22 coding auditor jobs found

Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to medical coding and...

Experienced Associate, Healthcare ForensicsThe Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients.Job Duties:Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance mattersContributes to forensic engagements related to medical coding and...

Job Description Job Description Description: University Physicians' Association is seeking qualified applicants for a full-time Certified Medical Coder position for University Surgeons Associates located within the UT Medical Center. The Certified Coder Position is normal business hours Monday-Friday. Coder audits medical provider clinical documentation inpatient and outpatient while adhering to Medicare guidelines and reviews documentation. Identifies areas for documentation improvement and effectively communicates with providers. Ensure the provider has entered the correct coding and adding modifiers as needed. Must be reliable and have the ability to maintain a high level of confidentiality within all aspects of job performance. Essential Duties and Responsibilities: Performs coding services and audits documentation before claims are submitted Partners with providers and staff to improve quality and efficiencies in coding and documentation...

Medical Coder/Accounts Receivable Specialist/Billing Job Description Job Description: The Medical Coder and Accounts Receivable (AR) Specialist is responsible for accurately assigning medical codes to diagnoses, procedures, and services provided by healthcare providers. In addition to coding duties, this role will handle accounts receivable functions, ensuring timely collection of payments from insurance companies and patients. The ideal candidate will possess strong knowledge of medical coding systems and healthcare revenue cycle processes, with a focus on maintaining compliance with regulations and optimizing revenue collection. Daily Tasks: 1. Accurately assign appropriate ICD-10, CPT, and HCPCS codes to patient diagnoses, treatments, and procedures based on physician documentation. Ensure coding practices adhere to all relevant regulations, payer guidelines, and healthcare industry standards. Review and interpret clinical documentation to ensure proper coding of complex...

Possess a thorough working knowledge of the revenue cycle management process including; ICD-9, ICD-10, CPT-4, and HCPS Billing.Responsibilities include ensuring that reimbursement is maximized through accurate and appropriate coding.Accountable for staying abreast of government policies and procedures as it relates to coding to ensure that company conforms to applicable guidelines and regulations.Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety.MinimumHigh School Diploma or GEDCertified Medical CoderStrong understanding of industry / technical terms and processesExceptional customer service skillsStrong analytical and problem-solving skillsStrong attention to detailExcellent oral / written communication skillsDesiredBachelor's Degree2years medical coding experience- Abstract clinical information from medical records to document, assign, and sequence ICD-9 and / or CPT-4 and HCPS coding where appropriateAudit, review, and correct...

Coder AnalystAnalyzes documentation in the medical record to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT-4 codes. Abstracts and codes procedures in conjunction with the provider to code services rendered with correct coding initiatives. Abstracts and enters data from the medical records in order to maintain a database for statistics and reporting. Assists the Billing Department in timely billing and rebilling of patient information.ResponsibilitiesReviews documentation in the medical record to determine ICD-10 CM and CPT-4 coding that is needed to comply with billing and reimbursement guidelines set forth by government entities.Verifies data in the medical record and accurately abstracts pertinent information for charge entry.Appropriately utilizes CPT-4 and ICD-10 current procedural coding standards in assisting the provider with proper selection and assignment of the principal procedure(s) and related diagnosis.Edits unbilled...

Tennessee Orthopaedic Alliance, the largest orthopaedic surgery group in Tennessee, seeks a Certified Coder to ensure accurate coding and documentation for professional services. This role emphasizes CPT-4, ICD-10, HCPCS knowledge and collaboration with providers for audits. The position may involve work-at-home options within the Middle Tennessee region; candidates should reside near Knoxville or Columbia areas for on-site requirements. #J-18808-Ljbffr

Tennessee Orthopaedic Alliance (TOA) is the largest orthopaedic surgery group in Tennessee. We are seeking a Certified Coder to ensure accurate coding of charges and compliance with CPT-4, ICD-10, HCPCS in a busy practice. Responsibilities include reviewing records, abstracting diagnoses and procedures, and educating providers on audit results while maintaining professionalism. Must reside in Middle TN, Columbia, or Knoxville area and hold CPC or CCS-P certification. #J-18808-Ljbffr

Coder Analyst Specialist Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group Overview: Covenant Medical Group is the employed and managed medical practice organization of Covenant Health, providing comprehensive care across East Tennessee. With more than 300 physicians and advanced practice providers in 20 communities, our team delivers expertise across a broad spectrum of specialties from primary care and walk-in clinics to preventive medicine and advanced surgical and subspecialty services. We are committed to offering coordinated, patient-centered care that spans the continuum of health needs, ensuring access to exceptional providers close to home. Position Summary: Analyzes documentation in the medical record to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT-4 codes. Abstracts and codes procedures in conjunction with the provider to code services rendered with correct coding initiatives. Abstracts and...

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...

Physician Coder III, RemoteErlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, MI, MS, MO, NC, NV, OH, PA, SC, TN, TX, VA, WI, WYJob Summary: The Physician Coder III is responsible for coding of physician and/or mid-level provider professional services. Recognizes and completes a high-volume workload accurately and in a timely manner, with minimal direct supervision. Follows set procedures to achieve goals. Displays professional office skills and ability to navigate a practice management system. Functions as liaison between management, the physician practices and employees working within physician practices. Coder will provide CPT, HCPCS and ICD-10-CM coding a minimum of 1-4 specialties. Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include OT, PT, Urgent Care, ED,...

