768 coding auditor educator jobs found

Compliance Auditor/Educator - Compliance Quality (CPC Required) Clark St House (CMC) - Champaign, IL 61820 Overview Salary Range $28.03 - $38.54 Hourly Position Type Full Time Job Shift 1st Shift Education Level High School Category Coding/Compliance General Summary of Duties Christie Clinic's department of Compliance Quality is seeking a full-time Compliance Auditor/Educator at our Clark Street location in Champaign from Monday-Friday 8:00am-5:00pm, with no night or weekend requirements. Duties include performing ongoing functions related to quality of care and compliance including government and clinic regulations and policies in support of the Christie Clinic Compliance System. Job Qualifications and Expectations JOB DUTIES: (This list may not include all of the duties assigned.) Screen, review, identify and document potential quality and compliance issues. Perform billing and coding audits with both random samples as well as provider and department...

Experience Champaign Urbana is seeking a Compliance Auditor/Educator in Champaign, IL. This full-time role involves auditing quality compliance and providing education to healthcare providers. Applicants should possess a Certified Professional Coder (CPC) certification and have at least one year of experience in coding or auditing. A comprehensive benefits package and sign-on bonus are available. #J-18808-Ljbffr

Certified Medical Coder – Family Medicine Staffingly, Inc. supports family practices, urgent care centers, and specialty clinics across the U.S. with a highly educated and certified remote healthcare workforce. With over 400 trained agents—most holding PharmDs, RNs, or MHAs—we specialize in revenue cycle management, including coding, prior authorization, intake coordination, and patient follow-up. Our coders don’t just process claims—they recover missed revenue, catch denials before they happen, and educate providers to prevent repeated documentation errors. We are HIPAA, SOC 2 Type II, and ISO 27001 certified. Position Summary We are hiring a Certified Medical Coder with hands-on Family Medicine experience and a proven track record of partnering with providers to increase revenue per visit, reduce denials, and enhance care quality reporting. This role goes beyond code entry—it requires someone who understands workflows, EHR behavior, documentation pitfalls, and can work closely...

Medical Coder Educator - USFTGP Revenue Cycle Operations Serves as the coding reviewer and documentation educator for USFTGP Revenue Cycle Operations. Collaborate extensively with compliance; utilizing approved coding industry tools and approved internal documentation. This position is responsible for providing coding literacy and awareness using adult methodologies to revenue cycle, coding professionals, department managers, medical staff and others, ensuring proficiency is accurate and within compliant coding practices for billing. Analyze and report review findings indicating documentation gaps reimbursement and data internation, inpatient, outpatient and professional service coded. Report to compliance focused areas of improvements, recommendations and actions taken to improve medical staff knowledge and coding accuracy. Conduct individual and group coding and documentation support instructions as assigned and acts as an internal coding expert resource. Qualifications...

South Georgia Medical Center seeks a Professional Coding Auditor/Education Specialist to conduct audits, educate healthcare providers, and manage coding compliance. Ideal candidates should hold a Certified Professional Coder (CPC) certification, with a strong foundation in medical coding, including knowledge of ICD-10, HCPCS, and CPT. The position is full-time, requiring on-site presence in Valdosta, Georgia, and offers benefits such as healthcare insurance, 401(k) with match, and tuition reimbursement. #J-18808-Ljbffr

Inpatient Health Information Coding Specialist Beacon Hill was founded to set a new standard in search, career placement and flexible staffing. Join a leading healthcare organization as an Inpatient Health Information Coding Specialist, where you'll play a vital role in ensuring the accuracy, integrity, and quality of clinical data. This opportunity is ideal for experienced inpatient coders who enjoy working with challenging medical cases, collaborating with clinical teams, and contributing to both financial and patient care outcomes. You'll have the chance to work within a complex healthcare environment that values professional expertise, continuous learning, and coding excellence. This position offers the opportunity to work with a highly skilled healthcare team supporting a large, sophisticated hospital environment. You'll be involved in coding some of the most medically complex patient encounters, helping ensure accurate reimbursement, regulatory compliance, and quality...

