This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Quality Auditor – Multispecialty Medical Coding is responsible for ensuring the accuracy, integrity, and compliance of medical coding across multiple specialties. This role performs comprehensive audits of inpatient, outpatient, and professional fee coding to verify alignment with official coding guidelines, payer requirements, and regulatory standards. The auditor provides actionable feedback and education to coding teams to improve quality, compliance, and reimbursement accuracy. - Conduct routine and focused coding audits across multiple medical specialties (e.g., cardiology, orthopedics, general surgery, gastroenterology, radiology, internal medicine, etc.). - Review CPT®, ICD-10-CM, and HCPCS Level II coding for accuracy, completeness, and compliance with CMS, OIG, and payer-specific rules. - Evaluate medical record documentation to ensure accurate code assignment and adherence to medical necessity and coding guidelines. - Identify trends, patterns, and recurring coding errors; collaborate with coders and leadership to implement corrective actions. - Prepare detailed audit reports summarizing findings, accuracy rates, and recommendations for improvement. - Provide one-on-one or group coder education and feedback based on audit outcomes. - Assist in the development and maintenance of internal audit tools, policies, and training materials. - Stay current on coding updates, compliance regulations, and industry best practices. - Participate in internal compliance reviews and support external audits as needed. - Contribute to process improvement initiatives that enhance coding quality and operational efficiency. Qualifications - Associate’s or Bachelor’s degree in Health Information Management, Health Administration, or a related field (preferred). - Active coding certification required: CPC, COC, or CCS (AAPC or AHIMA). - CPMA (Certified Professional Medical Auditor) or equivalent auditing credential strongly preferred. - Additional specialty credentials (e.g., CIRCC, CDEO, or CCS-P) are advantageous. - Minimum 5 years of experience in professional or facility coding across multiple specialties. - Minimum 2 years of experience in coding auditing or quality review preferred. - Strong understanding of CPT®, ICD-10-CM, and HCPCS Level II coding systems and payer guidelines. - Experience with EHRs and coding/audit software tools (e.g., 3M, Epic, Optum, or similar). Requirements - Exceptional attention to detail and analytical problem-solving ability. - Strong knowledge of compliance standards (e.g., CMS, OIG, HIPAA). - Excellent written and verbal communication skills, with the ability to convey complex coding concepts clearly. - Ability to work independently while managing multiple priorities and deadlines. - Commitment to maintaining confidentiality and ethical auditing practices. Benefits - $28.85- $36.06/hour depending on experience. - This position is eligible for full health insurance including medical/dental/vision. - PTO. - 401k match. Company Description Vee Healthtek, Inc. delivers cutting-edge solutions that transform healthcare organizations. We offer a comprehensive suite of services that leverage our industry expertise to provide the best value to our clients. Through close collaboration and a deep understanding of market trends, we create customized strategies that deliver tangible outcomes. Our technology-driven services empower organizations to thrive in the evolving healthcare landscape, resulting in improved workflows, increased cost efficiency, and streamlined business processes. Learn more at www.veehealthtek.com.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Responsible to analyze, prepare, review, monitor and maintain contract documents. Responsible for the processing and maintenance of all enrollment related changes and updates. Interfaces with a variety of internal and external customers, including crew members and referring/receiving hospitals. - Manage and track all Medicaid / Private Insurance billing provider enrollment application agreements by electronic and/or by paper and ensure all agreements are kept up to date. - Ensure all billing related provider enrollment application agreements include initial enrollments, changes and updates. - Communicate with internal and external customers including but not limited to medical and operational crew members to gather appropriate information and report any pended information to internal leadership. - Manage and maintain provider listings for Medicaid, Medicaid HMO and Private Insurance. - Compile and maintain standardized company documents/attachments as appropriate. - Manage up-to-date knowledge of various PPO, HMO, Medicare, Medicaid and other payer reimbursement structures. - Other Duties as assigned. Qualifications - Associate’s degree (A.A.) or equivalent from two-year college or technical school; and one to three years’ experience in complex healthcare contract/agreements and/or training; or equivalent combination of education and experience. - Experience in handling various aspects of billing, data integrity and collection function for a healthcare provider preferred. - Knowledge of various PPO, HMO, Medicare, Medicaid and other payer reimbursement structures. - Knowledge and understanding of claim process. - Proficient in data analysis and knowledgeable of relational databases with demonstrated proficiency in report development using complex queries. Requirements - Regular scheduled attendance. - Indicate the percentage of time spent traveling: 0%. Benefits - For more information on our industry-leading benefits, please visit our benefits page.