inpatient coding quality audit reviewer

Medical City Healthcare

<div><h5 class="jobSectionHeader">Introduction</h5>
Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as an Inpatient Coding Quality Audit Reviewer today with Parallon.
This is a work from home position!
Schedule: Monday-Friday Day Shift!<h5 class="jobSectionHeader">
Benefits</h5>
Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li><li>
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing 
</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) 
</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock 
</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance. 
</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more 
</li><li>
Consumer discounts through Abenity and Consumer Discounts 
</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships 
</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships) 
</li><li>
Colleague recognition program 
</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) 
</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul> 
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location. 
Come join our team as an Inpatient Coding Quality Audit Reviewer. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5>
As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments.
What you will do in this role:
<ul><li>Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and/or outpatient coding across multiple HSCs</li><li>
Assists in ensuring HSC coding staff adherence with coding guidelines and policy</li><li>
Demonstrates and applies expert level knowledge of medical coding practices and concepts</li><li>
Participates on special reviews or projects</li><li>
Maintains or exceeds 95% productivity standards</li><li>
Maintains or exceeds 95% accuracy</li><li>
Meets all educational requirements as stated in current Company policy</li><li>
Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current
</li></ul>What qualifications you will need:<ul><li>
High school diploma and/or GED preferred</li><li>
Undergraduate degree in HIM/HIT preferred</li><li>
Minimum of 3 years acute care inpatient/outpatient coding experience preferred</li><li>
Minimum of 3 years coding auditing/monitoring experience strongly preferred</li><li>
RHIA, RHIT and/or CCS preferred</li><li>
Please visit our Parallon HCA Healthcare Coding Landing Page for more information on Coding Opportunities.
</li></ul>CLICK HERE for more information on Parallon HCA Coding
&quot;
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
&quot; 
&quot;The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Coding Quality Audit Reviewer opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Inpatient Coding Quality Audit Reviewer

HCA Florida Capital Hospital

Grand Strand Medical Center

Parkridge Health System

Sunrise Hospital & Medical Center

<div>Hourly Wage Estimate: $34.59 - $51.89 / hour 
Learn more about the benefits offered for this job. 
The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.<h5 class="jobSectionHeader">
Introduction</h5>
Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as an Inpatient Coding Quality Audit Reviewer today with Parallon.
This is a work from home position!
Schedule: Monday-Friday Day Shift!<h5 class="jobSectionHeader">
Benefits</h5>
Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li><li>
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing 
</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) 
</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock 
</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance. 
</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more 
</li><li>
Consumer discounts through Abenity and Consumer Discounts 
</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships 
</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships) 
</li><li>
Colleague recognition program 
</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) 
</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul> 
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location. 
Come join our team as an Inpatient Coding Quality Audit Reviewer. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5>
As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments.
What you will do in this role:
<ul><li>Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and/or outpatient coding across multiple HSCs</li><li>
Assists in ensuring HSC coding staff adherence with coding guidelines and policy</li><li>
Demonstrates and applies expert level knowledge of medical coding practices and concepts</li><li>
Participates on special reviews or projects</li><li>
Maintains or exceeds 95% productivity standards</li><li>
Maintains or exceeds 95% accuracy</li><li>
Meets all educational requirements as stated in current Company policy</li><li>
Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current
</li></ul>What qualifications you will need:<ul><li>
High school diploma and/or GED preferred</li><li>
Undergraduate degree in HIM/HIT preferred</li><li>
Minimum of 3 years acute care inpatient/outpatient coding experience preferred</li><li>
Minimum of 3 years coding auditing/monitoring experience strongly preferred</li><li>
RHIA, RHIT and/or CCS preferred</li><li>
Please visit our Parallon HCA Healthcare Coding Landing Page for more information on Coding Opportunities.
</li></ul>CLICK HERE for more information on Parallon HCA Coding
&quot;
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
&quot; 
&quot;The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Coding Quality Audit Reviewer opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

UASI

<div>Are you ready to take your skills to the next level? At UASI, we're proud to work with the top hospitals and HIM experts in the industry and we're looking for talented professionals like you to join our team!

