99 certified coding auditor jobs found

Medical Coding Auditor Medical Coder Supplemental Health Care is hiring Medical Coding Auditor Medical Coders for full-time contract assignments at a partnering skilled nursing facility in Houston, Texas. Whether you're looking to travel or stay local, we're committed to helping Medical Coding Auditor Medical Coders find the right fit with top healthcare facilities across the country. With more than 40 years of experience in healthcare staffing, Supplemental Health Care offers reliable support, competitive pay, and great benefits every step of the way. Qualifications: Current Texas Medical Coder License / Certification American Heart Association BLS 1 to 2 years of recent relevant experience Medical Coder Contract Details: $900 - $973 per week* 13-week contract with possibility to extend Shifts are usually 8 hours, Monday through Friday What We Offer: Full medical, dental, vision, life, and even pet insurance! Round the clock support. No matter...

Introduction Nationally recognized as a Great College to Work For , TTUHSC provides much more than just a job! Enjoy excellent benefits , including paid leave, retirement plans, wellness programs, health insurance and so much more. Ready to start building a rewarding career in a positive environment where you can develop and thrive? Join us as we change the future of health care. About TTUHSC Texas Tech University Health Sciences Center is enriching the lives of others by educating students, providing excellent patient care, and advancing knowledge through innovative research. TTUHSC graduates more health care professionals than any other health care institution in the state, conferring 24.2% of all degrees and certificates awarded from health-related institutions in Texas. By providing comprehensive clinical services to more than 10 million individuals across 121 counties, TTUHSC is dedicated to advancing the health of people throughout Texas and beyond. This is where...

Introduction Nationally recognized as a Great College to Work For , TTUHSC provides much more than just a job! Enjoy excellent benefits , including paid leave, retirement plans, wellness programs, health insurance and so much more. Ready to start building a rewarding career in a positive environment where you can develop and thrive? Join us as we change the future of health care. About TTUHSC Texas Tech University Health Sciences Center is enriching the lives of others by educating students, providing excellent patient care, and advancing knowledge through innovative research. TTUHSC graduates more health care professionals than any other health care institution in the state, conferring 24.2% of all degrees and certificates awarded from health-related institutions in Texas. By providing comprehensive clinical services to more than 10 million individuals across 121 counties, TTUHSC is dedicated to advancing the health of people throughout Texas and beyond. This is where...

Jobtailor is seeking an experienced Medical Coding Auditor to conduct comprehensive medical record reviews and ensure billing accuracy. You will craft detailed written summaries and present findings to investigators, leadership, counsel, providers, and regulators. Role requires reviewing cases with Medical Directors, researching coding policies, and potentially testifying. Travel for meetings is expected, and strong Excel skills are essential. #J-18808-Ljbffr

Risk Adjustment Coding Auditor Role type: Risk Adjustment Coding Auditor Quantity of resources: 2 Duration: 6 months This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required Skillset MS Suite CPC certified CRC certified 5+ years of risk adjustment experience #J-18808-Ljbffr

Job Overview Role type: Risk Adjustment Coding Auditor. Quantity of resources: 2. Duration: 6 months. JD: This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required Skills MS Suite CPC certified CRC certified 5+ years of risk adjustment experience Equal Opportunity Statement We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. #J-18808-Ljbffr

Duties of this position include, but are not limited to, the following: Position purpose The Compliance Auditor will be responsible for researching and analyzing the medical records where there is a discrepancy in coding, validating the coding, and preparing reports that summarize audit findings and provide recommendations for corrective actions, if warranted. Responsibilities/Duties/Functions/Tasks Conducts physician chart audits to identify incorrect coding, prepares reports of findings and any compliance issues. Examine claims for compliance with relevant billing and processing guidelines and identify opportunities for fraud and abuse prevention and control. Reports coding patterns identified within the audit process to the Manager and identifies corrective measures for compliance problems. Responsible for researching errors or missing documentation from medical records to provide accurate coding processes. Provides second-level review of billing performance to ensure compliance...

Certified ER Medical Coding Auditor The Certified ER Medical Coding Auditor is responsible for auditing emergency department medical records to ensure accurate coding, compliance, and optimal reimbursement. This role also includes training and mentoring offshore coding teams to maintain high-quality standards and consistency across operations. Key Responsibilities Audit ER charts for accurate assignment of ICD-10-CM, CPT, and HCPCS codes Validate E/M level selection for emergency department visits Ensure compliance with payer guidelines and regulatory standards (CMS, HIPAA) Identify under coding, over coding, and documentation deficiencies Prepare detailed audit reports with corrective recommendations Provide education and feedback to coders and providers Train and mentor offshore coding teams on ER coding guidelines and audit findings Conduct regular quality review sessions and calibration meetings with offshore staff Develop and update training materials, Review SOPs, and coding...

