The Medicare Compliance Auditor reports to the Director of Clinical Education and, through auditing ... Modeling the company's 'Better Way Promises' and Standards of Code of Conduct and Compliance; and
The Medicare Compliance Auditor reports to the Director of Clinical Education and, through auditing ... Modeling the company's 'Better Way Promises' and Standards of Code of Conduct and Compliance; and
Compliance Auditor
Murfreesboro, TN · On-site
The Medicare Compliance Auditor reports to the Director of Clinical Education and, through auditing ... Modeling the company's 'Better Way Promises' and Standards of Code of Conduct and Compliance; and
Compliance Auditor
Murfreesboro, TN · On-site
The Medicare Compliance Auditor reports to the Director of Clinical Education and, through auditing ... Modeling the company's 'Better Way Promises' and Standards of Code of Conduct and Compliance; and
REV INTEGRITY AUDITOR SR
Knoxville, TN · On-site
$77K - $95K/yr
Revenue Integrity Auditor Sr. Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health ... Performs research and analysis of charges, CPT coding, modifiers and billing processes to ensure ...
REV INTEGRITY AUDITOR SR
Knoxville, TN · On-site
$77K - $95K/yr
Revenue Integrity Auditor Sr. Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health ... Performs research and analysis of charges, CPT coding, modifiers and billing processes to ensure ...
REV INTEGRITY AUDITOR SR
Knoxville, TN · On-site
$77K - $95K/yr
Overview Revenue Integrity Auditor Sr. Full Time, 80 Hours Per Pay Period, Day Shift Covenant ... Performs research and analysis of charges, CPT coding, modifiers and billing processes to ensure ...
REV INTEGRITY AUDITOR SR
Knoxville, TN · On-site
$77K - $95K/yr
Overview Revenue Integrity Auditor Sr. Full Time, 80 Hours Per Pay Period, Day Shift Covenant ... Performs research and analysis of charges, CPT coding, modifiers and billing processes to ensure ...
Claims Auditor- Remote
Franklin, TN · On-site +1
Proficient in processing/auditing claims for Medicare and Medicaid plans * Strong knowledge of CMS ... Two (2) years' experience with standard coding and reference materials used in a claim setting ...
Claims Auditor- Remote
Franklin, TN · On-site +1
Proficient in processing/auditing claims for Medicare and Medicaid plans * Strong knowledge of CMS ... Two (2) years' experience with standard coding and reference materials used in a claim setting ...
Apply and disseminate current billing and coding regulations, auditing, and professional standards. * Identify process improvement opportunities that enhance the performance of the department and/or ...
Apply and disseminate current billing and coding regulations, auditing, and professional standards. * Identify process improvement opportunities that enhance the performance of the department and/or ...
Oversees through monitoring and by reviewing and auditing the coding staff to ensure position accountabilities and performance criteria are adhered to. * Develops and maintains departmental and ...
Oversees through monitoring and by reviewing and auditing the coding staff to ensure position accountabilities and performance criteria are adhered to. * Develops and maintains departmental and ...
CODING SPEC-CLINIC
Knoxville, TN · On-site
Oversees through monitoring and by reviewing and auditing the coding staff to ensure position accountabilities and performance criteria are adhered to. * Develops and maintains departmental and ...
CODING SPEC-CLINIC
Knoxville, TN · On-site
Oversees through monitoring and by reviewing and auditing the coding staff to ensure position accountabilities and performance criteria are adhered to. * Develops and maintains departmental and ...
CODING SPEC-CLINIC
Knoxville, TN · On-site
Oversees through monitoring and by reviewing and auditing the coding staff to ensure position accountabilities and performance criteria are adhered to. * Develops and maintains departmental and ...
CODING SPEC-CLINIC
Knoxville, TN · On-site
Oversees through monitoring and by reviewing and auditing the coding staff to ensure position accountabilities and performance criteria are adhered to. * Develops and maintains departmental and ...
CODING SPEC-CLINIC
Knoxville, TN · On-site
Oversees through monitoring and by reviewing and auditing the coding staff to ensure position accountabilities and performance criteria are adhered to. * Develops and maintains departmental and ...
CODING SPEC-CLINIC
Knoxville, TN · On-site
Oversees through monitoring and by reviewing and auditing the coding staff to ensure position accountabilities and performance criteria are adhered to. * Develops and maintains departmental and ...
Oversees through monitoring and by reviewing and auditing the coding staff to ensure position accountabilities and performance criteria are adhered to. * Develops and maintains departmental and ...
Oversees through monitoring and by reviewing and auditing the coding staff to ensure position accountabilities and performance criteria are adhered to. * Develops and maintains departmental and ...
Oversees through monitoring and by reviewing and auditing the coding staff to ensure position accountabilities and performance criteria are adhered to. * Develops and maintains departmental and ...
