36 certified coding auditor jobs found

Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. About This Opportunity As a Certified Medical Coding Auditor (Clinical Bill Review Analyst), you’ll review claims upfront and take a deeper dive to catch billing discrepancies, unbundled charges, and other errors based on standard billing practices and coding guidelines. You’ll...

Valenz is seeking a Certified Medical Coding Auditor (Clinical Bill Review Analyst) to identify billing discrepancies and provide actionable insights to internal teams. The role requires 3+ years of experience and certification (CPC/CIC). Responsibilities include reviewing medical bills, analyzing claims, and collaborating with the Negotiation team. This fully remote position offers extensive benefits and an inclusive work environment, emphasizing growth and support for all associates. #J-18808-Ljbffr

About Optima Medical :Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130medical providers, who care for more than 200,000 patients statewide.Our mission is to improve the quality of life throughout Arizona by helping communities Live Better, Live Longer through personalized healthcare, with a focus on preventing the nation's top leading causes of death.We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services.We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard.This position requires an initial 60-day training period at our corporate office in Scottsdale, Arizona.Upon successful completion of training, the position will transition to a fully remote role.Job Responsibilities :Audit Medical Records...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Position in this function is responsible for regulatory compliance audits, including but not limited to regulatory agencies, Quality metrics, and coding compliance. The Auditor will monitor changes to laws and regulations to ensure compliance with State and Federal laws, regulations and mandates. Establish and implement standard policies, procedures, and best practice across Optum Middle Revenue Cycle....

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions. At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements: Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week Hybrid 2 (Operational Roles such as but not limited to: Customer Service,...

Coding Auditor - Professional Coder Auditor-Professionals are responsible for auditing of coding assignment with providers and coders, training of coding professional staff, pro-fee based coding includes the assignment of Assigns ICD-CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations. Department: Physician coding Hours: Full-Time, 40 hours a week required Required: High School Diploma, CPC, CEMA within 6 months of hire, CPMA within 1 year of hire Pay: Based on experience, starting at $23.87/hour Location: Remote or onsite: At this time, you must reside in one of the following locations: Alabama Arkansas Arizona Florida Georgia Illinois Indiana Iowa Kansas Kentucky Louisiana Mississippi Missouri North Carolina New Mexico Ohio Oklahoma South Carolina Tennessee Texas Responsibilities Assists coders...

A leading health insurance provider in Arizona seeks a Quality Assurance Coder/Auditor to develop risk management and provider education programs. This hybrid role requires 5 years of professional coding experience, with 3 years focused on HCC coding. The ideal candidate will ensure coding accuracy in medical records and provide training to healthcare providers. Applicants must have a high school diploma and relevant certifications, with a preference for those with Medicare Advantage experience. #J-18808-Ljbffr

A health insurance provider seeks a Quality Assurance Coder/Auditor based in Arizona to develop risk mitigation and education programs. Responsibilities include reviewing medical records, coding for accuracy, and educating providers on best practices. The position requires at least 5 years of coding experience, with proficiency in HCC coding, and certifications like CCS-P or CPC. This hybrid role promotes flexibility, allowing candidates to work both onsite and remotely within Arizona. #J-18808-Ljbffr

A regional health insurance provider in Phoenix seeks a Quality Assurance Coder/Auditor to develop risk mitigation programs and educate providers. The candidate should have 5 years of coding experience with expertise in Hierarchical Condition Categories (HCC). Responsibilities include medical record reviews, coding analysis, and providing education to healthcare professionals. The position requires residency in Arizona and offers a hybrid work environment, enhancing work-life balance. #J-18808-Ljbffr

Professional Services Certified Coding Reviewer Position Code: Coder-8125 Department: Health Information Management Safety Sensitive: YES Reports to: HIM Director/Manager Exempt Status: NO Position Purpose: All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI's vision to be among the kindest, highest quality health systems in the country. Key Responsibilities: Ensures data quality in compliance with State, Federal and regulatory requirements. Evaluates medical record documentation and charge reports to ensure completeness, accuracy and compliance with the Correct Coding Initiative Edits. Codes all professional charges to ensure accurate and timely billing Perform coding reviews and/or surgical coding for practices and providers. Evaluates and report audit findings or reviews and reports on results to physicians and/or operations directors. Provides technical guidance, training, and on-going coding education when...

