21 documentation coding auditor jobs found in Chicago

Position Title: Coding Compliance Auditor Primary Location: Remote Position Type: Contract OVERVIEW Looking for a Coding Compliance Auditor to support the Medical Center in a fully remote capacity. This person will design and perform chart reviews, test the appropriateness of billing and documentation, and partner closely with the CDI team on reconciliation efforts. The role requires hands-on experience with EPIC, Solventum Encoder/3M, and SmarterDx software, along with the judgment to identify risk, drive corrective action, and serve as a trusted resource on coding and compliance across the organization. WHAT YOU BRING TO THE ROLE High School Diploma or GED required Coding certification required (e.g., RHIA, RHIT, and/or CCS) Three to five years of senior-level coding audit experience, or five years of coding experience Experience with CDI reconciliation and comfort collaborating with the CDI team Ability to interpret and analyze electronic medical...

Ann & Robert H. Lurie Children’s Hospital of Chicago is seeking a Medical Coder and Auditor to review physicians’ documentation, assign CPT/ICD-9 codes, and ensure accurate billing. The role requires at least three years of coding experience, CPC/CCS-P/CPMA certification, and proficiency with EPIC, Word, Excel, and PowerPoint. You will collaborate with physicians, division leaders, and billing teams to resolve discrepancies and improve coding quality. #J-18808-Ljbffr

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 rapidly changing healthcare...

Sign On Bonus: $1,500; DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending...

Coding Quality Auditor and Specialist, HB Coding, Full-time, Days (Remote) At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As part of our team, you’ll have the opportunity to contribute to better health care across the Northwestern Medicine system. We offer competitive benefits including tuition reimbursement and loan forgiveness, 401(k) matching, and lifecycle benefits. The Coding Quality Auditor and Specialist reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and regulatory standards. This role is the expert in clinical documentation and coding, working with the Clinical Documentation Team to ensure quality metrics meet high standards for NM Health System. The Coding Quality Auditor and...

Ann & Robert H. Lurie Children’s Hospital of Chicago is seeking a professional medical coder/auditor to review physician documentation and ensure correct CPT code selection. You will determine visit, procedure and diagnosis codes from records, educate physicians on deficiencies, and present audit findings to leadership. Maintain current CPT/ICD-9 knowledge and perform reconciliations with billing services. The ideal candidate has a high school diploma, 3+ years coding experience, and proficiency #J-18808-Ljbffr

A leading medical center in Chicago is looking for an Auditor & Educator to enhance coding accuracy and documentation adequacy within their Revenue Integrity team. This role involves collaborating with clinical staff, conducting performance reviews of coding, and providing educational support. Candidates should hold relevant degrees, certifications in coding, and possess significant experience in healthcare settings. The position offers a full-time work schedule and a competitive pay range from $32.00 to $52.08 per hour, complemented by excellent rewards and benefits. #J-18808-Ljbffr

Elevance Health is seeking a DRG Coding Auditor to audit inpatient medical records and generate recoverable claims across lines of business, ensuring accurate DRG assignment with MS-DRG and APR-DRG methodologies. You will apply ICD-10 guidelines and clinical documentation principles in medical record reviews, supporting high-quality recoveries and audit findings while collaborating with hospitals and internal teams. The role offers hybrid/remote work with required in-person training. #J-18808-Ljbffr

Job Description Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: PB Revenue Integrity Work Type: Full Time (Total FTE 1.0) Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits). Pay Range: $32.00 - $52.08 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary: As a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of EMR documentation of patient encounters to...

Anticipated End Date: 2026-10-12 Position Title: DRG Coding Auditor - MS-DRG and APR-DRG Job Description: Sign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service. DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development . Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The DRG Coding Auditor is responsible for auditing inpatient...

A healthcare provider in Chicago is seeking a Compliance Auditor to perform audits on provider documentation and coding. Responsibilities include managing compliance issues and communicating effectively with providers regarding results. Candidates should have a Bachelor's Degree and relevant certifications like RHIA or CPC. Strong interpersonal skills and experience in healthcare compliance are preferred. This role offers competitive benefits and opportunities for professional growth. #J-18808-Ljbffr

Huron is seeking a Coding Auditor to audit ambulatory/professional coding activities and ensure accuracy. You will work with client teams and the Huron Managed Services Domestic Coding group to uphold coding standards and improve processes. The role requires CPC certification or equivalent and 2+ years of relevant experience, with strong analytical, communication, and documentation skills. Applicants should be authorized to work in the United States and be prepared for a day shift. #J-18808-Ljbffr

Ann & Robert H. Lurie Children’s Hospital of Chicago is seeking a professional medical coder with CPT/ICD-9 expertise to audit physician documentation and assign accurate CPT codes. The role requires communication with physicians to correct deficiencies and the ability to present data to leadership. Qualified candidates hold CPC/CCS-P/CPMA certification, a high school diploma, and at least three years of coding experience, with strong EPIC/W complémentaires software skills in a hospital #J-18808-Ljbffr

