52 coder auditor professional jobs found

Coder Auditor-Professionals are responsible for auditing coding assignments with providers and coders, training coding professional staff, and pro‑fee based coding which includes the assignment of ICD‑CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. They interact with medical staff, nursing, ancillary departments, provider offices, and outside organizations. At this time, we are only able to consider applicants who reside in the following states: 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. Conducts the collection and reporting of provider and coder audit results and education. Works with coders and providers to ensure appropriate documentation for clinic services. Reports results to Coding Supervisor - Professional. Demonstrates ability to code all...

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.,...

We recommend using the following browsers to complete the application: Desktop: Google Chrome, Edge with Chromium Mobile: Google Chrome, Safari Description The Revenue Cycle Coding Auditor will perform reviews for employees in the Coding department. Audits will include, but are not limited to; employee productivity and quality based on proper documentation, accuracy and coding guidelines. The Auditor will also provide feedback and support relating to departmental/role specific productivity and quality expectations. The incumbent for this position will utilize a high level of in-depth knowledge of the coding role to perform all audits based on specific departmental need. *****On-Site Only**** Examples of Duties PBS Auditor: 100% Conduct quality and productivity reviews of coding staff using structured and consistent review programs and methods. Demonstrate in-depth knowledge and experience with SIU-HC supported applications, including but not limited to...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

Job Description Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: PB Revenue Integrity Work Type: Full Time (Total FTE 1.0) Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits). Pay Range: $32.00 - $52.08 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary: As a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of EMR documentation of patient encounters to...

Salary: $25.89 - $28.48 Hourly Location : Springfield, IL Job Type: Civil Service Job Number: 2401379 Department: SIU HealthCare Coding-SMS Division: Administration Opening Date: 04/24/2026 Closing Date: 6/22/2026 3:30 PM Central FLSA: Non-Exempt Bargaining Unit: Non-Represented Shift: Days ExemptorNon_Exempt: Non-Exempt We recommend using the following browsers to complete the application: Desktop: Google Chrome, Edge with Chromium Mobile: Google Chrome, Safari Description The Revenue Cycle Coding Auditor will perform reviews for employees in the Coding department. Audits will include, but are not limited to; employee productivity and quality based on proper documentation, accuracy and coding guidelines. The Auditor will also provide feedback and support relating to departmental/role specific productivity and quality expectations. The incumbent for this position will utilize a high level of in-depth knowledge of the coding role to perform...

10 Sarah Bush Lincoln Health Center is seeking an Internal Auditor to oversee auditing coding and billing accuracy. This role involves coordinating with clinical and administrative staff to enhance documentation practices and mitigate denials. Key qualifications include a High School Diploma and Certified Professional Coder (CPC) certification. The position offers a dynamic environment and a compensation range of $26.35 - $40.84 per hour, commensurate with experience. #J-18808-Ljbffr

Coding Auditor - Professional Department: Physician coding Hours: Full-Time (40 hours per week) Location: Remote or onsite. Must reside in one of the following states: Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas. Pay: Starts at \$23.87/hour, based on experience. Estimated compensation range \$23.87 - \$37.00. Responsibilities Assist coders with coding questions. Conduct collection and reporting of provider and coder audit results and education. Work with coders and providers to ensure appropriate documentation for clinic services. Report results to Coding Supervisor – Professional. Demonstrate ability to code all types of encounters. Maintain 95% accuracy in diagnoses and procedures coding. Ensure data quality and optimum reimbursement under federal and state payment systems. Identify and refer trend patterns of coding and...

## Coder Professional-3Applyremote type: On-Site or Remotelocations: Remote Office - ILtime type: Full timeposted on: Posted Todayjob requisition id: JR104733**Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.**Coder Professional-3**Job Description**Coder – Professionals are responsible for professional coding includes the assignment of ICD-CM, CPT, and HCPCS codes, modifiers, and evaluation and management (E/M codes) provider audits. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.Department: Physician CodingHours: FT, 40 hours/week\*Remote Work\*Shift: 1st shiftRequired: High School Diploma, Certified Professional CoderPay: Based on experience, starting at $22.72**Responsibilities**Analyze and confirm assigned encounters for provider’s selection of EM code level utilizing EM code level selection auditing tool., Assists physicians with record...

Key Responsibilities Perform activity related to coding of medical records, resolve coding‑related denials, and audit coders to ensure coding accuracy standards are met. Demonstrate Huron’s Vision and Values in all behaviors, practices, and decisions. Act as Inpatient Coding Auditor, ensuring a minimum 95% accuracy for coding and DRGs. Conduct quality checks/audits on visits coded according to client SOPs. Perform calibration audits and schedule calibration sessions with offshore team counterparts and leaders. Assist in preparing audit reports, providing direct feedback to coders and auditors, and participate in client interactions and internal stakeholder meetings. Possess a firm understanding of clinical documentation guidelines. Identify and rectify coding guideline violations during audits before claims are rebilled. Analyze and present audit findings to leadership in a clear, concise, actionable format. Use encoder software applications and all available online tools for...

