28 coding auditor jobs found

Risk Adjustment Coding Auditor Blue Cross and Blue Shield of Minnesota is hiring a Risk Adjustment Coding Auditor. The Risk Adjustment Coding Auditor ensures the accuracy and completeness of coded clinical data to support compliant reporting and appropriate reimbursement across risk adjustment programs. The role strengthens organizational performance by identifying coding and documentation gaps, mitigating financial and regulatory risk, and improving data integrity. It provides subject matter expertise to support consistent application of coding standards and enables informed decision-making across the enterprise. An ideal candidate has 5+ years of risk adjustment coding experience and an active CRC certification. This is a production-based role requiring comfort in a high-volume environment. Your Responsibilities Evaluates risk adjustment codes to ensure accuracy, consistency, and alignment with coding standards and best practices Protects patient records and audit...

Stryker Corporation is seeking an inpatient coding auditor in Plymouth, Minnesota. This role involves participating in a well-established inpatient coding training program and performing retrospective coding reviews for DRG validation and compliance. The ideal candidate will have at least three years of inpatient coding experience in a high complexity facility and possess CCS, RHIT, or RHIA certification. This is a great opportunity for career advancement in coding. #J-18808-Ljbffr

Become a part of our caring community 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. Where you Come In 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 accuracy of...

Overview At Minnesota Oncology, we believe that our people are our greatest asset, and we are committed to fostering a diverse and inclusive workplace where everyone can thrive. We are constantly on the lookout for talented individuals who are passionate, driven, and eager to make a difference. Come join this dynamic team who is passionate about providing exceptional care to our patients. Why Work for Us? We offer a competitive benefits package that includes - Medical Dental Vision Free Life Insurance Generous Paid Time Off (PTO) Plan Free Short-term and Long-term Disability Coverage 401k plan with company contribution Wellness program that rewards your healthy lifestyle Tuition Reimbursement Employee Assistance Program and Discount Program to some of your favorite retailers Free Parking Career Growth and Development Supportive Team and Resources Responsibilities SCOPE: Under minimal supervision performs comprehensive audits for all assigned medical and radiation...

US Oncology Inc. is seeking an experienced auditor to perform comprehensive audits for surgeons, ensuring compliance with billing regulations. The ideal candidate should have over 7 years of billing and coding experience and at least 1 year in an educator role. Responsibilities include chart audits, trainer roles, and preparing compliance reports. Candidates must have strong organizational and communication skills. This role offers a salary range of $85,000 - $105,000 annually. #J-18808-Ljbffr

Overview Are you ready to take the next step in your professional journey? At Minnesota Oncology, we believe that our people are our greatest asset, and we are committed to fostering a diverse and inclusive workplace where everyone can thrive. We are constantly on the lookout for talented individuals who are passionate, driven, and eager to make a difference. Come join this dynamic team who is passionate about providing exceptional care to our patients. Why Work for Us? We offer a competitive benefits package that includes - Medical Dental Vision Free Life Insurance Generous Paid Time Off (PTO) Plan Free Short-term and Long-term Disability Coverage 401k plan with company contribution Wellness program that rewards your healthy lifestyle Tuition Reimbursement Employee Assistance Program and Discount Program to some of your favorite retailers Free Parking Career Growth and Development Supportive Team and Resources Responsibilities...

US Oncology Inc. is seeking an experienced Auditor to perform comprehensive audits for medical and radiation oncology physicians. This role involves ensuring compliance with regulations, training providers, and preparing reports on documentation discrepancies. Ideal candidates will have extensive medical records experience, auditor/educator background, and strong communication skills. The position offers a salary between $85,000 and $105,000 annually along with a robust benefits package. #J-18808-Ljbffr

Responsibilities Participate in the inpatient coding training program, as needed, which is well-established. In times of light training responsibilities, this position will perform retrospective inpatient coding reviews for DRG validation and compliance reviews. If you are an inpatient coder with a proven track record of excellent quality, this is an opportunity to advance your career as a retrospective inpatient coding auditor, possibly to include coder training. Qualifications Requirements are at least three years of inpatient coding experience in a high complexity facility or organization, with a certification of a CCS (or CPC and CCS eligible), RHIT, or RHIA. #J-18808-Ljbffr

About the Role The Hybrid Inpatient Coder position plays a critical role in ensuring accurate medical coding and documentation. This involves handling complex case scenarios, applying a combination of facility coding and professional coding, and aligning with industry standards such as ICD‑10‑CM, CPT, and HCPCS codes. Coders will code inpatient facility and inpatient professional rounds, and facilitate proper documentation and communication with medical staff to enhance compliance and coding accuracy. Key Responsibilities Accurately assign various medical codes and modifiers for inpatient discharges and surgical procedures. Review and resolve inconsistencies in medical documentation. Educate and provide feedback to providers regarding documentation support. Collaborate with medical coding auditors and provide coding guidance to staff. Utilize Military Health System (MHS) to access and code patient records supporting other facilities. Maintain Defense Health Agency (DHA)...

Get started on an exciting career in health information management. We’re with you every step of the way. Starts out onsite, then transitions to REMOTE 4 days/week. Job Summary: Required Services provide single path medical coding services and related medical records functions. Single path coding combines facility coding and professional coding and allows one coder to code facility and professional codes for the same patient utilizing a single coding platform. perform technically complex professional services coding for medical conditions and assign the correct International Classification of Diseases, ICD-10-CM, Procedure Coding System (PCS) Current Procedural Terminology (CPT), Health Care Financing Administration Common Procedure Coding System (HCPCS), and Evaluation and Management (E&M) codes for diagnosis, acuity of care and procedures for a wide range of medical specialties to include coding of complicated cases identified as difficult to classify such as treatment of...

DRG auditor Location: Maplewood Mn Pay Rate: Negotiable Duration: 12 months potential for extension Summary We are seeking two experienced inpatient DRG Auditors for an as‑needed role offering flexible hours (8–40 hours per week). Candidates may already have full‑time jobs, and the position is open to applicants on either the East or West Coast. The role will likely include two interviews. Qualifications 5–7+ years of inpatient hospital coding/auditing experience Experience working in acute care hospitals, large hospital systems, or academic medical centers Strong expertise with ICD‑10‑CM/PCS, MS‑DRG and APR‑DRG methodologies Understanding of Elixhauser scoring, HACs, PSIs, and clinical validation Prior exposure to Clinical Documentation Improvement (CDI) preferred Ability to independently perform DRG audits with high accuracy Strong analytical, communication, and documentation skills Responsibilities Perform inpatient DRG audits to validate the accuracy of coded...

At Unifeye Vision Partners (UVP) our mission is simple: to partner with leading eye care practices and support them in their quest to improve the quality of their patients’ lives. We are building the leading, nationally recognized integrated eye care community in the country through these partnerships and our commitment to upholding our mission and core values. Position Unifeye Vision Partners is currently hiring for a full‑time Medical Billing (AR) Specialist. This position can be hybrid (Bloomington) or fully remote. SUMMARY The Medical Billing (AR) Specialist at UVP plays a vital role in the revenue cycle process by ensuring accurate and timely submission of medical claims, working denials, and supporting the financial health of the organization. This individual will work closely with clinical and administrative teams to ensure billing accuracy and compliance with payer requirements. ESSENTIAL DUTIES AND RESPONSIBILITIES Prepare and submit professional and/or institutional...

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 candidate for...

Medical Billing Specialist Shoreview, MN Life Link III is a premier, nationally recognized air medical transport company, known for our clinical excellence, superior aviation program and reliable response in providing care to critically ill or injured patients. Our priority is to do everything possible to give every patient their best chance for the best possible outcome - demonstrated by our unwavering commitment to providing the highest level of care to our patients while on board safe, state-of-the-art aircraft. We continually focus on innovation and work to put cutting-edge technology and education in the hands of our flight medical crew, pilots, mechanics, operational control specialists and communication specialists so we can provide uncompromising care to the communities we serve. We do this work while living out our core values of safety, customer focus, excellence, integrity, innovation, and collaboration. As a Medical Billing Specialist, you will play an important role...

Job SummaryWe are seeking an experienced Certified RN Medical Coder to support a full-time COC / SPD project focused on building out coding for benefit plans.This role combines clinical knowledge with technical coding expertise to ensure accuracy, consistency, and compliance across plan documentation.You'll work closely with a team of certified coders and business analysts in a collaborative, fast-paced environment where precision and partnership drive success.Why this Opportunity?Top ranked company in Fortune's 2024 World's Most Admired Companies for over a decade consecutively.This healthcare client is ranked number one in key attributes of reputation :Innovation People management Social responsibility Quality of Management Financial soundness Long-term investment value Quality of products Services and global competitiveness.Job Responsibilities :Determine and assign appropriate codes to benefit plan language as part of the COC / SPD project.Review coding selections made by peers...

Job SummaryWe are seeking an experienced Certified RN Medical Coder to support a full-time COC / SPD project focused on building out coding for benefit plans.This role combines clinical knowledge with technical coding expertise to ensure accuracy, consistency, and compliance across plan documentation.You'll work closely with a team of certified coders and business analysts in a collaborative, fast-paced environment where precision and partnership drive success.Why this Opportunity?Top ranked company in Fortune's 2024 World's Most Admired Companies for over a decade consecutively.This healthcare client is ranked number one in key attributes of reputation :Innovation People management Social responsibility Quality of Management Financial soundness Long-term investment value Quality of products Services and global competitiveness.Job Responsibilities :Determine and assign appropriate codes to benefit plan language as part of the COC / SPD project.Review coding selections made by peers...

