20 coding auditor facility jobs found in Chicago

The Inpatient Coding Auditor will be responsible for auditing inpatient coders and offshore inpatient coding auditors to ensure coding accuracy and DRG accuracy of a minimum of 95%. The role requires frequent and effective communication via phone, email, and instant messaging with various client teams and payers. The Inpatient Coding Auditor reports to the Huron Managed Services Domestic Coding team. Key Responsibilities Audit inpatient coders and auditors to ensure compliance with client SOPs and coding guidelines. Perform quality checks, calibration audits, and suggest improvements. Conduct calibration sessions with offshore team counterparts and leaders. Prepare audit reports and provide direct feedback to coders and auditors on areas of opportunity. Participate in client interactions and internal stakeholder meetings. Monitor coding guideline compliance and correct identified errors before claims are rebilled. Conduct analysis and present summaries of findings to leadership in...

Inpatient Coding Auditor Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the...

Outpatient Surgery Coder LaSalle Network is hiring for a skilled Outpatient Surgery Coder to support a high-performing healthcare team in a fully remote environment. This role is ideal for someone who thrives in independent work settings and has a sharp eye for detail, particularly when working with surgical documentation and coding accuracy. If you're ready to jump into a fast-paced, quality-driven role, we want to hear from you. Compensation: $60,000 $70,000 Benefits: Medical, Dental, Vision Location: Illinois, Indiana, Iowa, Wisconsin, Ohio, Missouri, Michigan or Florida. Work Model: Fully Remote What's the Job? Assign accurate ICD-10-CM, CPT and HCPCS codes for outpatient surgical encounters, with a strong focus on same day surgery cases Review operative reports and clinical documentation to ensure coding accuracy and completeness Apply APC reimbursement methodologies to support accurate billing outcomes Ensure compliance with CMS guidelines and payer-specific...

Ambulatory Coder Chicago The Ambulatory Coding and Reimbursement Specialist 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 Specialist ensures all coding aligns with established coding standards, regulatory requirements, and reimbursement policies. Essential Duties and Responsibilities: Analyzes provider documentation to assure the appropriate Evaluation & Management levels are assigned using the correct CPT and current Evaluation and Management Guidelines Interprets outpatient office visit notes and charge documents to determine services provided and accurately assign CPT, Modifiers, and ICD-10 coding to these services. Performs comprehensive...

Passionate about precision medicine and advancing the healthcare industry? Recent advancements in underlying technology have finally made it possible for AI to impact clinical care in a meaningful way. Tempus' proprietary platform connects an entire ecosystem of real-world evidence to deliver real-time, actionable insights to physicians, providing critical information about the right treatments for the right patients, at the right time. Responsibilities: Audit ICD-10 codes and make appropriate changes Maintains worklists for patient billing, ICD-10 coding, medical record requests, COB/expired insurance, and refund requests in Tempus' billing system Review and verify that medical record documentation supports diagnoses, procedures and treatment results Assist Supervisor with aged account clean up in Tempus billing system Support audit process as needed Ad hoc requests and special projects as needed Qualifications: CPC certification or similar...

Job Type Full-time Description A Certified Professional Medical Auditor is responsible for reviewing and auditing medical documentation, including patient records, charts, and clinical notes, to ensure accuracy, compliance with regulations, and adherence to industry standards. This role is crucial in maintaining the integrity of medical records, billing processes, and healthcare facilities' compliance with applicable laws and regulations. Requirements Key Responsibilities: Medical Documentation Review: Conduct thorough audits of patient medical records, including physician notes, progress notes, discharge summaries, and other relevant documentation. Examine medical records to verify their completeness and conformity with established standards, ensuring they accurately reflect the patient's condition, diagnosis, treatment, and other pertinent information. Verify that documentation adheres to established coding guidelines, such as ICD-10 and CPT, and...

POSITION SUMMARYThe Billing Specialist II processes and audits client invoicing, client setups/changes and rate sheet reviews to ensure timely invoice generation and adherence to key performance standards and policies. This role involves managing electronic billing data, verifying client and vendor financial information, communicating with internal stakeholders, and potentially providing mentorship to junior staff.ESSENTIAL FUNCTIONSAccurately process monthly invoices for large volume of assigned groupsReview monthly billing eligibility adjustments and ensure accurate processing of member terms and enrollmentsConfigure and audit new accounts for our ASO book of businessRenewal rate sheet review with audit of annual fees and rates for existing book of businessCreate/Maintain Excel spreadsheets to track services/activity for assigned groupsAssist in New Hire and Group TrainingMaintain Access Database table data to track services/activity for several clientsAddress and resolve complex...

