34 certified coding auditor jobs found

Coding Auditor Educator - Hospital CodingVancouver, WA | Administrative/Non-Clinical Support | Full TimePeaceHealth is seeking a Coding Auditor Educator - Hospital Coding for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $34.74 – $52.12. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.Job SummaryThe coding reviewer acts as an expert resource for auditing and training in support of accuracy and appropriateness of coding using ICD-10 and CPT industry standards and PeaceHealth guidelines.Essential FunctionsPerforms coding audits and pre-billing coding compliance functions as required by system regulatory policies/procedures and established review metrics. Participates in development of action plans to include follow up education on identified issues with subsequent audit and reassessment. Utilizes a...

Join the ICHS Team! Discover how you can make an impact on people, communities and creating greater health equity. International Community Health Services (ICHS) is a nationally-recognized federally qualified health center, and for over 50 years ICHS has provided culturally and linguistically appropriate health and wellness services, including increasing health equity for uninsured and medically underserved individuals of all languages and walks of life. We firmly believe that access to quality health care strengthens our families and communities, and promotes a more just society. We take pride in our diverse and inclusive workforce and at ICHS we value respect and support each other so each individual can achieve his or her full potential. We invite you to join us and be inspired by colleagues that share your mission and purpose. We invite you to watch this video to learn more about working at ICHS. We offer Competitive salary for the Seattle/Puget Sound...

Join the ICHS Team!Discover how you can make an impact on people, communities and creating greater health equity.International Community Health Services (ICHS) is a nationally-recognized federally qualified health center, and for over 50 years ICHS has provided culturally and linguistically appropriate health and wellness services, including increasing health equity for uninsured and medically underserved individuals of all languages and walks of life. We firmly believe that access to quality health care strengthens our families and communities, and promotes a more just society. We take pride in our diverse and inclusive workforce and at ICHS we value respect and support each other so each individual can achieve his or her full potential. We invite you to join us and be inspired by colleagues that share your mission and purpose.We invite you to watch this video to learn more about working at ICHS.We offer:Competitive salary for the Seattle/Puget Sound region"Share the success"...

Inpatient Facility Medical CoderTo independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), and Kaiser Permanente organization/institutional coding...

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...

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...

UnitedHealth Group in San Juan, Puerto Rico, is seeking a skilled Clinical Auditor to review professional and facility claims, compare with medical records, and determine claim viability for further processing. The role emphasizes data accuracy, compliance, and clear clinical reasoning for providers. The position requires a Coding Certificate or Nursing Licensure, proficiency with Microsoft Office, and fluency in English and Spanish. #J-18808-Ljbffr

Job Title: Coding Auditor and Educator (Remote - WA Residents Only) Req: 2026-0713 Location: VMC Main Campus Department: Health Information Mgmt Shift: Days Type: Full Time FTE: 1 Hours: 8:00 - 4:30 City State: Renton, WA Category: Professional ( NCNM) Salary Range: Min $32.39 - Max $46.96/hourly DOE JOB DESCRIPTION The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization. TITLE: Coding Auditor and Educator JOB OVERVIEW: The Coding Auditor and Educator plays a key role in the orientation, auditing, and education of all healthcare providers involved in professional fee coding and documentation at Valley Medical Center. This position conducts both new and routine physician coding and documentation audits, delivers targeted education, and...

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...

Overview About us: Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation’s top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)— in the region....

Payment Poster Rewarding career. Competitive salary. Outstanding benefits. The Payment Poster is responsible for accurate and timely posting, reconciliation, and research of payments and adjustments within Patient Financial Services. This position processes electronic and manual remittances, identifies and resolves payment discrepancies, and ensures payments are applied to the correct patient accounts in accordance with payer documentation and established workflows. This role supports hospital and clinic services in a Critical Access Hospital (CAH) environment and requires an understanding of payer benefits, revenue cycle workflows, and customer service excellence. Patient Financial Services representative serves as a key point of contact for both patients and providers, ensuring accounts are handled accurately, efficiently, and compassionately. STANDARD EXPECTATIONS Promotes a Positive Working Environment Conducts oneself in line with organization's mission, values...

