17 professional coding auditor jobs found

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...

Outpatient Surgery & Pre-Authorization Coder The Outpatient Surgery & Pre-Authorization Coder is responsible for accurate coding of outpatient surgical encounters while also supporting pre-authorization coding through the assignment of appropriate CPT and related procedure codes. This position requires a strong outpatient surgical coding background, the ability to interpret clinical documentation across a variety of surgical specialties, and the flexibility to support both surgical coding and pre-authorization workflows based on operational needs. The role works collaboratively with client coding leadership and clinical teams to maintain timely, accurate coding and efficient queue progression. Primary Responsibilities Outpatient Surgery Coding Review clinical documentation and accurately assign CPT, ICD-10-CM, and other applicable codes for outpatient surgical encounters. Code a variety of outpatient surgical specialties, including: Orthopedics Fracture...

Job Title Tennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Tennessee. TOA concentrates on the diagnosis and treatment of disorders and injuries of the musculoskeletal system which allow our patients to live their best life. Ninety plus years later we are advancing the practice of orthopaedic surgery throughout the state. There are a number of reasons why TOA is an employer of choice; here are a few of them: Stability - TOA has been in Middle Tennessee since 1926 and has expanded to over 20+ locations across the state! Impact - TOA's team members use our careers — whether in our clinics or our business office to make a positive difference in the community by building relationships and helping patients live their best life. Work Environment - The TOA team focuses on fostering an excellent working environment; one of positivity, collaboration, job satisfaction, and engagement. Total Rewards - TOA offers a comprehensive suite of benefits, including...

Certified Outpatient Coder Cardiac Surgery We are seeking an experienced Certified Outpatient Coder specializing in cardiac surgery to support accurate coding, billing, compliance, and revenue cycle integrity for a high-volume cardiovascular surgical program. This role is responsible for reviewing outpatient medical records and assigning appropriate ICD-10-CM, CPT, HCPCS, and modifier codes related to cardiac surgery procedures, diagnostic testing, and associated clinical services. The ideal candidate has advanced knowledge of cardiovascular anatomy, cardiac surgical procedures, outpatient facility and/or professional fee coding guidelines, and payer-specific requirements. This position works collaboratively with physicians, APPs, clinical staff, billing teams, and revenue cycle leadership to ensure coding accuracy, optimize reimbursement, and maintain regulatory compliance. Essential Responsibilities Review and accurately code outpatient cardiac surgery encounters,...

Job Description Job Description Description:   The Outpatient Surgery & Pre-Authorization Coder is responsible for accurate coding of outpatient surgical encounters while also supporting pre-authorization coding through the assignment of appropriate CPT and related procedure codes. This position requires a strong outpatient surgical coding background, the ability to interpret clinical documentation across a variety of surgical specialties, and the flexibility to support both surgical coding and pre-authorization workflows based on operational needs. The role works collaboratively with client coding leadership and clinical teams to maintain timely, accurate coding and efficient queue progression. Primary Responsibilities Outpatient Surgery Coding Review clinical documentation and accurately assign CPT, ICD-10-CM, and other applicable codes for outpatient surgical encounters. Code a variety of outpatient surgical specialties, including:  Orthopedics  Fracture...

Coding Specialist Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Day (United States of America) Address: 601 E Rollins St City: Orlando State:...

All Jobs > Outpatient Surgery & Pre-Authorization Coder Outpatient Surgery & Pre-Authorization Coder Fully Remote • Gulfport The Outpatient Surgery & Pre-Authorization Coder is responsible for accurate coding of outpatient surgical encounters while also supporting pre-authorization coding through the assignment of appropriate CPT and related procedure codes. This position requires a strong outpatient surgical coding background, the ability to interpret clinical documentation across a variety of surgical specialties, and the flexibility to support both surgical coding and pre-authorization workflows based on operational needs. The role works collaboratively with client coding leadership and clinical teams to maintain timely, accurate coding and efficient queue progression. Primary Responsibilities Outpatient Surgery Coding Review clinical documentation and accurately assign CPT, ICD-10-CM, and other applicable codes for outpatient surgical encounters. Code a variety...

