Top 1129 Medicare coder Jobs

Audit Reviewer (RN -Med/Surg)
Knowtion Health —Remote
- Full-time
- Remote
- Mid-level
- 3 years
- Medical-Surgical
- Paid holidays
- Disability insurance
Quick Apply
RN Clinical Reviewer (CPC Medical Coding Academy) - San Juan, PR
UnitedHealth Group —San Juan, PR
- Full-time
- RN License
- Pass drug screening
- Research
Medicare Risk Adjustment Coder (Hybrid)
Genuine Health Group —Coral Gables, FL
- From $65,000 a year
- Full-time
- Hybrid work
- Bilingual
- Background check
- Spanish
- Paid holidays
- Health insurance
Quick Apply
8d
Medicare Medical Coder & Billing Specialist
Wellness Care —Richardson, TX
- $30 - $35 an hour
- Urgently hiring
- Background check
- Mid-level
- In-person
Quick Apply
SIU Code Auditor
Fallon Health —Worcester, MA
- $87,500 a year
- Full-time
- Writing skills
- Mid-level
- 3 years
Coding Quality Specialist
St. Joseph's Health —New Jersey
- $28.55 - $44.25 an hour
- Full-time
- 5 years
- Mid-level
- Children
- 403(b) matching
- Paid holidays
Ambulatory Coding Education & Audit Specialist
CaroMont Health —Gastonia, NC
- Full-time
- Word processing
- Primary Care
- Research
IP Facility Coder (Full-time)
Healthcare Coding And Consulting Svcs —Remote
- Full-time
- Remote
- 3 years
- Critical & Intensive Care
- Senior level
- Health insurance
- Dental insurance
Quick Apply
Professional Fee Coder - Analyst II (F/T) - (Sign-On Bonus eligible)
University of California San Francisco —Emeryville, CA
- Full-time
- Anatomy knowledge
- Mid-level
- Office
Certified Professional Coder
Provisional Recruiting —Coeur d'Alene, ID
- $21 - $28 an hour
- Full-time
- Hybrid work
- HIPAA
- Mid-level
- Analysis skills
Quick Apply
2d
Ophthalmology Biller/ Coder
Carolina Macular and Retina —Mount Pleasant, SC
- $15 - $20 an hour
- Full-time
- Private practice
- High school diploma or GED
- US work authorization
- Profit sharing
- Paid holidays
Quick Apply
Home Health Quality Assurance (QA) Nurse
CENTER OF ILLINOIS HOME HEALTHCARE INC —Arlington Heights, IL
- $52,000 - $90,000 a year
- Full-time
- RN License
- Mid-level
- Quality control
- Health insurance
- Paid time off
Quick Apply
Medical Coder - Hospice
ViaQuest Hospice —Marysville, OH
- Part-time
- Hybrid work
- Mid-level
- Mileage reimbursement
- Paid holidays
Quick Apply
14d
Medical Coder - Hospice
ViaQuest Hospice —Monongahela, PA
- From $20 an hour
- Part-time
- Hybrid work
- Mid-level
- Mileage reimbursement
- Paid holidays
Quick Apply
14d
Certified Professional Coder, Charge Review and Coding Edits Specialist III
Ambulatory Medical Practices MSO, Inc —Valhalla, NY
- $31.40 - $36.06 an hour
- Full-time
- Hybrid work
- 7 years
- Senior level
- Cardiology
- Health savings account
- AD&D insurance
Quick Apply
Medical Billing Specialist
Physicians Medical Billing —White Marsh, MD
- From $40,000 a year
- Full-time
- Mid-level
- Office
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Hospital Certified Coder
Hamilton Memorial Hospital District —Mc Leansboro, IL
- $20.50 - $29.52 an hour
- Urgently hiring
- Background check
- Anatomy knowledge
- Hospital
- Continuing education credits
- Health insurance
Quick Apply
NP or PA - Outpatient Primary Care - WellMed at N. Mesa - El Paso, TX
UnitedHealth Group —El Paso, TX
- $109,500 - $164,000 a year
- Spanish
- Pass drug screening
- Primary Care
- Employee stock purchase plan
- Paid time off
8d
Lead Medical Biller
Skilled Wound Care —Los Angeles, CA
- $25 - $27 an hour
- Hybrid work
- Mid-level
- Office
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Risk Adjustment Coding Auditor
Clever Care Health Plan —Huntington Beach, CA
- $72,800 - $80,000 a year
- Full-time
- Hybrid work
- Background check
- Nursing
- Microsoft Excel
10h

