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5 certified coding auditor jobs found

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(CCS) Certified Coding Specialist certified coding auditor
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PH
Nurse Inpatient Coding Auditor, CIC or CCS certified
ProgenyHealth LLC Plymouth Meeting, PA, USA
Job Description Job Description Description: Job Role The Clinical RN Chart Reviewer will perform clinical reviews of medical records and other documentation to validate issues of claims coding accuracy, medical necessity, and the appropriateness of treatment settings and services delivered. The Clinical RN Chart Reviewer will report to the Payment Assurance Manager and support a culture and work environment that promotes and inspires an active, continuous improvement philosophy regarding products and services in line with our company mission. This role requires certified coding expertise and a strong understanding of DRG validation, medical necessity, and regulatory guidelines. Requirements: Responsibilities will include: · Audits and analyzes neonatal intensive care unit (NICU) claims according to ICD-10 coding principles and clinical guidelines. · Analysis of claims data to optimize reimbursement by ensuring that the diagnosis codes, procedure codes, and supporting...

Dec 20, 2025
LAREDO TECHNICAL SERVICES INC.
Full Time
 
AMBULATORY (Same Day Surgery) OUTPATIENT CODER (On Site-Andrews AFB)
LAREDO TECHNICAL SERVICES INC. Joint Base Andrews, MD, USA
AMBULATORY (Same Day Surgery) OUTPATIENT CODER ON SITE Joint Base Andrews, MD ABOUT US: Laredo Technical Services, Inc. provides staffing services to federal Government agencies all over the world.   LTSI connects the right people to the right opportunity.  With our experience in placing our Team Members throughout the United States and overseas, we excel at providing experienced, professional personnel for a wide range of Professional and Office Administration as well as Medical services. Our goal is to provide the highest quality of professionals in the industry. LTSI’s culture delivers a strong work ethic while going above and beyond with a sense of urgency. We are the employee-driven company.  We strive for excellence every day, which is what sets us apart from all the other government contractors. Our strong work ethic, sense of urgency and commitment to going above and beyond for our clients is what we value most!   As a Certified...

Oct 17, 2025
SH
Ambulatory Coding Compliance Auditor (CPC/CCS-P)
Sharp Healthcare San Diego, CA, USA
A healthcare provider in San Diego is seeking a Coding Auditor to conduct audits and ensure compliance with coding standards. The role requires strong knowledge of CPT and ICD-10 codes, exceptional communication skills, and the ability to train clinical staff. The ideal candidate has 3 years of experience in a healthcare setting and holds a CPC or CCS-P certification. Competitive hourly rate offered. #J-18808-Ljbffr

Nov 25, 2025
PAC GROUP LLC
Full Time Contract
 
Position: Mid-Level Manager/Lead Senior Coder
PAC GROUP LLC Remote
Position: Mid-Level Manager/Lead Senior Coder Location: Remote Contract Type: Full-Time  Clearance: No Secret Clearance Required Starting Salary: $58.00/Hour “Candidates must hold valid credentials from either AAPC or AHIMA to be eligible to apply.” Please indicate the position(s) you’re applying for on our website application when you apply online. This will help our team track your application process. Include your full mailing address (for equipment shipment), desired start date, and AAPC and/or AHIMA certification number(s) (with expiration date). https://gopacgroup.com/mid-level-manager-lead-senior-coder/ If you have already applied for this position and taken the Assessment, please do not apply again. The Assessment is the same for all the positions. If you have your score and you are getting updates, please do not apply again.  Assessment Protocol The assessment is   strictly timed   and must be completed within   1 hour ....

Dec 09, 2025
EH
Full Time
 
Medical Coding Appeals Analyst
Elevance Health Indianapolis, IN, USA
Medical Coding Appeals Analyst Anticipated End Date: 2025-12-31 Position Title: Medical Coding Appeals Analyst Job Description: Sign On Bonus: $1,000 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law This position is not eligible for employment based sponsorship. Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria....

Nov 19, 2025
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