Top 777 Coding quality auditor Jobs

Coding and Compliance Auditor
South Shore Health —Weymouth, MA
- $73,000 - $104,400 a year
- Full-time
- 5 years
- Acute care experience
- Senior level
Coder Auditor/Senior CDI Specialist
HAMASPIK CHOICE INC —Spring Valley, NY
- $83,000 - $90,000 a year
- Full-time
- Writing skills
- Mid-level
Quick Apply
Patient Safety DRG Coding Auditor Principal
Elevance Health —Indianapolis, IN
- $116,128 - $210,864 a year
- Full-time
- Bachelor of Science
- Bachelor's degree
- Continuous improvement
- Employee stock purchase plan
- Paid holidays
11d
EPIC Quality Auditor
University of Utah —Salt Lake City, UT
- $75,000 - $85,000 a year
- Online Application
- Remote
- Background check
- HIPAA
- Mid-level
- Paid holidays
- Health insurance
Quality Auditor Specialist (Remote)
GridHawk LLC —Toledo, OH
- Full-time
- Remote
- Background check
- Microsoft Excel
- Pass drug screening
- Paid holidays
- Disability insurance
Quick Apply
HCC Coding Quality Specialist (Auditor)
Virtix Health LLC —Texas
- 8 hour shift
- Remote
- Mid-level
- 2 years
- Communication skills
- Paid holidays
- Health insurance
Quick Apply
Physician Coding Auditor
MedKoder —Remote
- Full-time
- Remote
- Google Workspace
- Anatomy knowledge
- Microsoft Excel
- Profit sharing
- Continuing education credits
Quick Apply
Quality Auditor
Firstsource Healthcare —Remote
- Remote
- 5 years
- Bachelor's degree
- Continuous improvement
Coding Educator and Auditor
Consulting Radiologists, Ltd —Remote
- From $35 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Health savings account
- Health insurance
Quick Apply
Claims Quality Assurance Auditor
TEXASCONNECT INC —Remote
- Full-time
- Remote
- 5 years
- Word processing
- Writing skills
Medical Coding Trainer/Auditor
Revenue Cycle Coding Strategies, LLC —Remote
- $65,000 - $78,000 a year
- Remote
- Surgery
- HIPAA
- Research
Quick Apply
Acute Coding Quality Review Auditor (Remote)
Adventist Health —Roseville, CA
- $36.91 - $50.62 an hour
- Remote
- 5 years
- Mid-level
- High school diploma or GED
3d
Medical Coding Auditor
Xtensys Connected Health Solutions —Remote
- $67,000 - $76,000 a year
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
Coding Quality Auditor
Hackensack Meridian Health —Neptune City, NJ
- $97,011.20 a year
- Full-time
- 5 years
- Research
- Mid-level
- Health insurance
- Dental insurance
Inpatient Coding Data Quality Auditor/Educator
University Hospital, Newark NJ —Newark, NJ
- $98,288 - $142,009 a year
- Full-time
- Anatomy knowledge
- Mid-level
- 3 years
- Health savings account
- Disability insurance
Quick Apply
3d
Inpatient Medical Coding Auditor
Humana —Remote
- $71,100 - $97,800 a year
- 8 hour shift
- Remote
- Microsoft Excel
- Mid-level
- Travel
- Paid parental leave
- Paid holidays
10d
Inpatient Coding Auditor
PF Concepts —Paterson, NJ
- $40 - $44 an hour
- Per diem
- Remote
- Oracle
- 5 years
- HIPAA
Senior Claims Auditor - DRG
Cohere Health —Remote
- $85,000 - $100,000 a year
- Remote
- Nursing
- 6 years
- HIPAA
- Paid parental leave
- Health savings account
Quick Apply
Inpatient Coding Quality Analyst (Auditor)
The Ohio State University —Columbus, OH
- Full-time
- Remote
- Background check
- Pass drug screening
- 3 years
Medical Coding Auditor/Educator Remote: UT, AZ, TX, KY, WY, ID, GA, AR
Granger Medical —Taylorsville, UT
- $25 - $28 an hour
- Urgently hiring
- Remote
- Microsoft Outlook
- Mid-level
- High school diploma or GED
- Paid parental leave
- Paid holidays
Quick Apply

I want to receive the latest job alert for coding quality auditor

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Coding and Compliance Auditor

South Shore Health -
Weymouth, MA

Apply Now

Job Details

Full-time
$73,000 - $104,400 a year

Qualifications

Medical coding experience in outpatient clinics
Medical coding for surgical records
Health information management
Acute care experience

Full Job Description

Job Description Summary

The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders. The Coding & Compliance Auditor monitors external regulatory and internal process changes and provides support to colleagues in adhering to Federal, State and local requirements.