HIM RHC Certified Coder Office Full time, M-F, 8:00am-4:30pm $25.65 - $40.99/hour DOE HIM/RHC Certified Coders are responsible for reviewing, validating, and analyzing procedural coding and charging for Hospital, Ambulatory Surgical Department, Emergency Department, ancillary departments, and Clinic Services. The primary focus of the position is procedural and charge accuracy, including review of CPT and HCPCS codes, modifiers, units, revenue codes, charges, and supporting clinical documentation. Coders compare documented procedures and services with the charges and codes submitted for billing to identify missing, incorrect, duplicate, unsupported, or otherwise discrepant charges that may affect reimbursement or revenue integrity. The position researches ICD 10, CPT, HCPCS, modifier, payer, billing, and reimbursement requirements; performs charge and coding audits; analyzes procedural claim edits and denials; and works with clinical departments, Patient Financial...

Salish Cancer Center in Fife, WA, is seeking a skilled Medical Coder & Biller with oncology experience to join our revenue cycle team. In this on-site, full-time role, you will code ICD-10-CM, CPT, and HCPCS for hematology/oncology services, review documentation for accuracy and compliance, and prepare clean claims to maximize reimbursement. You’ll also investigate denials, support coding audits, and collaborate with clinicians and finance staff to strengthen revenue integrity. #J-18808-Ljbffr

Medical Coder & BillerIntegrative Medicine with Purpose, Compassion, and Impact.Location: Salish Cancer Center | Fife, WA | On-SiteStatus: Full-Time | 1.0 FTE | 40 Hrs/WkHiring Range: $28.00 - $34.66 per hourAt Salish Cancer Center, every detail matters, especially when it comes to ensuring patients receive the care they need without unnecessary financial barriers. We're looking for a skilled Medical Coder & Biller with oncology experience to join our team and play a key role in supporting accurate, compliant, and efficient revenue cycle operations.What You'll Do:In this role, you'll take ownership of coding and billing processes that directly impact patient care and organizational success. You will:Accurately assign ICD-10-CM, CPT, and HCPCS codes for oncology services, including hematology conditions, chemotherapy, infusions, and immunotherapyReview provider documentation to ensure completeness, accuracy, and compliancePrepare and submit clean claims, reducing denials and...

Job Type Full-time Description Integrative Medicine with Purpose, Compassion, and Impact. Location: Salish Cancer Center | Fife, WA | On-Site Status: Full-Time | 1.0 FTE | 40 Hrs/Wk Hiring Range: $28.00 - $34.66 per hour Position Close Date: October 2, 2026 At Salish Cancer Center , every detail matters, especially when it comes to ensuring patients receive the care they need without unnecessary financial barriers. We're looking for a skilled Medical Coder & Biller with oncology experience to join our team and play a key role in supporting accurate, compliant, and efficient revenue cycle operations. What You'll Do: In this role, you'll take ownership of coding and billing processes that directly impact patient care and organizational success. You will: Accurately assign ICD-10-CM, CPT, and HCPCS codes for oncology services, including hematology conditions, chemotherapy, infusions, and immunotherapy Review provider documentation to...

Experience preferred. Certified Coder with 5+ years experience coding professional and facility fees for surgical cases and office visits. Specialties include Obstetrics/Women's Health, Orthopedics, Podiatry, Cardiology, Urology & General Surgery. JOB SUMMARY The Coder is responsible for reviewing discharge abstracts and patient charts in order to assign the appropriate ICD-CM/CPT codes to diagnoses and procedures. Reviews charts for potential liability risk and documents specific information as necessary. Performs studies as requested by physicians or administration. Maintains State reporting documentation for certain procedures in compliance with regulations. The Coder encounters the mission of providing quality healthcare to the patients of WhidbeyHealth to ensure medical records are charged and coded accurately and efficiently. This position may be responsible for applying the appropriate codes for ICD-10, CPT / HCPCS, evaluation and management, and/ or modifiers...

Job Full Description Certified Medical Coder Location: Colfax, WA Pay: $22 - $25 per hour DOE Schedule: Monday-Friday (Typical office hours) Position Overview A healthcare organization in Colfax, WA is seeking a Certified Medical Coder to support accurate medical coding and documentation within a hospital-based revenue cycle team. This role is responsible for reviewing clinical documentation and assigning appropriate diagnosis and procedure codes to ensure accurate billing, regulatory compliance, and proper reimbursement. This position offers the opportunity to work within a collaborative hospital environment, partnering closely with clinical, coding, and revenue cycle teams to support accurate documentation and reimbursement. The ideal candidate will have strong knowledge of coding guidelines, excellent attention to detail, and the ability to work efficiently within electronic health record systems. Experience with the EPIC EHR platform is highly...