Compensation Based on Experience. Senior Medical Coder $30 - $40 per hour | Glen Allen, VA | Remote | Consulting Remote need for Medical Coder with strong outpatient experience! 5+ month contract position! A bit about us: We are currently seeking a highly skilled and experienced Medical Coder to join our dynamic team. This position requires a dedicated professional who is passionate about the medical industry and is well-versed in Athena EHR or equivalent software. The successful candidate will be responsible for assigning codes to medical procedures, diagnoses, and treatments, ensuring the accuracy and compliance with established coding standards and regulatory bodies. Why join us? Medical, Dental, Vision 401k Remote flexibility Flexible schedules and much more! Job Details Responsibilities: Accurately assign ICD-10 and CPT codes to medical procedures, diagnoses, and treatments in accordance with industry standards and regulatory guidelines. Review patient medical...

A bit about us: We are currently seeking a highly skilled and experienced Medical Coder to join our dynamic team. This position requires a dedicated professional who is passionate about the medical industry and is well-versed in Athena EHR or equivalent software. The successful candidate will be responsible for assigning codes to medical procedures, diagnoses, and treatments, ensuring the accuracy and compliance with established coding standards and regulatory bodies. Why join us? Medical, Dental, Vision 401k Remote flexibility Flexible schedules and much more! Job Details Responsibilities: 1. Accurately assign ICD-10 and CPT codes to medical procedures, diagnoses, and treatments in accordance with industry standards and regulatory guidelines. 2. Review patient medical records to extract pertinent data and ensure the accuracy of coding. 3. Utilize Athena EHR or equivalent software to enter, update, and maintain coding information. 4. Communicate...

Position Summary The DBO Lead Supervisor is responsible for the oversight of teams performing revenue cycle functions across multiple clients, acting as the primary point of contact for day‑to‑day time management, support services, policy interpretation, and dissemination of new directions. The role requires frequent, effective communication via phone, email, and instant messaging with client teams, and a strong focus on analytical, independent, and self‑motivated work. The Supervisor reports to the Domestic Business Office leadership team and has direct responsibility for unit financial performance. Responsibilities Own client‑facing meetings, including creating agendas, issue logs, report packages, and supporting materials to facilitate discussion. Manage team metrics, including individual productivity and quality measures and client‑specific service‑level agreements. Collaborate with HMS Shared Services to complete onboarding for new clients, including staff assignments,...

Sr. Associate, Health Care Ankura is a team of excellence founded on innovation and growth. Practice Overview: Ankura's Health Care team is a recognized leader in health care disputes, compliance, and investigations. We combine unparalleled clinical, technical, and operational expertise with financial, economic, analytic skills. Our clients and their legal counsel rely upon us to successfully resolve complex matters. Ankura's health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice leaders each have over 25 years of health care and consulting experience. The Ankura team has a mastery of the data and information systems used by providers, payers, and CMS. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic skills enabling us to help our clients and their legal counsel assess and quantify the potential impact of a dispute....

Position Summary Applies CPT-4 and HCPCS codes to medical records for the cardiovascular lab and interventional radiology departments based on documentation provided by physicians. Adheres to strict federal coding rules and guidelines in selecting codes that appropriately reflect the services that were provided. Balances need for (95% accuracy) coding accuracy against timely account completion for billing deadlines. Essential Responsibilities Coding of surgical procedures performed by cardiologists, and interventional radiologists Verification of supplies used during procedures Use of encoders and other references Maintains appropriate non-leading queries to physicians Ability to abstract services from physician documentation and procedure logs. Reconciliation of monthly surgical logs Managing multiple job tasks daily (WQs, emails, surgical logs, census, etc.) Prepares Excel analysis, including V-Lookups and pivot tables. Gathers and compiles data in a systematic fashion,...

Position Summary The DBO Lead Supervisor is responsible for the oversight of teams performing revenue cycle functions across multiple clients, acting as the primary point of contact for day‑to‑day time management, support services, policy interpretation, and dissemination of new directions. The role requires frequent, effective communication via phone, email, and instant messaging with client teams, and a strong focus on analytical, independent, and self‑motivated work. The Supervisor reports to the Domestic Business Office leadership team and has direct responsibility for unit financial performance. Responsibilities Own client‑facing meetings, including creating agendas, issue logs, report packages, and supporting materials to facilitate discussion. Manage team metrics, including individual productivity and quality measures and client‑specific service‑level agreements. Collaborate with HMS Shared Services to complete onboarding for new clients, including staff assignments, system...