Quorum Health is seeking a Senior Outpatient Coder to lead inpatient and outpatient coding workflows with a focus on accuracy and compliance. The role supports denials reviews, audits, and staff education while aligning with organizational goals for revenue integrity. You will collaborate with Coding Leadership and CDI teams, applying official guidelines and payer requirements to ensure timely, compliant coding across hospital-based services in a fully remote capacity. #J-18808-Ljbffr

Tennessee Orthopaedic Alliance, the largest orthopaedic surgery group in Tennessee, seeks a Certified Coder to support accurate coding for professional services and surgical procedures. You will review records, ensure proper diagnoses and CPT/HCPCS codes, and educate providers on audit results. Applicants must have 1 year of surgical coding experience and CPC or CCS-P certification, with strong medical terminology knowledge. #J-18808-Ljbffr

Tennessee Orthopaedic Alliance Job OpportunityWork at HomeTennessee 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...

Professional Fee Coding Specialist Required Skills & Experience• 3+ years of professional fee coding experience. • Active coding certification through AAPC or AHIMA. • Active RHIT, RHIA, CPC, COC, CCS-P, CCS, CEDC, or equivalent coding credential. • Experience coding clinic visits/professional services. • Strong experience with Evaluation & Management (E/M) coding, diagnosis coding, injections, and procedure coding. • Strong knowledge of ICD-10-CM, CPT, HCPCS, modifiers, and coding compliance guidelines. • Experience with Cerner EMR. • Experience working remotely. • Proficiency in Microsoft Outlook, Excel, and Teams. Strong communication, organization, and multitasking skills. Nice to Have Skills & Experience• Emergency Department (ED) coding experience. • Multi-specialty Pro-Fee coding background. • Experience with regulatory reporting and data abstraction. • Prior hospital or health system coding experience. • Experience partnering with AR/billing teams on claim...

***Work at Home*** 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...

Senior Outpatient Coder Position Details: Full-Time Remote Reports to Coding Operations Manager You must reside in one of these states to be eligible for this position: Arkansas California Kentucky Massachusetts Nevada New Mexico Oregon Utah Tennessee Texas Wyoming Job Summary: The Senior Coder supports assigned inpatient and/or outpatient coding operations through day-to-day workflow leadership and may provide oversight of coding quality, coding edits, auditing, and staff education. Assigned functions may include inpatient, observation, emergency department, ambulatory surgery, ancillary, clinic, and other hospital-based coding services. The position supports Revenue Cycle Operations with special projects, including denial review, appeals, discharge-not-final-billed management, regulatory and payer edit review, and process improvement efforts designed to meet organizational goals while promoting accurate, complete, and compliant coding and billing....

Job Details Job Location: Midtown Plaza (PLZ) - Nashville, TN 37203. Position Type: Full Time. Job Shift: Day. Job Category: Finance. Summary The Charge Entry Specialist captures and reviews all billing codes prior to electronic claims filing, for accuracy and adherence to payer specific coding guidelines, for a multi-specialty physician group practice. Essential Duties and Responsibilities Captures and reviews daily charges from the Electronic Health Record’s Charge Passing System to ensure standard coding and billing guidelines are followed correctly. Utilizes CPT, ICD-10CM, and HCPCS coding as well as correct Modifier usage during daily reviews of Primary Care services. Other specialties may be added based on performance level. Communicates effectively and respectfully, both in verbal and written form, with providers or clinical staff to obtain missing or incomplete information. Audits the imported encounters against the daily appointment schedule to ensure all encounters have...

OneOncology is seeking a Senior Medical Coding Specialist to ensure accurate CPT/ICD-10/HCPCS coding across oncology services. You will audit documentation, answer coding questions, and coach junior coders within a remote RCM team, while supporting compliance and ongoing education. Requires CPC or CCS-P certification and 4+ years in physician practice/hospital coding, with oncology experience and strong communication skills to drive coding accuracy and efficiency. #J-18808-Ljbffr

Health Information Director / Coder Full-Time│InHouse Position Summary Sullivan County Memorial Hospital is seeking a Health Information Director / Coder to oversee Health Information Management operations, physician billing and coding, and HIPAA/privacy compliance. The ideal candidate is detail-oriented, organized, professional, and able to work independently while maintaining strict confidentiality. Essential Job Functions Oversee daily Health Information Management operations and medical record processes. Ensure health information is accurate, complete, secure, confidential, and compliant. Perform and oversee physician and APP billing and coding. Review documentation and assign appropriate ICD-10-CM, CPT, and HCPCS codes. Prepare and submit insurance and patient claims. Resolve billing, coding, and documentation issues. Serve as the hospital’s HIPAA/Privacy Officer and oversee privacy compliance. Maintain HIPAA policies, training, and required documentation. Supervise, train,...

Sullivan County Memorial Hospital is seeking a Health Information Director / Coder to oversee Health Information Management operations, physician billing and coding, and HIPAA/privacy compliance. The ideal candidate is detail-oriented, organized, professional, and able to work independently while maintaining strict confidentiality. This full-time, in-house role requires ensuring accuracy and security of health information, supervising staff, and supporting audits and regulatory activities. #J-18808-Ljbffr

Job Description Day-to-Day Responsibilities Review and code professional fee encounters using ICD-10-CM, CPT, and HCPCS guidelines. Assign accurate E/M levels, diagnoses, and procedure codes to ensure compliant reimbursement. Abstract key patient and encounter data for billing, regulatory, and reporting purposes. Audit medical records to ensure documentation supports services billed and identify documentation gaps. Communicate with physicians and providers to obtain coding and documentation clarifications. Review and resolve coding-related claim edits, including medical necessity and NCCI/CCI edits. Collaborate with billing and Accounts Receivable teams to resolve coding and reimbursement issues. Maintain quality and productivity standards while meeting a 95% coding accuracy requirement. Work within EMR, hospital information systems, and encoder software in a fully remote environment. Stay current on coding regulations, payer requirements, and continuing education requirements....