19 coding auditor jobs found

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....

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...

Datavant is looking for a Profee Auditing Specialist in Salem, Oregon, to perform coding audits and provide support for coding quality and compliance. The role requires more than 5 years of experience in professional fee coding, with a CPC certification being mandatory. This is a fully remote position that offers a competitive salary of $35 to $45 per hour, along with comprehensive benefits including medical, dental, vision, and 401k. Join Datavant to help improve health data accessibility in healthcare. #J-18808-Ljbffr

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...

A community healthcare provider in Hillsboro seeks a Coding Compliance Specialist to ensure organizational compliance with coding standards. Responsibilities include reviewing medical records, conducting audits, and assisting with provider education on billing practices. The role requires a high school diploma, coding certification, and experience with Electronic Health Records. Excellent interpersonal skills and bilingual proficiency in Spanish are desirable. Join us in our mission to provide culturally appropriate healthcare to underserved populations. #J-18808-Ljbffr

La Clinica Del Valle in Medford, OR, is seeking a Coding Compliance Specialist to ensure compliance with coding standards and medical record documentation. The role includes conducting audits, teaching staff about coding practices, and ensuring timely submission of medical claims. Ideal candidates will possess a certification in ICD-10, CPT, and HCPCS coding and have experience with electronic health records. The position is full-time, offering an opportunity to contribute to a compassionate work culture. #J-18808-Ljbffr

Medical Coder II, Certified Remote working after on-site training (2-4 weeks). Flexible hours -- any 8 hours between 6:00 AM and 6:00 PM. 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 specialties as assigned. Utilize available coding tools and knowledge to assist in appropriate assignment of coding. Maintain current knowledge to ensure that KPNW coding and documentation meets regulatory guidelines and audit standards. Escalate trends and identified issues through appropriate department channels. Continued development of coding knowledge and regulatory guidelines with maintenance of certification. Performs other duties as requested to include complex coding issues and project work as assigned...

Job Title This is a full-time position. The first two weeks require in-office training, after which the role is remote, except for monthly office meetings. The hours will be Monday-Friday 8:30am-5pm with a 30 minute lunch. Job Description Review, analyze, and input clinic claim codes (ICD-9/ICD-10, HCPCS, CPT) based on EMR records, ensuring proper modifiers and documentation Educate and consult with physicians and nursing staff on coding practices, ensuring accurate and thorough clinical documentation Stay current with updates on medical treatments, procedures, diagnosis classifications, payer updates, and coverage changes, and communicate relevant information to providers, supervisors, and the billing team Use coding manuals and software to ensure proper code selection and compliance with industry standards, including HIPAA, AHIMA, and AAPC ethical guidelines Enter coded data into EHR or practice management systems for billing accuracy and maintain organized, accurate...

Medical Coder - Hematology/Oncology Clinic Duration: 12 Weeks Location: 100% Remote Job Description Review documentation of professional services in EPIC, obtain copies of chart notes, reports (i.e., admission/discharge records, patient medical records) and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services' (CMS) documentation of professional services and assign correct CPT, ICD-9-CM, and HCPCS codes. Utilizes ICD-9-CM, ICD-10, CPT codebook and Coding Clinic references to verify code specificity and follow ICD-9-CM Official Guidelines for Coding and Reporting and AMA Official Guidelines for CPT. Enter billing information into EPIC Resolute. Establish and maintain procedures and other controls necessary in carrying out all insurance billing activity. Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP). Coordinate all...

Health Services Medical Biller/Coder Linn County Department of Health Services $4,389.00 - $5,612.00 Monthly Administration, 421 NE Water Ave, Ste 2300, Albany, OR Full Time- SEIU SEIU 04/02/2026 Exempt A person employed in this classification must possess the capability to perform the following duties to be considered for and remain in this position. The duties are essential functions requiring the critical skills and expertise needed to meet job objectives. Additional specific details of these essential functions may be provided by the specific office or department job announcement, if applicable. Strong working knowledge of CPT, ICD-10, HCPCS, modifiers, coding and documentation guidelines. Reviews and verifies documentation supporting diagnoses, procedures, treatment results, complications, potential quality of care and billing/procedural issues. Audit clinical documentation and coded data to validate documentation supports services rendered for reimbursement and...

