238 profee coding auditor jobs found

Datavant is seeking a Profee Auditing Specialist to conduct coding audits and provide education related to coding quality. With a strong focus on customer service, this fully remote position requires 5+ years of experience and CPC certification. Responsibilities include performing audits using ICD-10-CM and educating coders. Benefits include medical, dental, vision, generous PTO, and more. The salary range is $35-$45 per hour depending on experience and skills. #J-18808-Ljbffr

Datavant is seeking a Profee Auditing Specialist in Jefferson City, Missouri. This role involves conducting professional fee coding audits, providing education on coding standards, and ensuring compliance. Candidates must have over 5 years of experience in fee coding and be a Certified Professional Coder (CPC). Benefits include comprehensive training, healthcare, a 401(k), and paid time off. Join Datavant to contribute to transformative change in healthcare through accurate data solutions. #J-18808-Ljbffr

Datavant is seeking a Profee Auditing Specialist to conduct Professional Fee coding audits fully remote. In this role, you will ensure coding accuracy, provide education, and keep up with regulatory changes while maintaining a customer-service focus. Required qualifications include over 5 years of coding/auditing experience, CPC certification, and proficiency in software like Epic and Cerner. Benefits include medical coverage and a $2,500 sign-on bonus. Pay ranges between $35 to $45 hourly depending on experience. #J-18808-Ljbffr

Datavant is looking for a Profee Auditing Specialist in Salem, Oregon, to perform coding audits and provide support for coding quality and compliance. The role requires more than 5 years of experience in professional fee coding, with a CPC certification being mandatory. This is a fully remote position that offers a competitive salary of $35 to $45 per hour, along with comprehensive benefits including medical, dental, vision, and 401k. Join Datavant to help improve health data accessibility in healthcare. #J-18808-Ljbffr

Datavant is seeking a Profee Auditing Specialist to perform coding audits and enhance educational support related to coding quality and compliance. Candidates should have over 5 years of Professional Fee coding experience and hold a CPC certification. This fully remote role offers a competitive salary of $35—$45 per hour, alongside comprehensive benefits including medical, dental, and retirement plans. Join Datavant to contribute to transformative healthcare data solutions. #J-18808-Ljbffr

Insight Global is looking for a Complex Surgical Coding Auditor to join a coding quality and education team focused on auditing professional fee surgical coding accuracy and supporting coder development across multiple surgical specialties. This individual will be responsible for auditing the work of 7-9 coders, conducting weekly quality reviews to maintain a 95% accuracy standard, and performing provider audits as needed. The role will involve reviewing complex operative reports, validating CPT, ICD-10, modifier, and global surgery coding accuracy, identifying coding trends and compliance risks, and providing education and coaching to coders and providers. The ideal candidate will be comfortable leading rebuttal discussions, delivering constructive feedback, and partnering with quality and education teams to improve coding performance. This position offers a long-term opportunity to grow into a coding education and quality improvement role supporting advanced surgical specialties....

Position SummaryThe RCS Medical Coding Auditor is responsible for auditing professional (ProFee) medical coding to ensure accuracy, compliance, and alignment with AMA CPT, CMS, NCCI and payer guidelines. This role supports coding integrity, mitigates compliance risk, and drives continuous quality improvement through targeted education and audit-based feedback.The ideal candidate brings strong hands-on experience with professional fee coding , deep knowledge of E/M, surgical, and modifier use , and the ability to translate audit findings into actionable insights.Key ResponsibilitiesPerform daily QA to ensure accuracy of completed coding and provide targeted coding education and feedbackValidate ICD‑10‑CM, CPT, HCPCS, and modifier assignment against clinical documentation to ensure accuracy and compliance with AMA CPT, ICD-10, CMS, NCCI, and payer-specific guidelinesConduct medical chart audits of professional services across multiple specialtiesIdentify coding discrepancies,...

Position Summary The RCS Medical Coding Auditor is responsible for auditing professional (ProFee) medical coding to ensure accuracy, compliance, and alignment with AMA CPT, CMS, NCCI and payer guidelines. This role supports coding integrity, mitigates compliance risk, and drives continuous quality improvement through targeted education and audit-based feedback. The ideal candidate brings strong hands-on experience with professional fee coding , deep knowledge of E/M, surgical, and modifier use , and the ability to translate audit findings into actionable insights. Key Responsibilities Perform daily QA to ensure accuracy of completed coding and provide targeted coding education and feedback Validate ICD-10-CM, CPT®, HCPCS, and modifier assignment against clinical documentation to ensure accuracy and compliance with AMA CPT, ICD-10, CMS, NCCI, and payer-specific guidelines Conduct medical chart audits of professional services across multiple specialties...

Summary This position is located in the Health Information Management (HIM) section of the Business Office at the Bay Pines VA Healthcare System (BPVAHCS). Medical Records Technician (Coder) (MRTs) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multispecialty clinics, and specialty centers. Learn more about this agency Duties Help Total Rewards of a Allied Health Professional This position is located in the Health Information Management (HIM) section of the Business Office at the Bay Pines VA Healthcare System (BPVAHCS). Supervisory MRTs (Coder)are responsible for supervising coding staff at the facility level. Supervisory MRTs (Coder) must be able to perform all duties of a MRT (Coder). The supervisory coder is responsible for the supervision, administrative management, and direction of coding staff. They are responsible for program management...