Job Description Job Description Who Are We: Life Link III is a premier, nationally recognized air medical transport company, known for our clinical excellence, superior aviation program and reliable response in providing care to critically ill or injured patients. Our priority is to do everything possible to give every patient their best chance for the best possible outcome - demonstrated by our unwavering commitment to providing the highest level of care to our patients while on board safe, state-of-the-art aircraft.  We continually focus on innovation and work to put cutting-edge technology and education in the hands of our flight medical crew, pilots, mechanics, operational control specialists and communication specialists so we can provide uncompromising care to the communities we serve.  We do this work while living out our core values of safety, customer focus, excellence, integrity, innovation, and collaboration. As a Medical Billing Specialist, you will play an...

Remote Medical Coder Adecco Healthcare is working with our client to hire remote medical coders for a six-month contract position. Pay Range: $16.50-$17.89/hour DOE Location: Remote Shift: 40-hours/week - normal business hours - OT may be required Responsibilities Include: Accurate coding of professional services from medical records in multiple settings (clinic, outpatient, inpatient facilities) Apply understanding of relevant medical coding subject areas Apply understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable medical codes Identify areas in clinical documentation that are unclear/incomplete and generate queries to obtain additional information Follow up with providers as needed Utilize medical coding software programs or reference materials to identify appropriate codes Provide information or respond to questions from medical coding quality audits Educate and mentor others to improve medical coding quality...

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 you to...

Medical Coding Specialist The Medical Coding Specialist will evaluate medical records and encounters to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-10-CM), and the American Medical Associations Current Procedural Terminology Manual (CPT). The Specialist will also provide technical guidance and training on medical coding to physicians and staff. Essential Functions Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions. Assign codes to diagnoses and procedures, using ICD-10 (International Classification of Diseases) and CPT (Current Procedural Terminology) codes Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations and meet current policy coding guidelines Communication and training with provider(s) on any documentation that is insufficient or unclear to meet current policy...

Join Senior CommUnity Care as a Medical Coder - Risk Adjustment Specialist and partner directly with physicians and Medical Directors to improve documentation, support CMS reporting, and strengthen value-based care for older adults in the PACE program. Medical Coder - Risk Adjustment Specialist- Remote Schedule: M-F 8:00 AM-5:00 PM Salary: $58,000-$66,000 (Based on Experience) Essentials: Collaboration for Risk Adjustment Integrity: Works closely with Medical Directors and PACE providers to uphold the integrity and accuracy of the risk adjustment reporting process. Engages in continuous dialogue with healthcare professionals to ensure that coding accurately reflects participant acuity. Medication Documentation Review and Diagnostic Coding: Reviews and interprets provider documentation to extract critical information. Assigns ICD-10-CM/CPT/HCPCS codes to diagnoses and procedures from documented information in the medical record. Assures the final...

Medical Billing Specialist Shoreview, MN Life Link III is a premier, nationally recognized air medical transport company, known for our clinical excellence, superior aviation program and reliable response in providing care to critically ill or injured patients. Our priority is to do everything possible to give every patient their best chance for the best possible outcome - demonstrated by our unwavering commitment to providing the highest level of care to our patients while on board safe, state-of-the-art aircraft. We continually focus on innovation and work to put cutting-edge technology and education in the hands of our flight medical crew, pilots, mechanics, operational control specialists and communication specialists so we can provide uncompromising care to the communities we serve. We do this work while living out our core values of safety, customer focus, excellence, integrity, innovation, and collaboration. As a Medical Billing Specialist, you will play an important...

At Unifeye Vision Partners (UVP) our mission is simple: to partner with leading eye care practices and support them in their quest to improve the quality of their patients’ lives. We are building the leading, nationally recognized integrated eye care community in the country through these partnerships and our commitment to upholding our mission and core values. Unifeye Vision Partners is currently hiring for a full‑time Medical Billing (AR) Specialist. This position can be hybrid (Bloomington) or fully remote. Summary The Medical Billing (AR) Specialist at UVP plays a vital role in the revenue cycle process by ensuring accurate and timely submission of medical claims, working denials, and supporting the financial health of the organization. This individual will work closely with clinical and administrative teams to ensure billing accuracy and compliance with payer requirements. Essential Duties And Responsibilities Prepare and submit professional and/or institutional medical...

At Unifeye Vision Partners (UVP) our mission is simple: to partner with leading eye care practices and support them in their quest to improve the quality of their patients' lives. We are building the leading, nationally recognized integrated eye care community in the country through these partnerships and our commitment to upholding our mission and core values. Unifeye Vision Partners is currently hiring for a full-time Medical Billing (AR) Specialist. This position can be hybrid (Bloomington) or fully remote. SUMMARY The Medical Billing (AR) Specialist at UVP plays a vital role in the revenue cycle process by ensuring accurate and timely submission of medical claims, working denials, and supporting the financial health of the organization. This individual will work closely with clinical and administrative teams to ensure billing accuracy and compliance with payer requirements. ESSENTIAL DUTIES AND RESPONSIBILITIES Prepare and submit professional and/or...