12 coder quality auditor jobs found

Senior Outpatient Coding Specialist - RemoteMonday - Friday 6AM-6PM ET (40 hours/week)We are seeking aJob RequirementsSenior Outpatient Coding Specialist - RemoteMonday - Friday 6AM-6PM ET (40 hours/week)We are seeking a Senior Outpatient Surgery Coder with experience in IR & Cardiology coding to join our team. This role is responsible for the accurate and timely assignment of CPT, ICD-10-CM, and applicable modifiers for IR & Cardiology procedures, ensuring compliance with official coding guidelines, payer requirements, and organizational policies. The Senior OP Surgery Coder possesses the ability to code these complex cases and contributes to quality initiatives, audits, and process improvements. The ideal candidate demonstrates knowledge of surgical anatomy, operative reports, and specialty-specific procedures, along with strong critical-thinking skills, attention to detail, and the ability to work independently while meeting productivity and quality standards. This role...

Opportunities At Change Healthcare Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing Together. Job Description: The experienced multi-specialty surgery coder is responsible for daily coding, denial management, charge hold, RAI resolution and abstraction. The coder is responsible for escalation of coding questions and requests for coding guidance to the Coding Coordinator and/or Supervisor. Participate in internal QA audits and provide feedback in the compliance QA process. Hours:...

Senior Outpatient Coding Specialist - RemoteMonday - Friday 6AM-6PM ET (40 hours/week)We are seeking aJob RequirementsSenior Outpatient Coding Specialist - RemoteMonday - Friday 6AM-6PM ET (40 hours/week)We are seeking a Senior Outpatient Surgery Coder with experience in IR & Cardiology coding to join our team. This role is responsible for the accurate and timely assignment of CPT, ICD-10-CM, and applicable modifiers for IR & Cardiology procedures, ensuring compliance with official coding guidelines, payer requirements, and organizational policies. The Senior OP Surgery Coder possesses the ability to code these complex cases and contributes to quality initiatives, audits, and process improvements. The ideal candidate demonstrates knowledge of surgical anatomy, operative reports, and specialty-specific procedures, along with strong critical-thinking skills, attention to detail, and the ability to work independently while meeting productivity and quality standards. This role...

Job Description Job Description Description: Position Overview The Professional Billing Coder – Vascular Surgery is responsible for accurate coding of professional services related to vascular procedures. This role supports compliant billing practices and contributes to revenue integrity and audit readiness. Requirements: Key Responsibilities Assign accurate CPT, HCPCS, and ICD-10-CM codes for vascular surgery procedures Review operative and procedural documentation for coding accuracy and completeness Apply appropriate modifiers and NCCI edits • Ensure adherence to CMS, AMA, and payer guidelines Maintain accuracy and productivity standards in a high-volume environment Support internal audits and quality improvement initiatives Required Qualifications Minimum 2+ years of professional billing coding experience Proven experience with vascular surgery coding Strong knowledge of CPT, ICD-10-CM, modifiers, and NCCI edits CPC or equivalent certification...

New Jersey's largest Vascular Surgery group dedicated solely to the diagnosis and management of diseases of the arteries and veins. The Group has been delivering care throughout New Jersey since 1963 and is home to some of the best Vascular Surgeons in the country. Consistently recognized by their peers and patients as the top group in the region, The Cardiovascular Care Group provides the highest quality care using the newest technologies in the setting of years of experience with outstanding results. Position Summary: We are seeking an experienced Senior Vascular Surgery Professional Coder with strong expertise in complex open and endovascular procedure coding, payer authorization workflows, and revenue cycle support. This role is responsible for accurate CPT, ICD-10-CM, and modifier assignment for a high-volume vascular surgery practice with extensive cardiovascular, endovascular, catheter-based, and imaging-guided procedural work. The position also supports prior...

Outpatient Surgery Coder LaSalle Network is hiring for a skilled Outpatient Surgery Coder to support a high-performing healthcare team in a fully remote environment. This role is ideal for someone who thrives in independent work settings and has a sharp eye for detail, particularly when working with surgical documentation and coding accuracy. If you're ready to jump into a fast-paced, quality-driven role, we want to hear from you. What's the job? Assign accurate ICD-10-CM, CPT and HCPCS codes for outpatient surgical encounters, with a strong focus on same day surgery cases Review operative reports and clinical documentation to ensure coding accuracy and completeness Apply APC reimbursement methodologies to support accurate billing outcomes Ensure compliance with CMS guidelines and payer-specific requirements Query providers for clarification when documentation is incomplete or unclear Meet productivity and quality benchmarks in a remote setting Participate in audits and...

