9 certified coder auditing jobs found

SCOPE/GENERAL PURPOSE OF JOB: This position is responsible for providing medical coding, coding training and auditing services to physician practices, billing companies and hospitals and other related entities with a concentration on coding audits of physician and hospital outpatient claims, and coding education. Also, to include auditing of internal Coding staff as well as continued training and possible corrective action coding reviews.  ESSENTIAL DUTIES AND RESPONSIBILITIES: Provide training to all RCCS coders regarding new tasks, new clients, cross-training, and continuing education. Perform coding audits of coder work during training processes and once completed periodically to ensure maintained quality. Feedback will be provided in various forms including written explanation and training sessions based on coder educational needs. Create clear explanations of errors as well as authoritative guidance for coding recommendations for all reviews. Acts as a...

                                          Remote | Work from Home | Healthcare Consulting   Help Healthcare Organizations Improve Documentation, Compliance, and Reimbursement Integrity   About Compass  At Compass, as professional fee auditors, we do more than review charts. We partner with healthcare organizations to improve documentation quality, coding accuracy, compliance, provider performance, and financial outcomes. Our clients rely on us for expert guidance, practical recommendations, and meaningful education that creates lasting results.   The Opportunity  Are you a detail-oriented coding and documentation professional who is passionate about improving coding accuracy, strengthening clinical documentation, and helping healthcare organizations achieve operational and financial success? If so, we invite you to consider our growing consulting team.   As a Coding, Billing & Clinical Documentation Improvement...

UW Medicine Enterprise Records and Health Information has an outstanding opportunity for an OUTPATIENT CODING EDUCATION ANALYST (REQ-0000133802). WORK SCHEDULE 100% FTE Mondays - Fridays 100% Remote POSITION HIGHLIGHTS Performs daily activities related to auditing, education and training of one or more content areas ERHI has coding oversight for. Serve as an expert in coding , respond to general coding questions (ICD, DRG, CPT and HCPCS), engage in the development and/or implementation of audit/monitoring plans, participate in the development and/or delivery of educational and outreach materials, report on unit activities, maintain unit records, monitor regulatory developments, and help develop Coding program policies and procedure. DEPARTMENT DESCRIPTION Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity,...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Who we are… CompIQ Solutions is a software and full-service provider focusing on the property and casualty medical bill review market.  We provide an end-to-end solution for our clients leveraging our proprietary technology and software platforms in the delivery of our solutions and services.  We focus our efforts on our three key stakeholders, in this order: 1) Clients; 2) Colleagues; 3) Company.   About this Role The Medical Bill Auditor supports the AuditIQ Bill Review Service Operations team. This role is responsible for conducting line-level audits for a sub-set of medical bills processed by Bill Review Operations. These audits compare payment allowances against fee schedule rules/guidelines, coding guidelines issued by the AMA CPT Manual, national societies and prevailing industry standards.   Duties and Responsibilities Conducts in-depth audits and reviews medical bills that meet escalated criteria from the bill review operations team....

Lyric is an AI-first, platform-based healthcare technology company, committed to simplifying the business of care by preventing inaccurate payments and reducing overall waste in the healthcare ecosystem, enabling more efficient use of resources to reduce the cost of care for payers, providers, and patients. Lyric, formerly ClaimsXten, is a market leader with 35 years of pre-pay editing expertise, dedicated teams, and top technology. Lyric is proud to be recognized as 2025 Best in KLAS for Pre-Payment Accuracy and Integrity and is HI-TRUST and SOC2 certified, and a recipient of the 2025 CandE Award for Candidate Experience. Interested in shaping the future of healthcare with AI? Explore opportunities at  lyric.ai/careers  and drive innovation with #YouToThePowerOfAI. The Senior Medical Director is a senior clinical leader who will represent Lyric in strategic engagements with payer clients. This individual will proactively map, establish, and strengthen relationships across...