Coder – Professionals are responsible for professional coding, including the assignment of ICD‑CM, CPT, and HCPCS codes, modifiers, and evaluation and management (E/M) codes. The role involves provider audits. Department: Physician Coding Hours: FT, 40 hours/week Remote Work: Shift: 1st shift Required: High School Diploma, Certified Professional Coder Responsibilities Analyze and confirm assigned encounters for provider’s selection of EM code level utilizing the EM code level selection auditing tool. Assist physicians with record documentation needs by requesting clarification for additional information. Assist in educating physicians and ancillary staff members about documentation required for the coding process. Contact physician offices and/or SBL departments as needed for diagnostic information to code the encounter. Assist with training new coding staff as requested. Code all types of encounters as assigned and assist coworkers as needed. Code and resolve clinic,...

Christie Clinic's department of Compliance Quality is seeking a full-time Compliance Auditor/Educator (Sign-On Bonus Available) at our Clark Street location in Champaign from Monday-Friday 8:00am-5:00pm, with no night or weekend requirements. Duties include performing ongoing functions related to quality of care and compliance including government and clinic regulations and policies in support of the Christie Clinic Compliance System. JOB DUTIES: (This list may not include all of the duties assigned.) Screen, review, identify and document potential quality and compliance issues. Perform billing and coding audits with both random samples as well as provider and department specific samples; and as required. Meet with providers to share audit results and guidance for accuracy rate improvement. Prepare educational materials specific to new provider's specialty and assist with orientation sessions. Review new providers' daily charges and offer feedback. Notify...

Job Details Location: Gibson City, IL 60936 Position Type: Full Time Salary Range: $21.00 - $32.00 Hourly GENERAL SUMMARY The PFS Medical Coder is responsible for the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The coder is responsible for assigning and verifying the correct codes are used to describe the type of service(s) the patient received. The Coder will ensure the codes are applied correctly during the medical billing process, which includes removing the information from the documentation, assigning the appropriate codes, and creating a claim to be paid by the insurance carriers. Coders will work with the hospital, clinics, and physician offices as needed to provide personalized, professional healthcare services to the residents of the Communities we serve. PRINCIPLE DUTIES AND RESPONSIBILITIES Assign codes to diagnosis and procedures, using ICD-10, CPT, and HCPS codes. Ensure codes are...

Get AI-powered advice on this job and more exclusive features. Direct message the job poster from Carle Health. The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient, and/or professional fee encounters using appropriate ICD-10/ICD-PCS, CPT, or HCPCS codes, along with coding software such as computer-assisted coding and encoders. This ensures compliant billing of Carle claims. The HIM Certified Coder must understand and apply all regulatory coding guidelines, including National and Local Coverage Determinations, and CPT modifiers. They are also responsible for applying coding knowledge to resolve billing edits related to coding. The coder uses Carle electronic medical record systems to review clinical encounters. Responsibilities Accurately code all records according to the appropriate coding classification system (ICD-10, CPT, HCPCS, and modifiers). The assigned codes should accurately reflect the diagnoses and procedures...

Carle Health is seeking a HIM Certified Coder responsible for coding hospital encounters accurately using ICD10, CPT, or HCPCs codes. The position requires coding expertise, excellent communication, and ability to ensure compliant billing. The coder will develop methodologies for coding processes and represent coding and billing staff during audits. Candidates must hold a high school diploma or equivalent, alongside relevant coding certifications. The role offers competitive pay rates ranging from $23.58 to $39.38 per hour. #J-18808-Ljbffr

Overview The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters. Qualifications Certifications: Certified Professional Coder (CPC) – American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) – American Academy of Professional Coders (AAPC); Certified Inpatient Coder (CIC) – American...

Overview The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders to ensure compliant billing of Carle claims. The coder is also responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers, and for resolving billing edits related to coding. The HIM coder uses Carle electronic medical record systems to review clinical encounters. Qualifications Certified Professional Coder (CPC) – American Academy of Professional Coders (AAPC) Certified Outpatient Coder (COC) – American Academy of Professional Coders (AAPC) Certified Inpatient Coder (CIC) – American Academy of Professional Coders (AAPC) Certified Coding Specialist – Physician-Based (CCS-P) – American Health...

Now hiring Certified Medical Coder Location: Rockford, IL Pay Rate: $25.00 per hour Schedule: Monday - Friday | 8:00 AM to 4:00 PM Requirements CPC or CPC-A certification required Minimum 2 years of medical coding, claims processing, or medical billing experience Strong knowledge of medical coding, billing guidelines, and industry standards Ability to review claims accurately and identify billing types and coding requirements Strong attention to detail and quality assurance skills Excellent organizational, communication, and problem‑solving abilities Proficiency with data entry and medical claims management systems Ability to handle confidential medical information in accordance with compliance standards Job Duties Receive client submissions and enter client and examinee information into the database Review and verify claims for completeness and required documentation Process medical claims by identifying billing types and entering bills into the review system...