Oversees through monitoring and by reviewing and auditing the coding staff to ensure position accountabilities and performance criteria are adhered to. * Develops and maintains departmental and ...
CODING SPEC-CLINIC
Knoxville, TN · On-site
Oversees through monitoring and by reviewing and auditing the coding staff to ensure position accountabilities and performance criteria are adhered to. * Develops and maintains departmental and ...
CODING SPEC-CLINIC
Knoxville, TN · On-site
Oversees through monitoring and by reviewing and auditing the coding staff to ensure position accountabilities and performance criteria are adhered to. * Develops and maintains departmental and ...
CODING SPEC-CLINIC
Knoxville, TN · On-site
Oversees through monitoring and by reviewing and auditing the coding staff to ensure position accountabilities and performance criteria are adhered to. * Develops and maintains departmental and ...
CODING SPEC-CLINIC
Knoxville, TN · On-site
Oversees through monitoring and by reviewing and auditing the coding staff to ensure position accountabilities and performance criteria are adhered to. * Develops and maintains departmental and ...
Auditor
Memphis, TN · On-site
$20.35/hr
... and production code dates are properly recorded. Ensure the quantity, quality, labeling, and ... Auditor Shift: Weekend 6:00 AM - 6:30 PM , Friday - Sunday, Overtime as needed Pay: $20.35 per hour ...
Auditor
Memphis, TN · On-site
$20.35/hr
... and production code dates are properly recorded. Ensure the quantity, quality, labeling, and ... Auditor Shift: Weekend 6:00 AM - 6:30 PM , Friday - Sunday, Overtime as needed Pay: $20.35 per hour ...
Internal Auditor IV - VSIC
Nashville, TN · On-site
$94K - $134K/yr
The Internal Auditor assists in developing the audit program and framework, and independently ... Knowledge of the IIA Code of Ethics and ability to demonstrate full compliance. * Ability to ...
Internal Auditor IV - VSIC
Nashville, TN · On-site
$94K - $134K/yr
The Internal Auditor assists in developing the audit program and framework, and independently ... Knowledge of the IIA Code of Ethics and ability to demonstrate full compliance. * Ability to ...
Internal Auditor IV - VSIC
Nashville, TN · On-site
$94K/yr
The Internal Auditor assists in developing the audit program and framework, and independently ... Knowledge of the IIA Code of Ethics and ability to demonstrate full compliance. * Ability to ...
Internal Auditor IV - VSIC
Nashville, TN · On-site
$94K/yr
The Internal Auditor assists in developing the audit program and framework, and independently ... Knowledge of the IIA Code of Ethics and ability to demonstrate full compliance. * Ability to ...
$22.25 - $29.50/hr
One (1) or more years of experience in E/M auditing required. Three (3) years of medical coding ... experience with demonstrated knowledge of ICD10, CPT, and HCPCS coding systems required. Certified ...
$22.25 - $29.50/hr
One (1) or more years of experience in E/M auditing required. Three (3) years of medical coding ... experience with demonstrated knowledge of ICD10, CPT, and HCPCS coding systems required. Certified ...
$22.25 - $29.50/hr
One (1) or more years of experience in E/M auditing required. Three (3) years of medical coding ... experience with demonstrated knowledge of ICD10, CPT, and HCPCS coding systems required. Certified ...
$22.25 - $29.50/hr
One (1) or more years of experience in E/M auditing required. Three (3) years of medical coding ... experience with demonstrated knowledge of ICD10, CPT, and HCPCS coding systems required. Certified ...
The Internal Auditor assists in developing the audit program and framework, and independently ... Knowledge of the IIA Code of Ethics and ability to demonstrate full compliance. * Ability to ...
The Internal Auditor assists in developing the audit program and framework, and independently ... Knowledge of the IIA Code of Ethics and ability to demonstrate full compliance. * Ability to ...
Coding Auditor information
See Tennessee salary details
$18.98 - $20.29
1% of jobs
$20.29 - $21.60
1% of jobs
$21.60 - $22.91
3% of jobs
$23.77 is the 25th percentile. Wages below this are outliers.
$22.91 - $24.22
30% of jobs
$24.22 - $25.53
7% of jobs
The median wage is $26.36 / hr.
$25.53 - $26.84
12% of jobs
$27.51 is the 75th percentile. Wages above this are outliers.
$26.84 - $28.14
40% of jobs
$28.14 - $29.45
1% of jobs
$29.45 - $30.76
1% of jobs
$30.76 - $32.07
1% of jobs
$32.07 - $33.38
2% of jobs
$18
$26
$33
How much do coding auditor jobs pay per hour?
What are some common challenges faced by Coding Auditors in ensuring accurate medical coding compliance?