Position Overview We are seeking an experienced Pay: $45/hour Location: Fully Remote Job Type: 6 month contract-to-hire Position Overview We are seeking an experienced Emergency Department (ED) Outpatient Coder to accurately code outpatient emergency services in compliance with official coding guidelines, payer requirements, and organizational policies. This role is fully remote and ideal for detail-oriented coders with strong ED and outpatient experience. Key Responsibilities Accurately assign ICD-10-CM, CPT, and HCPCS codes for Emergency Department outpatient encounters Review provider documentation to ensure complete, accurate, and compliant coding Apply correct modifiers and ensure proper charge capture Meet productivity and quality benchmarks while maintaining coding accuracy Follow official coding guidelines, CMS regulations, and payer-specific requirements Identify documentation gaps and work with providers or internal teams as needed Maintain confidentiality and...

Overview Now Hiring: Orthopedic Medical Coder (Illinois-Based | Hybrid Remote) Remote with 1 in-office day per month; Illinois residency required. A respected healthcare organization near Chicago is seeking a certified Medical Coder with strong experience in Orthopedic coding. This is a direct hire opportunity offering remote flexibility with minimal on-site requirements. What You’ll Do Apply accurate coding to patient records and resolve documentation discrepancies. Collaborate with clinical staff to clarify charge entries and support appeals. Generate audit reports and contribute to coding quality initiatives. Address denials and make necessary coding corrections. What You’ll Bring At least 3 years of coding experience, with a focus on Orthopedics. Strong understanding of coding audits, appeals, and EHR systems. Illinois residency is required. Benefits Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP...

Revenue Cycle Coder III-Inpatient CodingInspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.As our Advanced Coding & CDI Educator, you will leverage your expert knowledge in ICD-10-CM, ICD-10-PCS, and CPT-4 coding to drive excellence in our health information management (HIM) department. This critical role focuses on elevating coding accuracy, enhancing Clinical Documentation Improvement (CDI) practices, and ensuring system-wide compliance with evolving regulatory standards. You will be instrumental in fostering a culture of continuous learning and precision, directly...

At OrthoArizona, we are bringing the best together. Our organization was created to help serve ALL orthopedic and sports medicine needs throughout the Valley! We have a wide range of orthopedic surgeons and mid-level providers including physical and occupational therapists. Today we are one of Arizona's largest privately owned and most comprehensive orthopedic practices with more than 80 locally and nationally renowned providers across 30 locations, in addition to in house state of the art MRI capabilities. At OrthoArizona we are committed to best-in-class patient care, being a pioneer in research and technology, and most importantly, rewarding and recognizing our team members. As a Certified Professional Coder with OrthoArizona, you will get to: Read and understand Operative and/or Procedure notes. Apply CPT and ICD-10 codes to Operative reports. Communicate with providers regarding complex/unusual cases. Responsible for coding all daily office visits. Understand and follow...

Job Summary and Responsibilities As our Revenue Cycle Coder III-Inpatient Coding, you will leverage your expert knowledge in ICD-10-CM, ICD-10-PCS, and CPT-4 coding to drive excellence in our health information management (HIM) department. This critical role focuses on elevating coding accuracy, enhancing Clinical Documentation Improvement (CDI) practices, and ensuring system-wide compliance with evolving regulatory standards. You will be instrumental in fostering a culture of continuous learning and precision, directly impacting our revenue cycle integrity and healthcare data quality. Every day you will serve as a primary resource for complex coding and billing inquiries, providing authoritative guidance and problem-solving expertise. You will design, develop, and deliver comprehensive coding and CDI education programs, onboarding new staff, and conducting targeted training sessions across the health system. A key part of your role involves performing rigorous coding and DRG...

Outpatient Coder II, HB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, WI, OH, MO, MI, or FL - Sign-on bonus eligible) At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? The Outpatient Coder II reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards....

Revenue Cycle Coder III-Inpatient Coding Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. As our Advanced Coding & CDI Educator, you will leverage your expert knowledge in ICD-10-CM, ICD-10-PCS, and CPT-4 coding to drive excellence in our health information management (HIM) department. This critical role focuses on elevating coding accuracy, enhancing Clinical Documentation Improvement (CDI) practices, and ensuring system-wide compliance with evolving regulatory standards. You will be instrumental in fostering a culture of continuous learning and precision, directly...

Remote work from Illinois, Wisconsin, Indiana, and Iowa Description Outpatient Coder II reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. Follows ICD-10-CM Official Guidelines for Coding and Reporting, Coding Clinics, interprets ICD-10-CM coding conventions and instructional notes to select appropriate diagnoses with a minimum of 95% accuracy. Meets established minimum coding productivity per departmental protocol and guidelines. Outpatient Coder II is the coding and reimbursement expert with ICD-10-CM diagnosis coding, HCPCS and CPT codes and modifiers. The focus is on complex outpatient encounters that include Observation stays, Same Day Surgery, Surgery Center, and Outpatient in a bed. Should have more in-depth knowledge of disease process, A&P and pharmacology as it relates to the...