Certified Medical Coder - Neurology Clinic - Phoenix, AZ Pay: $25-$34/hour Employment Type: Direct Hire Schedule: Full-Time Location: Phoenix, Arizona Specialty: Neurology About the Opportunity A well-established neurology clinic in Phoenix, AZ is partnered with us to hire an experienced Certified Medical Coder . This contract role is ideal for detail-oriented coding professionals with a strong background in neurology coding who are looking for a competitive hourly rate and stability within a specialty practice. Key Responsibilities Accurately assign ICD?10?CM, CPT, and HCPCS codes for neurology-based services and procedures Review clinical documentation to ensure correct and compliant coding Work closely with billing and clinical teams to resolve coding discrepancies Ensure coding practices comply with federal regulations and payer guidelines Assist with audits, corrections, and claims support as needed Qualifications...

Certified Coder - Cardiology (Avondale, AZ) Cardiology, 10815 W McDowell Rd, #202, Avondale, AZ 85392, USA IMS Care Center is a physician‑led organization with 500 employees, headquartered in Phoenix, dedicated to high‑quality, innovative health care. We are seeking a certified coder to support our Cardiology Clinic in Avondale. The role involves processing medical claim information, ensuring accuracy, and maintaining confidentiality. Responsibilities Enter alpha, numeric, or symbolic data from source documents into the Practice Management System for patient billing using CPT and ICD‑10 codes. Determine appropriate format within PM system based on patient encounter information. Analyze, research, and correct data entry errors using PM system, electronic medical records, and Microsoft Office. Balance daily batches and reports; research and resolve discrepancies. Prioritize daily processes based on department and organizational objectives. Stay current on billing guidelines,...

Surgery Him Coder We are seeking a highly detail-oriented and experienced Surgery HIM Coder to join our Health Information Management team. This position is responsible for reviewing, analyzing, and accurately assigning ICD-10-CM, CPT, and HCPCS codes for surgical procedures based on clinical documentation in the patient medical record. The Surgery Coder ensures coding compliance with federal regulations and internal policies to optimize reimbursement and ensure data integrity. This is a remote position with a 4 day on-site work rotation, every 6-7 weeks. Essential Job Duties Review operative reports, physician documentation, and other clinical records to assign accurate and complete ICD-10-CM, CPT, and HCPCS codes. Abstract relevant information from medical records into the health information system. Ensure compliance with all coding guidelines (AAPC, AHIMA, CMS, and payer-specific). Query physicians when documentation is unclear, conflicting, or incomplete. Meet...

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, fastpaced family practice. This role ensures accurate claim submission, timely payment posting, denial management, and patient billing. The ideal candidate is detailoriented, 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 uptodate knowledge of CPT, ICD10, and payerspecific billing guidelines. Payment Posting & Reconciliation Post insurance and patient payments accurately into the practice...

Job Description Job Description About Optima Medical: Optima Medical is an Arizona-based medical group consisting of 30 locations and 130+ medical providers, who care for more than 200,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities "Live Better, Live Longer" through personalized healthcare, with a focus on preventing the nation's top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and dedicated professionals aboard. We are currently seeking a Medical Coding Specialist to join our team! This role will transition to a fully remote position after up to 30 days of training. To be eligible, you'll need to complete your...

Salary: $22.23 - $34.46 Hourly Location : Prescott, AZ Job Type: Full Time - Non Exempt Job Number: 202600160 Department: Community Health Services - CHS Opening Date: 05/21/2026 Closing Date: 6/4/2026 5:00 PM Arizona Role Under direct supervision, oversees day-to-day patient billing of Medicare, Medicaid, and commercial insurance claims for clinic services and acts as a backup for Medical Billing Supervisor. Major Duties, Responsibilities Posts payer payments and ensures insurance payments are being posted in a timely manner; ensures all billing issues with payers and patients are resolved timely; research problems; monitors Accounts Receivable Aging Report and follows-up with payers regarding outstanding claims; responds to payer and patient account inquires and completes the necessary documentation. Trains, problem-solves, and assists billing staff with questions and familiarizes them with the medical billing system. Programs new providers and...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is looking for a REMOTE Medical Coder to review patient fee tickets and medical records to ensure accurate diagnosis and procedure coding. The role involves working closely with healthcare providers to verify coding accuracy and maintaining up-to-date knowledge of coding updates and compliance guidelines. Key Responsibilities Review patient fee tickets and medical records documentation from providers. Ensure accurate selection of diagnosis and procedure codes (ICD-10-CM, CPT, HCPCS Level II). Ensure coding meets regulatory and payer requirements. Collaborate with physicians to clarify diagnoses or procedures for coding accuracy. Abstract key clinical data for billing and statistical purposes. Monitor and correct coding errors and denials. Maintain knowledge of coding updates, insurance policies, and...