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Audit Reviewer (RN -Med/Surg)

Knowtion Health -
Remote

Quick Apply

Job Details

Full-time

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

Mid-level
3 years

Full Job Description

Are you seeking an exciting opportunity to join a passionate, growing, and dynamic team of professionals who support patients?

The Audit Reviewer works with claims representatives by reviewing and appealing claims when appropriate to overturn clinical validation and coding denials from Medicare, Medicaid, and other third-party payers.

What’s Attractive to the Right Candidate?

Knowtion Health is a growing firm in a growing industry. Our status as a leader in this industry means that we have the resources to invest in the business and to innovate.
Our business is intensely competitive and is constantly evolving. We quickly identify new challenges and develop solutions, so you won’t simply be doing what was done last year. Our new employees are frequently pleased and surprised by how quickly we make decisions and adapt to market conditions.
Knowtion Health culture is inviting and competitive, embracing challenge and celebrating accomplishment; dedicated colleagues striving to provide quality results that have lasting impact.

The Opportunity:

Reviews medical record documentation to verify clinical indicators and coding issues as related to DRG Validation Audits, Emergency Department Downgrade Audits, Inpatient Level of Care Audits, and Charge Outlier Audits, etc.
Creates detailed appeal letters for denials from payer to support payment of patient claims
Manages Inventory and Follow up on accounts as appropriate
Reviews InterQual/Milliman, coding guidelines and/or payer medical policies related to denied procedures or services and includes criteria in appeals letter as appropriate
Provides feedback to supervisor regarding issues identified for ongoing training to peers and non-clinical staff members
Identifies root causes and trends to share with clients and staff
Works with peers in collaboration of clinical writing situations

What you bring:

Current and valid RN License or Coder with 3 years inpatient experience.
Two years of experience in an acute care hospital (Med/Surg) preferred.
Five years of experience in clinical medical record audits or coding preferred.
Experience using InterQual and Milliman healthcare criteria preferred
Experience reviewing CMS LCD/NCD criteria preferred
Knowledge of CMS and payer reimbursement guidelines preferred
Knowledge of DRG, ICD-10, CPT and HCPCS codes preferred
Comfort with productivity standards

The above statements are intended to provide the general nature and level of work being performed by most people assigned to the position. They are not intended to be an exhaustive list of all responsibilities, duties and requirements.

This position is remote and requires a dedicated, distraction-free work space at home. We offer a competitive benefits package including medical, dental, vision, life insurance, short term disability, long term disability, bonus opportunities, paid holidays, 401k, and a generous PTO policy.

Knowtion Health gives priority to applicants located in the following states: AL, AR, AZ, FL, GA, ID, IN, KS, ME, MI, MO, MS, NC, NM, OK, PA, SC, TN, TX, VA, WI, WV

Quick Apply

Refine Your Search

medicare coder jobs

Audit Reviewer (RN -Med/Surg)

RN Clinical Reviewer (CPC Medical Coding Academy) - San Juan, PR

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Medicare Medical Coder & Billing Specialist

SIU Code Auditor

Coding Quality Specialist

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IP Facility Coder (Full-time)

Professional Fee Coder - Analyst II (F/T) - (Sign-On Bonus eligible)

Certified Professional Coder

Ophthalmology Biller/ Coder

Home Health Quality Assurance (QA) Nurse

Medical Coder - Hospice

Medical Coder - Hospice

Certified Professional Coder, Charge Review and Coding Edits Specialist III

Medical Billing Specialist

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NP or PA - Outpatient Primary Care - WellMed at N. Mesa - El Paso, TX

Lead Medical Biller

Risk Adjustment Coding Auditor

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