11 coding compliance auditor jobs found in Springfield

ARMA International is seeking a Compliance Auditor to coordinate compliance auditing activities and assist the Deputy Chief Compliance Officer. You will support the development of the Compliance Audit Plan and assist in proactively auditing billing and coding. The successful candidate will have a Bachelor's degree in a relevant field and experience in a healthcare setting, ideally with a certification in medical coding. Strong analytical and communication skills are essential for this role. #J-18808-Ljbffr

Salary: $25.89 - $28.48 Hourly Location : Springfield, IL Job Type: Civil Service Job Number: 2401379 Department: SIU HealthCare Coding-SMS Division: Administration Opening Date: 04/24/2026 Closing Date: 6/22/2026 3:30 PM Central FLSA: Non-Exempt Bargaining Unit: Non-Represented Shift: Days ExemptorNon_Exempt: Non-Exempt We recommend using the following browsers to complete the application: Desktop: Google Chrome, Edge with Chromium Mobile: Google Chrome, Safari Description The Revenue Cycle Coding Auditor will perform reviews for employees in the Coding department. Audits will include, but are not limited to; employee productivity and quality based on proper documentation, accuracy and coding guidelines. The Auditor will also provide feedback and support relating to departmental/role specific productivity and quality expectations. The incumbent for this position will utilize a high level of in-depth knowledge of the coding role to perform...

Baylor Scott & White Health is looking for a Physician Compliance Auditor II to conduct audits focused on coding and compliance activities from the comfort of your home. This role involves evaluating documentation for outpatient, inpatient, and emergency services to maintain compliance and improve practices. The ideal candidate will have a strong background in coding, auditing, and significant experience with CPT and ICD-10. A competitive salary ranging from $26.66 to $40.00 per hour is offered based on qualifications and experience. #J-18808-Ljbffr

Revenue Cycle Coding Auditor – Southern Illinois University School of Medicine Responsibilities Conduct quality and productivity reviews of coding staff using structured review programs and methods. Apply in-depth knowledge of coding guidelines and support the department’s productivity and quality objectives. Provide on‑site guidance and assistance to end users of key applications such as Athena IDX, TouchWorks, Epic, Cerner, and Precision BI. Analyze and interpret complex data sets to support strategic decision‑making and performance improvement initiatives. Independently conduct research, prepare detailed reports, and present findings to leadership. Maintain confidentiality, comply with federal and state health reimbursement guidelines, and ensure adherence to coding certification standards. Arrange and conduct training sessions for coding staff and medical specialties as needed. Attend meetings with coders, managers, and compliance personnel to discuss trends and...

We recommend using the following browsers to complete the application: Desktop: Google Chrome, Edge with Chromium Mobile: Google Chrome, Safari Description The Revenue Cycle Coding Auditor will perform reviews for employees in the Coding department. Audits will include, but are not limited to; employee productivity and quality based on proper documentation, accuracy and coding guidelines. The Auditor will also provide feedback and support relating to departmental/role specific productivity and quality expectations. The incumbent for this position will utilize a high level of in-depth knowledge of the coding role to perform all audits based on specific departmental need. *****On-Site Only**** Examples of Duties PBS Auditor: 100% Conduct quality and productivity reviews of coding staff using structured and consistent review programs and methods. Demonstrate in-depth knowledge and experience with SIU-HC supported applications, including but not limited to...

Become a part of our caring community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical records. The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG) Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner. Leverages advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices Manages multiple...

Become a part of our caring community The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provider onsite education, based on business needs Collaboration with other market provider facing role Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data-driven educational materials and...

Serco is seeking a Compliance/Fraud Specialist in Springfield, Illinois. This position supports federal programs aiding individuals seeking government health insurance. You will conduct compliance reviews and manage fraud risk activities, collaborating with various teams. The ideal candidate possesses a Bachelor’s degree and at least 3 years of related experience. Strong analytical and communication skills are essential. The role involves evaluating compliance and supporting audits within federal programs. #J-18808-Ljbffr

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Senior Vascular Surgery Professional Coder (CPC, CCS-P, CIRCC) Full Time Clifton, NJ, US 4 days ago Requisition ID: 1081 Salary Range: $50,000.00 To $67,000.00 Annually New Jersey’s largest Vascular Surgery group dedicated solely to the diagnosis and management of diseases of the arteries and veins. The Group has been delivering care throughout New Jersey since 1963 and is home to some of the best Vascular Surgeons in the country. Consistently recognized by their peers and patients as the top group in the region, The Cardiovascular Care Group provides the highest quality care using the newest technologies in the setting of years of experience with outstanding results. Position Summary: We are seeking an experienced Senior Vascular Surgery Professional Coder with strong expertise in complex open and endovascular procedure...

QA Nurse / Coder (RN) As a QA Nurse / Coder, you will ensure the accuracy, completeness, and regulatory compliance of Home Health documentationparticularly OASIS assessments, the Home Health Plan of Care (485), and face-to-face encounter noteswhile properly sequencing diagnoses according to federal/state standards and agency policy. Core responsibilities include: Review OASIS forms and Plans of Care for appropriateness, completeness, and compliance. Assign and sequence ICD?10 codes in line with current home health coding guidelines. Ensure consistency and compliance of face-to-face encounter documentation with OASIS and care plans. Conduct additional clinical record audits and OASIS reviews as assigned. Stay current on Medicare reimbursement policies, home health regulations, and compliance requirements. Maintain relevant certifications (HCS?D, HCS?O or COS?C). Participate in quality assurance and performance-improvement efforts. Coordinate with physicians, facilities,...

Medical Coder IIThe Medical Coder II plays a key role in our hospital's revenue cycle by accurately coding diagnoses and procedures in accordance with established coding guidelines. This position is essential in maintaining financial accuracy and compliance with regulatory requirements.Position Highlights:Position:Medical Coder IILocation:Warrenville, ILFull Time/Part Time:Full-time (40 hours per week)Hours:Monday-Friday, during normal business hoursWhat you will do:Assign accurate diagnostic (ICD-10-CM) and procedural (CPT) codes to medical records based on clinical documentation, ensuring adherence to coding guidelines and conventions.Conduct internal audits of medical records and coding work to ensure the accuracy and consistency of code assignments.Examine clinical documentation in medical records, working with physicians and clinical staff to clarify and improve documentation as needed for accurate coding.Stay up-to-date with the latest coding guidelines, conventions, and...