Specialist - Concurrent Coding / Inpatient Coder Full-time Company Description Accounting and Finance/Healthcare Job Description Specialist-Concurrent Coding/Inpatient Scottsdale Arizona 85258 Exp 2-5 Degree Associates Job Summary: The Concurrent Coding Specialist performs and facilitates concurrent inpatient coding in order to establish a working DRG. Ensures high quality documentation that is thorough, accurate and complete to ensure accurate reimbursement capture. He or she will concurrently reviews health records, identifies key clinical data elements within the record, and translate this data from verbal description of disease, injuries and procedures into numerical designations, applying ICD coding systems. Audits for documentation opportunities and queries clinical staff with CDI to fill in any gaps, clarify confusing, incomplete or conflicting information and obtain any needed additional documentation in real time. Ensures coding compliance and acts as...

Who We Are Centauri delivers data-driven technology solutions that transform fragmented clinical and member data into actionable intelligence — maximizing accuracy, quality performance, and outcomes for health plans and health systems. Through close collaboration with our customers, Centauri improves patient and member outcomes by providing advocacy, advanced data insights, and intelligent clinical data delivery. The company addresses critical healthcare challenges for complex populations and improves access and quality of care. Headquartered in Tempe, Arizona, Centauri Health Solutions employs 1100 dedicated associates across the country and has been recognized on the Inc. 5000 list , the 2020 Deloitte Technology Fast 500™ , and has been recognized as 2026 Best in KLAS for ADT Notifications. Your Daily Mission The Risk Adjustment Coder with AHIMA or AAPC certification performs medical record diagnosis code abstraction based upon clinical documentation, ICD-10-CM Official...

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...

Under general supervision of the HIM Director, the Certified Inpatient Coder is responsible for reviewing inpatient medical records and accurately assigning ICD-10-CM diagnosis codes, ICD-10-PCS procedure codes, and MS-DRGs in accordance with official coding guidelines, federal regulations, and Tribal 638 facility policies. Upholds the principles of WIHCC's Vision, Mission, and Value Statements. Maintains confidentiality of all privileged information at all times. This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive. Essential Duties & Responsibilities: Maintains regular attendance and punctuality. Review inpatient medical records to identify all diagnoses and procedures relevant to each patient encounter. Assign ICD-10-CM and ICD-10-PCS codes according to official coding guidelines. Determine and assign the appropriate MS-DRG. Ensure coding reflects the highest level of specificity...

Jobot Consulting is seeking a remote part-time Inpatient Medical Coder with a minimum of 3 years of experience in inpatient medical coding. The candidate should hold a Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) certification and have proficiency in ICD-10-CM and ICD-10-PCS coding. Responsibilities include reviewing patient records, ensuring coding compliance, and conducting audits. This role offers flexible scheduling and growth opportunities within a dynamic team. #J-18808-Ljbffr

PLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center. Position Summary: Under general supervision, this position serves as a certified professional coder; performs the full range of coding, assigns ICD, CPT, HCPCS, and medical inpatient codes; abstracts data from the record; perform chart analysis; peer review; and serves as a medical documentation and coding technical expert to TONHC providers. Scope of Work: This position is located within Tohono O'odham Nation Health Care (TONHC). The work involves performing specialized medical record tasks and resolving problems using established processes, coding conventions, and guidelines. Performance of duties reflects directly on patient care by recording services performed on the patient. The incumbent works independently under the general supervision of the Supervisor or designee....

Job Description Staff Position Description Position Title: Professional Services Certified Coding Reviewer Position Code: Coder-8125 Department: Health Information Management Safety Sensitive: YES Reports to: HIM Director/Manager Exempt Status: NO Position Purpose: All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI's vision to be among the kindest, highest quality health systems in the country. Key Responsibilities Ensures data quality in compliance with State, Federal and regulatory requirements. • Evaluates medical record documentation and charge reports to ensure completeness, accuracy and compliance with the Correct Coding Initiative Edits. • Codes all professional charges to ensure accurate and timely billing • Perform coding reviews and/or surgical coding for practices and providers. • Evaluates and report audit findings or reviews and reports on results to physicians and/or...