21 coder auditor professional jobs found in Dallas, TX

Job Summary (Par time-Potential for Fulltime) The Certified ER Medical Coding Auditor is responsible for auditing emergency department medical records to ensure accurate coding, compliance, and optimal reimbursement. This role also includes training and mentoring offshore coding teams to maintain high-quality standards and consistency across operations. Key Responsibilities Audit ER charts for accurate assignment of ICD-10-CM, CPT, and HCPCS codes Validate E/M level selection for emergency department visits Ensure compliance with payer guidelines and regulatory standards (CMS, HIPAA) Identify under coding, over coding, and documentation deficiencies Prepare detailed audit reports with corrective recommendations Provide education and feedback to coders and providers Train and mentor offshore coding teams on ER coding guidelines and audit findings Conduct regular quality review sessions and calibration meetings with offshore staff Develop and update...

Inpatient Drg Coding Specialist/Subject Matter Expert (Sme) We are seeking an experienced Inpatient DRG Coding specialist/Subject Matter Expert (SME) to support coding operations. This role combines hands-on inpatient coding, chart auditing, coder training, and oversight of daily workflow to ensure accurate, compliant, and timely coding. The ideal candidate will have strong expertise in ICD-10-CM, CPT, ICD-10-PCS, DRG assignment, and inpatient coding guidelines, along with experience mentoring coders and resolving complex coding questions. Key Responsibilities Manage daily inpatient coding workflows, prioritize work queues, and support timely completion of assigned cases. Review inpatient medical records and assign accurate diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS. Apply current Official Guidelines for Coding and Reporting, UHDDS definitions, and applicable facility and payer requirements. Validate principal diagnosis, secondary diagnoses,...

Certified ER Medical Coding AuditorThe Certified ER Medical Coding Auditor is responsible for auditing emergency department medical records to ensure accurate coding, compliance, and optimal reimbursement. This role also includes training and mentoring offshore coding teams to maintain high-quality standards and consistency across operations.Key ResponsibilitiesAudit ER charts for accurate assignment of ICD-10-CM, CPT, and HCPCS codesValidate E/M level selection for emergency department visitsEnsure compliance with payer guidelines and regulatory standards (CMS, HIPAA)Identify under coding, over coding, and documentation deficienciesPrepare detailed audit reports with corrective recommendationsProvide education and feedback to coders and providersTrain and mentor offshore coding teams on ER coding guidelines and audit findingsConduct regular quality review sessions and calibration meetings with offshore staffDevelop and update training materials, Review SOPs, and coding...

Inpatient Drg Coding Specialist/Subject Matter Expert (Sme)We are seeking an experienced Inpatient DRG Coding specialist/Subject Matter Expert (SME) to support coding operations. This role combines hands-on inpatient coding, chart auditing, coder training, and oversight of daily workflow to ensure accurate, compliant, and timely coding.The ideal candidate will have strong expertise in ICD-10-CM, CPT, ICD-10-PCS, DRG assignment, and inpatient coding guidelines, along with experience mentoring coders and resolving complex coding questions.Key ResponsibilitiesManage daily inpatient coding workflows, prioritize work queues, and support timely completion of assigned cases.Review inpatient medical records and assign accurate diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS.Apply current Official Guidelines for Coding and Reporting, UHDDS definitions, and applicable facility and payer requirements.Validate principal diagnosis, secondary diagnoses, principal procedures, and...

Location: Dallas, Texas, United StatesSalary: $32.00 - $37.00/hrCompany: TEKsystemsPosted: DescriptionRisk Adjustment Coding AuditorThe Risk Adjustment Coding Auditor ensures the accuracy and completeness of coded clinical data to support compliant reporting and appropriate reimbursement across risk adjustment programs. The role strengthens organizational performance by identifying coding and documentation gaps, mitigating financial and regulatory risk, and improving data integrity. It provides subject matter expertise to support consistent application of coding standards and enables informed decision-making across the enterprise.Your ResponsibilitiesEvaluates risk adjustment codes to ensure accuracy, consistency, and alignment with coding standards and best practicesProtects patient records and audit information by ensuring compliance with HIPAA, privacy, security, and regulatory requirementsPerforms Retrospective and Prospective chart reviews to ensure accurate risk adjustment...

At Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well-being of an underserved community and their families. Our multi-disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare-eligible Hispanic seniors. Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both, our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service-centered, and more compassionate healthcare family and Employer of Choice! Will you join us Suvidanos , to help achieve our Higher Purpose? What Makes Us Unique We are an empowered...

