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Senior Level / Some College / Experienced / Management Remote Medical Coding Auditing Jobs
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CPC Certified Coding Audit Manager
A company is looking for a Manager, SIU Coding Audit Post-Pay to lead anti-fraud initiatives and manage a coding audit team....Key Responsibilities Manage a Coding Audit team performing prepayment and post-payment reviews of medical records and claims Set and monitor performance metrics to achieve organizational goals Conduct complex reviews of claims to ensure accuracy andState Licensed Medical Coding Auditor
A company is looking for a Medical Coding Auditor, Fully Remote....Key Responsibilities Perform comprehensive coding audits for inpatient and outpatient hospital services, ensuring accuracy and compliance with coding standards Review medical records and billing data to identify coding errors and areas for improvementCertified Medical Coder
Key Responsibilities Accurately assign diagnosis and procedure codes for various medical services Code records with correct Ambulatory Payment Classifications (APCs) and Relative Value Units (RVUs) Perform tasks within military coding systems and...resolve coding edit failures Required Qualifications High School Diploma or equivalent 4 years of experience in medical coding/auditing in multiple specialties or 2 years in a Medical Treatment Facility CCS, CPC, RHIT, or RHIA Certification MustRHIT Licensed Inpatient Coder
stays and codes discharge records for optimal reimbursement Performs tasks within military coding systems and assists with ambulatory and outpatient coding as needed Required Qualifications High School Diploma or equivalent 5 years of experience in medical...coding/auditing in multiple specialties or 3 years in a Medical Treatment Facility RHIT or RHIA Certification Must be a US CitizenMedical Scheduling Coordinator
diploma or equivalent required; associate or bachelor's degree preferred 1-3 years' experience in a customer service role required 1-3 years' experience in a medical/healthcare, worker's compensation, or insurance field preferred Basic understanding of medical...terminology/coding or medical billing practices preferred Familiarity with healthcare regulations and compliance requirementsSenior Data Analyst
A company is looking for a Senior Data Analyst to support its Medical Group Coding and Compliance team.Claims Resolution Specialist
preferred 3 - 5 years experience in a hospital business environment, focusing on billing and/or collections Intermediate understanding of EOB forms, managed care contracts, and hospital billing requirements Intermediate knowledge of ICD-9, HCPCS/CPT coding..., and medical terminology Intermediate Microsoft Office skillsSouth Carolina RN Medical Reviewer
Key Responsibilities Perform medical claim reviews and determine medical necessity and appropriateness for coverage and reimbursement Educate internal and external staff on medical reviews, terminology, and coding procedures Participate in qualityClaims Denial Analyst
experience in a hospital business environment performing billing and/or collections Intermediate understanding of Explanation of Benefits forms, Managed Care Contracts, and hospital billing form requirements Intermediate knowledge of ICD-9, HCPCS/CPT coding..., and medical terminology Intermediate Microsoft Office skillsClinical Investigator I (Florida Licensed)
Key Responsibilities Audit medical records to identify inappropriate billing practices and recommend next steps Investigate and analyze provider billing patterns based on medical records and regulatory guidelines Prepare summaries of findings and...recommend changes to prevent future fraudulent practices Required Qualifications Associate's degree in a related field or equivalent experience preferred Coding Certification and 2+ years of medical coding experience or relevant clinical license with
