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
$65k - $85k
...employer match, paid parental leave, and more. The Outpatient Coding Auditor’s responsibility is to review medical records, clinical documentation, and claims to ensure accurate ICD-10, CPT, and HCPCs coding and compliance with CMS and coding guidelines. The role will be...ClaimsWork at office- ...healthcare integrity solutions provider is looking for an Outpatient Payment Integrity Coder Auditor in New York City. In this role, you will audit outpatient medical claims for coding accuracy and compliance with CMS guidelines. The ideal candidate must have advanced...ClaimsRemote work
$100k - $102.5k
...such, we are a leading authority in payment integrity solutions. The Outpatient Payment Integrity Coder Auditor is responsible for reviewing outpatient medical claims to ensure coding accuracy, compliance, and appropriate payment in accordance with CMS and payer-specific...ClaimsRemote work$70k - $90k
...Health is looking for a Remote Certified Outpatient Facility Auditor. This position requires expertise in APC... ...methodology and facility-based outpatient claims. You will analyze UB-04 claims ensuring accurate coding and compliance with outpatient regulatory guidelines. The...ClaimsRemote work- ...Description Key Responsibilities: Coding Medical Records : Review... ...for diagnoses and procedures. Claims Processing: Prepare and... ...insurance companies, ensuring compliance with regulations and accuracy... ...hospitals campuses and more than 700 outpatient and urgent care locations...ClaimsFull timeTemporary workPart timeFlexible hoursShift work
- ...Enhancement is hiring a Program Integrity Auditor in New York, NY. This full-time... ...involves auditing medical records for compliance with coding standards, identifying billing patterns... ...will have 3-5 years of experience in claims data review, industry coding guidelines...ClaimsFull time
- ...Stryker Corporation seeks a Program Integrity Auditor who will review records for various healthcare providers, ensuring compliance with coding and documentation standards. Responsibilities include auditing Medicaid claims and providing education to providers on coding...Claims
$70k - $150k
We do Consulting Differently The Healthcare Compliance Auditor position is a staff consulting position within the Healthcare... ...compliance programs and auditing of billing and coding of clinical documents and claims documents. This position requires a highly motivated...ClaimsWork experience placementWork at officeLocal area$125k - $165k
...including utilization review, claims management, payer relations, reimbursement optimization, denial management, and compliance oversight. Primary... ...workflows across residential, outpatient, PHP/IOP, and case... ...including claim creation, coding accuracy, submission, and...ClaimsFull timeContract workRemote work- ...Ministries Clinic (HMC) is seeking a Coding Auditor (with PCP auditing... ...Health Ministries Clinic's compliance with national coding guidelines... ...Reviews designated claims for proper coding before submission... ...Medical Auditor (CPMA), Auditing Outpatient Coding (OAC). Minimum of...ClaimsFull timeWork at officeWeekday work
$65.41k - $85.85k
...re Oscar. We're hiring a SIU Coding Auditor to join our SIU team.... ...recoup inappropriately paid claims. The Specialist Investigation... ...effectiveness of the team. Compliance with all applicable laws and... ...Inpatient Coder (CIC), Certified Outpatient Coder (COC) designation or...ClaimsFull timeWork experience placementRemote workWork from homeHome office- ...functioning of the business office, including billing, coding, insurance claims, accounts receivable, and patient financial... ..., executive team, and external stakeholders to optimize revenue cycle management, maintain compliance with regulatory requirements, and enhance...ClaimsFull timeWork at officeImmediate start
- ...years of experience, we pride ourselves on stability and long-term success. Responsibilities Perform coding quality audits and reviews on a variety of facility outpatient records, including but not limited to Same Day Surgery, Observations, ED, and Infusions/Injections....ReliefRemote workWork from homeHome office
- ...OB/GYN Physician (Outpatient GYN + Prenatal Care) Locations: Queens... .... Revenue-friendly setup: Optimized templates, central referrals,... ..., referral coordination, and coding support. What You'll Do... ...volume. Clean charts, clean claims: Accurate coding, problem-...ClaimsFull timeWork at office
- ...A healthcare services provider is seeking an experienced coding auditor to perform quality audits and reviews on outpatient records. The role involves providing feedback to coding staff, extracting clinical information, and assisting in educational training. Candidates...ReliefRemote work
