Ambulatory Medical Coding Auditor-- ONSITE
1 month ago
This position is 100% ONSITE at 43 Smith Rd, Bldg. 23, Newport, RI 02841.
The Qualified candidate is responsible for the auditing of medical documentation and codes for compliance with federal coding regulations and guidelines. This will include the assignment of ICD, Current Procedure Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) codes, modifiers, and quantities as documented by the physician. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities.
Mandatory knowledge and skills.
- Knowledge of auditing concepts and principles.
- Advanced knowledge of medical coding and billing systems and regulatory requirements.
- Strong communication and interpersonal skills.
- Knowledge of legal, regulatory, and policy compliance issues related to medical coding and billing procedures and documentation.
- Knowledge of current and developing issues and trends in medical coding procedures requirements.
- Detailed knowledge of medical coding systems, procedures, and documentation requirements.
- Ability to adapt and modify medical billing procedures, protocol, and data management systems to meet specific operating requirements.
- Ability to clearly communicate medical information to professional practitioners and/or the general public.
- Ability to use independent judgment and to manage and impart confidential information.
- Ability to analyze and solve problems.
- Ability to provide guidance and training to professional and technical staff in area of expertise.
- Computer literate, with knowledge of coding and auditing packages, mainframe and office software applications.
Experience
MUST HAVE a minimum of 5 years medical coding experience (encompassing multiple clinical specialties) and a minimum of 2 years of medical auditing experience within the last 3 years and three years of medical auditing experience within the last eight years is required.
MHS/DOD experience is preferred.
Experience with Armed Forces Health Longitudinal Technology Application (AHLTA); Composite Health Care systems (CHCS) and/or MHS GENESIS; Military Filing System - by sponsor social security number, terminal digit order, color-coded and blocked filing system; Contents of a military medical record, layout, sections, family member prefix designation, forms used in a MTF, and the medical record tracking procedures; Coding Compliance Editor (CCE) Systems and MHS Coding Guidelines and NHCNE - Bureau of Medicine and Surgery (BUMED) Outpatient Coding Protocol Plans is preferred.
Certification--MUST HAVE AT LEAST ONE CODING CERTIFICATION PREFERABLY A CODING CERTIFICATE and CPMA
Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), Certified Coder Specialist-Physician (CCS-P), and/or Certified Coder Specialist (CCS) are acceptable with a minimum of 5 years medical coding experience (encompassing multiple clinical specialties) and 3 years of medical auditing experience within the last eight years is required. The candidates possessing a Certified Professional Medical Auditor (CPMA) certification must have a minimum of 2 years medical auditing experience within the last 5 years of medical coding experience (encompassing multiple clinical specialties).
May require less than 10% local travel
Must provide proof of immunizations, including COVID vaccination, annual flu and TB testing.
Must be able to obtain/maintain government issued security clearance (US citizenship is a requirement).
This contractor and subcontractor shall abide by the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). These regulations prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity or national origin. Moreover, these regulations require that covered prime contractors and subcontractors take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
PI0524c51aa1-
-
Ambulatory Medical Coding Auditor-- ONSITE
2 weeks ago
Newport, RI, United States Standard Technology Full timeThis position is 100% ONSITE at 43 Smith Rd, Bldg. 23, Newport, RI 02841.The Qualified candidate is responsible for the auditing of medical documentation and codes for compliance with federal coding regulations and guidelines. This will include the assignment of ICD, Current Procedure Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS)...
-
Onsite Medical Coding Auditor
1 week ago
Newport, Rhode Island, United States Standard Technology Full timePosition OverviewThis role is exclusively onsite. The selected candidate will be tasked with the examination of medical records and coding for adherence to federal coding standards and regulations. Responsibilities include the accurate assignment of ICD, CPT, and HCPCS codes, along with necessary modifiers and quantities as recorded by healthcare providers....
-
Onsite Medical Coding Auditor
1 week ago
Newport, Rhode Island, United States Standard Technology Full timePosition Overview:This role is entirely onsite and involves the critical task of reviewing medical documentation and coding to ensure adherence to federal coding standards and regulations. The selected candidate will be responsible for assigning ICD, CPT, and HCPCS codes, as well as modifiers and quantities as indicated by healthcare providers. Additionally,...
-
Onsite Medical Coding Auditor
1 week ago
Newport, Rhode Island, United States Standard Technology Full timePosition OverviewThis role requires an individual to work onsite and involves a thorough review of medical documentation and coding practices to ensure adherence to federal coding standards and regulations. The selected candidate will be tasked with assigning ICD, CPT, and HCPCS codes, along with relevant modifiers and quantities as indicated by healthcare...
-
Medical Coding Educator
3 weeks ago
Akron, OH, United States Akron Children's Hospital Full timeFull-time, 40 Hours/WeekDay ShiftHybrid (Onsite 2-3 Days/Week)Summary:The Medical Coding Educator is responsible for training services and support at various levels within the organization in relation to coding and compliance. Responsibilities:· Coordinate and conduct training and mentorship of personnel who are new to the Professional Coding department. ...
-
Coding Specialist II
1 month ago
Elkridge, MD, United States MEDSTAR HEALTH Full timeGeneral Summary of PositionMedStar Health is currently seeking a CPC Coding Specialist with at least 3 years of coding experience to join our MedStar Ambulatory Surgery Center team! This is a full time, Monday-Friday position, with a hybrid schedule after the successful completion of the 90-day probationary period (training period is full time...