Outpatient Coding AuditorCGI is one of the largest global IT and business consulting services firms, helping clients achieve meaningful outcomes through technology, expertise, and innovation. With a global presence and a collaborative, ownership-driven culture, CGI empowers its professionals to deliver impactful solutions that make a difference for clients and the communities they serve.CGI is seeking an experienced Outpatient Coding Auditor to join our Healthcare Compliance Audit Team. In this role, you will leverage your outpatient coding, clinical documentation, and reimbursement expertise to conduct comprehensive medical record audits and identify potential improper payments, including overpayments and underpayments. You will review claims across outpatient hospitals, ambulatory surgical centers, physician practices, and other healthcare settings, delivering accurate, well-supported, and thoroughly documented audit findings.This is a fully remote position open to candidates...

Inpatient Coder (Remote) Full-time Work From Home Must have CCS, RHIA, or RHIT certification Job Summary As a Coding Integrity Specialist III WORK FROM HOME, you will review and evaluate hospital inpatient medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM and ICD-10-PCS codes. A CIS III performs coding and/or code/DRG validation across multiple entities by applying all appropriate coding guidelines and criteria for code selections. Job Qualifications Assign, sequence, validate, and/or edit codes/DRGs and abstracted data (e.g., physician, discharge disposition, query tracking) for inpatient records for multiple facilities using ICD-10-CM and ICD-10-PCS Maintain or exceed established accuracy standards Maintain or exceed established productivity standards Utilize the complete patient medical record documentation in code/DRG assignment, validation, and/or editing of codes/DRGs Undergraduate (Associate's or Bachelor's)...

Risk Adjustment CoderAt Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well-being of an underserved community and their families. Our multi-disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare-eligible Hispanic seniors.We tailor our primary care program to the culture, language, social, and overall well-being of the seniors we serve.Our Culture & Core BeliefsEarn TrustBuilding RelationshipsCreating JoyDoing RightImproving Every DayMoving ForwardOur PromisePurpose Driven CareerCompetitive PayBest-In-Class Medical/Dental CoverageFree Mental Health & Life Coaching for Team Members and their DependentsHoliday Time Off with PayPaid Community Service DayPaid Parental/Family LeavePaid...

Required Skills & Experience Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) Strong ICD-10-CM coding experience and medical record review background Knowledge of Risk Adjustment and HCC coding methodologies Experience reviewing physician documentation and assigning accurate diagnosis codes Strong understanding of medical terminology, anatomy, physiology, and disease processes Ability to interpret complex clinical documentation with high accuracy and productivity Familiarity with CMS guidelines and Medicare Advantage requirements Nice to Have Skills & Experience Medicare Advantage Risk Adjustment experience Experience working with CMS-HCC models CRC (Certified Risk Adjustment Coder) certification Experience with EMRs and coding software platforms Background in a health plan, physician practice, hospital, or revenue cycle environment Audit and quality assurance experience Job Description Insight Global is seeking Medical Coders specializing in Risk...

Overview Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. Our Story We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care. We have a rich history at Tenet. There are so many stories of compassionate care; so many 'firsts' in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many...

Integrative Emergency Services, LLC seeks a Certified Medical Coding Specialist with emphasis on surgical services to ensure accurate professional fee coding and documentation review. The role supports coding compliance, audits, and optimal reimbursement while maintaining patient care standards. The candidate must have surgical coding experience, a current AAPC or AHIMA certification, and the ability to work in hybrid or remote settings—residing in IES operating states. #J-18808-Ljbffr

Inpatient Coder (Remote)Full-time • Work From HomeMust have CCS, RHIA, or RHIT certificationJob SummaryAs a Coding Integrity Specialist III WORK FROM HOME, you will review and evaluate hospital inpatient medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM and ICD-10-PCS codes. A CIS III performs coding and/or code/DRG validation across multiple entities by applying all appropriate coding guidelines and criteria for code selections.Job QualificationsAssign, sequence, validate, and/or edit codes/DRGs and abstracted data (e.g., physician, discharge disposition, query tracking) for inpatient records for multiple facilities using ICD-10-CM and ICD-10-PCSMaintain or exceed established accuracy standardsMaintain or exceed established productivity standardsUtilize the complete patient medical record documentation in code/DRG assignment, validation, and/or editing of codes/DRGsUndergraduate (Associate's or Bachelor's) degree in HIM/HIT...

Hiring multiple REMOTE Medical Coders for a massive backlog project! (Must sit in the US) Must haves: Must have at least 2 years of Medical Coding experience (profee, Inpatient DRG, outpatient facility or outpatient ED) Must have experience handling up to 100 charts/day Must sit in the US Pay: $25-$30/HR, depending on experience level Schedule: M-F first shift (40 hours/week) Description Review emergency department medical records to assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers. Accurately assign facility Evaluation and Management (E/M) levels in accordance with client-specific emergency department leveling guidelines and facility charging methodologies, including knowledge of the ACEP tool. Analyze documentation from nursing staff, physicians, ancillary departments, and diagnostic services to ensure complete code assignment and charge capture. Apply official coding guidelines, CMS regulations,...

