Medical Coding Auditor

3 weeks ago


Jacksonville, United States North Florida Surgeons Full time
Job DescriptionJob DescriptionDescription:

North Florida Medical Services (located in Mandarin/Jacksonville, FL) is a growing management services organization which provides revenue cycle services to multiple surgical group practices. Our growing company is in need of a Medical Coding Auditor to help conduct quality reviews of both clinical and non-clinical professionals. We are looking for an energetic, results driven auditor who shares our passion for process effectiveness, continuous improvement, quality, and ongoing education of our providers and staff members on coding matters.


Top responsibilities include:

1. Works with Coding and Compliance Manager to schedule and conducts focused retrospective quality reviews of physicians, mid-levels, and both internal and external coders.

2. Works with Coding and Compliance Manager to assure coding accuracy is monitored and education provided based on the results of the coding reviews.

3. Prepares reports for management review and identifies trends.

4. Reviews are to be completed in a timely and routine manner, results, compiled, and feedback presented to the appropriate personnel.

5. Assists the Coding and Compliance Manager with the development of education materials for all staff on annual diagnosis and procedural coding updates, documentation and coding tips, and coding guidelines as needed.


Education & Experience:

1. The Coding Auditor position requires a strong knowledge of Evaluation and Management and surgical coding and coding guidelines.

2. Must have experience with professional inpatient and outpatient medical coding and billing.

3. Minimum of two years of professional inpatient and outpatient medical auditing.

4. Senior Coding Quality Auditor must have a minimum of three years of professional inpatient and outpatient medical auditing.

Requirements:


1. CPC or CCS-P required.

2. Must obtain the CPMA credential within first 12 months of employment. Senior Coding Quality Auditor must already hold the CPMA credential.

3. Associates or Bachelors degree in a healthcare filed preferred but not required

4. High school diploma required.


Necessary Skills:
1. PC knowledge
2. Good written and oral communication and customer service skills
3. Must have proficiency with Microsoft Windows Operating Systems and Office applications such as Word, Excel, PowerPoint, and coding/grouping software.
4. Must be detail oriented, organized and flexible
5. Able to demonstrate initiative and perform minimum productivity levels
6. Must have thorough knowledge of medical terminology, anatomy, and physiology and able to accept direction with changing priorities.


Supervisory Responsibility:
Number of Employees Supervised: 0



  • Jacksonville, Florida, United States North Florida Surgeons Full time

    Job OverviewNorth Florida Surgeons is a dynamic management services organization dedicated to providing exceptional revenue cycle solutions for various surgical practices. We are currently seeking a Coding Auditor to perform quality assessments of both clinical and non-clinical coding professionals. The ideal candidate will be a motivated and detail-oriented...

  • Medical Coding Auditor

    21 hours ago


    Jacksonville, Florida, United States North Florida Surgeons Full time

    Job DescriptionNorth Florida Surgeons is seeking a highly skilled Medical Coding Auditor to join our team. As a Medical Coding Auditor, you will play a critical role in ensuring the accuracy and quality of our medical coding practices.Key Responsibilities:Conduct retrospective quality reviews of physicians, mid-levels, and coders to ensure compliance with...


  • Jacksonville, Florida, United States North Florida Surgeons Full time

    Job OverviewNorth Florida Surgeons is a prominent management services organization dedicated to providing comprehensive revenue cycle solutions for various surgical practices. We are currently seeking a Medical Coding Auditor to perform thorough quality assessments of both clinical and non-clinical coding professionals. The ideal candidate will be a...


  • Jacksonville, Florida, United States North Florida Surgeons Full time

    Job OverviewNorth Florida Surgeons is a dynamic management services organization dedicated to providing exceptional revenue cycle services across various surgical practices. We are currently seeking a Medical Coding Auditor to play a pivotal role in performing quality assessments of both clinical and non-clinical coding professionals. The ideal candidate...


  • Jacksonville, Florida, United States North Florida Surgeons Full time

    Job OverviewNorth Florida Surgeons is a dynamic management services organization specializing in revenue cycle management for various surgical practices. We are currently seeking a dedicated Medical Coding Auditor to perform quality assessments of clinical and non-clinical coding practices. The ideal candidate will be proactive, results-oriented, and...


  • Jacksonville, United States Standard Technology Full time

    Job DescriptionJob DescriptionMedical Coding Compliance Specialist(Medical Auditor)POSITION IS ONSITE AT NAS JACKSONVILLE, JACKSONVILLE, FLSUMMARY: Member of the MHS agency Coding Program Office support team. The position will reduce inpatient facility, ambulatory procedure visit (APV), or professional services coding (PSC) backlog created by workload...


  • Jacksonville, Florida, United States Standard Technology Full time

    Position OverviewJob Title: Medical Coding Compliance SpecialistLocation: OnsiteSummary: As a vital member of the Coding Program Office, you will play a key role in addressing the coding backlog associated with inpatient facilities, ambulatory procedure visits, and professional services. This position is responsible for conducting targeted audits to ensure...

