21 coder auditor jobs found

Job Description Coder/Auditor - Physicians Central Billing (7470-0959) – 170084 Functions as Auditor and Coder for the CPG Central Billing Office and in collaboration with the CPG Compliance Officer. Perform daily review of coded inpatient medical records to validate principal diagnosis, secondary diagnoses, and principal procedure sequencing and code assignment. Provide feedback relating to corrections to coders and practice leaders. The Medical Coder Auditor will collaborate with practice leaders, CBO manager, Compliance Officer, providers, and other coders regarding discrepancies. This position may be filled full-time or part-time and will work 1st shift hours. Qualifications The Medical Coder Auditor should have a minimum of five years coding experience. A bachelor's degree from a four‑year college or university; or completion of a Registered Health Information Technician program; or completion of an AHIMA or other independent study coding program; or a combination of...

A healthcare provider in Jeffersonville, Indiana is seeking a Medical Coder/Auditor. The role involves reviewing coded inpatient medical records for accuracy, providing feedback to coders, and collaborating with various team members. The candidate should have a minimum of five years of coding experience and relevant certifications. This position can be filled on a full-time or part-time basis and offers the opportunity to work 1st shift hours. #J-18808-Ljbffr

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 with coding questions.,...

Registered Nurse - Diagnosis Related Group Coding Auditor Principal – Carelon Payment Integrity Location: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate, and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients. Specializes in review of DRG coding via medical records and attending physician’s statements provided by acute care hospitals on paid DRG,...

Briljent is looking for a detail-oriented Certified Medical Coder / Medical Record Audit Specialist in Indianapolis. This remote position involves reviewing medical records for coding accuracy, identifying compliance issues, and preparing reports. Ideal candidates need coding certifications and at least one year of related experience. Strong analytical, problem-solving, and writing skills are essential. Occasional travel within Indiana is required. Emphasis on diversity and inclusion is fundamental to Briljent's hiring practices. #J-18808-Ljbffr

Certified Medical Coder / Medical Record Audit Specialist Brijlent is seeking a detail-oriented Certified Medical Coder / Medical Record Audit Specialist to support coding accuracy, medical record review, and billing compliance activities for Indiana Medicaid programs. This role is responsible for reviewing medical records and claims‑related documentation for coding accuracy, identifying billing and compliance issues, preparing audit documentation and reports, and supporting appeals activities. The ideal candidate brings strong coding knowledge, regulatory awareness, and analytical and writing skills. This is a remote position with occasional travel required within Indiana. While this position is remote, Indiana residents are encouraged to apply. Key Responsibilities Review medical records and related documentation to assess coding accuracy and compliance with Indiana Health Coverage Programs, CMS, AMA, and other applicable standards and regulations. Conduct coding and...

RADcube is seeking a Certified Medical Coder / Medical Record Audit Specialist to work remotely, with occasional travel in Indiana. The role supports coding accuracy, medical record review, and billing compliance for Indiana Medicaid programs. Ideal candidates must have a coding certification and at least 1 year of experience in medical coding or related fields. Familiarity with Medicaid policies and proficiency in Microsoft Office tools are preferred. #J-18808-Ljbffr

RADcube - A NLogix Company is seeking a Certified Medical Coder / Medical Record Audit Specialist. This remote position includes responsibilities such as reviewing medical records for accuracy and compliance with regulations for Indiana Medicaid programs. The ideal candidate should have a coding certification and at least one year of experience in medical coding or billing compliance. This role offers the opportunity to work independently while contributing to healthcare reimbursement accuracy. #J-18808-Ljbffr

Briljent is seeking a detail-oriented Certified Medical Coder / Medical Record Audit Specialist to support coding accuracy and billing compliance for Indiana Medicaid. This remote role requires reviewing records, identifying compliance issues, and preparing audit documentation. The ideal candidate has strong coding knowledge, certification (CCS, CPC, CPMA), and at least 1 year of relevant experience, particularly with Indiana Medicaid. Proficiency in Excel and collaboration skills are essential. Occasional travel within Indiana may be required. #J-18808-Ljbffr

Radiology Medical Coder Radiology Medical Coder Job Description Client Profile - An Indiana based Independent Physician-Owned radiology practices founded in 1967. Job Summary - The Radiology Coder is responsible for coding and charge submission activities, including abstracting CPT Professional Fee Coding and inpatient/outpatient coding and billing. This involves reviewing medical records and assigning appropriate ICD, CPT, and HCPCS codes. Job Duties Review and analyze medical records ensuring the correct assignment of ICD-10, CPT and HCPCS codes. Accurately code diagnostics imaging, interventional radiology procedures and other radiological services Ensure that documentation supports the assigned codes and matches physician orders and radiology reports Abstract relevant data such as procedural dates, providers, and patient demographics for billing and reporting. Collaborate with radiologists and other medical professionals to clarify diagnoses and procedures when...

The Hospice & Palliative Care Medical Billing Specialist is responsible for the accurate and timely management of billing, reimbursement, and collections for all hospice and palliative care patients. As a newly established role, this individual will help shape workflows and processes through active feedback and collaboration. This role also ensures compliance with Accreditation Commission for Health Care (ACHC) standards, CMS hospice regulations, and all applicable federal and state requirements. Reviews and verifies patient eligibility for hospice and palliative care services, including certification of terminal illness and benefit period requirements. Confirms and documents patient insurance coverage, including Medicare Hospice Benefit, Medicaid, and commercial payers. Processes, verifies, and submits hospice claims (Medicare Part A, Medicaid, and commercial) in accordance with hospice billing requirements, including election dates, revocations, transfers, levels of care,...