Location: Miami, FL (On-site preferred; Hybrid/Remote may be considered) Employment Type: Part-Time (25–35 hours per week) About the Position We are seeking an experienced Senior Medical Coding Auditor (CPC) to join our growing multi-specialty medical practice specializing in Primary Care and Gynecology. The ideal candidate will be responsible for reviewing clinical documentation before claims are submitted to ensure accurate coding, appropriate E/M level selection, documentation compliance, and optimal reimbursement while maintaining full regulatory compliance. This position works closely with providers, clinical staff, and the billing department to improve documentation quality, reduce claim denials, maximize appropriate reimbursement, and ensure coding accuracy. Primary Responsibilities Review approximately 300 provider notes per week for coding accuracy and documentation compliance prior to claim submission. Validate appropriate Evaluation & Management (E/M)...

Inpatient Health Information Coding Specialist Beacon Hill was founded to set a new standard in search, career placement and flexible staffing. Join a leading healthcare organization as an Inpatient Health Information Coding Specialist, where you'll play a vital role in ensuring the accuracy, integrity, and quality of clinical data. This opportunity is ideal for experienced inpatient coders who enjoy working with challenging medical cases, collaborating with clinical teams, and contributing to both financial and patient care outcomes. You'll have the chance to work within a complex healthcare environment that values professional expertise, continuous learning, and coding excellence. This position offers the opportunity to work with a highly skilled healthcare team supporting a large, sophisticated hospital environment. You'll be involved in coding some of the most medically complex patient encounters, helping ensure accurate reimbursement, regulatory compliance, and quality...

Job Description Job Description The PB Coder is responsible for reviewing, analyzing, and accurately coding ambulatory and/or hospital-based encounters. This role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers. The PB Coder ensures all coding aligns with established coding standards, regulatory requirements, and reimbursement policies. Essential Duties and Responsibilities: Analyzes provider documentation to assure appropriate Evaluation & Management (E/M) levels are assigned using the correct CPT and current Evaluation and Management Guidelines Analyzes provider documentation to assure that appropriate CPT codes are assigned for surgeries and other diagnostic procedures. Ensures that all coding aligns with coding standards, regulatory requirements and other...

Inpatient Health Information Coding Specialist Beacon Hill was founded to set a new standard in search, career placement and flexible staffing. Join a leading healthcare organization as an Inpatient Health Information Coding Specialist, where you'll play a vital role in ensuring the accuracy, integrity, and quality of clinical data. This opportunity is ideal for experienced inpatient coders who enjoy working with challenging medical cases, collaborating with clinical teams, and contributing to both financial and patient care outcomes. You'll have the chance to work within a complex healthcare environment that values professional expertise, continuous learning, and coding excellence. This position offers the opportunity to work with a highly skilled healthcare team supporting a large, sophisticated hospital environment. You'll be involved in coding some of the most medically complex patient encounters, helping ensure accurate reimbursement, regulatory compliance, and quality...

Remote Coding Specialist This position is open to remote candidates who reside in one of the following states only: Nevada, Texas, Arizona, Utah, Florida, Idaho, Oregon, or Washington. Due to business operations, tax registration, and employment compliance requirements, we are only able to hire individuals who currently live and work in these states. Applicants must maintain residency in one of the approved states as a condition of employment. Position Purpose To be responsible for accurately assigning diagnostic and procedural coding for all encounters associated with Renown Health Network and Ambulatory Services. This will also include translating patient information into alpha-numeric medical codes using patient treatment, health history, diagnosis, and related information. Assignment of ICD-10-CM and CPT codes must be consistent with CMS' Official Guidelines and any regulatory agency guidelines. Nature and Scope Incumbents must be proficient with CPT and ICD-10-CM coding...

Job Summary The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. Responsibilities Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports. Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provide on‑site education, based on business needs. Collaborate with other market provider‑facing roles. Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data‑driven educational materials and interventions. Participate in cross‑functional teams to improve documentation, data integrity, and...