Coder Job Summary The Coder's primary job function is to certify accurate billing for professional services and hospital procedures. This is accomplished through review of clinical encounters, confirming correct use of diagnosis and procedural codes and application of appropriate modifiers and CCI edits. The Coder provides education to providers to ensure proper completion of the medical record. Job Specific Competencies 1. Reviews clinical encounters presented via electronic lists to ensure proper submission of services prior to billing. a. Edits and corrects diagnosis and procedural codes and applies modifiers and CCI edits as required according to coding guidelines and department policy. b. Effectively utilizes coding software and/or books to confirm coding accuracy. c. Verifies referring provider, rendering provider, department and other critical data elements are accurate prior to submission of completed coding. 2. Receives and reviews paper fee slips for hospital services...

Job Summary The Coder's primary job function is to certify accurate billing for professional services and hospital procedures. This is accomplished through review of clinical encounters, confirming correct use of diagnosis and procedural codes and application of appropriate modifiers and CCI edits. The Coder provides education to providers to ensure proper completion of the medical record. Job Specific Competencies 1. Reviews clinical encounters presented via electronic lists to ensure proper submission of services prior to billing. a. Edits and corrects diagnosis and procedural codes and applies modifiers and CCI edits as required according to coding guidelines and department policy. b. Effectively utilizes coding software and/or books to confirm coding accuracy. c. Verifies referring provider, rendering provider, department and other critical data elements are accurate prior to submission of completed coding. 2. Receives and reviews paper fee slips for hospital...

Job Summary The Coding Supervisor is responsible for overseeing the daily operations of the coding team, ensuring accurate and compliant coding practices across all clinical departments. This role provides leadership, training, and quality assurance for coding staff, supports provider education, and collaborates with Revenue Cycle and Compliance teams to optimize reimbursement and maintain regulatory compliance. Position eligible for Telecommuting with consideration for a fully remote arrangement within Washington State, depending on experience (DOE) Job Specific Competencies Team Leadership & Oversight Supervises coding staff including Coder I and Coder II. b. Monitors productivity and quality metrics, ensuring standards are met or exceeded. c. Conducts regular team meetings and one-on-one check-ins to support performance and development. Quality Assurance & Compliance Oversees internal/external audits and reviews coding accuracy, documentation, and billing compliance. b....

Description Under the general supervision of the Kadlec Clinic Billing Manager, analyzes, codes, and compiles medical records to document patient condition and treatment in Family Practice, Specialty Practice, Hospital and ASC settings. The Clinic - Coder, Certified - Level II will audit Provider documentation and provide continuous, meaningful provider feedback. Providence caregivers are not simply valued - they're invaluable. Join our team at Kadlec Regional Medical Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: Certification from American Academy of Professional Coders upon hire or, Certification from American Health Information Management Association upon hire. 3 years - Related experience and/or training. Preferred Qualifications: 5 years -...

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...

About this position At Vancouver Sleep Center, we know how stressful it can be when sleep feels out of reach. That’s why we’ve built our practice around experience, accessibility, and patient-focused care. Our board-certified sleep specialists have decades of experience helping people improve their sleep and feel better in their daily lives. We guide you every step of the way, from detailed sleep consultations and in-depth studies to personalized treatment plans and medical equipment. As one of the sleep centers Portland, OR and the surrounding areas have relied on for decades, we understand how urgent sleep problems can be, so we strive to see new patients within a week of their first call. Position Summary The Medical Biller is responsible for ensuring the financial viability of the center by managing the full revenue cycle. This role requires a specialist who can navigate the unique coding requirements of polysomnography (PSG) and Home Sleep Apnea Testing (HSAT), ensuring that...

CTHCA Medical Billing Specialist Hot Job Reservation Wide - WA Overview Salary Range $23.08 - $28.12 Hourly Description Closing Date: Open Until Filled with Bi-weekly Reviews Position: CTHCA Medical Billing Specialist (2 Positions) Salary: $23.08 to $28.12 per hour DOE Reports To: Revenue Cycle Supervisor Location: Nespelem Health Center, 6 Month Training in Nespelem, WA, with Possibility of Working in Other Districts Upon Completion of Training. Basic Functions: This is a Non-Exempt Position. Performs Clerical Standard and Procedures of the Medical Billing Office Through Direct Contact with Eligible Programs Using Computer-Aided Data Entry Screens. Qualifications Minimum Qualifications: Education and Training: Requires a High School Diploma or GED Requires 12 Months Billing and Coding Experience with Anatomy and Pathophysiology Training Willing to Obtain a Certified Professional Coder (CPC) Certificate or Certified Professional Biller (CPB)...