849 professional coding auditor jobs found

Job Description Job Description Job Title: Professional Coding Auditor (CPC Required) Location: Dover, DE 19901 (Onsite) Salary Range: $53,000 – $81,000 (Facility Salary Range) Employment Type: Full-Time If interested, please email your resume to LKOPASZ@ALINESTAFFING.com Certified Professional Coder (CPC) Position Overview Seeking a Certified Professional Coder (CPC) with strong physician (professional) coding experience in a medical office setting. This role focuses on coding audits, documentation quality reviews, and provider education. The ideal candidate has experience coding across multiple specialties and regularly collaborates with physicians to provide documentation feedback and compliance education. Auditing experience is preferred. Certified Professional Coder (CPC) General Summary Performs data quality reviews on provider documentation to validate ICD-10-CM and CPT coding accuracy and clinical documentation integrity. Audits...

Job Title: Professional Coding Auditor (CPC Required) Location: Dover, DE 19901 (Onsite) Salary Range: $53,000 – $81,000 (Facility Salary Range) Employment Type: Full-Time If interested, please email your resume to LKOPASZ@ALINESTAFFING.com Certified Professional Coder (CPC) Position Overview Seeking a Certified Professional Coder (CPC) with strong physician (professional) coding experience in a medical office setting. This role focuses on coding audits, documentation quality reviews, and provider education. The ideal candidate has experience coding across multiple specialties and regularly collaborates with physicians to provide documentation feedback and compliance education. Auditing experience is preferred. Certified Professional Coder (CPC) General Summary Performs data quality reviews on provider documentation to validate ICD-10-CM and CPT coding accuracy and clinical documentation integrity. Audits physician and midlevel provider records to ensure correct diagnosis...

Job Title: Professional Coding Auditor (CPC Required) Location: Dover, DE 19901 (Onsite) Salary Range: $53,000 – $80,000 (Facility Salary Range) Employment Type: Full-Time If interested, please email your resume to LKOPASZ@ALINESTAFFING.com Certified Professional Coder (CPC) Position Overview Seeking a Certified Professional Coder (CPC) with strong physician (professional) coding experience in a medical office setting. This role focuses on coding audits, documentation quality reviews, and provider education. The ideal candidate has experience coding across multiple specialties and regularly collaborates with physicians to provide documentation feedback and compliance education. Auditing experience is preferred. Certified Professional Coder (CPC) General Summary Performs data quality reviews on provider documentation to validate ICD-10-CM and CPT coding accuracy and clinical documentation integrity. Audits physician and midlevel provider records to ensure correct diagnosis and...

Job Description General Purpose of Job :   Ensure Revenue Cycle Coding and Billing are compliant with State and Federal regulations.  Respond to and Investigate compliance issues within Revenue Cycle.   Lead and/or coordinate audit activity with governmental audits.   Essential Duties : This job description is intended to cover the minimum essential duties assigned on a regular basis.  Team members may be asked to perform additional duties as assigned by their leader.  Leadership has the right to alter or modify the duties of the position. Ensures conformance with applicable laws, regulations and Medicare/Medicaid reimbursement rules to ensure UMHS is in compliance with federal, state and/or local regulations. Monitors, analyzes and reports on laws, regulations, audits and industry standards that impact the organization. Develops and maintains Professional and Hospital billing issues on the Revenue Cycle Compliance Work Plan. Reviews the OIG Work Plan,...

Location: Remote (Must reside in TX, GA, LA, MS, AL, FL, WA, or TN) Schedule: Full-time, 40 hours/week Training Schedule: Monday–Friday, 7:00 AM – 3:30 PM CT Post-Training Flexibility: Flexible start times between 5:00 AM – 10:00 AM CT; ability to make up time on weekends Systems Used: Epic, 3M 360, Microsoft Teams Position Overview Are you an experienced Inpatient Hospital Coder looking for a stable, high-quality remote role with long-term growth potential? We are partnering with a large, multi-facility health system to hire Inpatient Coders to support both production-based inpatient coding and pre-bill review/audit functions across multiple hospitals. This team supports several inpatient facilities, offering a diverse and engaging case mix. Depending on experience and team needs, coders may be aligned to production coding, auditing, or a blend over time. The organization is known for strong leadership, low turnover, internal promotions, and a supportive approach to...