- ...Jersey is seeking a detail-oriented Billing Clerk to manage medical billing processes and ensure compliance with coding standards. The ideal candidate will prepare insurance claims, handle medical records, and follow up on unpaid claims. This role requires proven experience...Claims
- The Compliance Auditor will support the compliance functions at SJ/C. The auditor is expected to... ...education related to billing and coding as well as other compliance requirements... ...revenue cycle which may include billing, outpatient coding, denials management, revenue...Work experience placement
- ...Director of Health Plan Operations, Claims is responsible for the... ...efficiency, accuracy, and full compliance with federal, state, and... ...dashboards and reports that support optimal claims operations. Interpret... ...claims processing workflows, coding standards (ICD, CPT, HCPCS),...ClaimsWork at officeLocal areaFlexible hoursShift work
- ...designing, implementing, and optimizing end‑to‑end business... ...in CPT/HCPCS coding for behavioral health, inpatient and outpatient services. Hands‑on experience with 837P/837I claims, UB‑04 formatting, and... ...clinical documentation and compliance requirements. Experience...ClaimsWork experience placementWork at office
- ...Independence Blue Cross (Independence) is seeking a fully remote Certified Pharmacy Technician Auditor to conduct audits on pharmacy claims, ensuring accurate provider payments and identifying potential fraud, waste, or abuse. The role requires an extensive understanding...ClaimsRemote work
$76k - $90k
...leading health information management services company seeks a Medical Coding Consultant specializing in outpatient coding. The role involves auditing diagnostic and procedural codes to ensure compliance with coding guidelines. Candidates should possess relevant...Remote job$79.2k - $143.4k
...A prominent academic health system is seeking a remote Outpatient Second Level Reviewer. This role involves auditing and reviewing compliant coding, training staff, and maintaining data integrity. Candidates should have a Bachelor’s degree or equivalent experience in...Remote work- ...seeking a Medical Bill Reviewer in New York, NY. You will analyze medical claims and audit provider documentation to modernize medical claim auditing. The ideal candidate has facility inpatient coding experience, a clinical license (RN) preferred, and a minimum of 3 years...ClaimsRemote workFlexible hours
- ...A health insurance company is seeking a Senior Specialist, Coding Auditor to join their Payment Integrity team. This remote position involves supporting issue resolution, ensuring claims repayment quality, and assisting in root cause analysis. Candidates should have 1+...ClaimsRemote work
- ...Summary Position Title : RCM & Compliance Manager Department : Nursing... ...documenting accurately, our claims are clean, and our compliance... ...provider training on E&M coding requirements, medical necessity... ...Skills Experience building or optimizing RCM workflows from the ground...ClaimsWork at office
$46.99k - $122.4k
...Summary The Program Integrity Auditor reviews records for medical,... ...The auditor determines correct coding and appropriate documentation... ...of funds, rebilling of claims), and referral to state regulators... ...rules. Maintain compliance with company policies and procedures...ClaimsHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours- ...Kids for the Future is seeking a Full-Time Facility Outpatient Coding Auditor to work remotely. This role involves abstracting codes from medical records, ensuring compliance with health standards, and performing quality reviews. The ideal candidate will possess relevant...Full timeRemote work
- ...Medical Billing Auditor Our client is seeking a detail-oriented, analytically... ...audit and review medical billing and coding practices, ensure compliance with payer and regulatory... ...Conduct comprehensive audits of submitted claims, billing records, medical documentation...ClaimsLocal area
$90k - $115k
...validation reviews, including clinical and coding assessments, of medical records and... ...collaborate with relevant stakeholders to ensure compliance with payment standards. Your expertise... ...Coder Qualifications: Inpatient claims auditing, quality assurance or recovery...ClaimsContract workWork experience placementRemote workFlexible hours$46.99k - $122.4k
...Hispanic Alliance for Career Enhancement is seeking a Program Integrity Auditor to ensure compliance with coding standards and review healthcare records. This role requires 3-5 years of claims data interpretation experience and an active CPC, CCS, or CPMA license. Responsibilities...ClaimsFull time
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