14 coding auditor jobs found in Phoenix

Cognizant is seeking an Inpatient Medical Coding Auditor to audit consultant inpatient records from a remote location within the United States. You will work with stakeholders to ensure coding accuracy and regulatory compliance. You will review inpatient records for diagnostic and procedural coding accuracy, verify physician documentation, apply ICD-10-CM/PCS codes using Solventum (3M), and mentor clients on coding and compliance while maintaining a 98% accuracy rate. #J-18808-Ljbffr

Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

Job Description Job Description Job Title: Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Auditors to contribute their specialized expertise to an innovative healthcare AI project. In this role, you will help improve next-generation AI systems by reviewing, evaluating, and refining medical coding and audit-related content. This opportunity is ideal for professionals with strong experience in outpatient professional fee coding, auditing, and academic medical center environments. No prior AI experience is required—your healthcare expertise is what matters most. Key Responsibilities Conduct detailed reviews and audits of outpatient professional fee coding records for accuracy, compliance, and quality. Identify coding trends, gaps, risks, and opportunities for improvement. Evaluate audit findings using knowledge of academic medical center protocols and industry best practices. Document audit results and...

Job Description Job Description Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Auditors with strong expertise in outpatient professional fee coding and coding audits , preferably within academic medical centers. You will review coding records, identify compliance risks, and provide expert feedback to support AI-focused projects. No prior AI experience is required. Key Responsibilities Conduct detailed audits of outpatient professional fee coding records. Review coding accuracy, documentation, and compliance. Identify coding trends, gaps, risks, and improvement opportunities. Apply academic medical center standards and coding guidelines. Document audit findings and provide clear recommendations. Evaluate complex coding and documentation scenarios. Contribute to AI training through expert coding and audit feedback. Support audit program management and quality improvement initiatives. Required Qualifications...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Job Description Job Description Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Position Summary The Medical Biller is responsible for managing the full revenue cycle for a small, fast‑paced family practice. This role ensures accurate claim submission, timely payment posting, denial management, and patient billing. The ideal candidate is detail‑oriented, reliable, and able to work independently while maintaining strict compliance with payer rules and practice policies. Key Responsibilities Claims & Billing • Prepare, review, and submit clean claims to insurance carriers (electronic and paper). • Verify coding accuracy and ensure all required documentation is present before submission. • Correct and resubmit rejected or denied claims promptly. • Maintain up‑to‑date knowledge of CPT, ICD‑10, and payer‑specific billing guidelines. Payment Posting & Reconciliation • Post insurance and patient payments...

Job Details Essential Functions: Audits charts and reviews clinical records ensuring all diagnostic and procedural codes and modifiers strictly adhere Identifies trends in improper coding or other communication shortcomings that may lead to claim denials or audits Complies with all medical coding guidelines and monitors evolving regulatory and industry changes Provides targeted education, direct coaching, and facilitates training programs tailored to each medical specialty upon translating audit findings Follows up and clarifies any information that is not clear with the rendering provider Collaborates with IT and EHR teams to improve charge automation and optimize workflows Conducts ad-hoc audits to ensure fidelity to coding guidelines Relevant expert for Southwest Network on accurate and efficient coding practices Analyze medical records and identify documentation deficiencies Nonessential Functions: Follows policies and procedures and adheres to the...

Job DetailsEssential Functions:Audits charts and reviews clinical records ensuring all diagnostic and procedural codes and modifiers strictly adhereIdentifies trends in improper coding or other communication shortcomings that may lead to claim denials or auditsComplies with all medical coding guidelines and monitors evolving regulatory and industry changesProvides targeted education, direct coaching, and facilitates training programs tailored to each medical specialty upon translating audit findingsFollows up and clarifies any information that is not clear with the rendering providerCollaborates with IT and EHR teams to improve charge automation and optimize workflowsConducts ad-hoc audits to ensure fidelity to coding guidelinesRelevant expert for Southwest Network on accurate and efficient coding practicesAnalyze medical records and identify documentation deficienciesNonessential Functions:Follows policies and procedures and adheres to the requirements of the Corporate Compliance...

Who We Are At Copa Health, we are committed to People First, fostering a culture of compassion, innovation, and impact. We support individuals and families across Arizona through high-quality behavioral health and integrated care services while also investing in the growth and well-being of our team. Why Join Copa Health? At Copa Health, we prioritize the growth, well-being, and satisfaction of our team members. When you join our team, you’ll receive: Competitive salary and comprehensive benefits package Personalized Health Coverage - Receive a monthly, tax-free contribution to select the medical plan that works best for you, with guidance and support through our ICHRA program Dental and Vision Coverage to complement your health plan Generous PTO - up to 3 weeks in your first year, plus an additional wellness day to recharge 10 paid holidays annually Wellness Program, including access to mental health resources Tuition Reimbursement up to $3,000 to invest in your growth and...

Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Position Summary The Medical Biller is responsible for managing the full revenue cycle for a small, fast‑paced family practice. This role ensures accurate claim submission, timely payment posting, denial management, and patient billing. The ideal candidate is detail‑oriented, reliable, and able to work independently while maintaining strict compliance with payer rules and practice policies. Key Responsibilities Claims & Billing Prepare, review, and submit clean claims to insurance carriers (electronic and paper). Verify coding accuracy and ensure all required documentation is present before submission. Correct and resubmit rejected or denied claims promptly. Maintain up‑to‑date knowledge of CPT, ICD‑10, and payer‑specific billing guidelines. Payment Posting & Reconciliation Post insurance and patient payments accurately into the practice management system. Reconcile daily...

Rockstar is an industry-leading staffing company based in Arizona that helps healthcare businesses across the United States streamline operations by connecting them with skilled remote professionals. We partner with talented individuals from around the world, providing meaningful remote career opportunities that empower personal and professional growth. At Rockstar, we are committed to placing team members who not only meet our clients' operational needs but who also reflect our core values of integrity, excellence, and long-term service. Every placement is an opportunity to make a meaningful difference, for the practice, for patients, and for you. Job Description This is a remote position. Rockstar is seeking an experienced Medical Billing Specialist to support U.S.-based healthcare practices on a full-time remote basis. This is a billing-first role built for professionals who know the full revenue cycle, not just one piece of it, and who take ownership of the financial health...

Overview We are seeking an experienced Emergency Department Facility Coding Specialist to join our remote coding team. This role is responsible for reviewing emergency department medical records and accurately assigning ICD-10-CM, CPT/HCPCS, and facility Evaluation & Management (E/M) codes while ensuring compliance with payer, regulatory, and organizational requirements. The ideal candidate will have recent emergency department facility-fee coding experience, strong knowledge of injection and infusion coding, and an active coding certification through AAPC or AHIMA. Responsibilities Review emergency department medical records and assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers. Accurately assign facility E/M levels based on client-specific emergency department leveling guidelines and facility charging methodologies, including use of the ACEP leveling tool. Analyze documentation from physicians, nursing...

Indian Health Service is seeking a Medical Records Technician in Maricopa, Arizona to support vital healthcare operations. The role involves reviewing medical records for completeness, ensuring compliance with coding standards, and guiding clinical staff on documentation requirements. The ideal candidate will have experience in medical record management, coding, and compliance audits. Join us to make a meaningful impact in Native communities while providing high-quality care and supporting patient services. #J-18808-Ljbffr