  • Senior IT Auditor

    3 months ago


    Jacksonville, United States VyStar Credit Union Full time

    At VyStar, we offer competitive pay, an excellent benefit package that includes a 401(k) Plan, an extensive paid technical and on-the-job training program, and tuition reimbursement--available to all full and part time employees. Part time positions start at a minimum of 30 hours per week. We encourage you to become a part of VyStar Credit Union's family...

  • Premium Auditor

    2 weeks ago


    Jacksonville, United States Davies Risk Services Full time

    Job DescriptionJob DescriptionGig Workers Wanted!  Are you tired of working for someone else?  Have you thought about building a business for yourself?  If you answered yes to either question – Welcome!  We are excited to introduce Davies Risk Services to you!  Our Premium Auditors come from various backgrounds.  If you are inquisitive, driven &...

  • RN Lead Charge Auditor

    21 hours ago


    Jacksonville, Florida, United States Saint Vincent's Medical Center Riverside Full time

    Job SummaryWe are seeking a highly skilled RN Lead Charge Auditor to join our Revenue Cycle team at Saint Vincent's Medical Center Riverside. The successful candidate will be responsible for leading a team of staff in coordinating payer denials and appeals, responding to insurance company requests for medical records, and performing medical record...


  • Jacksonville, Florida, United States North Florida Surgeons Full time

    Job SummaryWe are seeking a highly skilled Certified Coding Specialist to join our team at North Florida Surgeons. As a key member of our coding and billing department, you will be responsible for ensuring accurate and timely submission of claims to insurance carriers.Key ResponsibilitiesCoding and Claim Submission: Apply advanced coding knowledge to submit...


  • Jacksonville, Florida, United States Cancer Specialists of North Florida Full time

    Job OverviewCancer Specialists of North Florida is seeking a qualified Charge Auditor to join our dynamic Central Business Office. This position is essential for ensuring the accuracy of our billing processes and is not a remote opportunity.Key Responsibilities:Gather and organize daily charge schedules from the EMR system to the billing system, including...


  • Jacksonville, Florida, United States TEKsystems Full time

    Position Overview:Focus on outpatient coding, primarily for emergency department claims.The role involves meticulous examination of accounts, verifying charges, and ensuring accuracy by applying modifiers when necessary.Responsibilities include:Correcting and validating charges.Addressing billing edits returned by the billing team.Collaborating with Health...

  • Night Auditor

    3 weeks ago


    Jacksonville, United States WoodSpring Jacksonville Full time

    Job Summary: The Night Auditor is responsible for the preparation and disposition of all Night Audit work. Responsible for the front desk operation during the overnight shift (Typically 11pm-7am). Primary responsibilities include: registering guests making reservations preparing daily reports balancing transactions and conducting security walks....


  • Jacksonville, Florida, United States City of Jacksonville Full time

    Job DescriptionJob Summary:The City of Jacksonville is seeking a highly skilled Building Plans Examiner to join our team in the Planning and Development Department. As a Building Plans Examiner, you will be responsible for examining construction plans for residential, commercial, and industrial buildings to ensure compliance with applicable building...


  • Jacksonville, Florida, United States UnitedHealth Group Inc. Full time

    About the RoleWe are seeking a highly skilled Senior Clinical Coding Nurse Consultant to join our team at UnitedHealth Group Inc. in Jacksonville, FL.This is a unique opportunity to work with a clinician-led care organization that is changing the way clinicians work and live.As a member of our team, you will be an integral part of our vision to make...

  • Coding Expert

    4 days ago


    Jacksonville, Florida, United States Entegee Full time

    Job OverviewEntegee is seeking a highly skilled Software Developer to join our team of experts in custom automation projects. As a major player in the world of controls and robotic solutions, we are looking for a talented individual to expand their resume and build them to be a top performing controls engineer.Key ResponsibilitiesDevelop and implement...


  • Jacksonville, United States JC HOME MEDICAL Full time

    Job DescriptionJob DescriptionOur company is seeking a dynamic talented billing and AR specialist for fast growing DME company. Responsibilities:Handling all aspects of Medicare billing and compliance for durable medical equipmentEnsuring and maintaining appropriate documentation and recordsEstablish problem resolution, preparation and submission of...

  • Medical Coder ONSITE

    3 months ago


    Jacksonville, United States Standard Technology Full time

    Job DescriptionJob DescriptionOUTPATIENT MEDICAL CODERPOSITION 100% ONSITE ! PHYSICAL LOCATION: Naval Hospital Jacksonville, 2080 Child Street, Jacksonville, FL 32212SUMMARY: Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS),...

  • Medical Coder ONSITE

    3 months ago


    Jacksonville, United States Standard Technology Full time

    Job DescriptionJob DescriptionOUTPATIENT MEDICAL CODERPOSITION 100% ONSITE ! PHYSICAL LOCATION: Naval Hospital Jacksonville, 2080 Child Street, Jacksonville, FL 32212SUMMARY: Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS),...