Certified Medical Coder Medical Associates is looking for a Certified Medical Coder to join our team! In this role, you will complete charges of professional services provided by clinic providers. Location: This position has the ability to work from home but will also be required to spend some time in the office to assist with provider education. Schedule: During training, this position will work in-person M-F, 8am-5pm. After successful completion of training and consistently being able to meet productivity goals, this position will have the opportunity to work 4 10-hour days or 5 8-hour days. Schedule is flexible and open for discussion! Main Job Functions: Code outpatient and inpatient services for clinic providers in compliance with CPT and ICD-10-CM guidelines, impacting clinic bottom line. Work system claims scrubber errors, independently making decisions to correct identified errors before submission of claim. Assist nursing, ancillary, and business office staff...

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: 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...

You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006. And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine! You can make a difference here. About Us Billings Clinic is a community‑owned, not‑for‑profit, Physician‑led health system based in Billings with more than 4,700 employees, including over 550 physicians and non‑physician providers. Our integrated organization consists of a multi‑specialty group...

Billings Clinic HIM Specialty Coder II You'll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet Recognition consecutively since 2006. And you'll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine! You can make a difference here. Billings Clinic is a community-owned, not-for-profit, physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists...

Job Description Job Description Over the years, Ophthalmology LTD's name provides the highest quality of comprehensive medical and surgical eye care. Highly trained ophthalmologists, as well as experienced optometrists, combine their considerable expertise to give each and every patient the best possible care. Ophthalmology LTD delivers treatment for cataracts, glaucoma, and diabetic eye disease, as well as cornea transplants, oculoplastic surgery, retina surgery, vitreoretinal surgery, and pediatric eye care in Sioux Falls. We are looking for a passionate Medical Coder. This person is responsible for coding clinical and outpatient medical records using the most accurate and appropriate ICD-10-CM and CPT codes in accordance with regulatory coding guidelines and Ophthalmology LTD policy and procedures. If you are passionate about the work you do and the effect your work has on a patient's experience, this might be a great fit for you! This position is full-time and will...

## Coder - Outpatient (Local Only - Texas/New Mexico)Applylocations: Business and Technology Centertime type: Full timeposted on: Posted Todayjob requisition id: R20874We’ve learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas.Job Summary The Coder-Outpatient is responsible for the ICD-10-CM, ICD-10-PCS, CPT and modifier assignment of diagnosis and procedures of an outpatient visit. Reports to: Job Specific Responsibilities Daily assignments may include but are not limited to: • Assign and sequence diagnostic and procedural codes for patient care, utilizing ICD-10, CPT, and HCPCS coding systems. • Ensure accurate and compliant coding of medical services and procedures based on clinical documentation. • Review patient records and physician documentation to validate coding accuracy and completeness. • Work collaboratively with healthcare providers and staff to clarify and address documentation...

ThedaCare Coder (Clinic - III) The Coder (Clinic - III) performs coding review for surgical specialties for ThedaCare Physician Services to accurately reflect services rendered. Reviews and processes charges using industry standard methodologies (CPT, ICD-10-CM, HCPCS), abides by Standards of Ethical Coding (AAPC/AHIMA), and complies with official coding guidelines and other regulatory requirements. Audits medical record documentation and educates providers on documentation improvement opportunities and risks. Educates and trains new team members to department standards. Mentors and observes team members in department responsibilities. Upholds and demonstrates department expectations and accuracy in regards to coding responsibilities including payer denials and claim edits. Job Description: Schedule: Full time, benefit eligible 40 hrs/week Business hours (i.e 8:00am-5:00pm) Remote Position Preferred skill set and experience strong in surgical coding; Urology primarily to...

🌟 Join Our Growing Coding Team – Where Orthopaedics Meets Opportunity! 🌟 Why Join Our Coding Team? We know Coders are looking for more than just a job - you want growth, support, and the tools to succeed. ✨ What Sets Us Apart: Company-issued laptop for streamlined documentation Collaborative environment Opportunity to work fully remote after training Opportunity to become a part of organization that is team-focused! 💰 Retirement Benefits: Guaranteed 3% company contribution to your 401(k) Discretionary profit-sharing contribution annually (after 1 year of service and meeting eligibility requirements) Job Summary The Coder is responsible for reviewing, interpreting, and assigning appropriate CPT, ICD-10, and HCPCS codes, and ensuring compliance with federal regulations and payer policies. This position is responsible for reviewing operative reports for all procedures performed by Excelsior Orthopaedic Physicians for completeness...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina,Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington....

Description Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary: Performs technical and administrative work reviewing, abstracting and assigning accepted medical CPT, HCPCS, and ICD-10 codes for professional services. Duties are performed in compliance with third party, state and federal regulations according to standardized procedures. Employees report to an administrative superior but independently handle assigned tasks. Responsibilities: Assigns International Classification of Diseases 10-CM diagnostic and ICD-10-PCS procedural codes accurately and productively, and other applicable codes such as MS-DRG on inpatient cases for all Health Care system cases excluding the academic medical center Groups codes and completed product into payment group. Assigns codes that affect Severity of Illness and Risk of Mortality and...

Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities: Enhances and maintains coding knowledge and skills. Reviews all appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.For physician billing, collaborates with billing department to ensure all bills are satisfied. For hospital, routes to billing charge entry errors...