Coder 2 jobs in Hybrid | Healthcare Careers

Full Time

Sr. Manager, Payment Policy & Reimbursement

American Urological Association Hybrid

Senior Manager, Payment Policy & Reimbursement — American Urological Association (AUA) Location: Linthicum, MD (AUA Headquarters) — regular visits to Washington, D.C. required. Are you a hands-on coding and reimbursement expert who also leads with influence, curiosity, and political savvy? Join the American Urological Association (AUA) — a 100+ year-old leader in urologic education, research, and policy — and lead national payment strategy and coding advocacy for the specialty. Why this role matters The Senior Manager, Payment Policy & Reimbursement will shape how urologic care is valued and paid for nationally. You’ll represent the AUA before the AMA’s RUC and CPT processes, CMS, Congress and other federal agencies; design and advocate for urology-specific payment models (MIPS, APMs, Medicare FFS, value-based demonstrations); and lead a small team working at the intersection of coding, policy, and practice. Your work will directly affect access to...

Full Time Xtern Program

Inpatient and/or Outpatient Certified Professional Medical Auditor (CPMA)

Phoenix Behavioral Healthcare, LLC Hybrid (Jupiter, FL, USA)

The Certified Professional Medical Auditor is responsible for performing comprehensive audits of medical records, coding, and billing to ensure accuracy, compliance with federal and state regulations, and alignment with payer policies. This role helps protect the organization from financial risk, supports accurate reimbursement, and promotes high standards of documentation and clinical integrity. Key Responsibilities Perform prospective and retrospective audits of medical records, coding, and billing across assigned service lines (e.g., outpatient, inpatient, behavioral health, SUD/MH, lab). Verify that documentation supports ICD‑10‑CM, CPT, and HCPCS coding; identify under‑coding, over‑coding, unbundling, and other compliance risks. Review claims for adherence to Medicare/Medicaid, commercial payer, and regulatory guidelines; ensure compliance with NCCI edits and payer‑specific policies. Prepare clear, detailed audit reports summarizing findings,...

2 coder 2 jobs found in Hybrid