Job Description

Job Responsibilities:

Establishes, implements, and maintains a formalized review process for coding compliance, including a formal review (audit) process.

Responsible for conducting both routine and targeted audits to ensure clinical documentation supports accurate CPT, HCPC’s, PCS and ICD-10-CM codes.
Perform prospective and retrospective audits to validate medical necessity and documentation supportive of code selection.
Analyzes data to identify deficiencies, prepare reports to deliver provider education specific to training needs identified during audit.
Develop and monitor follow-up audits and education as determined necessary to improve documentation quality.

Support all departments of the Health System with coding guidance:

Pertaining to compliance training / education as requested from providers and/or staff related to coding, billing and documentation in the inpatient, outpatient, professional, surgical and Home Health divisions of the Health System to ensure accuracy and support program objectives.
Designs training programs around compliant coding and billing from a regulatory standpoint for any new initiatives or programs affecting the Health System.
Evaluates vendor-training materials for its application or recommendation for use in educational programs.

Maintains:

Knowledge of all State and Federal regulatory changes that impact the Health System
Revises/modifies any instructional tools as necessary based on any changes to State and Federal regulatory changes to ensure guidance and training are accurate.
Assists in the development of follow-up mechanisms to ensure that knowledge and/or skills learned in the training are being applied on the job and have an impact on staff performance in meeting organizational goals.
Reports on program effectiveness and documents necessary changes.

Self Development:

Participates in professional societies or organizations relevant to ICD-9-CM, ICD-10-CM, PCS and CPT.
Maintains necessary licensure required for employment.

Administrative Duties:

Assists with administering programs as assigned.
Attends and participates in organization-wide committees as assigned.
Performs additional related duties as required.
Designs, develops and delivers education and training programs that meet the staff’s needs for compliant coding and billing.
Plans and develops curriculum in accordance with the organization’s strategic goals, mission and business strategies to improve employee performance leading to quality data and accuracy.

JOB REQUIREMENTS

Minimum Education - Preferred

Associates or Bachelor’s degree in Health Information Management.

Minimum Work Experience

Minimum 5 years acute care coding with demonstrated expertise in ICD-9-CM, ICD-10-CM, PCS and CPT coding.
Experience, preferred, in adult and continuing education, organizational development and training.

Required Certifications

CCA - Certified Coding Associate (AHIMA-American Health Information Management Assoc) or

CCS - Certified Coding Specialist (AHIMA-American Health Information Management Assoc) or

CCS-P - Certified Coding Specialist-Physican Based (AHIMA-American Health Information Management Assoc) or

CPC - Certified Professional Coder (AAPC-American Academy of Professional Coders) or

CPMA -Certified Professional Medical Auditor (AAPC-Academy of Professional Coders) or

RHIA - Registered Health Information Administrator (AHIMA-American Health Information Management Association)

Required additional Knowledge and Abilities:

Interact with constituents who have competing priorities and effectively communicate the importance of compliance in a respectful yet authoritative manner.

Apply Now

Refine Your Search

coding quality auditor jobs

Coding and Compliance Auditor

Coder Auditor/Senior CDI Specialist

Patient Safety DRG Coding Auditor Principal

EPIC Quality Auditor

Quality Auditor Specialist (Remote)

HCC Coding Quality Specialist (Auditor)

Physician Coding Auditor

Quality Auditor

Coding Educator and Auditor

Claims Quality Assurance Auditor

Medical Coding Trainer/Auditor

Acute Coding Quality Review Auditor (Remote)

Medical Coding Auditor

Coding Quality Auditor

Inpatient Coding Data Quality Auditor/Educator

Inpatient Medical Coding Auditor

Inpatient Coding Auditor

Senior Claims Auditor - DRG

Inpatient Coding Quality Analyst (Auditor)

Medical Coding Auditor/Educator Remote: UT, AZ, TX, KY, WY, ID, GA, AR

I want to receive the latest job alert for coding quality auditor

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected