39 coding auditor jobs found

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...

A leading healthcare company is seeking an experienced Inpatient Medical Coding Auditor to work remotely, reviewing inpatient hospital claims for proper reimbursement and ensuring accurate coding. Responsibilities include analyzing medical records and contributing to overall cost reduction. Candidates should have certification in RHIA, RHIT, or CCS with at least four years of experience, and must be detail-oriented and skilled in Microsoft Office. This position offers a competitive salary and great benefits. #J-18808-Ljbffr

Job Posting We are dedicated to providing exceptional care to every patient, every time. St. Luke's Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke's Hospital for over a decade has been recognized for "Outstanding Patient Experience" by HealthGrades. Position Summary: Serves as a lead analyst for the St. Luke's Hospital 3M 360 Encompass coding system and other coding quality systems. Responsible for development, re-engineering, and system enhancement projects. Performs system and/or staff audits across outpatient hospital and/or ambulatory coding. Maintains databases, spreadsheets, computer and paper files related to...

Job Posting We are dedicated to providing exceptional care to every patient, every time. St. Luke's Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke's Hospital for over a decade has been recognized for "Outstanding Patient Experience" by HealthGrades. Position Summary: Serves as a lead analyst for the St. Luke's Hospital 3M 360 Encompass coding system and other coding quality systems. Responsible for development, re-engineering, and system enhancement projects. Performs system and/or staff audits across outpatient hospital and/or ambulatory coding. Maintains databases, spreadsheets, computer and paper files related to coding...

Job Opportunity It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Summary: Performs periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Audits specified number of records per coder as defined in the system coding audit plan. Prepares audit reports that are issued to key stakeholders, as appropriate. Develops corrective action plans to address opportunities for coding, billing and documentation improvement. Identifies trends and educational opportunities. Prepares and presents educational programs related to coding. Assists in the management of the coding and billing auditing and monitoring program to address high risk compliance areas. Performs other duties as assigned. EDUCATION Bachelor's degree in business, healthcare or related field, or equivalent years of experience and education EXPERIENCE Three...

It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Qualifications: Ideal candidate has experience with inpatient coding and auditing. RHIT, RHIA, and CCS are preferred certifications. ? Remote work: This position is eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. * Candidates to reside in MO, IL, OK, or WI (additional states my be considered) Job Summary: Performs periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Audits specified number of records per coder as defined in the system coding audit plan. Prepares audit reports that are issued to key stakeholders, as appropriate. Develops corrective action plans to...

Datavant is seeking a Profee Auditing Specialist in Jefferson City, Missouri. This role involves conducting professional fee coding audits, providing education on coding standards, and ensuring compliance. Candidates must have over 5 years of experience in fee coding and be a Certified Professional Coder (CPC). Benefits include comprehensive training, healthcare, a 401(k), and paid time off. Join Datavant to contribute to transformative change in healthcare through accurate data solutions. #J-18808-Ljbffr

A healthcare organization in Kansas City is seeking a Compliance & Coding Audit Specialist to safeguard accuracy, integrity, and regulatory compliance. The role involves conducting audits and providing education related to coding, billing, and clinical documentation practices. Candidates should have a high school diploma, relevant credentials, and a minimum of three years of coding experience. Strong communication and organizational skills are essential. The position is full-time with a standard work schedule from Monday to Friday. #J-18808-Ljbffr

Help strengthen documentation quality and support compliant, high-impact care across the communities we serve. Full-time, benefit eligible position. Remote position open to Missouri Residents only. The Compliance Auditor plays an important role in supporting clinical documentation accuracy, regulatory compliance, and continuous quality improvement across the organization. This position partners with clinical, finance, and operational teams to audit documentation, identify trends, provide education, and help ensure services are documented in a way that supports quality care, compliance standards, and accurate reimbursement. This is a great opportunity for someone who enjoys problem-solving, analyzing data and trends, collaborating across departments, and helping improve systems and processes that support patient care and organizational excellence. Key Responsibilities Audit and monitor clinical documentation and service records for accuracy and compliance Utilize audit tools and...

COMPANY OVERVIEW Health Partners Management Group, Inc (HPMG) is a government contracting company in Poplar Bluff, Missouri. HPMG currently bidding on a contract with the Federal Government for several coding positions. You would be a W-2 employee for HPMG and NOT a government employee. SUMMARY Responsible for assignment of accurate ICD codes for diagnoses and procedures. Medical Severity - Diagnostic Related Group (MS-DRG) is automatically assigned by the grouper software for inpatient stays. Inpatient coders may also be responsible for the assignment of accurate ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities from medical record documentation (paper or electronic) for inpatient professional services (a.k.a., rounds or IBWA encounters). Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities. MANDATORY KNOWLEDGE AND SKILLS Position requires...

Job Type: Full-time Description The Certified Coder will play a key role in converting diagnoses and treatment procedures into ICD-10, CPT and HCPCS codes. The Coder will review and accurately code office and hospital procedures for reimbursement. Essential Functions Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Researches and analyzes data needs for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supports diagnoses, procedures, and treatment results. Identifies diagnostic and procedural information. Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. Assigns codes for reimbursements, research and compliance with regulatory requirements...

Coder Reimbursement Specialist - Hospital Full‑time position. The Coding and Reimbursement Specialist (CCS) is responsible for coding and abstracting clinical data from the medical record, including inpatient, outpatient, commercial, Medicare, Medicaid, Illinois Public Aid, and all other payor types. Accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis and DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. The CCS manages workload, assigns work to three inpatient and two outpatient coders, and oversees day‑to‑day operations of the coding/reimbursement area. The CCS monitors regulatory sources to keep HIM coding and other staff informed and trained on coding rules, regulations and related issues, works closely with patient financial services to resolve claim denials, assists in...

Job Description All for Health, Health for All, Inc. (AFH) has provided health services to the medically underserved and indigent community for over 40 years. AFH is a nonprofit Federally Qualified Health Center and certified Patient-Centered Medical Home whose mission is to eliminate disparities in access to health care for the underserved multi-ethnic diverse population of Los Angeles and San Luis Obispo counties. AFH’s services encompass general family practice, pediatric care, mental health, and behavioral health services as well as adult day health care services. We have served over 21,000 patients last year with over 81,000 visits across a dozen clinic locations. Our comprehensive and integrated care delivery model is paramount to our success in ensuring continuity and coordination of care for all patients throughout their disease management. At this time, AFH welcomes applicants interested in joining our growing, talented, and mission-driven team to submit their information...

Lead Inpatient Coder BJC HealthCare is one of the largest nonprofit health care organizations in the United States delivering services to residents primarily in the greater St. Louis southern Illinois and southeast Missouri regions. With net revenues of 6.3 billion and more than 30000 employees BJC serves patients and their families in urban suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care primary care community health and wellness workplace health home health community mental health rehabilitation long-term care and hospice. BJC is the largest provider of charity care unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide 785.9 million annually in community benefit. That includes 410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay....

Additional Information About the Role BJC is hiring for a Lead Inpatient Coder position. We are looking for a minimum of 2 years of Inpatient Coding experience. This is a remote position. Required certs: CCS, RHIA, or RHIT Remote Eligible states: Alabama Kentucky Oklahoma Arkansas Louisiana South Carolina Florida Mississippi Tennessee Georgia Louisiana Texas Indiana North Carolina Wisconsin Iowa Ohio Overview BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health,...

AAPC Certified Medical Coder - Remote Join a dedicated healthcare team serving a broad regional community in the Midwest. This role is perfect for a detail-oriented medical coder who thrives in a remote work environment and is passionate about accurate and ethical coding practices. General Summary The medical coder ensures that services are billed correctly according to the American Medical Association (AMA) and Centers for Medicare and Medicaid Services (CMS) guidelines. This position involves insurance credentialing and educating providers and staff on coding and billing standards. Routine chart audits are conducted to maintain compliance and accuracy. Essential Duties and Responsibilities Assign ICD-10-CM, CPT, and HCPCS Level II codes to finalized medical documentation to create accurate medical claims. Abstract specific data from patient records to determine appropriate claim modifiers. Query providers for clarification when documentation is unclear or incomplete,...

At Houston Methodist, the Lead Outpatient Coder position is responsible for providing administrative support to the department while ensuring diagnostic and procedure codes are assigned accurately to outpatient encounters based on documentation within the electronic medical record and maintaining compliance with established rules and regulatory guidelines. This position serves as the liaison between management, staff and physicians for routine matters, resolving questions and issues. Duties may be varied and may include many of the following: organize work schedules, create work assignments, review timecards for accuracy, conduct quality assurance audits of staff performance, develop and implement quality improvement activities, train and mentor staff, provide feedback on staff performance and developmental needs, collect/analyze/report on data, prepare reports on performance and metrics, and other responsibilities of a similar nature and level. FLSA Status Non-exempt...