Job Description – Coding and Billing Auditor Location: Dover, DE Schedule: Days Job Type: Permanent/Full-Time Salary Range: $53,000.00 to $81,000.00 Position Overview: The Coding and Billing Auditor is responsible for reviewing, analyzing, and auditing professional physician claims to ensure accurate ICD-10 and CPT coding, complete and compliant clinical documentation, and adherence to internal and regulatory standards. This role provides guidance and education to physicians, midlevel providers, coders, and charge entry personnel to improve documentation quality and coding accuracy. The auditor also supports the revenue cycle team and collaborates with leadership to implement process improvements and training initiatives. This is a full-time, onsite position at BayHealth Hospital – Kent Campus in Dover, DE. Key Responsibilities: Perform data quality reviews and audits of provider medical records to validate accuracy of ICD-10 and CPT coding, principal...

divh2Coder Quality Auditor/h2pThe Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes. Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines. Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties./ppJob Responsibilities:/pulliQuality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts. Performs initial baselines as well as quarterly performance quality assurance reviews to assess...

Professional Medical Coder II CCG Talent Management is not only a business solutions company but a company that believes success starts with the individual. CCG Business Solutions has been consulting and providing talent placement services since 2007. Our team understands the principles of connecting purpose to business. We are currently recruiting for a Professional Medical Coder II. Job Description Remote Role - Must be located in the Portland, OR Metro Area. The Professional Medical Coder II will focus on review of documentation and coding. The Professional Medical Coder II will ensure accurate coding and claim submission and conformity to applicable guidelines and regulations. Responsibilities: Perform documentation and coding reviews within work queues across various specialties as assigned. Utilize available coding tools and knowledge to assist in appropriate assignment of coding. Maintain current knowledge to ensure that coding and documentation meets regulatory...

Summary The Medical Records Technician (Coder) Auditor is located in the Health Information Management (HIM) section of Medical Administration Service at the VA Maryland Health Care System. A Medical Records Technician must possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), the Healthcare Common Procedure Coding System (HCPCS) and be skilled in classifying medical data from patient health records. Responsibilities Total Rewards of a Allied Health Professional Duties: Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural...

Medical Records Technician (Coder) Auditor This position is in the Health Information Management (HIM) section at the Durham VA Health Care System. The Medical Record Technician (Coder) Auditor is responsible for abstracting medical record data and assigning codes using current clinical classification systems appropriate for the type of care provided. The duties of the Auditor will include, but are not limited to: Serves as expert of current coding conventions and regulations related to professional and facility coding. Performs audits of encounters to identify areas of non-compliance in coding. Provides recommendations on appropriate coding and is responsible for maintaining current knowledge of the various regulatory guidelines and requirements. Works with staff to ensure that regulations are met or areas of weakness are identified and reported to appropriate supervisor for corrective actions. Performs prospective coding audits and utilizes results to identify processing...

Professional Medical Coder II CCG Talent Management is not only a business solutions company but a company that believes success starts with the individual. CCG Business Solutions has been consulting and providing talent placement services since 2007. Our team understands the principles of connecting purpose to business. We are currently recruiting for a Professional Medical Coder II. Job Description Remote Role - Must be located in the Portland, OR Metro Area. The Professional Medical Coder II will focus on review of documentation and coding. The Professional Medical Coder II will ensure accurate coding and claim submission and conformity to applicable guidelines and regulations. Responsibilities: Perform documentation and coding reviews within work queues across various specialties as assigned. Utilize available coding tools and knowledge to assist in appropriate assignment of coding. Maintain current knowledge to ensure that coding and documentation meets regulatory...

Professional Medical Coder II CCG Talent Management is not only a business solutions company but a company that believes success starts with the individual. CCG Business Solutions has been consulting and providing talent placement services since 2007. Our team understands the principles of connecting purpose to business. We are currently recruiting for a Professional Medical Coder II. Job Description Remote Role - Must be located in the Portland, OR Metro Area. The Professional Medical Coder II will focus on review of documentation and coding. The Professional Medical Coder II will ensure accurate coding and claim submission and conformity to applicable guidelines and regulations. Responsibilities: Perform documentation and coding reviews within work queues across various specialties as assigned. Utilize available coding tools and knowledge to assist in appropriate assignment of coding. Maintain current knowledge to ensure that coding and documentation meets regulatory...