DISCOVER IES Integrative Emergency Services ("IES") LLC, is a physician founded, owned, and led company whose goal is to empower physician leaders to create the best places to give and receive care. We are a clinically integrated and outcomes-based organization with a commitment to doing the right thing for our clinicians, patients, and communities. Through our commitment to patient care and reinvestment in our physicians, IES has a proven track record of improving patient outcomes and producing results that uphold the hospitals' reputations in which we operate. We strive to create a culture of continuous improvement, community, and recognizing our Physician leaders. To learn more, visit our website IES.Healthcare and click to see a highlight of our 12th Annual Quality Summit. POSITION SUMMARY Integrative Emergency Services, LLC ("IES") is seeking a Certified Medical Coding Specialist with emphasis on surgical services. Although a surgical related coding certification is...

Medical Coding SpecialistIES Integrative Emergency Services ("IES") LLC is seeking a certified Medical Coding Specialist with emphasis on surgical services. This role evaluates medical records to ensure proper CPT, HCPCS Level II, and ICD-10-CM code assignment in accordance with payer guidelines and regulatory standards. The Coding Specialist supports documentation integrity, identifies coding compliance risks, and contributes to clean claim submission and optimal reimbursement through coding analysis, audits, and special projects. Candidates can work in either a hybrid or remote setting. If remote, must reside in a state IES operates in: AZ, CO, TX, OK, IN, MO, AL, SC, FL. Must have a Coding certification via AAPC or AHIMA.Essential Duties and Responsibilities:Accurately assign CPT, ICD-10-CM, and HCPCS Level II codes for professional surgical services based on thorough medical record review.Evaluate medical records for proper code assignment, completeness, accuracy, and support...

Medical Coding Specialist IES Integrative Emergency Services ("IES") LLC is seeking a certified Medical Coding Specialist with emphasis on surgical services. This role evaluates medical records to ensure proper CPT, HCPCS Level II, and ICD-10-CM code assignment in accordance with payer guidelines and regulatory standards. The Coding Specialist supports documentation integrity, identifies coding compliance risks, and contributes to clean claim submission and optimal reimbursement through coding analysis, audits, and special projects. Candidates can work in either a hybrid or remote setting. If remote, must reside in a state IES operates in: AZ, CO, TX, OK, IN, MO, AL, SC, FL. Must have a Coding certification via AAPC or AHIMA. Essential Duties and Responsibilities: Accurately assign CPT, ICD-10-CM, and HCPCS Level II codes for professional surgical services based on thorough medical record review. Evaluate medical records for proper code assignment, completeness, accuracy,...

Risk Adjustment Coder At Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well-being of an underserved community and their families. Our multi-disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare-eligible Hispanic seniors. We tailor our primary care program to the culture, language, social, and overall well-being of the seniors we serve. Our Culture & Core Beliefs Earn Trust Building Relationships Creating Joy Doing Right Improving Every Day Moving Forward Our Promise Purpose Driven Career Competitive Pay Best-In-Class Medical/Dental Coverage Free Mental Health & Life Coaching for Team Members and their Dependents Holiday Time Off with Pay Paid...

We are seeking a detail-oriented and knowledgeable Medical Coder to join our team. The ideal candidate will be responsible for reviewing and analyzing patient records to assign accurate codes for diagnoses, procedures, and services provided. This role requires a strong understanding of medical terminology, anatomy, and coding guidelines, including ICD-10, CPT, and HCPCS Level II codes. Key Responsibilities: Review clinical documentation to ensure accurate coding of diagnoses and procedures. Assign appropriate codes based on medical records, ensuring compliance with coding guidelines and regulations. Collaborate with healthcare providers to clarify documentation and ensure completeness. Maintain coding accuracy and productivity standards while adhering to deadlines. Stay updated on changes in coding regulations, billing procedures, and healthcare laws. Participate in quality assurance audits and contribute to improving coding practices. Provide support and training to other staff...

Labela is seeking certified U.S. medical coders for high-level coding and documentation consulting. You will serve as a subject matter expert to validate, refine, and audit the coding logic and documentation reasoning of frontier AI models. This is a flexible, remote role designed for practicing coders and auditors to influence the accuracy and compliance of medical AI at scale. Responsibilities include auditing coding logic, validating E/M level selection, MS-DRG and APC assignments, and #J-18808-Ljbffr

Remote Certified CoderAltegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in:CMS HCC Risk AdjustmentHEDISMedical Record Reviews (Accreditation)And moreThese are remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines).Responsibilities:Abstract pertinent information from patient medical records. Assign appropriate...