Top 12474 Medical billing/coding Jobs

Coding and Compliance Auditor
South Shore Health —Weymouth, MA
- $73,000 - $104,400 a year
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Acute care experience
Medical Billing & Coding-Ophthalmology
Eye Care Northeast, PC —Putnam, CT
- $26 - $28 an hour
- Full-time
- Clinic experience
- Mid-level
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
Medical Biller
www.advanced-wellness.net —Marlboro, NJ
- $22 - $25 an hour
- Part-time
- Medical office experience
- Mid-level
- Organizational skills
- Health savings account
- Health insurance
Quick Apply
Experienced Revenue Cycle Specialist (Medical Billing / A/R Follow-Up)
Clear RCM Holdings LLC —McKinney, TX
- $48,000 - $52,000 a year
- Overtime
- Hybrid work
- Mid-level
- Office
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Reimbursement Specialist
Specialty Care Rx —Orange, CA
- $26 - $30 an hour
- Full-time
- Medical office experience
- Mid-level
- In-person
- Health insurance
- Dental insurance
Quick Apply
Medical Billing Specialist
Solvent Practice Solutions LLC —Remote
- $21 - $24 an hour
- Full-time
- Remote
- Anatomy knowledge
- Outpatient experience
- Organizational skills
- Profit sharing
- Paid parental leave
Quick Apply
2d
Billing Specialist
Paintsville Behavioral Health —Remote
- $18.50 - $21.00 an hour
- Full-time
- Remote
- Medical office experience
- Office
- US work authorization
- Paid time off
Quick Apply
Accounts Receivable Specialist I #Full Time #Remote
61st Street Service Corp —Remote
- $23.56 - $28.85 an hour
- Full-time
- Remote
- Entry level
- Under 1 year
- Health insurance
- Paid time off
Quick Apply
Coding Specialist/ Billing Clerk
Evergreen Medical Center —Remote
- Part-time
- Medical office experience
- Mid-level
- Organizational skills
Quick Apply
5d
Medical Claims Denial & Appeals Specialist
University of Colorado Medicine —Remote
- $29 - $35 an hour
- Full-time
- Remote
- Mid-level
- 3 years
- Bachelor's degree
- Health insurance
Medical Billing Specialist (Physical Therapy) – Remote (U.S. Only)
HENO LLC —Remote
- $18 - $20 an hour
- Full-time
- Remote
- Physical & Rehabilitation Medicine
- Mid-level
- High school diploma or GED
Medical Billing and Coding Specialist
MedHQ, LLC —Remote
- $17 - $26 an hour
- Full-time
- Surgery
- Mid-level
- Analysis skills
- Disability insurance
- Health insurance
Quick Apply
Revenue Cycle Billing Specialist
Spectrum Billing Solutions —Remote
- Full-time
- Hybrid work
- HIPAA
- Research
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
(Remote Part-Time) Instructor - Medical Billing and Coding
ProTrain —Remote
- Part-time
- Remote
- HIPAA
- Mid-level
- 3 years
- Tuition reimbursement
Quick Apply
Medical Biller - Remote
Orthos Inc —Iowa
- Full-time
- Remote
- Mid-level
- Organizational skills
- Communication skills
Quick Apply
Medical Bill Review Analyst I
CorVel Corporation —Charlotte, NC
- $13.08 - $22.89 an hour
- Full-time
- Remote
- Customer service
- High school diploma or GED
- Data entry
- Health savings account
- Disability insurance
Quick Apply
Medical Billing Specialist II
Allied Benefit Systems —Chicago, IL
- $23 - $24 an hour
- Full-time
- Remote
- Microsoft Word
- Microsoft Access
- Microsoft Outlook
- Disability insurance
- Health insurance
SNF Billing Specialist (Remote)
NewGen Administrative Services —Fremont, CA
- $35 - $47 an hour
- Remote
- 5 years
- Senior level
- Health insurance
- Dental insurance
Quick Apply
Medical Coding and Billing Assistant 1
Yale University —New Haven, CT
- $31.83 an hour
- Full-time
- Remote
- Background check
- Anatomy knowledge
- Microsoft Outlook
Temporary, Billing Reimbursement Specialist II
NeoGenomics Laboratories —Remote
- Temporary
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Quick Apply

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Coding and Compliance Auditor

South Shore Health -
Weymouth, MA

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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. This is a hybrid position: 2 days onsite; 3 days remote option.

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

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