4 professional coding auditor jobs found

Thank you for considering Progyny! Progyny is seeking a Claims Audit Extern to join our team. This role will primarily support claims audits, quality assurance reviews, and other related audit activities. In this role, you’ll gain hands-on experience in healthcare claims auditing while working with provider clinics and cross-functional teams to support coding accuracy, compliance, and continuous improvement. What you'll do... Participate in claims audits and quality assurance reviews, including selecting and preparing patient claim samples, evaluating claims and provider documentation, validating CPT/HCPCS and ICD-10-CM coding, modifiers, billing accuracy, and adherence to applicable coding and documentation guidelines. Document audit findings and prepare audit reports, including workpapers, Executive Summaries/Management Response Forms, and other required audit documentation. Provide education to provider clinics and applicable stakeholders regarding audit...

Ultimate Staffing Services is actively seeking a CPC-A Coder to join their client's team in Greensboro, NC. This is a fully onsite position , offering a wonderful opportunity for entry-level coders or individuals who have just obtained their CPC-A certification. The ideal candidate will have a keen eye for detail and a passion for coding accuracy. Responsibilities Review medical records, provider documentation, and clinical notes to assign accurate ICD-10-CM, CPT, and HCPCS codes. Ensure coding aligns with official coding guidelines, payer-specific rules, and regulatory requirements (CMS, OIG, HIPAA). Query providers when documentation is unclear, incomplete, or inconsistent. Work collaboratively with billing and revenue cycle teams to resolve coding-related claim edits, denials, or rejections. Maintain productivity and accuracy benchmarks as defined by the organization. Participate in internal audits, compliance reviews, and quality improvement initiatives. Stay current...

REMOTE NATIONWIDE At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start  Caring. Connecting. Growing together. The key challenge of this role centers around your ability to work quickly, accurately, and independently. You'll be challenged with daily production goals as well as maintaining a high accuracy rate to achieve your quality goals. Extensive use of electronic medical records in an ICD-10 environment is also required. Hours : This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 5am - 5pm. We offer 2-3 weeks of paid training. The...