A nonprofit integrated health system in Portland is seeking a detail-oriented coding specialist. The role involves reviewing patient records to assign accurate diagnosis and procedure codes, ensuring regulatory compliance. Candidates should have a high school education/GED, preferably with technical certifications like Certified Coding Specialist (CCS). This position is ideal for those skilled in audit processes and coding guidelines. Join a dynamic team focused on providing quality healthcare in a supportive environment. #J-18808-Ljbffr

Mission Healthcare, the largest home health and hospice company in the western United States, is seeking a Medical Coder in Portland, Oregon. This role involves reviewing and validating medical codes, providing coding support, and conducting audits. Candidates should have a high school diploma, relevant coding certifications, and 3-5 years of experience. Mission Healthcare promotes an inclusive workplace and offers benefits like medical insurance and 401(k). The position pays $28/hour, negotiable based on experience. #J-18808-Ljbffr

Health Services Medical Biller/Coder Administration/Billing Program (Classification 757) SEIU Represented Full-Time (37.5 hours/week) position Position open until filled First review of applications will be on April 20, 2026. Any applications received after April 20 will be reviewed and considered as needed, and this posting may close at any time after that date. Linn County requires on-site work. Remote work is not available. Job Summary A person employed in this classification must possess the capability to perform the following duties to be considered for and remain in this position. The duties are essential functions requiring the critical skills and expertise needed to meet job objectives. Additional specific details of these essential functions may be provided by the specific office or department job announcement, if applicable. Strong working knowledge of CPT, ICD-10, HCPCS, modifiers, coding and documentation guidelines. Reviews and verifies documentation supporting...

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...

Job Title This is a full-time position. The first two weeks require in-office training, after which the role is remote, except for monthly office meetings. The hours will be Monday-Friday 8:30am-5pm with a 30 minute lunch. Job Description Review, analyze, and input clinic claim codes (ICD-9/ICD-10, HCPCS, CPT) based on EMR records, ensuring proper modifiers and documentation Educate and consult with physicians and nursing staff on coding practices, ensuring accurate and thorough clinical documentation Stay current with updates on medical treatments, procedures, diagnosis classifications, payer updates, and coverage changes, and communicate relevant information to providers, supervisors, and the billing team Use coding manuals and software to ensure proper code selection and compliance with industry standards, including HIPAA, AHIMA, and AAPC ethical guidelines Enter coded data into EHR or practice management systems for billing accuracy and maintain organized,...

Initial Posting Date: 06/04/2026 Application Deadline: / Agency: Oregon Youth Authority Salary Range: $4,519.00 - $6,904.00 Position Type: Employee Position Title: Accountant 1 - Medical Billing Specialist Job Description: OREGON YOUTH AUTHORITY Accountant 1 - Medical Billing Specialist Salem, OR - Equitable Center Put your medical billing expertise to work for Oregon's youth. The Oregon Youth Authority (OYA) is hiring an Accountant 1 - Medical Billing Specialist to manage the Medicaid billing and reimbursement that directly funds treatment and services for youth in our care. This is a hybrid role based in Salem to handle Medicaid Management Information System (MMIS) billing, Title XIX eligibility reviews, and remittance reconciliations, making sure every claim is accurate, compliant, and timely. We are looking for someone who pairs hands-on billing and coding experience (ICD-10, CMS-1500/HCFA, HIPAA) with a foundation in...

Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Reviews patient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Applies substantial knowledge of the job and experience to complete a wide range of activities with varying difficulty. Regularly works with sensitive and confidential information, often involving the interpretation of policies and procedures to guide use. Job Requirements: Education and Work Experience: High School Education/GED or...

Job Title: Medical Coder (Outpatient & Inpatient) Specialty: Outpatient (including Radiology, Lab, Ancillary), Inpatient Facility (DRG/PCS), Inpatient Professional No. of positions: 5 Place of Work (City/State): Portland, OR Pay rate: $30-$32/h Site: Portland VA Medical Center (VA Portland Health Care System - VAPORHCS) Exact Location: 3710 Southwest US Veterans Hospital Road, Portland, OR 97239 (Remote coding; coders may occasionally be required on-site for coding meetings, training, or issue resolution) Duration: 1 year contract Shift Schedule: Standard business hours assumed. Note: Priority cases must be coded within 1 business day of receipt; all outpatient cases coded within 7 days of receipt; all inpatient cases coded within 7 days of discharge date. How Many Shifts Needed Per Month: Based on volume, full-time coverage (approximately 22 working days/month) required. Credentialing / Onboarding Time: 6 to 8 weeks Certifications...

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...