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6 professional coding auditor jobs found

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SM
Full Time
 
Senior Risk Adjustment Coder (CPC, CRC, and CCDS required) - Remote/CA Resident
Stanford Medicine Partners Remote (CA, USA)
Senior Risk Adjustment Coder (CPC, CRC, and CCDS required) Stanford Medicine Partners Newark, CA (Remote/CA Resident) Stanford Medicine Partners (SMP) is looking for an amazing Senior Risk Adjustment Coder to join our rapidly growing team! SMP prides itself in offering exceptional service and patient care. Stanford Medicine Partners with Stanford Health Care to provide individualized and convenient care with access to Stanford specialists and technology. Join our team and start making a difference today! A Brief Overview The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare Advantage Risk Adjustment. What you will do Risk Adjustment...

Oct 26, 2025
JH
Sr. Compliance Auditor Trainer
Johns Hopkins University Baltimore, MD, USA
We are seeking a Sr. Compliance Auditor Trainer who will provide on-going training and support to physicians, non-physician providers, professional fee billing staff, clinic staff, administrators, and other affected personnel on documentation and billing requirements. Using auditing and analysis techniques, determines the adequacy of medical records documentation, coding and billing for all providers across all clinical specialties. Works in close collaboration with the clinical departments, Physicians Billing Service, and the Johns Hopkins Health System Compliance Office. The documentation audits are conducted as part of the School of Medicine's Quality Assurance Compliance Program. Prepares reports for the Senior Director, Director, and clinical departments regarding the status or results of the reviews. Summary results are presented to the Clinical Practice Association's Board of Governors, the University's Trustee Committee for Audits and Insurance and other appropriate...

Dec 11, 2025
DN
Compliance Auditor, Mardi Gras Casino
Delaware North WV, USA
Job Description:The opportunity Delaware North Gaming is hiring a full-time Compliance Auditor to join our team at Mardi Gras Casino in Cross Lanes, West Virginia. As a Compliance Auditor, you will be responsible for performing a variety of compliance audit duties. If you want a job that provides fast-paced work in a collaborative environment where there are endless opportunities, apply now. Pay $17.00 - $21.00 / hour Information on our comprehensive benefits package can be found at https://careers.delawarenorth.com/whatweoffer. What we offer We care about our team member's personal and professional well-being. Delaware North provides a benefits package designed to give you the comfort, safety, and security you need to deliver exceptional experiences for our guests. All team members receive benefits including:Weekly payEmployee assistance program Training and development opportunitiesEmployee discountsFlexible work schedules Eligible team members may also receive: health, dental,...

Dec 15, 2025
BS
Abstractor/Coder I
Biological Sciences Division at the University of Chicago Chicago, IL, USA
Abstractor/Coder I – Biological Sciences Division, University of Chicago Join to apply for the Abstractor/Coder I role at the Biological Sciences Division at the University of Chicago . Base pay range: $25.95/hr – $37.98/hr Department BSD UCP – Professional Billing Coding – Medical Specialty About the Department The Biological Sciences Division (BSD) and the University of Chicago Medical Center (UCMC) are managed by a single Dean/Executive Vice President and comprise the largest unit of the University, accounting for 60% of its annual budget. All physician, hospital, and clinic services are managed through the Medical Center, which is a $1.3 billion enterprise. The BSD includes the Pritzker School of Medicine, approximately 20 academic units, degree‑granting committees, and research centers and institutes. The BSD is located on the University’s main campus in Hyde Park, ten minutes south of downtown Chicago. BSD’s patient care operations are conducted primarily at the...

Dec 11, 2025
Uo
Abstractor/Coder I
University of Chicago Chicago, IL, USA
Join to apply for the Abstractor/Coder I role at University of Chicago . Pay Range $25.95/hr - $37.98/hr (base pay) Department BSD UCP - Professional Billing Coding - Medical Specialty. The Biological Sciences Division (BSD) and the University of Chicago Medical Center (UCMC) are managed by a single Dean/Executive Vice President and comprise the largest unit of the University, accounting for 60% of its annual budget. All physician, hospital, and clinic services are managed through the Medical Center, a $1.3 billion enterprise. The BSD includes the Pritzker School of Medicine, approximately 20 academic units, degree‑granting committees, and research centers and institutes. It is located on the University’s main campus in Hyde Park, ten minutes south of downtown Chicago. BSD’s patient care operations are conducted primarily at the University of Chicago Hospital and clinics on the same campus. The University of Chicago Practice Plan (UCPP) supports the clinical activity of nearly...

Dec 11, 2025
TU
Abstractor/Coder I
The University Of Chicago Chicago, IL, USA
* Obtain appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits.* Analyze denial and rejection reports, and appeal wherever appropriate.* Submit charges in a timely manner.* Work in collaboration with the Clinical Revenue Supervisor and others, provide guidance to faculty and staff on the charge capture and documentation processes.* Educate physicians and support staff on coding issues, including issues related to fraud and abuse as it relates to coding/professional billing/clinical documentation.* Attend and participate in meetings related to clinical revenue production and compliance.* Track physicians on inpatient service and ensure charges are captured for services provided.* Manage tracking log.* Audit and provide feedback to all providers rotating on inpatient service.* Other duties as assigned.* Thorough working knowledge of medical terminology, anatomy and physiology, as demonstrated by...

Nov 30, 2025
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