CODING COMPLIANCE AUDITOR (Remote)
Humana Inc
- Remote job
Humana Inc. is seeking a Medical Coding Auditor for its Outpatient Facility/APC Coding Team. This remote role reviews claims, ensures CPT/HCPCS compliance, and interprets medical records to support accurate payments. Occasional travel to Humana offices may be required for training or meetings.
The ideal candidate holds a CPC/COC/CCS/ROCC/RHIA/RHIT certification with at least 3 years of post-certification experience, and has strong CPT/HCPCS knowledge and experience with operative reports.
#J-18808-Ljbffr Humana Inc
- ...Outpatient Coding Auditor It takes great medical minds to create powerful solutions that solve some... ...an understanding of the EAPG, ASC and APC payment systems. What You Will Do... ...You Should Expect In This Role Remote (work from home) environment within the...Remote workContract workWork from homeFlexible hours
- ...As a fully remote opportunity for new graduates, the Outpatient Auditor will review outpatient medical records to ensure compliance with regulatory requirements... .... Key responsibilities Conduct thorough CPT/APC coding reviews to verify the accuracy of coding assignments...Remote work
$35 - $45 per hour
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...Outpatient Coding Compliance Auditor Optum is a global organization that delivers care, aided by technology to help millions of people live healthier... ...initiatives. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough...Remote jobMinimum wageFull timeWork experience placementLocal area$76k - $90k
A 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 credentials...Remote job- ...healthcare services provider is seeking an experienced coding auditor to perform quality audits and reviews on outpatient records. The role involves providing feedback to... ...facility outpatient audits. This position allows remote work on a PRN basis, offering full benefits and...Remote jobRelief
$59.3k - $80.9k
...our caring community The Medical Coding Auditor reviews medical claims submitted... ...As a Medical Coding Auditor for the Outpatient Facility/APC Coding Team you will: Verify and... ...to make an impact WORK STYLE: Remote, work at home. While this is a remote...Remote workBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$31.2 - $40.56 per hour
...,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician... ...is to impart continuous education to Coding Staff. Additionally, this individual will... ...Performs con-current audits on accuracy of APC, ASC or MS-DRGs as well as on quality of...Remote workLocal area- ...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... ...educational seminars to clients and staff. Work remotely from a home office on a PRN basis....Remote workReliefWork from homeHome office
$26.29 - $48.91 per hour
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...Outpatient Coding Auditor The Outpatient Coding Auditor is responsible for auditing coded outpatient medical records to ensure compliance with... ...coding experience required. Knowledge of Medical Necessity APC, OCE, LCD, and NCD edits required. 3M Encoder experience, Meditech...Hourly payFull timeTemporary workPart timeLocal areaFlexible hoursShift work- ...Inpatient/Outpatient Facility Coding Auditor PYA is seeking an Inpatient/Outpatient Facility Coding Auditor to join its high-performing and privately... ...code assignment MS-DRG and other DRG validation APC validation and charge capture Clinical documentation improvement...Work at office
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$33.99 - $42.49 per hour
Position Summary The Outpatient Coding Auditor is responsible for auditing coded outpatient medical records to ensure compliance with official coding... ...coding experience required. Knowledge of Medical Necessity APC, OCE, LCD, and NCD edits required. 3M Encoder experience,...Hourly payFull timeTemporary workPart timeLocal areaFlexible hoursShift work$45.67 per hour
Overview This auditing role will focus on Coding & Clinical Chart Validation for our Outpatient and Specialty audits. The ideal candidate for this position needs... ...and billing perspective: SNF, IRF, Home Health, APC, ER, Diagnostics and Professional Service. This position...Hourly payContract workWork at office- ...implementing and maintaining a compliance plan for outpatient coding and reimbursement. The Outpatient Coding auditor will assist the Coding Manager with Outpatient... ...quality review of coding to assure accurate codes, APC assignment, and accurate reimbursement. Summarize...Casual workShift work
- ...Initial Audit and Education For assigned coding staff, conduct initial quality audits as... ...codes. Appropriateness of queries created. Outpatient Cases (ER, SDS, Ancillary) All diagnosis... ...-10-PCS codes. All CPT assigned codes. APC assignment. Qualifications for Internal...
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