Profee Coding Auditor

2 weeks ago


Houston, Texas, United States Insight Global Healthcare Full time
Job Summary

A healthcare employer in Houston, TX is seeking a Coding Auditor to join their team. This position is remote, but candidates must live in the following states: TX, OK, LA, TN, FL, South Carolina, GA and NE.

This position will audit and educate our coders (internal and onsite coders approx. 40+ coders). The person in this position will audit 80-85% of the time with education to the coders based on auditing results.

Key Responsibilities:

  • Audit and educate coders on coding compliance policies, official coding guidelines, regulatory requirements and internal policies and procedures affecting the coding process.
  • Ensure accurate and compliant coding practices across the organization.
  • Develop and maintain coding compliance policies and procedures.
  • Collaborate with coding team to ensure consistent and accurate coding practices.

Requirements:

  • 2 yrs experience auditing profee coders
  • 5 yrs of Profee Coding experience
  • Experience with at least 2 of the following specialties -- Urology, Bariatrics, Cardiology, Gastroenterology, OB/GYN or Pediatrics
  • Strong experience with E/M leveling
  • CPC or COC Coding Certification from AAPC
  • Knowledge of coding compliance policies, official coding guidelines, regulatory requirements and internal policies and procedures affecting the coding process
  • Must reside in one of the following states: TX, OK, LA, TN, FL, SC, GA and NE

Nice to Have:

  • CPMA
  • Bachelor's Degree

Exact compensation may vary based on several factors, including skills, experience, and education.

Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.


  • Profee Coding Auditor

    4 weeks ago


    Houston, Texas, United States Insight Global Healthcare Full time

    Job OpportunityWe are seeking a skilled Profee Coding Auditor to join our team at Insight Global Healthcare.Job Summary:A healthcare employer in Houston, TX is looking for a Coding Auditor to audit and educate their coders. The ideal candidate will have 2+ years of experience auditing profee coders, 5+ years of profee coding experience, and knowledge of...

  • Profee Auditor

    2 weeks ago


    Houston, Texas, United States Insight Global Full time

    Job Title: Profee AuditorWe are seeking a skilled Profee Auditor to join our team at Insight Global. As a Profee Auditor, you will be responsible for auditing and educating our coders on proper coding practices.Responsibilities:Audit and educate our coders on proper coding practicesEnsure compliance with coding guidelines and regulationsCollaborate with our...

  • Profee Auditor

    2 weeks ago


    Houston, Texas, United States Insight Global Full time

    Profee Auditor Job DescriptionWe are seeking a skilled Profee Auditor to join our team at Insight Global. As a Profee Auditor, you will be responsible for auditing coders who code from operative reports to ensure accuracy and compliance with coding guidelines.Key Responsibilities:Audit coders who code from operative reports to ensure accuracy and compliance...


  • Houston, Texas, United States Insight Global Full time

    Coding Auditor Job DescriptionWe are seeking a skilled Coding Auditor to join our team at Insight Global. As a Coding Auditor, you will be responsible for auditing and educating our coders on coding compliance policies and procedures.Key Responsibilities:Audit and educate coders on coding compliance policies and proceduresEnsure accurate and compliant coding...


  • Houston, Texas, United States Insight Global Full time

    Job DescriptionA healthcare employer in Houston, TX is seeking a Urology Surgery Pro Fee Coder to join their team. The ideal candidate needs to have experience reading operative reports and deciding what codes and modifiers should be selected for billing. Accurately code conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding...


  • Houston, Texas, United States Insight Global Full time

    Urology Surgery Pro Fee Coder Job DescriptionWe are seeking a skilled Urology Surgery Pro Fee Coder to join our team at Insight Global. As a Pro Fee Coder, you will be responsible for reviewing clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting,...


  • Houston, Texas, United States Insight Global Full time

    Urology Surgery Pro Fee Coder Job DescriptionWe are seeking a skilled Urology Surgery Pro Fee Coder to join our team at Insight Global. As a Urology Surgery Pro Fee Coder, you will be responsible for reviewing clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and...


  • Houston, Texas, United States Insight Global Full time

    Urology Surgery Pro Fee Coder Job DescriptionWe are seeking a highly skilled Urology Surgery Pro Fee Coder to join our team at Insight Global. As a Urology Surgery Pro Fee Coder, you will be responsible for reviewing clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal...