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description RVC Reviewers perform both automated and complex reviews of Medicare Fee-for-Service (FFS) claims—including Part A/B, DMEPOS, and Home Health/Hospice—to assess overpayments, underpayments, and proper payments as determined by Recovery Audit Contractors (RACs). They apply Medicare policies and guidelines, ensuring claims are evaluated according to National and Local Coverage Determinations and CMS rules, and document clear, accurate findings for each claim. - Participate in dispute resolution by re-examining claims and providing supporting documentation. - Support quality assurance through audits and ongoing training. - Maintain compliance with CMS security and privacy standards. - Collaborate closely with key personnel to ensure consistency, accuracy, and continuous process improvement in all review activities. Qualifications - 5+ years of direct medical coding or medical billing experience, specifically in a healthcare environment. - 3+ years working in a productivity-based claims or case working environment, out of a queued case management system. - 3+ years working remotely with various technology systems. - 3+ years of Medicare Fee For Service (FFS) experience in a medical coding role or program. - Experience with low-code, no-code case management systems as an end-user is preferred but not required. - Certified from an accredited association such as the American Association of Professional Coders (AAPC) or American Health Information Management Association (AHIMA). - May also be Registered Health Information Administrators (RHIA) and Registered Health Information Technicians (RHIT); credentialed by AHIMA in their field of health information. Requirements - Location: Remote (United States) - Salary: $45,000-60,000 Company Description J29, Inc. is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative Action Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class. J29, Inc. is a proud Veteran friendly employer.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Assign appropriate codes for all patient types and provider clinics, including consulting with physicians and clinical staff for appropriate coding of difficult cases and code assignments. This position is PRN or as needed. Eligible for 16% PRN Differential. - Attention to Detail: Verifies patient information to identify any documentation vs. report discrepancies and ensures codes and other abstracted data are accurately applied to appropriate patient’s account/encounter. - Coding and Abstracting: Primarily codes outpatient encounters. Applies codes to conditions and procedures documented in the medical records to provide information for financial reimbursement and data collection, converts interpreted data into appropriate code numbers. - Quality Control: Recognizes and reports unusual circumstances and/or information with possible risk factors to appropriate risk management and HIM Manager. Reports problems, errors, and discrepancies in dictation and patient records to HIM Manager. While reviewing the record for coding purposes, serves as quality reviewer of scanned documents. Identifies mis-scans and poorly scanned documents and reports them to HIM Director. - Quality/Quantity: Meets coding quality and quantity expectations of 95% or higher. - Collaboration: Collaborates with others in the organization including the Quality Department, Medical Staff, other clinicians, and physician office staffs; and with Patient Financial Services to ensure the codes submitted for claims are supported by the documentation in the record. - Communication: Excellent written and oral communication skills and the ability to work independently with minimal supervision required. Legible penmanship required. - Constant Learner: Attends all required in-services and coder meetings. Identifies and attends training and educational programs conducive to professional growth. Utilizes current literature and workshops attended to the benefit of Vail Health. New ideas, policies, regulations, and philosophies are adapted to current policies and procedures appropriately. - Vail Health Supporter: Supports the philosophy, objectives, and goals of VH and the HIM department by volunteering in various capacities without compromising performance expectations. Role models the principles of a Just Culture and VH Values. - HIM Department Supporter: Contributes to the efficiency of the HIM department. Routinely volunteers to assist others when their work is completed. - Ethics: Routinely abides by standards of professional and ethical conduct as defined by CMS, AHIMA, and the professional organization from which the incumbent is certified and/or credentialed. - Compliance: Understands and complies with policies and procedures related to medicolegal matters including confidentiality, amendment of medical records, release of information, patient rights, medical records as legal evidence, informed consent, etc. Is knowledgeable of and complies with Vail Health HIPAA, Safety and Compliance Program Policies and Procedures. - Other Duties: Perform other duties as assigned. Qualifications - One year of experience coding outpatient hospital accounts and/or Profee preferred. Requirements - One of the following is required: - Registered Health Information Technician (RHIT) by the American Health Information Management Association (AHIMA) - Registered Health Information Administrator (RHIA) by the American Health Information Management Association (AHIMA) - Certified Coding Specialist (CCS) by American Health Information Management Association (AHIMA) - Certified Coding Specialist - Physician-based (CCS-P) by American Health Information Management Association (AHIMA) - Certified Professional Coder (CPC) by American Academy of Professional Coders (AAPC) Benefits - Hourly Pay: $22.10 - $29.52 USD