24 coder auditor jobs found

Title - Coding Auditor Location - Clackamas, OR Job Type - Permanent Job Summary: To 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),...

JOB DESCRIPTION To 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...

Coding Auditor, Facility Onsite Clackamas, OR To 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 Healthcare...

Candidates must reside either in Washintgon or Oregon to be considered for this position. To 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...

Certified Professional Coder (CPC) or equivalent certification Required with 2 years of healthcare auditing experience preferred. Primary Work Location : Remote (Oregon Headquarters)This position is 100% remote and open only to candidates residing in states where the organization is authorized to do business. Authorized Remote States :  Oregon, Arizona, Florida, Idaho, Kentucky, Maine, North Carolina, Oklahoma, Pennsylvania, Tennessee, Texas, Virginia, Washington. Department:                Compliance                                          FLSA Status:                               Exempt (Salaried) Division:                       Compliance                                          Physical Strength:                      Light (L) Reports To:                  Compliance Officer                              Work Location Type:                  100% Remote / Hybrid Supervisory Role:       No                                                          Occasional...

A national healthcare technology firm in Myrtle Point, Oregon, seeks an experienced auditor to conduct medical record audits and ensure compliance with coding regulations. Candidates should possess over 5 years of audit experience, CPC and CPMA certifications, and strong communication skills. This rewarding role offers comprehensive benefits, a salary up to $80,000, plus a chance for a 15% annual bonus, and the flexibility to work remotely. #J-18808-Ljbffr

Join Trillium Family Services - Make a Difference in Young Lives and Families Job Title: CDI Specialist Coder Employment Type: Full-Time - MUST BE AN OREGON/WASHINGTON RESIDENT Starting Pay: $23.00 per hour Position Summary The CDI Specialist Coder is a certified coding professional responsible for conducting real-time, retrospective, and incident-driven audits of clinical documentation to ensure it supports established standards, including medical necessity, CPT/HCPCS, and ICD coding accuracy. This position collaborates closely with clinical, Health Information Management (HIM), and billing teams to improve the quality and clarity of documentation. Through auditing, education, and query processes, the CDI Specialist Coder helps ensure accurate coding, regulatory compliance, reporting integrity, and improved patient care outcomes. Duties and Responsibilities Coding and Documentation Integrity Apply ICD-10-CM, CPT, and HCPCS coding guidelines...

Job Description Job Description Join Trillium Family Services - Make a Difference in Young Lives and Families Job Title: CDI Specialist – Coder Employment Type: Full-Time - MUST BE AN OREGON/WASHINGTON RESIDENT Starting Pay: $23.00 per hour Position Summary The CDI Specialist – Coder is a certified coding professional responsible for conducting real-time, retrospective, and incident-driven audits of clinical documentation to ensure it supports established standards, including medical necessity, CPT/HCPCS, and ICD coding accuracy. This position collaborates closely with clinical, Health Information Management (HIM), and billing teams to improve the quality and clarity of documentation. Through auditing, education, and query processes, the CDI Specialist – Coder helps ensure accurate coding, regulatory compliance, reporting integrity, and improved patient care outcomes. Duties and ResponsibilitiesCoding and Documentation Integrity Apply...

Coder OP McKenzie-Willamette Medical Center is your community medical provider, serving the Willamette Valley and its residents. Our 113-bed hospital offers inpatient, outpatient, diagnostic, medical, surgical and emergency care. We are a family of caregivers offering care to our larger family our community. Position Details: Hourly Base Rate: $18.28 - $26.37 Shift: Days Hours Per Week: 40 hours Job Summary: Certified coder required. Working knowledge of basic medical terminology, ICD-10, CPT and HCPCS codes. Preferred experience in multiple specialties including: Cardiology, Cardiology diagnostic testing, Cardiothoracic Surgery, Critical Care, General Surgery, Gastroenterology, Pulmonology, Vascular Surgery and Vascular Imaging services. Ability to assign codes to diagnoses, procedures, E&M visits, and diagnostic testing. Ability to research and analyze clinical documentation as well as produce reports from a variety of sources. Ability to work...

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...

Become a part of our caring community Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Outpatient Behavioral Health Coding disputes and is part of the PPI Coding Disputes Team with Humana. The Outpatient Behavioral Health Coding Auditor on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. Will be an experienced medical coding auditor with in-depth experience in outpatient Behavioral Health coding disputes and expertise in CPT/HCPCS...

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...

Who We Are: Neighborhood Health Center is a non-profit organization local to Portland, OR serving underserved patients in the areas of primary care, internal medicine, dental services and more. Our patient-centered approach to care honors the unique needs and circumstances of each individual patient. NHC sees people, not problems, and recognizes that the time spent as a patient in a doctors office is only one factor in a persons overall health. Our leading edge, integrated clinical teams work in partnership with patients, their families, and the communities we serve to provide whole-person care, prevention, and ongoing support. NHC is an Equal Opportunity Employer. We celebrate differences in the workplace and do not discriminate in employment opportunities or practices on the basis of race, color, religion, gender (sex), national origin, age, veteran status, sexual orientation, gender identity, disability, genetic information or any other characteristic protected by law....

Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Reviews patient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Applies substantial knowledge of the job and experience to complete a wide range of activities with varying difficulty. Regularly works with sensitive and confidential information, often involving the interpretation of policies and procedures to guide use. Job Requirements: Education and Work Experience: High School Education/GED or...