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy...

Coder – Clinic Location: Munster, IN (Remote) Under general supervision and according to industry standards, identifies and assigns diagnostic and procedure codes for distinct patient encounters from source documentation using current ICD and CPT recommendations. Performs charge entry, review, reconciliation, and error correction tasks to ensure full and accurate charge capture. Performs regular manual and electronic charge and coding audits. Possesses a thorough knowledge of the coding process, coding resource material, coding rules and guidelines and applicable classification systems. Education/ Experience Requirements: • High School graduate (or GED equivalent) required. • Completion of college course work in health information degree or certificate program preferred. • 1-2 years professional billing/coding experience. Physician practice setting preferred. Previous use of EPIC preferred. • Evaluation and Management experience in a physician practice setting...

Overview Job Title: Medical Coder (Junior Level) | Location: Downtown Indianapolis, IN (Local candidates strongly preferred; occasional onsite presence required) We are looking for a detail-oriented Junior Medical Coder to support a healthcare client engagement. You will be responsible for reviewing clinical documentation, assigning accurate medical codes, and ensuring compliance with payer and regulatory guidelines to support clean and timely billing operations. Responsibilities Review and analyze clinical documentation to assign appropriate ICD-10-CM, CPT, and HCPCS codes Ensure all coding is compliant with CMS, payer-specific, and internal guidelines Identify and resolve coding discrepancies and documentation gaps in collaboration with clinical staff Support the revenue cycle team in maintaining accurate and timely billing submissions Stay current with coding updates, regulatory changes, and payer policy revisions Requirements Required Qualifications CPC, CCS, or equivalent...

The Professional Coder provides timely and accurate clinical coding and abstraction of inpatient and outpatient services as appropriate to facilitate compliant and optimized reimbursement, research, and PI initiatives. The Professional Coder is responsible for the coding, abstraction, and charge entry (as applicable) of one or more of the following: professional and facility services which may include evaluation and management services, ancillary/diagnostic services, and behavioral health services. Essential Functions and Responsibilities Proactively contributes to Eskenazi Health’s mission: Advocate, Care, Teach and Serve with special emphasis on the vulnerable population of Marion County; models Eskenazi Health’s values Coding and Abstracting: Identifies and assigns the appropriate diagnosis, procedure, and evaluation and management (E&M) codes in accordance with coding guidelines and departmental standards; audits notes from providers to ensure the provider is coding in a...

Job Description This is a remote position, with occasional travel required within Indiana. Certified Medical Coder / Medical Record Audit Specialist We are seeking a detail-oriented Certified Medical Coder / Medical Record Audit Specialist to support coding accuracy, medical record review, and billing compliance activities for Indiana Medicaid programs. Key Responsibilities Review medical records and related documentation to assess coding accuracy and compliance with Indiana Health Coverage Programs, CMS, AMA, and other applicable standards and regulations. Conduct coding and documentation reviews independently and provide preliminary findings to the Lead Reviewer. Identify potential coding discrepancies, documentation deficiencies, and billing compliance issues. Maintain detailed workpapers documenting procedures performed, records reviewed, findings identified, and conclusions reached. Assist with audit responses and appeals as needed. Ensure all work aligns with state,...

Join CommunityThe Innovative Healthcare Collaborative of Indiana (IHCI) is a joint venture between Community Health Network and Deaconess Health system.Its goal is to support our sponsors and partners in their strategic evolution to positively impact and improve the healthcare delivery system.Make a DifferenceReporting to the Clinical Documentation Integrity Manager this role performs patient chart reviews to ensure the appropriateness andcompleteness of diagnostic coding with evidence based on CMS HCC standards.The Risk Adjustment Coder is responsible for :Timely accurate and complete review of patient charts following patient encounters utilizing a variety of technical platforms to completeworkflowsValidating diagnosis codes representing patient conditions along with necessary MEAT documentationEnsuring coding is consistent with guidelines from regulatory entitiesConducting audits to meet compliance with ACA standardsCreating post-visit queries with follow upCollaborating with...

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...

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

Overview Responsible for ensuring accuracy and quality coding assignments for all records requiring DRG and/or APC coding; ensures optimal and timely reimbursement. Responsibilities Principal Duties and Responsibilities (*Essential Functions) Performs comprehensive pre-billing coding audits, through the use of eValuator , to ensure claims are accurately coded and charged in compliance with coding and regulatory standards. Performs comprehensive pre-billing coding data quality reviews on inpatient and/or outpatient records to ensure proper coding guidelines have been followed and appropriate DRG (MS/APR) or APC assignments have been made for appropriate reimbursement. Responsible for completion of reviews within 72 hrs of import date to include new reviews of up to or exceeding 12 to 15 per day for inpatients and/or completion of reviews within 48 hrs of import date including up to or exceeding 50 per day for outpatient accounts. Maintains an audit response...

Deaconess - 1419 West Lloyd Expressway - Responsibilities: Code hospital and professional charges accurately by abstracting information from the electronic medical record; Provide educational feedback to professional providers from audited batches to ensure coding compliance; Keep Supervisor and Manager informed of daily progress and issues related to coding; Assist follow-up staff with information for outstanding claims or recording of charges; Travel to office locations for training as needed