8 coding documentation compliance auditor jobs found in Springfield

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. 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 Athena IDX, TouchWorks,...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching...

Company: Allegheny Health Network Job Description: GENERAL OVERVIEW: Join our dynamic team as a Coding Auditor Instructor, where you will play a critical role in ensuring the accuracy and compliance of coding, billing, and medical documentation. You will conduct comprehensive audits on medical records relating to DRGs, APCs, CPTs, and HCPCS Level II codes. Your expertise will help us optimize reimbursement strategies and improve data quality while adhering to regulatory requirements. ESSENTIAL RESPONSIBILITIES: Lead audits and assess the documentation, coding, and billing practices across various AHN entities. Develop and implement training programs tailored to address deficiencies discovered during audits, ensuring compliance with regulatory standards. Work closely with management on external audit findings and participate in strategic discussions to resolve issues. (20%) Create detailed audit reports to highlight coding, documentation, and financial...

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: 10/02/2025 Closing Date: 3/11/2026 2:00 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...

Department Description: The Critical Care Auditor/ Coder position will be working directly with the Department of Anesthesia, Critical Care and Pain Medicine and will have the opportunity to work remotely following an initial onsite training period. The incumbent will be required from time-to-time to attend billing onsite staff meetings and meetings with the physicians they support. AFS, LLC is located in Needham Heights, Massachusetts. Job Location: Virtual Job Summary: Performs professional certified coding and provides administrative and project support to the department. Analyzes surgical-medical documentation, provides the individual surgeon/physician with the application of appropriate ICD-10/CPT/HCPCS descriptor codes including the appropriate use of modifiers to ensure compliance for reimbursement. Essential Responsibilities: Analyzes evaluation and management, including critical care, procedures and other notes and documents to determine the scope and complexity of the...

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 will utilize a high level of in‑depth knowledge of the coding role to perform all audits based on specific departmental need. Duties 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 Athena IDX, TouchWorks, Epic, Cerner and Precision BI. Understand the integration of applications and their impact on business processes and operations. Provide on‑site guidance and assistance to end users as necessary. Review, develop and...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Facility CoxHealth South: 3801 S National Ave, Springfield, MO, 65807 Department 1686 Audit and Compliance Scheduled Weekly Hours 40 Hours 8:00 AM - 4:30 PM Work Shift Day Shift (United States of America) About CoxHealth CoxHealth Is a Leading Healthcare System Serving 25 Counties Across Southwest Missouri And Northern Arkansas. The Organization Includes Six Hospitals, 5 ERs, And Over 80 Clinics. CoxHealth Has Earned The Following Honors For Workplace Excellence Named one of Modern Healthcare’s Best Places to work five times. Named one of America’s Greatest Workplaces by Newsweek. Recognized as a Greatest Workplace for Women in both 2023 and 2024. Listed as one of the Greatest Workplaces for Diversity in 2024. Acknowledged by Forbes as one of the Best Employers for New Grads. Ranked among the Best Employers by State for Missouri. Healthcare Innovation's Top Companies to Work for in Healthcare in 2025. Benefits Medical, Vision, Dental, Retirement Plan with employer...