-
Coding Specialist II
1 month ago
Elkridge, MD, United States MEDSTAR HEALTH Full timeGeneral Summary of PositionMedStar Health is currently seeking a CPC Coding Specialist with at least 3 years of coding experience to join our MedStar Ambulatory Surgery Center team! This is a full time, Monday-Friday position, with a hybrid schedule after the successful completion of the 90-day probationary period (training period is full time...
-
Auditor-Trainer for Professional Fee Coding
1 month ago
Albuquerque, NM, United States Presbyterian Healthcare Services Full timeOverview:Now hiring an Auditor Trainer for Professional Fee Coding!Candidate must reside in Albuquerque, Rio Rancho, Bernalillo, and/or Los Lunas, New Mexico area!This position is eligible for $7,500 funds to assist with the cost of relocation. Apply today to be considered!With minimal supervision directly supports the following responsibilities of the...
-
Medical Coding Specialist
1 week ago
Long Beach, CA, United States Argus Medical Management, LLC Full timeArgus Medical Management, a leading physician practice management company based in Long Beach, CA, is on the lookout for a talented Medical Coder to enhance our dynamic Coding Department. With a robust history of excellence and innovation, we provide comprehensive services—including billing, staffing, credentialing, marketing, systems, accounting, and...
-
Medical Coding Specialist
3 days ago
Long Beach, CA, United States Argus Medical Management, LLC Full timeArgus Medical Management, a leading physician practice management company based in Long Beach, CA, is on the lookout for a talented Medical Coder to enhance our dynamic Coding Department. With a robust history of excellence and innovation, we provide comprehensive services-including billing, staffing, credentialing, marketing, systems, accounting, and...
-
Ambulatory Surgery Center OR Nurse
2 days ago
, TX, United States North Central Methodist Ambulatory Surgery Center Full timeAbout the RoleWe are seeking an experienced Operating Room Nurse to join our team at North Central Methodist Ambulatory Surgery Center. As a key member of our surgical team, you will be responsible for providing high-quality patient care and ensuring a smooth and efficient surgical experience.Key ResponsibilitiesOversee the instrument and equipment set-up...
-
Ambulatory Clinical Pharmacist
1 week ago
Newark, NJ, United States Shields Health Solutions Full timeAt Shields, we pride ourselves on our culture of inclusion and kindness and the difference we make in patients' lives every day. We are tremendously proud to be certified as a 'Great Place to Work' four years in a row. In 2022, we were awarded US Fortune Best Workplaces in Health Care , Fortune Best Workplaces for Millennials & Fortune Best Workplaces for...
-
Ambulatory Clinical Pharmacist
1 week ago
Newark, NJ, United States Shields Health Solutions Full timeAt Shields, we pride ourselves on our culture of inclusion and kindness and the difference we make in patients' lives every day. We are tremendously proud to be certified as a 'Great Place to Work' four years in a row. In 2022, we were awarded US Fortune Best Workplaces in Health Care™, Fortune Best Workplaces for Millennials™ & Fortune Best Workplaces...
-
Medical Coding and Billing Specialist
2 weeks ago
Highlands Ranch, CO, United States OnPoint Medical Group Full timeCompany Overview: OnPoint Medical Group is a physician-led network dedicated to enhancing access to quality healthcare through a collaborative approach among skilled Primary and Urgent care providers. Mission: Our primary objective is to ensure the health and wellness of our members and their families by offering a comprehensive range of medical services...
-
Night Auditor
3 months ago
Newport, United States Hotel Viking Newport Full timeProperty Description: Hotel Viking, located in the heart of Newport, Rhode Island, is seeking talented individuals to join our team. As a historic and luxurious property offering unparalleled hospitality, Hotel Viking is the perfect place to further your career in the hospitality industry. With its breathtaking views, elegant accommodations, and exceptional...
-
Medical Coding Supervisor
3 days ago
Brockton, MA, United States Clinical Management Consultants Full timeA leading acute care hospital located in eastern Massachusetts is now searching for an experienced Medical Coding Supervisor to join their award-winning healthcare team This not-for-profit acute care hospital is a respected healthcare facility with a long-standing history of providing a range of quality medical services to the local community. Committed to...
-
RN Clinical Reviewer
1 month ago
00916, PR, United States Optum Full timeJob DescriptionOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and...
-
DRG Auditor
2 months ago
United States Waystar Full timeABOUT THIS POSITIONWe are looking for a Revenue Integrity DRG Auditor who has a comprehensive understanding of hospital Revenue Cycle Management. Significant experience in the following areas: hospital inpatient coding, DRG assignment, charge capture, and hospital reimbursement methodologies. The candidate must have experience with using excel and performing...
-
Raleigh, NC, United States Clinical Management Consultants Full timeA unique opportunity is readily available as an Ambulatory Surgery Center Business Office Manager ASC in North Carolina. This Ambulatory Surgery Center is affiliated with a reputable health system in the area, and is specialized in general surgery, urology, gynecology, pain, and ortho procedures. The Surgery Center is rapidly growing, and is expected to...
-
Raleigh, NC, United States Clinical Management Consultants Full timeA unique opportunity is readily available as an Ambulatory Surgery Center Business Office Manager ASC in North Carolina. This Ambulatory Surgery Center is affiliated with a reputable health system in the area, and is specialized in general surgery, urology, gynecology, pain, and ortho procedures. The Surgery Center is rapidly growing, and is expected to...