19 coder auditor professional jobs found

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of...

Medical Coder Axis Health is seeking a Medical Coder who will handle the responsibility of reviewing clinical documentation and diagnostic results to extract data, review and re-assign as appropriate, provider-assigned primary care, dental, outpatient behavioral health, substance use and psychiatric CPT, HCPCS, and ICD10 codes. This position resolves error reports associated with the billing process, identifies and reports error patterns, and when necessary assists in the design and implementation of work flow changes to reduce billing errors. This position audits charts for proper documentation and coding. This position will also take on additional duties as assigned. Axis Health is the leading provider of behavioral health and integrated (primary, dental, and behavioral health) care on the Western Slope of Colorado. As a therapist in their clinic, you'll have access to a wide range of resources for your patients. We have recovery groups, Medication Assisted Treatment (MAT),...

Patient Accounts Coder Summary Title:Patient Accounts Coder ID:0212-5444 Department Location:3205/3207 N. Academy, Colorado Springs, CO 80917 Category:Administrative / Clerical / Skill Trades Description Peak Vista Community Health Centers is a nonprofit health care organization whose mission is to provide exceptional health care to people facing access barriers through clinical programs and education. We provide integrated health care services including medical, dental, and behavioral health through our 20 outpatient health centers. We deliver care with our strong "Hospitality" culture. Our organization has over 800 employees and serves more than 74,300 patients annually in the Pikes Peak and East Central regions of Colorado. Our service area covers 14 counties, from the front range to the Kansas border, with locations throughout Colorado Springs, Fountain, Divide, Limon, and Strasburg. Peak Vista is accredited by the Accreditation Association for Ambulatory Health...

Billing Specialist At STRIDE Community Health Center, we're dedicated to making a lasting impact on the lives of our patients and the communities we serve. As one of Colorado's largest Federally qualified healthcare centers (FQHC), we offer comprehensive services including primary care, dental, pharmacy, behavioral health, health education and outreach services across 13 clinics in the Denver Metro area. With over 35 years of experience serving our community, our growing team is at the heart of our mission. We believe healthcare is about more than treating illness; it is about fostering wellness and addressing the unique needs of every patient, ensuring no one is left behind. If you're passionate about making a meaningful difference, thrive in a collaborative environment, and are ready for a career that transforms lives-including your own, STRIDE is the place for you. General Purpose: Responsible for understanding the billing requirements for all payors. Essential Duties...

Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organization's coding procedures and standards. - Accurately enter coded data in a system and validate data entered. - Research correct coding practices, clearly document and share findings with others. - Review denials and recommend billing corrections. - Train staff members on the coding process. Minimum Requirements - High School diploma or equivalent with 0 - 2 years of experience. - Additional clinical licensure may be required based on project. - Must be a Certified Medical Coder, Certified Professional Coder, or a Certified Coding Specialist. - Knowledge of Medical Billing and Coding Systems such as CPT and HCPCS is essential. - Ability to work a schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required. Additional Skills and Experience: - Familiarity with retrospective payment reimbursement highly preferred....

Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organization's coding procedures and standards. - Accurately enter coded data in a system and validate data entered. - Research correct coding practices, clearly document and share findings with others. - Review denials and recommend billing corrections. - Train staff members on the coding process. Minimum Requirements - High School diploma or equivalent with 0 - 2 years of experience. - Additional clinical licensure may be required based on project. - Must be a Certified Medical Coder, Certified Professional Coder, or a Certified Coding Specialist. - Knowledge of Medical Billing and Coding Systems such as CPT and HCPCS is essential. - Ability to work a schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required. Additional Skills and Experience: - Familiarity with retrospective payment reimbursement highly preferred....

Job Description: The HIM Hospital Inpatient & Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and assigns diagnostic information using ICD-10-CM/PCS and CPT codes for a complex range of acute care services for Intermountain Health. The caregiver provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 & CPT codes, DRGs, anatomy and physiology, pharmacology. The analyst also performs audits, provides feedback, and advanced training to clinical teams and physicians on ICD-10 and CPT coding best practices. Essential Functions Reviews and analyzes inpatient medical records for completeness, accuracy, and compliance for Same Day Surgery, Observation and Inpatient acute services at Intermountain Health. Performs coding at an advanced level of complexity for inpatient hospitals including governmental and/or...

Company: Allegheny Health Network Job Description: GENERAL OVERVIEW: Join our innovative team as a Medical Coding Auditor Instructor, where you'll play a vital role in ensuring the accuracy and compliance of coding, billing, and medical documentation. Conduct thorough audits on medical records regarding DRGs, APCs, CPTs, and HCPCS Level II codes. Your expertise will be key in optimizing reimbursement strategies and enhancing data quality while adhering to all regulatory standards. ESSENTIAL RESPONSIBILITIES: Lead comprehensive audits and evaluate documentation, coding, and billing practices across various AHN entities. Develop and implement focused training programs to address any deficiencies identified during audits, ensuring compliance with regulatory standards. Collaborate closely with management on external audit findings and engage in strategic discussions to resolve issues. (20%) Create detailed audit reports to highlight the impacts of coding,...

Reports To: Revenue Cycle Director FLSA Classification: Full-Time, Non-exempt, Hourly $24.68-30.00 The working environment is a hospital setting with exposure to patients, residents, and families; sharps, infectious diseases, biological and chemical hazards; machinery and equipment; and potentially extreme temperatures and noise levels. Employees are required to follow all safety practices and protocols at all times. Essential Functions: Abstract pertinent information from patient records; assign ICD-10-CM, ICD-10-PCS, CPT, or HCPCS codes. - Perform coding for all Rural Health Clinic, Outpatient Specialty Clinic, inpatient/observation procedures and stays, emergency room visits, and ambulatory surgeries. Drop both professional and facility fees for all cases, orthopedics, general surgery, outpatient IV infusions, laboratory, radiology, physical therapy, and behavioral health. Other department specialties added as they come on. - Follow up with physicians when code...