Now hiring Certified Medical Coder Location: Rockford, IL Pay Rate: $25.00 per hour Schedule: Monday - Friday | 8:00 AM to 4:00 PM Start your next chapter with Staffmark, where people come first, and every role makes an impact. Want a Certified Medical Coder job where you're treated like part of the team, not just part of the process? We're hiring motivated individuals who keep things moving - and we don't take that lightly. Every role makes an impact. Here's what it takes to make yours count. Requirements: CPC or CPC-A certification required Minimum 2 years of medical coding, claims processing, or medical billing experience Strong knowledge of medical coding, billing guidelines, and industry standards Ability to review claims accurately and identify billing types and coding requirements Strong attention to detail and quality assurance skills Excellent organizational, communication, and problem-solving abilities Proficiency with data...

Ankura is a team of excellence founded on innovation and growth.**Practice Overview:**Ankura’s Health Care team is a recognized leader in health care disputes, compliance, and investigations. We combine unparalleled clinical, technical, and operational expertise with financial, economic, analytic skills. Our clients and their legal counsel rely upon us to successfully resolve complex matters. Ankura’s health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice leaders each have over 25 years of health care and consulting experience. The Ankura team has a mastery of the data and information systems used by providers, payers, and CMS. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic skills enabling us to help our clients and their legal counsel assess and quantify the potential impact of a dispute. Our clients include the...

The Outpatient Coder is responsible for reviewing outpatient medical records and assigning accurate diagnostic and procedural codes. This role ensures timely coding, supports revenue cycle integrity, and partners with providers to clarify documentation when needed. Key Responsibilities Coding & Documentation Review Assign ICD-10-CM and CPT codes for outpatient records Ensure coding is completed within 3 days of discharge Maintain 98% coding accuracy and meet quality benchmarks Abstract and maintain complete and accurate coding records Query providers for clarification of incomplete or unclear documentation Work closely with physicians, nursing staff, Case Management, and Business Office Follow up on uncoded or delayed accounts Quality & Compliance Monitor coding quality and identify error patterns Ensure compliance with federal and state reimbursement guidelines Support audits and participate in process improvement initiatives Systems & Tools Utilize...

JOB SCOPE Under general supervision, the Billing Specialist is responsible for all claim submissions, which includes verifying accuracy of charges and patient demographic information on claim detail. Responsible for timely follow‑up with patients and third-party payers. Supports and adheres to The US Oncology Compliance Program, to include the Code of Ethics and Business Standards. Overview Employment Type: Full Time In-Office Position: 82 Orland Square Drive, Orland Park, Illinois 60462 Benefits: M/D/V, Life Ins., 401(k) Hourly Range $19.00 - $29.00 The US Oncology Network The US Oncology Network is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes! Come join our team in the fight against cancer! About The US Oncology Network The US Oncology Network is one of the nation’s largest...

Medical Coder II page is loaded## Medical Coder IIlocations: SRO Corporate Center Warrenville 4201 Winfield Roadtime type: Full timeposted on: Posted Todayjob requisition id: R38555**Hourly Pay Range:**$24.86 - $37.29 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.**Medical Coder II**The Medical Coder II plays a key role in our hospital's revenue cycle by accurately coding diagnoses and procedures in accordance with established coding guidelines. This position is essential in maintaining financial accuracy and compliance with regulatory requirements.**Position Highlights:*** Position: Medical Coder II* Location: Warrenville, IL* Full Time/Part Time: Full-time (40 hours per week)* Hours: Monday-Friday, during normal business hours**What you will do:*** Assign accurate diagnostic (ICD-10-CM) and procedural (CPT) codes to medical records based on clinical documentation, ensuring adherence to coding guidelines and...

Outpatient Surgery Coder LaSalle Network is hiring for a skilled Outpatient Surgery Coder to support a high-performing healthcare team in a fully remote environment. This role is ideal for someone who thrives in independent work settings and has a sharp eye for detail, particularly when working with surgical documentation and coding accuracy. If you're ready to jump into a fast-paced, quality-driven role, we want to hear from you. Compensation: $60,000 $70,000 Benefits: Medical, Dental, Vision Location: Illinois, Indiana, Iowa, Wisconsin, Ohio, Missouri, Michigan or Florida. Work Model: Fully Remote What's the Job? Assign accurate ICD-10-CM, CPT and HCPCS codes for outpatient surgical encounters, with a strong focus on same day surgery cases Review operative reports and clinical documentation to ensure coding accuracy and completeness Apply APC reimbursement methodologies to support accurate billing outcomes Ensure compliance with CMS guidelines and payer-specific...