Job Summary The University of Chicago Physicians Group (UCPG) team is responsible for the overall management of clinical revenue for physician billing. This includes frontend revenue capture, working of edits, conducting audits for physician education, and ensuring the workflow of charge capture through invoice creation. UCPG is seeking an Abstractor/Coder to work with providers and staff on professional billing and compliance activities. Strong knowledge of evaluation and management coding guidelines and requirements is strongly preferred. This position is eligible for a flexible work arrangement. Responsibilities 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, providing guidance to faculty and staff on the...

Position Summary The Inpatient Coding Auditor will be responsible for the auditing of inpatient coders and auditing of offshore inpatient coding auditors to ensure coding accuracy standards are met. This role requires frequent and effective communication via phone, email, and instant messaging with various client teams and payers. The Inpatient Coding Auditor will report to the Huron Managed Services Domestic Coding team. Key Responsibilities Perform a variety of activities involving the coding of medical records, resolving coding related denials, and auditing of coders to ensure coding accuracy standards are met. Demonstrate Huron’s Vision and Values in behaviors, practices, and decisions. Utilize encoder software applications and all applicable online tools to assign ICD-CM diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments. Apply coding guidelines established by CDC, CMS, AHA, AMA, AHIMA, and client procedures. Conduct quality checks/audits on...

100% remote Medical Coder needed / Must have hospital and/or acute care experience! This Jobot Consulting Job is hosted by: Christine McNamara Are you a fit? Easy Apply now by clicking the "Quick Apply" button and sending us your resume. Salary: $30 - $40 per hour A bit about us: We are currently seeking an experienced Inpatient Medical Coder to join our dynamic and fast-paced team. The successful candidate will play a crucial role in accurately coding patient records for our inpatient services. This is a fantastic opportunity to utilize your coding skills and knowledge in a challenging and rewarding environment, working with a variety of medical specialties and interacting with our dedicated healthcare professionals. This is a long term contract role with strong likelihood of converting to a permanent employee in 2027. Why join us? 100% remote work Flexible work schedule Growth opportunities Job Details Responsibilities 1. Reviewing and analyzing patient records to accurately...

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 reimbursement policies such as surgical...

Ankura is a team of excellence founded on innovation and growth. Practice Overview: Ankura’s Health Care team is a recognized leader in health care disputes, compliance, and investigations. We combine unparalleled clinical, technical, and operational expertise with financial, economic, analytic skills. Our clients and their legal counsel rely upon us to successfully resolve complex matters. Ankura’s health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice leaders each have over 25 years of health care and consulting experience. The Ankura team has a mastery of the data and information systems used by providers, payers, and CMS. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic skills enabling us to help our clients and their legal counsel assess and quantify the potential impact of a dispute. Our clients include the largest...

Overview Compensation: $60,000 – $70,000 Benefits: Medical, Dental, Vision Location: Based in Illinois, Indiana, Iowa, Wisconsin, Ohio, Missouri, Michigan or Florida. Work Model: Fully Remote LaSalle Network is hiring for a skilled Outpatient Surgery Coder to support a high-performing healthcare team in a fully remote environment. This role is ideal for someone who thrives in independent work settings and has a sharp eye for detail, particularly when working with surgical documentation and coding accuracy. What’s the job? Assign accurate ICD-10-CM, CPT and HCPCS codes for outpatient surgical encounters, with a strong focus on same day surgery cases Review operative reports and clinical documentation to ensure coding accuracy and completeness Apply APC reimbursement methodologies to support accurate billing outcomes Ensure compliance with CMS guidelines and payer-specific requirements Query providers for clarification when documentation is incomplete or unclear Meet...

Key Responsibilities Perform activity related to coding of medical records, resolve coding‑related denials, and audit coders to ensure coding accuracy standards are met. Demonstrate Huron’s Vision and Values in all behaviors, practices, and decisions. Act as Inpatient Coding Auditor, ensuring a minimum 95% accuracy for coding and DRGs. Conduct quality checks/audits on visits coded according to client SOPs. Perform calibration audits and schedule calibration sessions with offshore team counterparts and leaders. Assist in preparing audit reports, providing direct feedback to coders and auditors, and participate in client interactions and internal stakeholder meetings. Possess a firm understanding of clinical documentation guidelines. Identify and rectify coding guideline violations during audits before claims are rebilled. Analyze and present audit findings to leadership in a clear, concise, actionable format. Use encoder software applications and all available online tools for...