Medical Records Technician (Coder) Auditor The Medical Records Technician (Coder) Auditor is located in the Health Information Management (HIM) section of Medical Administration Service at the VA Maryland Health Care System. A Medical Records Technician must possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), the Healthcare Common Procedure Coding System (HCPCS) and be skilled in classifying medical data from patient health records. Duties include: Applying comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Reviewing assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology...

A healthcare employer in Houston, TX is seeking a Coding Auditor to join their growing team. This position is remote but candidates must live in the following states: TX, OK, LA, TN, and GA. This position will audit and educate our coders (internal and onsite coders approx.. 40+ coders). The person in this position will audit 80-85% of the time with education to the coders based on auditing results. They will be focused on non-surgical coding within the following specialties: Urology, Bariatrics, Interventional Cardiology, OB/GYN and Neurology. They will specifically be auditing E/Ms with a heavy focus diagnosis codes and modifiers.

JOB DESCRIPTION To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), and Kaiser Permanente organization/institutional coding...

Must Haves 2+ years of working with ICD-9/10CM, MS-DRG, AP-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, medical necessity criteria, and coding terminology. Expert coding knowledge (DRG & ICD-10) Registered Nurse RN (must be inpatient) WITH coding/clinical documentation certification (2 years in clinical documentation) Day to Day Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have an extensive background in either facility-based nursing, clinical documentation, and/or inpatient coding and has a high level of understanding of reimbursement guidelines specifically an understanding of the MS-DRG, AP-DRG, and APR-DRG payment systems. This position is responsible for auditing inpatient medical records and generating high-quality recoverable claims for the benefit of our client and their clients. They are responsible for...

divh2Coder Quality Auditor/h2pThe Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes. Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines. Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties./ppJob Responsibilities:/pulliQuality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts. Performs initial baselines as well as quarterly performance quality assurance reviews to assess...

Medical Coder TekSystems is currently hiring for a medical coder that can sit anywhere in the US as it is fully remote, this position does work on EST time zone hours! Must have: 1-3 years of medical coding experience preferably outpatient experience but open to other medical coding experience, must have an active CPC license! These coders will be taking the work from the client coordinators. They will be looking at what the provider sends and coded for payment and what the payer sends and coded for payment. They will be reviewing the case to decide which one is correct, is the correct code being used, and make a determination of what code and payment is recommended by MCMC. Then they pass it off to QA for review. They will do these cases over and over again to push them through. All of the cases are going to be emergency services, so they would like for everyone to have experience in emergency services, inpatient coding, or DRG (diagnosis-related group) coding. This would allow...

Job Description Job Description Lamoille Health Partners is looking for a Certified Medical Coder to accurately translate diagnostic and procedural information from patient medical records into standardized codes. The Medical Coder plays a crucial role in ensuring accurate billing and reimbursement, as well as contributing to valuable healthcare data collection. ESSENTIAL FUNCTIONS: Review and analyze patient medical records, including physician notes, operative reports, laboratory and radiology results, and discharge summaries, to identify pertinent diagnoses and procedures. Accurately assign ICD-10-CM, CPT, and HCPCS codes according to official coding guidelines and regulations. Ensure proper sequencing of codes to optimize reimbursement and meet payer requirements. Abstract relevant information from medical records, including patient demographics, diagnoses, procedures, and dates of service. Identify and resolve coding discrepancies, errors, and omissions by...

TekSystems is currently hiring for a Medical Coder that can sit anywhere in the US as it is FULLY REMOTE, this position does work on EST time zone hours! MUST HAVE: 1-3 years of medical coding experience preferably outpatient experience but open to other medical coding experience, MUST have an ACTIVE CPC License! Description These Coders will be taking the work from the Client Coordinators. They will be looking at what the Provider send and coded for payment and what the Payer sent and coded for payment. They will be reviewing the case to decide which one is correct, is the correct code being used, and make a determination of what code and payment is recommended by MCMC. Then they pass it off to QA for review. They will do these cases over and over again to push them through. All of the cases are going to be Emergency Services, so they would like for everyone to have experience in emergency services, inpatient coding, or DRG (diagnosis-related group) coding. This would...