Job Description Job Description Description: The Professional Fee (ProFee) Coder is responsible for reviewing provider documentation and assigning accurate CPT, HCPCS, and ICD-10-CM codes for physician services. This role supports compliant coding, accurate charge capture, and overall revenue integrity across a variety of specialties and client environments. Coders may support single-specialty or multi-specialty engagements depending on client needs and experience. Requirements: Core Responsibilities (Sage Standards) Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes Ensure documentation supports coded services and identify discrepancies Apply appropriate modifiers, NCCI edits, and payer-specific coding rules Ensure compliance with CMS, AMA, and payer guidelines Maintain =95% coding accuracy and meet established productivity standards Identify documentation gaps and escalate for clarification when needed Participate in quality...

Job Description Job Description Description: Role Summary Responsible for reviewing medical records and assigning accurate CPT, HCPCS, ICD-10-CM, and appropriate modifiers for outpatient services. This role supports compliant coding and consistent performance across a variety of outpatient encounter types. Core Responsibilities Review medical records and assign accurate CPT/HCPCS, ICD-10-CM, and modifiers. Ensure documentation supports coded services and identify/escalate discrepancies or gaps. Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including NCCI edits). Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards. Requirements: Minimum Qualifications Credentials: CPC, CCS, RHIA, or RHIT (active). Experience: Minimum 3+ years outpatient coding experience across multiple outpatient service types. Skills & Knowledge: Strong knowledge of CPT, HCPCS, ICD-10-CM,...

Job Description Job Description Description: At Sage Clinical RCM, you'll code high-acuity inpatient encounters across a national portfolio of health systems, from academic medical centers to community hospitals. No two client environments are identical, and that's the point. You'll sharpen your skills across specialties, payers, and documentation styles instead of coding the same census for years. What You'll Do Review inpatient encounters and assign accurate ICD-10-CM/PCS codes and DRGs that hold up to audit. Read documentation critically. When it doesn't support the coded services, flag it and escalate the gap. Code in full compliance with CMS requirements, payer-specific rules, and official coding guidelines. Move confidently between client workflows, systems, and audit expectations. Hold the line on quality (95% accuracy or better) while meeting realistic productivity standards. Requirements: What You Bring Active RHIA, RHIT, and/or CCS credential....

Overview A Certified Professional Coder (CPC) job description generally involves reviewing patient medical records, abstracting relevant clinical information, and assigning appropriate medical codes using ICD-10, CPT, and HCPCS code sets. CPC responsibilities also include ensuring accurate documentation and coding, facilitating claims processing, and complying with regulatory requirements. Responsibilities Coding and Abstracting: Accurately translate patient encounters into standardized medical codes (ICD-10, CPT, and HCPCS). Documentation Review: Analyze patient records for completeness, accuracy, and compliance with coding guidelines. Reimbursement Analysis: Research and analyze data needs for accurate and timely reimbursement. Auditing and Compliance: Conduct chart audits, identify coding discrepancies, and implement corrective actions. Communication and Collaboration: Communicate effectively with healthcare providers to clarify coding issues and...

Join The Team At PedIM Healthcare! Delivering exceptional care, together. PedIM Healthcare is the first private medical office of its kind in Citrus County – offering top-quality care for children, adults, and seniors all under one roof. We provide pediatric, adult internal medicine, family practice, geriatrics, women's care, medical weight-loss, sleep-medicine services and more. Our dedicated, community-focused team is committed to excellence, pride in service, and making a real difference for patients and families across Citrus County. Why Work With Us? A broad, multi-discipline practice where you can grow: pediatrics, internal medicine, weight-loss & sleep medicine specialties. A values-driven environment: we listen, we help, we understand—and we care. Community-oriented and recognized: voted "best of the best" in the region. Opportunity to make a meaningful impact by supporting patients over their full life span—from children to seniors. A workplace...