  • Image Review Auditor

    2 weeks ago


    Houston, Texas, United States Bickham Services Unlimited, LLC Full time

    Job SummaryThe Image Review Auditor is responsible for ensuring the accuracy of internal and vendor-processed images. This involves reviewing and verifying that the correct application methods have been used for license plate numbers, plate state codes, plate types, vehicle types, and any plate number prefixes and suffixes. The successful candidate will also...

  • Premium Auditor

    1 month ago


    Houston, Texas, United States Davies Risk Services Full time

    Job Opportunity at Davies Risk ServicesWe are seeking a highly motivated and detail-oriented individual to join our team as a Premium Auditor. As a Premium Auditor, you will be responsible for conducting on-site reviews of business operations, financial records, and verifying class codes assigned per industry and client standards.Key Responsibilities:Conduct...

  • Night Auditor

    2 weeks ago


    Houston, Texas, United States Moody Full time

    Job Title: Night AuditorAt Moody, we prioritize creating a culture based on trust, respect, and hard work. We encourage our team members to reach higher, learn more, and live up to their potential, delivering exceptional real estate solutions to our customers.The Residence Inn by Marriott Houston Medical Center/NRG Park, managed by Moody National Management...


  • Houston, Texas, United States MD Anderson Cancer Center Full time

    About the RoleThe Coding Training Coordinator will be responsible for designing and delivering effective training programs to support user duties, monitoring and evaluating the quality of coded data, and maintaining institutional, compliance, and departmental policies in accordance with the rules and regulations set forth by the Centers for Medicare and...


  • Houston, Texas, United States The Menninger Clinic Full time

    Job SummaryThe Physician Billing Auditor will be responsible for performing coding audits of the documentation and billing for professional services. This role requires a strong understanding of ICD-10, CPT, HCPCS, and CMS guidelines. The ideal candidate will have experience in revenue cycle and hospital settings, with knowledge of Microsoft Office,...


  • Houston, Texas, United States The Menninger Clinic Full time

    Job DescriptionWe are seeking a skilled Physician Billing Auditor to join our team at The Menninger Clinic.Key Responsibilities:Coding Audits: Perform thorough coding audits of medical documentation and billing for professional services, ensuring accuracy and compliance with ICD-10, CPT, HCPCS, and CMS guidelines.Documentation Review: Evaluate the quality of...

  • Lottery Auditor

    2 weeks ago


    Houston, Texas, United States CAPPS, Inc. Full time

    Job Summary:Performs moderately complex (journey-level) bingo audit work. Examines, investigates, and reviews records, reports, financial statements, information systems, and management practices to ensure compliance with state statutes and internal policies and procedures. Conducts audits for program economy, efficiency, and effectiveness. Assists in the...


  • Houston, Texas, United States Memorial Hermann Health System Full time

    Clinical Documentation Improvement AuditorAt Memorial Hermann Health System, we strive to deliver exceptional patient care while fostering a culture of compassion, innovation, and excellence. As a Clinical Documentation Improvement Auditor, you will play a vital role in ensuring the accuracy and completeness of medical records, driving quality improvement...


  • Houston, Texas, United States Amerapex Corporation Full time

    Job SummaryAmerapex Corporation seeks a skilled Financial Reporting Specialist to prepare and analyze financial reports, ensuring accurate and timely information for management and stakeholders.Key ResponsibilitiesPrepare periodic balance sheets, income statements, and profit and loss statements.Maintain the general ledger and reconcile accounts.Code...

  • Financial Analyst

    4 weeks ago


    Houston, Texas, United States Amerapex Full time

    Job SummaryThe Amerapex accountant will prepare financial reports to track the organization's assets, liabilities, profit and loss, tax liabilities, and other related financial activities. This role requires a strong understanding of generally accepted accounting principles and the ability to maintain accurate and up-to-date financial records.Duties and...


  • Houston, Texas, United States Tulsa Inspection Resources, LLC Full time

    Job SummaryThis role requires a seasoned professional to oversee the quality control processes for a Tunnel Project from inception to completion.Key ResponsibilitiesEnsure adherence to company quality control standards and enforce contract specifications, welding procedures, and qualifications.Act as a point of escalation for technical issues within the...


  • Houston, Texas, United States Raise Full time

    Job Title: Pipeline Quality InspectorWe are seeking a highly motivated and experienced Pipeline Quality Inspector to join our team at Raise PBC.Job Summary:The successful candidate will be responsible for monitoring processes and procedures for a Tunnel Project from start to completion, ensuring compliance with US codes and standards for Tunnel construction,...