Houston Methodist in Missouri is seeking a qualified Lead Outpatient Coder to provide critical coding support for outpatient encounters. Responsibilities include ensuring accurate coding, conducting quality audits, and acting as a liaison between departments. The ideal candidate should have an Associate’s degree, five years of outpatient coding experience, and certifications like RHIT or CCS. Strong communication skills and the ability to manage multiple priorities are essential for success in this role. This position requires a business professional dress code. #J-18808-Ljbffr

Medical Coding Specialist Full Time St. Louis, MO, US Join Us to Build Healing and Hope Together! As leaders in children's mental health and wellness, St. Louis Children's and KVC Health Systems Youth Mental Health Care have partnered to create one of the nation's most innovative and transformative youth mental health and wellness campuses. The partnership includes a 77-bed acute care hospital and outpatient programs. Located on the KVC Missouri Children's Mental Wellness Campus conveniently located in Webster Groves, Missouri, the peaceful environment and broad continuum of care allow children and families to access the appropriate level of treatment throughout their healing experience. The new campus is slated to open in late 2026. Learn more at stlouischildrenskvc.org. Join us and be a part of this journey of healing and hope for thousands of children and teens. Job Summary The Medical Coding Specialist is KVC's Hospitals subject matter expert on medical coding. They...

Coder Reimbursement Specialist - Hospital Tech Tammina LLC Job Description The Coding and Reimbursement Specialist, CCS is responsible for coding and abstracting thoroughly, clinical data from the medical record. This includes both inpatient, outpatient, commercial, Medicare, Medicaid, and Illinois Public Aid, plus any other payor types. This accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis, grouped to the DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. Manages workload and assigns work to three inpatient and two outpatient coders and oversees the day to day workings of the coding/reimbursement area. Monitors various regulatory sources to keep HIM coding and other staff informed and trained on various coding rules, regulations and related issues. Works closely with patient...

Job Description Job Description Position Summary: Verifies and ensures the accuracy, completeness, specificity and appropriateness of diagnosis codes on services rendered. Complete appropriate paperwork/documentation/system entry regarding claim and encounter information. Support and participate in process and quality improvement initiatives. Assist with clinician billing and documentation training. Education: Requires an associate degree from Accredited Heath Information Technology program, Bachelor's degree preferred. Coding certificate with AHIMA approval status. RHIA, RHIT, CCS or CCS-P certification status required. Experience: Three (3) years' experience as a Certified Medical Biller/Coder Experience at a Federally Qualified Health Center (FQHC) preferred. Lab coding experience required. Skills and Abilities : Strong written and verbal communication skills, strong analytical skills, organizational and time management skills . Knowledge and experience in a...

Position Summary: Verifies and ensures the accuracy, completeness, specificity and appropriateness of diagnosis codes on services rendered. Complete appropriate paperwork/documentation/system entry regarding claim and encounter information. Support and participate in process and quality improvement initiatives. Assist with clinician billing and documentation training. Education: Requires an associate degree from Accredited Heath Information Technology program, Bachelor's degree preferred. Coding certificate with AHIMA approval status. RHIA, RHIT, CCS or CCS-P certification status required. Experience: Three (3) years' experience as a Certified Medical Biller/Coder Experience at a Federally Qualified Health Center (FQHC) preferred. Lab coding experience required. Skills and Abilities : Strong written and verbal communication skills, strong analytical skills, organizational and time management skills . Knowledge and experience in a healthcare environment...

**Date Posted:**2026-01-26**Country:**United States of America**Location:**US-CA-REMOTE**Position Role Type:**Remote**U.S. Citizen, U.S. Person, or Immigration Status Requirements:**U.S. citizenship is required, as only U.S. citizens are authorized to access information under this program/contract.**Security Clearance Type:**DoD Clearance: Secret**Security Clearance Status:**Active and existing security clearance required after day 1RTX Corporation is an Aerospace and Defense company that provides advanced systems and services for commercial, military and government customers worldwide. It comprises three industry-leading businesses – Collins Aerospace Systems, Pratt & Whitney, and Raytheon. Its 185,000 employees enable the company to operate at the edge of known science as they imagine and deliver solutions that push the boundaries in quantum physics, electric propulsion, directed energy, hypersonics, avionics and cybersecurity. The company, formed in 2020 through the...

Job Type Full-time Description PURPOSE STATEMENT The Certified Coder will play a key role in converting diagnoses and treatment procedures intoICD-10, CPT and HCPCS codes. The Coder will review and accurately code office and hospital procedures for reimbursement. ESSENTIAL FUNCTIONS Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Researches and analyzes data needs for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supports diagnoses, procedures, and treatment results. Identifies diagnostic and procedural information. Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. Assigns codes for reimbursements,...