1

Coding Reviewer Jobs in Kentucky (NOW HIRING)

$42.46 - $56.02/hr

As the Epic Simple Visit Coding Analyst 2, you will review charges from their origin, clinical documentation, ICD-10-CM, CPT/HCPCS codes to support accurate charge capture and medical necessity ...

New

$20 - $22.75/hr

Position Summary The Hospital Auditor is responsible for reviewing hospital (inpatient and outpatient) to ensure accuracy, completeness, and compliance with regulatory guidelines and coding standards.

Ability to explain effective prompt patterns, code review practices for AI output, and rapid prototyping workflows while preparing students for modern AI-augmented development. * Conceptual Teaching ...

Ability to explain effective prompt patterns, code review practices for AI output, and rapid prototyping workflows while preparing students for modern AI-augmented development. * Conceptual Teaching ...

Research coder questions for PB charge review. Stay up to date with all yearly changes to ICD-10-CM and CPT changes. DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: Following are the duties performed by ...

Reviews medical records and all applicable documentation to determine appropriate codes for documented services and diagnoses. * Ensures all diagnosis codes meet local and national medical necessity ...

$59K - $80K/yr

Review medical documentation for clinical indicators to ensure specific procedures meet clinical criteria and correct coding guidelines specific to Ambulatory Payment Classification (APC) and ...

$61K - $101K/yr

Supervisors must have the ability to review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/PCS codes as ...

Review coding and billing reports to identify performance issues, errors, and opportunities for improvement. * Analyze billing system issues and work with leadership and vendors to resolve problems ...

Review medical records and assign precise codes to ensure accurate coding aligned with client needs (CPT, ICD-10-CM, ICD-10 procedures, ICD-10-CM and ICD-10 PCS, HCPCS). * Conduct data quality ...

Review, maintain, and update the Coding Department SharePoint site to ensure content remains current, accurate, and accessible. * Collaborate and maintain open communication with Coding Leadership ...

$78K - $85K/yr

... Reviewer III) - REMOTE The Medicaid Medical Review RN (Medical Reviewer III) will primarily be ... coding along with analysis and processing of Medicare claims. Utilizes Medicare/Medicaid and ...

$54.25/hr

Reviews, develops and delivers training programs and educational materials which address ... Maintains coding knowledge and billing regulations associated with DRGs, CPT coding, ICD diagnosis ...

$250/hr

The Coding Quality Analyst will accurately and efficiently review and extract pertinent case details from patient medical records; and craft strongly defensible appeal letters per process ...

Inpatient Coding Auditor

Louisville, KY · On-site

$26.25 - $29.75/hr

Reviews inpatient health record documentation to assess the presence of clinical evidence/indicators to support diagnosis codes and MS-DRG, APR DRG assignments to potentially decrease denials.

$250/hr

The Coding Quality Analyst will accurately and efficiently review and extract pertinent case details from patient medical records; and craft strongly defensible appeal letters per process ...

$16.75 - $22.25/hr

Conducts quality reviews of high-risk and incremental HCCs and applies expertise to analyze ... Regularly presents and contributes to coding education meetings and Annual Coding Summit. Adapts ...

The Coding Quality Analyst position is full time 40hours/week Monday - Friday. Employees are ... Conducts reviews on records that have been identified as suspicious and/or potentially fraudulent ...

Showing results 21-40

Coding Reviewer information

What is a coding reviewer?

Coding Reviewers are professionals responsible for evaluating, analyzing, and verifying code written by other developers to ensure it meets established standards and best practices. They check for errors, maintainability, security vulnerabilities, and adherence to coding guidelines. Their feedback helps improve code quality, reduce bugs, and facilitate team collaboration. Coding Reviewers often participate in code walkthroughs, pull request reviews, and may also mentor junior developers.

How does a coding reviewer typically collaborate with software development teams during the review process?

Coding Reviewers work closely with developers by examining code for quality, consistency, and adherence to best practices before it is merged into the main codebase. They often provide constructive feedback through code review tools or meetings, helping developers understand and resolve issues. Effective collaboration also involves clear communication to ensure that suggested changes are well-understood and implemented, fostering continuous improvement and knowledge sharing within the team.

What are the key skills and qualifications needed to thrive as a coding reviewer, and why are they important?

To thrive as a Coding Reviewer, you need in-depth knowledge of medical coding standards (such as ICD-10, CPT, and HCPCS), healthcare regulations, and relevant clinical terminology, typically supported by a certification like CPC or CCS. Familiarity with electronic health records (EHR) systems, coding audit tools, and healthcare compliance software is essential. Strong attention to detail, analytical thinking, and effective communication skills help Coding Reviewers identify errors and provide clear feedback. These skills ensure accurate billing, regulatory compliance, and optimized revenue cycles in healthcare organizations.

What is the difference between Coding Reviewer vs Medical Coder?

AspectCoding ReviewerMedical Coder
CredentialsCertification in coding (e.g., CPC, CCS)Certification in coding (e.g., CPC, CCS)
Work EnvironmentReviewing medical codes, often in healthcare settingsAssigning medical codes from patient records
Industry UsageUsed in hospitals, clinics, insurance companiesUsed in hospitals, clinics, billing companies
Primary RoleReview and validate coding accuracyAssign and input medical codes

Both Coding Reviewers and Medical Coders require similar certifications and work in healthcare environments. Coding Reviewers focus on verifying the accuracy of codes assigned by others, ensuring compliance and correctness. Medical Coders are responsible for assigning the initial codes based on medical records. While their roles are interconnected, Coding Reviewers primarily audit and validate, whereas Medical Coders handle the coding process itself.

Simple Visit Coding Analyst

On-site

$42.46 - $56.02/hr

Other

Posted 3 days ago

New


Job description

DescriptionMedical Coding

Support accurate outpatient coding, billing, reimbursement, and regulatory compliance through the review and coding of Epic Simple Visit Coding encounters. As the Epic Simple Visit Coding Analyst 2, you will review charges from their origin, clinical documentation, ICD-10-CM, CPT/HCPCS codes to support accurate charge capture and medical necessity documentation, help resolve routine coding and documentation inconsistencies. This role works closely with physicians, clinical departments, and the revenue cycle team to promote coding accuracy, data integrity, and compliant reimbursement practices.

In this role, you will:
  • Review Epic Simple Visit Coding outpatient encounters and supporting clinical documentation and assign appropriate ICD-10-CM, CPT/HCPCS codes in accordance with established coding guidelines and payer requirements.
  • Ensure coded data accurately reflects services rendered and supports compliant billing practices.
  • Apply medical necessity requirements, LCDs, NCDs, payer policies, & other established coding requirements during code assignment.
  • Identify documentation deficiencies, follow established query procedures, participate in coding audits and quality reviews, and assist with routine coding edits and claim-related coding issues.
  • Communicate with physicians, clinical staff, operational departments, and revenue cycle teams to resolve routine documentation and coding questions and support coding accuracy and reimbursement.
  • Maintain current knowledge of coding regulations, reimbursement requirements, and payer policies while participating in continuing education, departmental training, and Epic coding workflow testing and validation activities.
Salary Range:

$42.46 to $56.02 hourly

#J-18808-Ljbffr