Job Description Medical Biller Overview This temp to hire role requires strong technical accuracy, experience with insurance processes, and the ability to work efficiently in a high-volume environment. Responsibilities Retrieve, manage, and post charge batches from multiple EHR platforms Group and organize charge batches for processing Sequence ICD-10 and CPT codes based on client requirements Apply appropriate modifiers and add-on codes Audit coding for accuracy and resolve any discrepancies Perform A/R functions, including follow-up on aging reports Communicate with insurance representatives by phone regarding claims and EOBs Maintain productivity expectations (70-100 accounts daily) across multiple medical specialties, including radiology, pathology, dermatology, family practice, wound care, and urology Qualifications 1+ years of medical billing experience with ICD-10, CPT, and EHR systems Experience with Microsoft Office and major EHR...

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 seeking a dedicated Patient Accounts Representative - Billing responsible for accurately reconciling payments from patients, insurance companies, and third-party payers to patient accounts. This position ensures timely and accurate allocation of payments, contractual adjustments, and denials while maintaining the integrity of the organization's financial records and supporting a smooth revenue cycle. Key Responsibilities Accurately apply payments to correct accounts, dates of service, and line items per payer guidelines. Identify and post insurance denials with correct codes and notify supervisor of denial trends. Reconcile daily deposit reports and balance payment batches with bank deposits and internal records. Maintain proper documentation of all payment activity to ensure audit readiness and compliance....

Job Type Full-time Description At STRIDE Community Health Center, we're dedicated to more than just providing healthcare-we're committed to making a lasting impact on the lives of our patients and the communities we serve. As one of Colorado's largest Federally qualified healthcare centers (FQHC), we offer comprehensive services-including primary care, dental, pharmacy, behavioral health, health education and outreach services across 13 clinics in the Denver Metro area. With over 35 years of experience serving our community, our growing team is at the heart of our mission. We believe healthcare is about more than treating illness; it is about fostering wellness and addressing the unique needs of every patient, ensuring no one is left behind. If you're passionate about making a meaningful difference, thrive in a collaborative environment, and are ready for a career that transforms lives-including your own, STRIDE is the place for you. General Purpose : Responsible for...

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...

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...

Become a part of our caring community and help us put health first 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 Durable Medical Equipment (DME) auditing and is part of the PPI Coding Disputes Team with Humana. The Disputes Auditor - DME Outpatient Coding 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 DME coding disputes and expertise in...

Posting Date 01/19/2026 2000 16th St, Denver, Colorado, 80202-5117, United States of America DaVita IKC is seeking a highly motivated and experienced Risk Adjustment Auditor and Educator to join our Coding team. This role is crucial for ensuring the accuracy, integrity, and compliance of our risk adjustment coding and clinical documentation related to professional services provided by both internal and external nephrology partners. The ideal candidate will serve as a subject matter expert, performing detailed medical chart audits and providing targeted education to providers and coding teams to support our commitment to high-quality patient care and adherence to all formal regulatory and coding guidelines. Essential Duties and Responsibilities Auditing & Analysis Conduct retrospective, concurrent, and prospective audits of medical records to validate the accuracy of ICD-10-CM codes and ensure documentation supports submitted diagnoses for Medicare Risk...

A healthcare organization in Grand Junction, CO seeks a Medical Records Coder to assign and audit coding for participant encounters. The ideal candidate must have a current AAPC or AHIMA Certified Professional Coding Certificate and at least two years of coding experience using ICD-10, CPT, and HCPCS codes. Competitive pay starts at $25.30-$28.00 per hour, along with comprehensive benefits including insurance, PTO, and tuition reimbursement. This is an on-site position, requiring effective communication skills and competence in medical terminology. #J-18808-Ljbffr

Home Health Clinical Quality Assurance Specialist (OASIS & Medicare Compliance) Base pay range: $55,000 - $75,000 per year. Actual pay based on skills and experience. Position Overview The Home Health Quality Assurance Specialist ensures the accuracy, compliance, and quality of patient care documentation, with a primary focus on OASIS data. Role involves reviewing patient records, conducting quality assurance checks, and exporting OASIS items to Medicare for compliance and reimbursement purposes. Key Responsibilities Review and validate OASIS assessments for accuracy and completeness before submission. Export OASIS data to Medicare, ensuring compliance with CMS regulations. Address discrepancies or errors in OASIS data and collaborate with clinicians to correct inaccuracies. Conduct regular audits of clinical documentation to ensure adherence to state, federal, and agency regulations. Monitor compliance with Medicare guidelines, particularly around OASIS and other key...

Adara Home Healthcare provides a pay range of $55,000.00/yr - $75,000.00/yr for the Home Health Clinical Quality Assurance Specialist (OASIS & Medicare Compliance) role. Your actual pay will be based on your skills and experience. Job Title: Home Health Clinical Quality Assurance Specialist (OASIS & Medicare Compliance) Position Overview: The Home Health Quality Assurance Specialist ensures the accuracy, compliance, and quality of patient care documentation. Primary focus is on OASIS data, reviewing patient records, conducting QA checks, exporting OASIS items to Medicare, collaborating with clinical staff to meet regulatory standards, and optimizing patient outcomes. Key Responsibilities: OASIS Data Review & Export: Review and validate OASIS assessments for accuracy and completeness before submission. Export OASIS data to Medicare ensuring compliance with CMS regulations. Address discrepancies or errors and collaborate with clinicians to correct inaccuracies....