We currently have an exciting remote opportunity for an experienced inpatient SMART Auditor. This position offers the best of both worlds: the challenge and reward of using and growing your coding expertise, combined with the flexibility and convenience of working from home.

Position Overview:

As a SMART Auditor, you'll be responsible for conducting inpatient coding reviews and SMART audits, as well as providing feedback and education. The ideal candidate will be detail-oriented and committed to quality, self-motivated, flexible and adaptable to change.

Qualifications:
<ul>
<li>RHIA, RHIT, or CCS certification required</li>
<li>2&ndash;3 years of recent inpatient coding and auditing experience in an acute care setting</li>
<li>Experience with the SMART Audit tool is essential</li>
<li>Strong technical skills, including experience with VPNs, multi-factor authentication, and video conferencing tools</li>
<li>Proficiency in Microsoft Office, particularly Outlook (email and calendar) and Excel</li>
<li>A consistent, reliable work schedule and punctual attendance</li>
<li>Ability to meet productivity goals while maintaining 95%+ coding accuracy</li></ul> 


Why UASI?

UASI provides employees with the tools needed for professional growth and development. We also recognize that our employees are our greatest asset and in return for your talents, we offer a dynamic work environment, career-growth and development, strong leadership and TOP PAY!

Ready to take the next step in your career?

 Call us at 800.526.0594 
 Email: HR@uasisolutions.com 
 Visit: www.uasisolutions.com</div>

SMART Auditor

TEEMA

<div>Claims Reviewer Opportunity
Join a dynamic team where your expertise in claims review can make a real difference! We're looking for a detail-oriented Claims Reviewer who can apply clinical and coding knowledge to ensure accurate claims processing. If you have a strong foundation in medical claims and are passionate about quality, we want to hear from you!
Position Highlights<ul><li>
Role: Conduct retrospective review of medical, surgical, and behavioral health claims.</li><li>
Focus: Evaluate claims for medical necessity, appropriateness, and adherence to program benefits.</li><li>
Collaboration: Work closely with medical directors, providers, peer reviewers, and various internal teams.</li></ul>
Key Responsibilities<ul><li>
Review and validate claims using established criteria and processing guidelines.</li><li>
Prepare cases for payment or further review.</li><li>
Identify opportunities for process improvement and flag quality or fraud concerns.</li><li>
Support peers and clinical/non-clinical staff with claims and coding inquiries.</li></ul>
What You Bring<ul><li>
Required:<ul><li>
High School Diploma or GED.</li><li>
2+ years of experience in medical claims review.</li><li>
Familiarity with medical claims processing and terminology.</li></ul></li><li>
Preferred:<ul><li>
Coding experience.</li><li>
Knowledge of behavioral health claims.</li></ul></li></ul>
Skills for Success<ul><li>
Strong technical skills in claims tools (e.g., CDST, Supercoder).</li><li>
Organizational and team-building abilities.</li><li>
Resilience in a fast-paced, high-intensity environment.</li><li>
Effective communication and problem-solving.</li></ul>
Additional Requirements<ul><li>
Must pass background, credit, and drug screening.</li><li>
Adherence to federal THC policies (medical card required if applicable).</li></ul>
Eligible Locations 
The position is remote, but you can only reside in the following states: AK, AR, AZ, CO, DC, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NC, ND, NE, NM, NV, OK, OR, SC, SD, TN, TX, UT, VA, WA, WI, WY.
Ready to bring your claims expertise to a rewarding role? Apply today to be part of our team!
#Workwolf #BCDC_Consulting</div>

Claims Reviewer

Search 10000+ Inpatient coding quality audit reviewer jobs near you this April. New roles added regularly across leading industries. Apply today.

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