Coding and Billing Auditor

20 hours ago

Dover, Delaware, United States Global Path Resources Full time

Overview:

Performs data quality reviews on provider records to validate the ICD-10 codes, CPT codes and clinical documentation. Audits provider (physician and midlevel providers) records for accuracy of principal and secondary diagnosis and/or procedures and ensures compliance with all reporting and documentation requirements. Educates providers, coders and charge entry personnel on coding guidelines and documentation requirements. Provides coding support to BHMG coding and billing staff.

Responsibilities:

    1. Audits medical records for accurate CPT coding assignment. Compiles reports with an analysis of findings from the medical record audits. Ensures the selected CPT code supports the clinical documentation contained in patient record. Consistently meets established productivity targets for record audits.

  • Audits all establish provider medical records on by annual basis:

    a. Audits medical records for accurate CPT coding assignment.

    b. Maintains audit lodge for BHMG

    c. Compiles reports with an analysis of findings from the medical record audits.

    d. Ensures the selected CPT code supports the clinical documentation contained in patient record.

    e. Consistently meets established productivity targets for record audits.

  • Medical Staff Relationship:

    a. Communicates (verbal/written) with providers to validate observations and suggest additional and/or more specific documentation

    b. Designs and implements, in collaboration with the Revenue Cycle Manager specific tools to support medical record physician documentation.

    c. Develops and implements plans in coordination with the Revenue Cycle Manager for both formal and informal education of providers.

    d. Communicates to participants the benefits of complete clinical documentation.
  • Trains new employees on the BHMG revenue cycle team on coding and documentation guidelines
  • Assistant Revenue Cycle manager with evaluation of coding activities and the performance evaluation of the revenue cycle personnel as needed
  • Performs coding procedures as needed and warranted
  • Develops and implements plans in coordination with the Revenue Cycle Manager for both formal and informal education of providers.
  • All other duties as assigned within the scope and range of job responsibilities

Qualifications:

  • Education: Associate Degree Related field
  • Credential: Certified Professional Coder
  • Experience: Five (5) years in Inpatient /Outpatient coding and auditing experience

Job Type: Full-time

Pay: $53, $81,000.00 per year

Benefits:

  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Work Location: In person

  • Medical Billing Specialist

    1 week ago

    Dover, Delaware, United States Mental Edge Counseling, LLC. Full time

    About Us:We are a mission-driven outpatient mental health practice with offices in Delaware and North Carolina dedicated to delivering exceptional care to our clients. To support our operations, we are seeking a Medical Billing Specialist.Are you:A motivated & driven professional with minimal experience in medical billing?Eager to contribute to the growth of...

  • Grocery Manager

    17 hours ago

    Dover, Delaware, United States Redner's Jobs Full time

    POSITION TITLE: Grocery ManagerDEPARTMENT: GroceryREPORTS TO: Store Director and Assistant Store DirectorFLSA STATUS: Non-Exempt – 40 hoursJOB SUMMARY:To direct and manage all facets of the grocery department in a manner designed to obtain maximum sales, productivity, and profits.ESSENTIAL JOB FUNCTIONS:1) Achieve necessary sales and profit goals as...

  • Maintenance Director

    3 days ago

    Dover, Delaware, United States Bay Terrace Rehabilitation and Healthcare Center Full time

    UP TO $65,000 Per Year Depending Upon ExperienceCOMPETITIVE SALARY MEDICAL BENEFITS 401K MATCH TUITION REIMBURSEMENT SOFIWELLNESSBay Terrace Rehabilitation & Nursing Center in beautiful Dover, DE is hiring an experienced Maintenance Director to join our TeamThis position is at a Skilled Nursing and Rehabilitation Center. Prior nursing home experience is...

  • Fiscal Associate II

    5 days ago

    Dover, Delaware, United States State of Delaware Full time

    IntroductionThe Office of the Secretary provides leadership, overall policy guidance, and central administrative services to support the Department of Natural Resources and Environmental Control (DNREC).Click here for more information about the Office of the Secretary for DNREC.Summary StatementThis position will prepare, review and create all fiscal AP...

  • Project Engineer

    2 weeks ago

    Dover, Delaware, United States Allan Myers, Inc Full time $60,000 - $120,000 per year

    ResponsibilitiesAllan Myers is looking for an eager, hard-working, goal-driven Project Engineer who is passionate about the heavy civil construction industry. We will provide the training and resources to help you develop the skills required to successfully manage projects professionally and personally. We build things that matter and improve the communities...

  • Medical Coding

    2 weeks ago

    Dover, United States GENNTE Technologies Full time

    Job DescriptionJob is fully onsite. Must have CPC. Professional Physician coding experience is a must, auditing experience is preferred.Summary:Performs data quality reviews on provider records to validate the ICD-10 codes, CPT codes and clinical documentation. Audits provider (physician and midlevel providers) records for accuracy of principal and secondary...

  • Medical Coding

    2 weeks ago

    Dover, United States GENNTE Technologies Full time

    Job is fully onsite. Must have CPC. Professional Physician coding experience is a must, auditing experience is preferred.Summary:Performs data quality reviews on provider records to validate the ICD-10 codes, CPT codes and clinical documentation. Audits provider (physician and midlevel providers) records for accuracy of principal and secondary diagnosis...

  • Enterprise Internal Auditor

    1 week ago

    Dover, DE, United States Bayhealth Full time

    If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk? Bayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and...

  • Principal Auditor

    1 week ago

    Dover, United States Capital One Full time

    Principal Auditor (Experienced Senior Auditor), Global Payment Network (Hybrid) Capital Ones Audit function is a dedicated group of professionals focused on delivering top-quality assurance services to the organizations Audit Committee. Audit professionals are experienced, well-trained and credentialed, and operate within a collaborative, agile environment...

  • Billing & Collections Specialist

    3 weeks ago

    Dover, United States Delaware Staffing Full time

    Payer Billing & Collections SpecialistDatavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure,...

  • Coder II

    3 hours ago

    Dover, DE, United States Delaware Staffing Full time

    Baylor Scott & White Health Job Posting Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle...

  • Coder II

    2 hours ago

    Dover, DE, United States Delaware Staffing Full time

    Baylor Scott & White Health Job Posting Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle...

  • Coder II

    44 minutes ago

    Dover, DE, United States Delaware Staffing Full time

    Baylor Scott & White Health Job Posting Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle...

  • Coder II

    57 minutes ago

    Dover, DE, United States Delaware Staffing Full time

    Baylor Scott & White Health Job Posting Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle...

  • Coder II

    16 minutes ago

    Dover, DE, United States Delaware Staffing Full time

    Baylor Scott & White Health Job Posting Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle...