38 coder auditor professional jobs found

Description Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary Performs technical and administrative work reviewing, abstracting and assigning accepted medical CPT, HCPCS, and ICD-10 codes for professional services. Duties are performed in compliance with third party, state and federal regulations according to standardized procedures. Employees report to an administrative superior but independently handle assigned tasks. Responsibilities Assigns International Classification of Diseases (ICD-10-CM) diagnosis codes in an accurate and productive manner. Assigns all diagnosis codes to chronic conditions documented that may impact Hierarchal Condition Categories (HCCs) or expected mortality. Assigns Healthcare Common Procedure Coding System (HCPCS) and Current Procedural Terminology (CPT) codes in an accurate and productive manner. Groups codes and...

CVS Health is seeking a Records Coding Auditor to review medical records and abstract ICD codes for CMS risk adjustment, ensuring accuracy and compliance with state and federal regulations. Responsibilities include applying CPC/CCS-P credentials, working with ICD codes, and maintaining strict timelines in a healthcare setting. This full-time role offers competitive benefits and opportunity to contribute to high-quality patient care. #J-18808-Ljbffr

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows...

ECU Health is seeking a qualified auditor/coder to create and maintain education programs, ensuring accurate coding for professional Part B services. You will audit ICD10CM, CPT, HCPCS, and modifiers, and communicate findings to leadership. You will develop targeted training and update policies as needed. Hybrid role based out of Greenville, NC, with a focus on education for staff and providers, and collaboration with coding leadership to improve reimbursement and compliance. #J-18808-Ljbffr

Description Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary: Performs technical and administrative work reviewing, abstracting and assigning accepted medical CPT, HCPCS, and ICD-10 codes for professional services. Duties are performed in compliance with third party, state and federal regulations according to standardized procedures. Employees report to an administrative superior but independently handle assigned tasks. Responsibilities: Assigns International Classification of Diseases (ICD-10-CM) diagnosis codes in an accurate and productive manner. Assigns all diagnosis codes to chronic conditions documented that may impact Hierarchal Condition Categories (HCCs) or expected mortality. Assigns Healthcare Common Procedure Coding System (HCPCS) and Current Procedural Terminology (CPT) codes in an accurate and productive...

Description Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary: Performs technical and administrative work reviewing, abstracting and assigning accepted medical CPT, HCPCS, and ICD-10 codes for professional services. Duties are performed in compliance with third party, state and federal regulations according to standardized procedures. Employees report to an administrative superior but independently handle assigned tasks. Responsibilities: Assigns International Classification of Diseases 10-CM diagnostic and ICD-10-PCS procedural codes accurately and productively, and other applicable codes such as MS-DRG on inpatient cases for all Health Care system cases excluding the academic medical center Groups codes and completed product into payment group. Assigns codes that affect Severity of Illness and Risk of Mortality and...

What We Offer Schedule: Monday – Friday, daytime hours. Comprehensive benefits include medical, dental, vision, life insurance, and generous PTO. Retirement fund with matching contributions. Tuition assistance for qualifying team members. Hybrid work opportunity. Reimbursement for AAPC or AHIMA membership fee. What You'll Do Perform monthly site visits with assigned clinics. Perform surgical, critical care and trauma coding. Review and code work queues assigned by applying coding principles for correct coding including sequencing. Query providers for clarification of incomplete or ambiguous documentation as appropriate and monitor for timely responses. Provide provider education and regular feedback on ICD-10 and correct coding issues. Evaluate and identify front-end and back-end error trends for training needs and bring them to the attention of the coding manager. Communicate and participate in...

Medical Coder SpecialistAt Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health.This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington.*Now offering a $10,000 sign-on...

Medical Coder SpecialistAt Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia,...

Baptist Medical Center Jacksonville is hiring a Full-time Inpatient Hospital Coder to join our Appeals & Denials Department remotely. You will code using ICD-10-CM/PCS and CPT-4 for Observation accounts, verify and submit abstracts to the billing system, and support CDI/HIM teams with mentoring and audits. Remote work is available for specified states. Applicants must have RHIT/RHIA/CCS credentials and 3–5 years of acute care coding experience with strong attention to detail. #J-18808-Ljbffr

Certified Coder - Hybrid/Remote Location: Granville Health System, Oxford NC About Granville Health System: For over a century, Granville Health System has been at the forefront of quality healthcare. To cater to the evolving needs of its community, Granville Health System has extended its services throughout Granville County, ensuring convenient medical care access for its residents. The Granville Health System main campus can be found at 1010 College Street, Oxford, North Carolina. For more details, visit GHS online at www.ghsHospital.org. About Oxford, NC Oxford, NC is a charming and welcoming community that offers a perfect blend of small-town charm and modern convenience, making it an ideal place to live and work. Located just about 30 miles north of Durham and 40 miles from Raleigh. The region enjoys a mild, four-season climate with warm summers, crisp autumns, blooming springs, and gentle winters-perfect for enjoying the area's outdoor activities year-round....

Department 10407 Enterprise Revenue Cycle - Coding Production Operations: Inpatient Coding Operations Status Full time Benefits Eligible Yes Hours per Week 40 Schedule Details / Additional Information Will support :A mix of inpatient community and academic coding. Includes service lines such as cardiology, neurology, and oncology.Schedule :Full-time, Monday-Friday 40hrs with a standard schedule of Monday through Friday, 8 hours per day, totaling 40 hours each week. Certification Required Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). Remote Opportunity Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY Pay Range $33.05 - $49.60 Major...

Outpatient Coding AuditorCGI is one of the largest global IT and business consulting services firms, helping clients achieve meaningful outcomes through technology, expertise, and innovation. With a global presence and a collaborative, ownership-driven culture, CGI empowers its professionals to deliver impactful solutions that make a difference for clients and the communities they serve.CGI is seeking an experienced Outpatient Coding Auditor to join our Healthcare Compliance Audit Team. In this role, you will leverage your outpatient coding, clinical documentation, and reimbursement expertise to conduct comprehensive medical record audits and identify potential improper payments, including overpayments and underpayments. You will review claims across outpatient hospitals, ambulatory surgical centers, physician practices, and other healthcare settings, delivering accurate, well-supported, and thoroughly documented audit findings.This is a fully remote position open to candidates...

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...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington. *Now...

Baptist Health System, Inc. is hiring a Full-time Inpatient Hospital Coder for a remote role in the Appeals & Denials Department. You will code inpatient accounts using ICD-10-CM/PCS and CPT-4, verify abstracts, and support billing accuracy. Requirements include RHIT, RHIA, or CCS credentials and 3–5 years of coding experience. Strong audit and communication skills, plus proficiency with EHR systems, are essential. #J-18808-Ljbffr

Job Description Job Description Medical Biller/Coder Carley Family Care Carley Family Care is seeking an experienced and detail-oriented Medical Biller/Coder to join our healthcare team. This individual will be responsible for accurate medical coding, charge entry, claims submission, payment posting, and accounts receivable follow-up. The ideal candidate will have a strong understanding of medical terminology, coding guidelines, and insurance billing processes to help ensure timely reimbursement and compliance with regulatory requirements. Primary Responsibilities Review and accurately assign ICD-10, CPT, and HCPCS codes for patient encounters and services. Enter charges and submit claims to insurance carriers in a timely manner. Verify coding accuracy and ensure compliance with payer and regulatory guidelines. Review and resolve claim denials, rejections, and payment discrepancies. Post insurance and patient payments, adjustments, and write-offs as...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Coder/Educator Full-Time-40 Asheville, NC, US Salary Range: $24.00 To $29.00 Hourly Mercy Urgent Care is seeking a Medical Coder/Educator to support the integrity of our revenue cycle and ensure accurate, compliant coding for urgent care and occupational health services. This role is ideal for an experienced coder who enjoys accuracy, problem-solving, education, and collaboration within a fast-paced mission-driven healthcare environment. You’ll work closely with providers, billing, and revenue cycle teams to ensure documentation supports coding, payer requirements are met, and reimbursement is optimized—all while maintaining the highest standards of compliance. About the Role As our Medical Coder/Educator, you’ll code accurately and help our providers and staff document and code better. You’ll audit for...

This is a remote based position. Applicants can be located nationwide Outpatient Coding Auditor #2972 United States Remote/Nationwide Position Description About You You are a person who enjoys ensuring coding accuracy and solving documentation and compliance challenges. We need someone who demonstrates skills in organization, prioritization, professionalism, and coaching others. In the role of Outpatient Coding Auditor, you will be responsible for quality reviews and audits and coordinating with department managers to ensure standards are met in accordance with department and organization policies. 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 of the International Classification of Diseases, Clinical Modification (ICD-CM), Procedural Coding System (PCS), Current Procedural Terminology (CPT-4 and Healthcare Common Procedure Coding System...

Virtua Health is seeking a remote Medical Records coder to abstract clinical information and assign CPT-4 and ICD-10 codes for outpatient services. The role includes researching coding issues and ensuring accurate billing for E/M codes, minor procedures, and HCPCS items, with close collaboration with coding and audit teams. Required: at least two years of coding experience or equivalent education, CPC certification, and familiarity with EHR systems. #J-18808-Ljbffr

Patient Revenue Management OrganizationPursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health.This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington.Now offering a $10,000 sign-on bonus that will pay out in 4 equal installments over 24 months—6-month increments.Occ SummaryThe Medical Records Coder II is a certified coder. Coordinate/review the work of subordinate employees and assist with the...

HIM-Coding Full Time North Carolina Details At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence. Summary: Assigns diagnosis and procedural codes using ICD-10-CM and CPT-4 coding systems with advanced accuracy and efficiency. Audits physician documentation and serves as a resource for the department. Provides mentorship and training to Specialty Coder I team members and clinical coding students. Contributes to coding quality and departmental development. Minimum Qualifications: Other information: Required experience : 2 years of coding and 1 year of medical office related experience Required credentials:...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Coding Auditor - 3147 S 17th St - Full Time Full Time Wilmington, NC, US 30+ days ago Requisition ID: 2998 Purpose: The Internal Auditor is responsible for conducting regular medical record and coding compliance reviews to ensure that organizational strategies, practices and internal controls are in place and in compliance with all legal and industry regulations. Regularly reviews appropriate federal and state regulations, industry standard policies and procedures, i.e., CMS, AHIMA, AMA, etc., to ensure compliance Conducts internal audits, following established protocols, furnishing detailed reports and periodic updates of audit findings, presenting any irregularities or exceptions, as well as pertinent recommendations for improvement, to the Provider, Auditing Supervisor, executive management, the Compliance Committee,...

Internal AuditorThe Internal Auditor is responsible for conducting regular medical record and coding compliance reviews to ensure that organizational strategies, practices and internal controls are in place and in compliance with all legal and industry regulations.Regularly reviews appropriate federal and state regulations, industry standard policies and procedures, i.e., CMS, AHIMA, AMA, etc., to ensure complianceConducts internal audits, following established protocols, furnishing detailed reports and periodic updates of audit findings, presenting any irregularities or exceptions, as well as pertinent recommendations for improvement, to the Provider, Auditing Supervisor, executive management, the Compliance Committee, Physician Board and others as appropriateProvides feedback and instruction to the Provider regarding documentation improvements, to include EHR best practicesEssential Duties/Responsibilities:Serve as a compliance resource for all coding regulations for provider...