22 coder auditor professional jobs found

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching...

Title - Inpatient Facility Medical Coder (40h Day) Location - Clackamas, OR, US Job Type - Permanent | Remote Required: Minimum five (5) years experience in coding with four (4) years inpatient facility coding The candidate must have 1 from the following list: Registered Health Information Technician Certificate Certified Coding Specialist Registered Health Information Administrator Certificate Advanced knowledge of medical terminology, pharmacology and medial coding principles for ICD-10-CM, ICD-10-PCS, HCPCS/CPT and coding. Advance knowledge of disease processes, diagnostic and surgical procedures, ICD-10-CM, ICD-10-PCS, HCPCS/CPT classification systems, health information/medical record department responsibilities with knowledge of government regulations and areas of scrutiny for potential fraud and abuse issues. Job description Candidates must reside either in Washintgon or Oregon to be considered for this position. To independently and efficiently...

Title: Coding Auditor, Facility Work Type: Full-Time Location: Clackamas, OR R emote Job After Completing Satisfactory Training At The Job Site MUST-HAVES : Basic Qualifications: Experience Minimum two (2) years experience in a directly related coding field Education A High School Diploma or General Education Development (GED) is required. License, Certification, Registration The candidate must have 1 from the following list: Registered Health Information Technician Certificate Certified Coding Specialist Registered Health Information Administrator Certificate Additional Requirements: Previous experience with EMR patient documentation systems with intermediate knowledge and skill in the use of a computer. Advanced knowledge of disease processes, diagnostic and surgical procedures, ICD-10-CM, ICD-10-PCS, HCPCS/CPT classification systems, and health information/medical record department responsibilities with knowledge of government regulations and areas of scrutiny...

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...

Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. The Medical Coding Auditor is responsible for researching and resolving grievances and appeals within the commercial line of business, applying advanced adjudication expertise, clinical...

Are you ready to make a difference in the healthcare industry? Join PacificSource and play a vital role in helping our members access quality, affordable care! As an equal opportunity employer, PacificSource is committed to diversity and inclusivity in our hiring practices. All qualified candidates will be considered without regard to any protected status. The Medical Coding Auditor Specialist will engage with complex claims by utilizing advanced adjudication skills, and providing clinical interpretation to resolve grievances and appeals. You'll work collaboratively to refine our claims research policies with an emphasis on process improvement. Your expertise will be crucial in identifying potential fraud and managing erroneous payment recoveries. Key Responsibilities: Engage in the provider and member appeals process, addressing intricate claim issues with advanced adjudication expertise. Offer guidance on claims requiring in-depth research, conducting clinical...

Overview Coding Auditor/Trainer (Coding Coordinator) US--Remote Requisition ID: 2025-34528 Position Category: Hospital/Clinic Support Job Type: AFSCME union represented Position Type: Regular Full-Time Posting Department: Enterprise Coding Posting Salary Range: $44.02 - $60.45 per hour, with offer based on experience, education and internal equity Posting FTE: 1.00 Posting Schedule: Monday - Friday HR Mission: Central Services Drug Testable: No Department Overview Empower coders. Elevate accuracy. Transform the future of coding excellence. We\'re hiring a Coder Auditor/Trainer to help elevate coding excellence across OHSU. If you\'re an experienced profee coding auditor and trainer who loves diving into complex cases, shaping coder development, and raising the bar for accuracy and compliance, this role puts your expertise exactly where it belongs — at the center of organizational impact. As a Coder Auditor/Trainer at OHSU, you\'ll be the go-to authority for some of the most...

CCG Talent Management is not only a business solutions company but a company that believes success starts with the individual. CCG Business Solutions has been consulting and providingtalent placement servicessince 2007. Our team understands the principles of connecting purpose to business. We are currently recruiting for a Professional Medical Coder II Job Description Remote Role - Must be located in the Portland, OR Metro Area. The Professional Medical Coder II will focus on review of documentation and coding. The Professional Medical Coder IIwill ensure accurate coding and claim submission and conformity to applicable guidelines and regulations. Responsibilities: Perform documentation and coding reviews within work queues across various specialties as assigned. Utilize available coding tools and knowledge to assist in appropriate assignment of coding. Maintain current knowledge to ensure that coding and documentation meets regulatory guidelines and audit standards. Escalate...

Coding Auditor/Trainer (Coding Coordinator) Location : US – Remote Requisition ID : 2025-34528 Position Category : Hospital/Clinic Support Job Type : AFSCME union represented Position Type : Regular Full-Time Posting Department : Enterprise Coding Salary Range : $44.02 – $60.45 per hour, offer based on experience, education, and internal equity FTE : 1.00 Schedule : Monday – Friday HR Mission : Central Services Drug Testable : No Department Overview Empower coders. Elevate accuracy. Transform the future of coding excellence. We’re hiring a Coder Auditor/Trainer to help elevate coding excellence across OHSU. If you’re an experienced coding auditor and trainer who loves diving into complex cases, shaping coder development, and raising the bar for accuracy and compliance, this role puts your expertise exactly where it belongs — at the center of organizational impact. As a Coder Auditor/Trainer at OHSU, you’ll be the go‑to authority for some of the most challenging coding...

A Level 2 Medical Coder 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...

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,...

Join Datavant and be a part of our mission to transform healthcare through our innovative data collaboration platform. We provide essential solutions to a wide range of organizations within the healthcare ecosystem, including providers, health plans, researchers, and life sciences companies. Our team's dedication to enhancing data connectivity is paving the way for improved health outcomes. As an Inpatient Auditor Specialist, you will have a vital role in supporting our consulting and educational efforts related to coding quality, compliance assessments, and coding workflow operations. Your insights will exceed customer expectations while addressing and resolving their challenges. This is a fully remote position with a flexible schedule, allowing you to shape the future of healthcare from the comfort of your workspace! Key Responsibilities: Conduct comprehensive inpatient facility coding audits according to the specified scope of work, onboarding, focused reviews, service...

Join Trillium Family Services - Make a Difference in Young Lives and Families Job Title: CDI Specialist - Coder Employment Type: Full-Time 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 accurately, ensuring correct assignment...

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 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 ICD-10-CM, CPT, and HCPCS coding guidelines...

Join our compassionate community and prioritize health! Humana invites you to apply for a rewarding opportunity as a DME Outpatient Medical Coding Auditor. In this key role, you'll become a vital member of the PPI Coding Disputes Team. Your expertise in medical coding will significantly contribute to effectively resolving provider disputes in a fast-paced, results-driven environment. Be part of a Fortune 100 company that deeply values the well-being of its employees and consumers. As a DME Outpatient Coding Auditor, you will work under the guidance of the Manager while collaborating with fellow coding professionals from various teams. Your primary focus will be to ensure the utmost standards of coding accuracy, compliance, and quality. Utilize your extensive experience with outpatient DME coding disputes and demonstrate your expertise in CPT/HCPCS code assignments. Ensure correctness by following coding guidelines and effectively communicating dispute resolutions...

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....

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 Date Posted: 02/20/2026 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...

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...

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...

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...