Department Overview The Coding Trainer is responsible for constructing and implementing coding training programs for coding specialists. Creates presentations, develops learning material, handbooks and other training materials as needed. Conducts regular audits to ensure understanding and retention of basic and advanced coding concepts. Represents Enterprise Coding as coding expert in specialty projects. Function/Duties of Position Trains and instructs coders on CPT, Diagnosis, modifiers, CCI edits and documentation requirements as appropriate regarding all industry standards for each clinical department across OHSU. Reviews, develops, modifies, and/or adapts relevant training materials, presentations and curriculum. Audits medical record documentation to identify under-coded and up-coded services; prepares reports of findings and meets with coders and leadership to provide education and training on accurate coding practices and compliance issues both for coders...

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2675 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Advanced knowledge...

Title - Medical Coder II, Certified Shift - (Remote working after on-site training (2-4 weeks). Must be located in the Portland, OR Metro Area. Flexible hours -- any 8 hours between 6:00 AM and 6:00 PM) Location - Clackamas, OR, US Jo Type - Permanent Required: Minimum One (1) year of professional coding experience. Current Credentials for Professional Coding. Ability to work in an autonomous environment. Job description: This is an experienced coding position focused on review of documentation and coding. This position will ensure accurate coding and claim submission and conformity to applicable guidelines and regulations. Job description This is an experienced coding position focused on review of documentation and coding. This position will ensure accurate coding and claim submission and conformity to applicable guidelines and regulations. Essential Responsibilities: Perform documentation and coding reviews within work queues across various...

Join Trillium Family Services - Make a Difference in Young Lives and Families Job Title: CDI Specialist - Coder Employment Type: Full-Time - MUST BE AN OREGON/WASHINGTON RESIDENT Starting Pay: $23.00 per hour Position Summary The CDI Specialist - Coder is a certified coding professional responsible for conducting real-time, retrospective, and incident-driven audits of clinical documentation to ensure it supports established standards, including medical necessity, CPT/HCPCS, and ICD coding accuracy. This position collaborates closely with clinical, Health Information Management (HIM), and billing teams to improve the quality and clarity of documentation. Through auditing, education, and query processes, the CDI Specialist - Coder helps ensure accurate coding, regulatory compliance, reporting integrity, and improved patient care outcomes. Duties and Responsibilities Coding and Documentation Integrity Apply ICD-10-CM, CPT, and HCPCS coding guidelines...

Medical Coder - Hematology/Oncology Clinic Duration: 12 Weeks Location: 100% Remote Job Description Review documentation of professional services in EPIC, obtain copies of chart notes, reports (i.e., admission/discharge records, patient medical records) and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services' (CMS) documentation of professional services and assign correct CPT, ICD-9-CM, and HCPCS codes. Utilizes ICD-9-CM, ICD-10, CPT codebook and Coding Clinic references to verify code specificity and follow ICD-9-CM Official Guidelines for Coding and Reporting and AMA Official Guidelines for CPT. Enter billing information into EPIC Resolute. Establish and maintain procedures and other controls necessary in carrying out all insurance billing activity. Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP). Coordinate...

A nonprofit integrated health system in Portland is seeking a detail-oriented coding specialist. The role involves reviewing patient records to assign accurate diagnosis and procedure codes, ensuring regulatory compliance. Candidates should have a high school education/GED, preferably with technical certifications like Certified Coding Specialist (CCS). This position is ideal for those skilled in audit processes and coding guidelines. Join a dynamic team focused on providing quality healthcare in a supportive environment. #J-18808-Ljbffr

Job Description A Level 2 Medical Coder at OHSU reviews and codes moderately complex inpatient or outpatient encounters using ICD‑10‑CM, CPT, and HCPCS guidelines to ensure accurate billing and compliance. Day to day, the role involves validating clinical documentation, resolving edits or denials, and collaborating with providers or CDI teams to clarify diagnoses and procedures. The coder is expected to maintain productivity and quality standards while staying current on regulatory and payer‑specific requirements. Day‑to‑day responsibilities: Code and abstract diagnoses and procedures for more complex cases, ensuring accuracy and compliance with OHSU, payer, and regulatory guidelines Review documentation, issue provider queries as needed, and assist with audits, denials, or quality reviews Meet daily productivity and accuracy benchmarks while following coding updates and internal workflows We are a company committed to creating diverse and inclusive environments where people...

Overview Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

Primary Job Title: Medical Billing Specialist About The Company The Trauma Academy Northwest, LLC is a mental health outpatient clinic dedicated to providing effective, compassionate trauma treatment. The clinic specializes in trauma-informed care using evidence-based talk therapy alongside sensory integration techniques to support emotional regulation, healing, and long-term resilience. At its core, The Trauma Academy Northwest values strong camaraderie, professionalism, and transparency. These principles guide both client care and internal collaboration. Staff work closely as a team, maintaining open communication, shared accountability, and mutual respect to ensure consistent, high-quality treatment. The clinic is committed to creating a safe, supportive environment where clients feel understood and empowered, and where clinicians are supported through clear expectations, ethical practice, and ongoing professional growth. Through thoughtful care and a strong internal culture,...

Department Overview The Coding Trainer is responsible for constructing and implementing coding training programs forcoding specialists. Creates presentations, develops learning material, handbooks and other training materials as needed. Conducts regular audits to ensure understanding and retention of basic and advanced coding concepts. Represents Enterprise Coding as coding expert in specialty projects. Function/Duties of Position Primary Responsibilities: Trains and instructs coders on CPT, Diagnosis, modifiers, CCI edits and documentation requirements as appropriate regarding all industry standards for each clinical department across OHSU Reviews, develops, modifies, and/or adapts relevant training materials, presentations and curriculum Audits medical record documentation to identify under-coded and up- coded services; prepares reports of findings and meets with codersand leadership to provide education and training on accurate coding practices and compliance issues both for...