Full Time coder auditor professional jobs

Full Time

Risk Adjustment Auditor & Physician Educator - Remote

Valley Medical Center Remote

Risk Adjustment Auditor and Physician Educator Health Information Management | Full-Time | Renton, Washington Help Improve Clinical Documentation and Support Better Patient Care Valley Medical Center is seeking an experienced Risk Adjustment Auditor and Physician Educator to join our Health Information Management team. This role combines clinical documentation expertise, risk adjustment auditing, coding knowledge, data analysis, and physician education to help ensure the accurate and complete capture of patient conditions and the clinical complexity of the care we provide. The ideal candidate brings strong experience in Medicare risk adjustment, medical record auditing, ICD-10-CM coding, and physician education , along with the ability to translate complex coding and documentation requirements into practical guidance for providers. This is an opportunity to play a meaningful role in improving documentation quality, supporting value-based care initiatives, and...

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Full Time

OB/GYN Professional Coder

AGS Health Remote

OB/GYN Medical Coder Location: Remote Schedule: Full-time, day shift Department: Domestic Coding Services Reports to: Vice President of Coding Services Position Overview AGS Health is seeking an experienced OB/GYN Medical Coder to join our Domestic Coding Services team. This remote position is responsible for reviewing clinical documentation and assigning accurate diagnosis and procedure codes for obstetrics and gynecology services. The ideal candidate has a strong understanding of professional coding, OB/GYN terminology, and applicable coding guidelines, along with a commitment to quality, productivity, and client service. Key Responsibilities Review provider documentation and assign appropriate ICD-10-CM, CPT, and HCPCS Level II codes for OB/GYN services. Code a variety of services, which may include office visits, preventive services, maternity care, deliveries, gynecologic procedures, and surgical services....

Full Time

Coding Educator

SSM Health Remote

Bring your coding expertise to SSM Health in a role where education, quality, and compliance come together. As a Coding Educator, you’ll partner with providers and coders, lead training initiatives, and influence documentation and coding practices that support accuracy, consistency, and revenue integrity across the organization. PRIMARY RESPONSIBILITIES Drives optimal clinical and financial outcomes through thorough assessment of provider documentation and coding competency, identification of improvement opportunities. Develops and delivers training and education of all coding processes. Stays abreast of regulatory changes and works with leadership to ensure compliance and revenue integrity. Act as subject matter expert for providers and coders while providing guidance and clarification on issues which present in their daily account processing. Establishes and coordinates internal quality review processes and corresponding training for providers and coders....

Full Time

Coding Specialist

Bridge Remote

About Bridge Bridge is the fastest, most compliant way to scale insurance billing nationwide. We enable virtual care companies to go in-network nationally in as little as 30 days, without the operational lift. Our platform handles payer contracting, credentialing, real-time benefit verification, medical coding, claim submission, denial management, and compliance in a single integrated solution. Backed by leading investors including General Catalyst, Andreessen Horowitz, Thrive Capital, Khosla Ventures, Greenoaks, and Mischief, we're scaling rapidly. The Role We are seeking a detail-oriented and experienced RCM Coding Specialist with CPC (Certified Professional Coder) certification to join our Revenue Cycle Management team. This role is responsible for accurate and timely medical coding in accordance with current coding guidelines, payer requirements, and company standards. The ideal candidate has strong analytical skills, in-depth knowledge of CPT, ICD-10, and...

Full Time

Surgical Coding Quality Educator

University of Colorado Medicine Remote

University of Colorado Medicine (CU Medicine) is the region's largest and most comprehensive multispecialty physician group practice. At our primary and specialty care clinics across the Denver metro area and Front Range, CU Anschutz School of Medicine physicians and advanced practice providers bring the latest medical knowledge and new advancements to the care they provide every day. CU Medicine also provides business operations, revenue cycle and administrative services to support the patients of CU Anschutz School of Medicine providers. We are seeking a highly motivated senior-level Surgical Coder who is looking to step away from production coding, and shift focus toward leading peer review & education efforts for assigned specialties. This job can be performed 100% remotely and out of state candidates will be considered. The primary responsibility of the Coding Quality Educator is to support and lead coding quality assurance, peer quality reviews,...

Full Time

Orthopedic Surgery Certified Professional Coder (Remote)

Rothman Orthopaedics Remote (FL)

Job Summary: The Business Office Certified Coder reviews coding and documentation for all services provided by the practice through chart auditing as well as AR denials and provides ongoing education to providers regarding coding and documentation while exercising discretion and independent judgment . Essential Duties: Audits physician and non-physician provider documentation for compliance with carrier and billing regulations. Tracks and maintains records of all audits, results of conducted audits, and education. Develops a pass/fail system and re-audit procedure based on audit results. Participates and assists actively with external audits. Creates trainings for physicians and staff based on current coding standards and regulations. Reviews and corrects AR Denials for coding issues Provides monthly statistics on audits conducted, trainings provided, and re-trainings for providers failing an audit Requests and reviews confidential employee and...

Full Time

Bill Negotiation Specialist

CrowdHealth Remote

Position Overview The Bill Negotiation Specialist plays a vital role on the frontline of advocacy efforts. This individual will prepare fair price documents, communicate directly with healthcare providers, and manage the day-to-day flow of patient cases through the negotiation process. The Bill Negotiation Specialist ensures cases are handled thoroughly, efficiently, and compassionately, working closely with providers and patients to secure fair resolutions. Key Responsibilities Case Preparation & Documentation • Compile and analyze billing data, provider policies, and price transparency benchmarks. • Draft fair price documents outlining recommended settlement amounts based on research and industry standards. • Ensure all supporting materials (bill audits, patient forms, compliance findings, etc) are complete and accurate before submission. Provider Communication & Negotiation Support • Submit fair price documents and supporting materials...

Full Time

Fraud Investigator

MJHS Health System Remote (New York, NY)

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. The MJHS Difference At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve. Benefits include: Tuition Reimbursement for all full and part-time...

8 coder auditor professional jobs found