Senior Vascular Surgery Professional Coder New Jersey's largest vascular surgery group dedicated solely to the diagnosis and management of diseases of the arteries and veins. The Group has been delivering care throughout New Jersey since 1963 and is home to some of the best vascular surgeons in the country. Consistently recognized by their peers and patients as the top group in the region, The Cardiovascular Care Group provides the highest quality care using the newest technologies in the setting of years of experience with outstanding results. Position Summary: We are seeking an experienced Senior Vascular Surgery Professional Coder with strong expertise in complex open and endovascular procedure coding, payer authorization workflows, and revenue cycle support. This role is responsible for accurate CPT, ICD-10-CM, and modifier assignment for a high-volume vascular surgery practice with extensive cardiovascular, endovascular, catheter-based, and imaging-guided procedural...

Opportunities At Change Healthcare Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing Together. Job Description: The experienced multi-specialty surgery coder is responsible for daily coding, denial management, charge hold, RAI resolution and abstraction. The coder is responsible for escalation of coding questions and requests for coding guidance to the Coding Coordinator and/or Supervisor. Participate in internal QA audits and provide feedback in the compliance QA process. Hours:...

Hospital Outpatient Coder V The Hospital Outpatient Coder V reviews electronic medical record documentation, and applies ICD and CPT codes, per Official Coding Guidelines, with a specific focus on hospital surgery, observation and monthly series services. This position abstracts key data elements necessary for billing and data analysis. What You Can Expect Accurately reviews and codes patient records in the following clinical areas: hospitalist rounds and office visits (with repetitive or non-invasive procedures). Reviews and analyzes the content of the medical record to determine when documentation should be utilized for appropriate assignment of ICD diagnosis codes, CPT repetitive or non-invasive procedure codes, modifiers, hierarchical condition categories, complications, and comorbidities to meet coding guidelines. Evaluates appropriateness of diagnosis and procedure codes and modifiers utilized in response to Outpatient Code Editor and National Correct Coding...

Compensation: $60,000 - $70,000 Benefits: Medical, Dental, Vision Location: This position requires candidates to be based in Illinois, Indiana, Iowa, Wisconsin, Ohio, Missouri, Michigan or Florida. Work Model: Fully Remote LaSalle Network is hiring for a skilled Outpatient Surgery Coder to support a high-performing healthcare team in a fully remote environment. This role is ideal for someone who thrives in independent work settings and has a sharp eye for detail, particularly when working with surgical documentation and coding accuracy. If you're ready to jump into a fast-paced, quality-driven role, we want to hear from you. What's the job? Assign accurate ICD-10-CM, CPT and HCPCS codes for outpatient surgical encounters, with a strong focus on same day surgery cases Review operative reports and clinical documentation to ensure coding accuracy and completeness Apply APC reimbursement methodologies to support accurate billing outcomes Ensure compliance...

Outpatient Surgery Coder LaSalle Network is hiring for a skilled Outpatient Surgery Coder to support a high-performing healthcare team in a fully remote environment. This role is ideal for someone who thrives in independent work settings and has a sharp eye for detail, particularly when working with surgical documentation and coding accuracy. If you're ready to jump into a fast-paced, quality-driven role, we want to hear from you. Compensation: $60,000 – $70,000 Benefits: Medical, Dental, Vision Location: This position requires candidates to be based in Illinois, Indiana, Iowa, Wisconsin, Ohio, Missouri, Michigan or Florida. Work Model: Fully Remote What's the Job? Assign accurate ICD-10-CM, CPT and HCPCS codes for outpatient surgical encounters, with a strong focus on same day surgery cases Review operative reports and clinical documentation to ensure coding accuracy and completeness Apply APC reimbursement methodologies to support accurate billing outcomes Ensure...

Hospital Outpatient Coder V The Hospital Outpatient Coder V reviews electronic medical record documentation, and applies ICD and CPT codes, per Official Coding Guidelines, with a specific focus on hospital surgery, observation and monthly series services. This position abstracts key data elements necessary for billing and data analysis. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. What You Can Expect Accurately reviews and codes patient records in the following clinical areas: hospitalist rounds and office visits (with repetitive or non-invasive procedures). Reviews and analyzes the content of the medical record to determine when documentation should be utilized for appropriate assignment of ICD diagnosis codes, CPT...