What is a Coding Auditor?
What Is a Coding Auditor?
A coding auditor reviews and evaluates medical coding to ensure the accuracy of patient records and billing. As a coding auditor, your job duties include inspecting medical coding documents for errors, correcting mistakes, reporting repeated errors to management, conducting inquiries into departments that output a significant number of coding mistakes, and providing training and education to medical coding clerks. You need extensive knowledge of ICD-9 and CPT codes to make sure that the medical coding documents you review are accurate and that patients receive accurate bills for their medical services.
What are the key skills and qualifications needed to thrive as a Coding Auditor, and why are they important?
What is the difference between Coding Auditor vs Medical Coder?
| Aspect | Coding Auditor | Medical Coder |
|---|---|---|
| Certifications | AHIMA or AAPC certifications, such as CCS or CPC-A | AHIMA or AAPC certifications, such as CPC or CCS |
| Work Environment | Healthcare facilities, insurance companies, or consulting firms | Hospitals, clinics, physician offices, or outpatient facilities |
| Primary Responsibilities | Review and ensure coding accuracy, compliance, and documentation quality | Assign medical codes based on patient records for billing and documentation |
| Industry Usage | Used in healthcare compliance and auditing departments | Used in medical billing and coding departments |
While both Coding Auditors and Medical Coders work with medical codes and require similar certifications, Coding Auditors focus on reviewing and verifying coding accuracy and compliance, whereas Medical Coders are responsible for assigning the correct codes to patient records. Their roles often overlap but serve different functions within healthcare organizations.
National HealthCare Corporation rating
5.7
Based on 147 frontline employees who took The Breakroom Quiz
778th of 872 rated healthcare providers
Job description
The Medicare Compliance Auditor reports to the Director of Clinical Education and, through auditing and monitoring activities, assists in ensuring compliance to state and federal laws, statutes, and regulations related to home health care services and billing processes within NHC HomeCare.
Qualifications:- Valid, unencumbered multi-state RN or LPN license with at least 5 years clinical experience;
- Minimum five (5) years' experience in Medicare-reimbursed home health care;
- Experience in auditing and analyzing clinical records;
- Deep working knowledge of the home health industry and of applicable state and federal laws, statutes and regulations, including reimbursement and compliance regulations;
- Demonstrated ability to engage, motivate, and train clinical and operations staff;
- Strong oral and written communication, interpersonal, and organizational skills;
- Strong analytical and critical thinking skills;
- Self-directed with ability to work effectively alone or as part of a collaborative team;
- Computer literacy to the extent required to competently perform job duties;
- Commitment to best practice patient care with optimum patient outcomes and satisfaction provided in compliance with regulations;
- Maintains current Driver's License, car insurance, and safe driving record; and
- Able to meet Background Screening requirements.
- Serve as a subject matter expert with deep working knowledge of applicable laws, statutes and regulations;
- Serve as a knowledgeable resource regarding NHC policies and procedures;
- Perform detailed audits of documents, including medical records, to ensure compliance to government regulations. Related audits include but may not be limited to RCDs, ADRs, CERTs, RACs, ZPICs, TPE audits, and Reopening Process reviews;
- Compose professionally formatted letters submission to the government contractors;
- Submit records and appeals in a timely manner with accurate tracking and status reports;
- Prepare for and participate in Administrative Law Judge (ALJ) hearings;
- Initiate and track follow-up and resolution to investigations, document requests and audit findings with agency staff and Regional/corporate partners as needed;
- Maintain the confidentiality of protected health information and NHC business practices;
- Competently navigate the EMR system to access needed documents;
- Participate in conference calls, webinars, and on-site meetings/training as assigned or requested;
- Collaborate on developing and providing targeted teaching and training programs via appropriate instructional methods including instructor-led group trainings, on-line learning, videos/webinars, over-the-phone training, or workshops;
- Contribute to the development of written processes to ensure compliance.
- Perform other functions as required for position-related activities.
- Assuring efficient and effective management of related human and material resources;
- Maintaining a strong working knowledge of federal and state Home Health regulations, company policies and procedures, professional clinical standards and evidence-based best practices;
- Organizing, prioritizing, and completing projects independently in a timely and goal-oriented manner;
- Contributing meaningfully to the success of the NHC HomeCare team;
- Supporting and contributing to Quality Assessment Performance Improvement (QAPI) activities as indicated;
- Modeling the company's 'Better Way Promises' and Standards of Code of Conduct and Compliance; and
- Representing and promoting NHC HomeCare positively in the community.
What National HealthCare Corporation employees say
Pay
Benefits
Hours and flexibility
Workplace
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About National HealthCare
Sourced by ZipRecruiter
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Murfreesboro, TN, US
Year founded
1971