential fraud, and coding errors; recommend corrective actions. Collaborate with the billing department to resolve issues and support timely claims submission. Communicate audit findings and provide training to improve staff coding accuracy. Support the preparation of internal audit reports and QA initiatives. Monitor billing trends and recommend improvements in processes and staff performance. Ensure compliance with state, federal, and Joint Commission regulations. Stay up to date with changes in payer rules, billing codes, and regulatory updates. Maintain documentation and patient confidentiality in accordance with all legal standards. Required Qualifications Bachelor's degree in Healthcare Administration, Business, or a related fieldor equivalent work experience. Minimum of 4 years of experience in medical claims billing and/or coding, preferably in behavioral healthcare. Current certification in Medical Billing and/or Coding. Proficiency in Kipu and CollaborateMD required. Strong attention to detail and ability to analyze complex claims data. Familiarity with EHR systems and Microsoft Office Suite (especially Excel). Strong communication, time management, and organizational skills. Working knowledge of behavioral health billing practices, insurance reimbursement processes, and compliance standards. Preferred Qualifications Familiarity with Joint Commission standards. Familiarity with Medicare, Medicaid, and commercial payer policies related to behavioral health. Experience training or mentoring others in billing/coding practices. Why Join Banyan Treatment Centers? This is an opportunity to make a meaningful impact within a leading national provider of behavioral health services. As our Billing and Coding Auditor, you will: Ensure Excellence in Care:Help safeguard billing accuracy and regulatory compliance to support sustainable operations. Be Part of a Mission-Driven Team:Contribute to compassionate, quality care that transforms lives every day. Grow Your Career:Access ongoing education, training, and advancement opportunities. Enjoy Comprehensive Benefits:Medical, dental, and vision insurance; life and disability coverage; 401(k) with employer match; paid time off and holidays; wellness programs; and more. EOE #J-18808-Ljbffr DaMar Staffing
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...reimbursement to support continued learning and advancement And so much more Description E\&M Coding Auditor/Educator performs comprehensive audits to determine integrity of coding/billing for physician & clinical fees, detection/correction of documentation, coding/billing...SuggestedRemote jobWork at office- ...Strong knowledge of government audit programs (RAC, MAC, CERT, ZPIC/UPIC, Medicaid audits) Excellent understanding of healthcare billing, coding (ICD-10, CPT, HCPCS), and payer policies Demonstrated ability to lead process improvement initiatives in large-scale audit...SuggestedLocal areaRemote work
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...while making a meaningful impact every day. Description The primary purpose of this position is to impart continuous education to Coding Staff. Additionally, this individual will be responsible for complex audits of clinically coded data to assess coding quality for accuracy...Remote jobLocal area- Houston Methodist is seeking an Audit & Onboarding Specialist to plan, coordinate and complete complex documentation, coding and billing reviews. Acts as a liaison between the CBO and clinical departments, guiding coders and providers and ensuring onboarding of physicians...
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...: Conduct provider medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure... ...on additional risk adjustment audit requests (i.e. outside auditors’ requests). Serves on the RADV Committee as subject matter...Full timePart timeWork at officeRemote workFlexible hours- Baptist Health is seeking a Coding Education Specialist to impart ongoing education to Coding Staff and conduct complex audits of coded data for accuracy and consistency. The role requires expertise in either Outpatient Prospective Payment System (OPPS) or Inpatient Prospective...
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...workers and clients.* Able to gain the confidence of the existing Partner group.* Ability to meet internal Firm deadlines (time entry, billing, etc.).* Available to work evenings and weekends based on position needs, and to travel domestically if requiredExperience with any...Work experience placementWork at officeRemote workFlexible hoursShift workWeekend workAfternoon shift$40 - $45 per hour
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