YO AI Labs is seeking an experienced Medical Auditor to contribute expertise to a healthcare AI project. You will review outpatient professional fee coding, ensure accuracy, and support AI training with audit insights. The role emphasizes collaboration with project teams in remote contractor capacity, focusing on documentation, compliance, and quality assurance in academic medical center settings. #J-18808-Ljbffr

Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to medical coding and...

Inpatient CoderSeeking an experienced Inpatient Coder with a strong background coding complex cases within a large academic hospital. This role requires excellent sequencing skills and experience across a broad range of inpatient specialties.Key Responsibilities:Code complex inpatient medical records with a strong focus on accurate sequencingCode Med/Surg, cardiac procedures, surgeries, OB/moms & babies, transplants, orthopedics, neurology, gastroenterology, and oncologyReview approximately 2 charts per hour based on complexity/length of stayMaintain approximately 95% coding accuracy with a strong emphasis on qualityComplete initial charts for auditor review and incorporate feedback before independent codingQualifications:1+ year of inpatient coding experienceExperience coding within a large academic/teaching hospital strongly preferredStrong sequencing knowledge requiredExperience with complex surgical and specialty casesAHIMA certification: CCS, RHIT, or RHIAEpic experience...

GI Alliance invites applications for a Compliance Auditor to research and analyze medical records with coding discrepancies, validate coding, and prepare reports with recommendations for corrective actions. The role includes auditing physician charts, reviewing billing for compliance, and communicating with physicians on documentation standards. Candidates should hold CPC/CPMA or equivalent credentials and have 3+ years in healthcare coding and operations. #J-18808-Ljbffr

Medical Coding Auditor Medical Coder OpportunitySupplemental Health Care is hiring Medical Coding Auditor Medical Coders for full-time contract assignments at a partnering skilled nursing facility in Houston, Texas. Whether you're looking to travel or stay local, we're committed to helping Medical Coding Auditor Medical Coders find the right fit with top healthcare facilities across the country. With more than 40 years of experience in healthcare staffing, Supplemental Health Care offers reliable support, competitive pay, and great benefits every step of the way.Qualifications:Current Texas Medical Coder License / CertificationAmerican Heart Association BLS1 to 2 years of recent relevant experienceMedical Coder Contract Details:$900 - $973 per week*13-week contract with possibility to extendShifts are usually 8 hours, Monday through FridayApply today to get started with this Medical Coding Auditor Medical Coder contract opportunity, or talk to our team about the full range of...

Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

DISCOVER IES Integrative Emergency Services (“IES”) LLC, is a physician founded, owned, and led company whose goal is to empower physician leaders to create the best places to give and receive care. We are a clinically integrated and outcomes-based organization with a commitment to doing the right thing for our clinicians, patients, and communities. Through our commitment to patient care and reinvestment in our physicians, IES has a proven track record of improving patient outcomes and producing results that uphold the hospitals' reputations in which we operate. We strive to create a culture of continuous improvement, community, and recognizing our Physician leaders. To learn more, visit our website IES.Healthcare and click to see a highlight of our 12th Annual Quality Summit.  POSITION SUMMARY Integrative Emergency Services, LLC (“IES”) is seeking a  Certified Medical Coding Specialist  with emphasis on surgical services. Although a surgical related coding certification...

Reporting to the Director of Healthcare Compliance, the Senior Compliance Coding Auditor is responsible for conducting independent coding, billing, documentation, and regulatory compliance audits across ambulatory and specialty care practices. The position supports the organization's compliance program through risk-based auditing, monitoring, provider education, investigation of billing concerns, identification of revenue integrity risks, and development of corrective action plans. The Senior Compliance Coding Auditor serves as a subject matter expert for professional fee coding, documentation requirements, government and commercial payer regulations, and healthcare compliance standards. This role partners closely with physicians, advanced practice providers, practice leadership, revenue cycle, coding, clinical operations, and executive leadership to promote compliant billing and documentation practices. Essential Functions Auditing and Monitoring Conduct retrospective and...