Overview North Florida Surgeons is a leading healthcare provider committed to delivering exceptional patient care and service. We have over 300 medical providers and physician extenders and are currently seeking a detail-oriented and motivated Medical Coding Specialist to support our revenue cycle department. This role is essential in ensuring accurate coding for services rendered, which directly impacts reimbursement and compliance. The Medical Coder is responsible for reviewing clinical documentation and assigning appropriate ICD‑10, CPT, and HCPCS codes for billing and reimbursement. This position works closely with providers, billing staff, and insurance companies to ensure coding accuracy and compliance with federal regulations. Key Responsibilities Review medical records and documentation to assign accurate diagnosis and procedure codes Responsible for coding office visits and surgeries Collaborate between clinical, billing and patient services departments to ensure...

Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Day (United States of America) Address:...

Ambulatory Surgery MRT Coder VA Northeast Ohio Healthcare System – Cleveland, Ohio This Position Is Contingent Upon Bid Award Work Location Department of Veterans Affairs VA Northeast Ohio Healthcare System / Cleveland VA Medical Center Wade Park Campus 10701 East Boulevard Cleveland, OH 44106 Citizenship / Access Requirements: U.S. citizenship is required. Personnel must satisfy all VA suitability, background-investigation, PIV, privacy, information-security, and system-access requirements. Security Requirements: No classified clearance is specified. Favorable VA screening, National Agency Check initiation, PIV eligibility, and applicable ADP-sensitive access requirements apply. Type of Employment: Full-Time Contractor Position with W-2 employment through Fidelity Partners. Estimated Compensation: $35.21 per hour. Paid Sick Leave: Up to 56 hours per year, accrued in accordance with Fidelity Partners policy and applicable requirements. Working Hours:...

Hospital Outpatient Coder VThe 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 11 ministries and access points across Indiana, 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 ExpectAccurately 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...

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 11 ministries and access points across Indiana, 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 repetitive or...

Job Description The outpatient surgery coder reviews and codes a high volume of surgical charts each day, including procedures such as laser treatments and skin grafting, ensuring accurate CPT and ICD-10 assignment using the Solventum (3M) encoder. They maintain a steady productivity pace of around 7 charts per hour while prioritizing accuracy and compliance with coding guidelines. Throughout the day, they validate documentation, resolve any discrepancies, and collaborate with billing or audit teams as needed. A strong focus is placed on quality, consistently achieving a 95% or higher QA score. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual...

Outpatient Surgery & Pre-Authorization Coder The Outpatient Surgery & Pre-Authorization Coder is responsible for accurate coding of outpatient surgical encounters while also supporting pre-authorization coding through the assignment of appropriate CPT and related procedure codes. This position requires a strong outpatient surgical coding background, the ability to interpret clinical documentation across a variety of surgical specialties, and the flexibility to support both surgical coding and pre-authorization workflows based on operational needs. The role works collaboratively with client coding leadership and clinical teams to maintain timely, accurate coding and efficient queue progression. Primary Responsibilities Outpatient Surgery Coding Review clinical documentation and accurately assign CPT, ICD-10-CM, and other applicable codes for outpatient surgical encounters. Code a variety of outpatient surgical specialties, including: Orthopedics...

BayCare Health System is seeking a Specialty Coder II for a full-time remote role. The coder will assign ICD-10-CM and CPT-4 codes, audit documentation, and mentor other coders. Must reside in Florida, Georgia, North Carolina, or South Carolina. Requirements include CPC/CCS/CCS-P certifications, 2 years coding experience, and 1 year medical office experience. BayCare offers a comprehensive benefits package and growth opportunities. #J-18808-Ljbffr

Experienced Multi-Specialty Surgery CoderOpportunities 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:...

Job Summary Under the general direction of the Director CDI/Coding or designee, the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International Classification of Disease system- 10 (ICD), CM, and PCS codes according to AHA - AMA Guidelines, CMS and NGS. Core Job Responsibilities Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer Audit charges and establish proper coding in collaboration with providers Initiate and follow up on queries with providers Assist departments with diagnostic and procedural coding Respond to Insurance, compliance and RAC denials Review and assist in the maintenance of coding related policies and procedures Perform other duties as required. Education/Experience Requirements REQUIRED: AS in Health Information Management , a related degree or equivalent experience Knowledge of EMR, Coding Software, and...