Vytwo Technologies Inc. seeks a Risk Adjustment Coding Auditor to perform first and second pass auditing for CMS RADV programs. The role supports a small team with two resources over a 6-month duration, ensuring accuracy and compliance in coding and documentation. The candidate should be a certified risk adjustment coder with CPC and CRC credentials and at least five years of risk adjustment experience. #J-18808-Ljbffr

Job Title: Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Auditors to contribute their specialized expertise to an innovative healthcare AI project. In this role, you will help improve next-generation AI systems by reviewing, evaluating, and refining medical coding and audit-related content. This opportunity is ideal for professionals with strong experience in outpatient professional fee coding, auditing, and academic medical center environments. No prior AI experience is required—your healthcare expertise is what matters most. Key Responsibilities Conduct detailed reviews and audits of outpatient professional fee coding records for accuracy, compliance, and quality. Identify coding trends, gaps, risks, and opportunities for improvement. Evaluate audit findings using knowledge of academic medical center protocols and industry best practices. Document audit results and provide clear written explanations to support AI...

Experienced Associate, Healthcare ForensicsThe Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients.Job Duties:Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance mattersContributes to forensic engagements related to medical coding and...

We are hiring a part-time Medical Coder to assign procedure and diagnosis codes for insurance billing, review claims data, research and correspond with insurance companies in an effort to obtain accurate reimbursement for healthcare claims. Responsibilities Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing. Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission. Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims. Adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ICD-9 and ICD-10. Answer coding questions. Review clinical documentation to ensure it meets level of CPT codes and ICD-10 codes. Perform related duties, as requested. Uphold the Organization's...

Clinics Coding Manager – Health Information Management (HIM) Job Location: Hospital - Uvalde, TX 78801 Job Shift: Day Location: Uvalde Memorial Hospital Job Type: Full-Time (In-Person) Make a Difference Every Day At Uvalde Memorial Hospital, accurate health information plays a vital role in delivering quality care and ensuring the integrity of our healthcare operations. We are looking for an experienced Ambulatory Coding Manager who is passionate about leadership, compliance, and supporting the vital work behind the scenes of patient care. In this role, you will lead and support our coding team, ensuring medical records are coded accurately, efficiently, and in compliance with industry standards and regulations. You will work closely with physicians, billing teams, and hospital leadership to maintain coding quality, improve processes, and strengthen revenue cycle performance. This is more than a job — it’s an opportunity to guide a talented team, strengthen healthcare documentation...

Summary: Responsible for maintaining current and high-quality ICD-10-CM and CPT coding for all Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. The coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM Guidelines for Coding and Reporting and CPT Guidelines. Outpatient coding is applicable towards clinical, provider office visits, therapeutic, laboratory, recurring, emergency department, outpatient observation, and ambulatory surgery patient encounters. Coder will work collaboratively with various CHRISTUS Health departments (Admitting, Charging, Patient Financial Services, HIM, etc.) to resolve charging issues, denials, and physician documentation clarifications, to ensure accurate billing and reduce...

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. Medical Biller II Full Time Clerical 605 Admin, San Pedro, CA, US 3 days ago Requisition ID: 1020 Salary Range: $25.00 To $28.00 Hourly MISSION, VISION, AND VALUES Our mission is to provide quality, comprehensive healthcare and supportive services to our community. Our vision is “Improving the Health and Well-Being of Our Community.” Our core values are Integrity, Compassion, and Excellence. Employees are expected to demonstrate a strong commitment to the mission, policies, goals, and philosophy of Harbor Community Health Centers. JOB SUMMARY Reporting to the Revenue Cycle Manager (RCM), the Medical Biller II is responsible for the billing and collection activities for the clinic’s primary care, pediatric, behavioral health, and dental services. This position works closely with providers, Front Office staff, and the...

Job Details Job Location: 933 Plaza MSO - Pleasanton Rd. - San Antonio, TX 78214 Position Type: Full Time Job Category: Revenue Cycle General Summary The Coding Educator is responsible for the development, management, and oversight of a comprehensive coding program encompassing all activities of the organization. This position serves as the documentation and coding liaison to clinicians, ensuring compliance with government and organizational policies and procedures. Supervisory Responsibilities This position has no supervisory responsibilities. General Requirements All duties performed will be done accurately and in a timely manner. Ensures customer service is always maintained at the highest level. Exercise tact and courtesy when dealing with patients, visitors, providers, and co-workers. Must always adhere to customer service expectations including in-person and virtual (via telephone, or telehealth applications) communication. English and Spanish proficiency preferred. Strong...