36 coding auditor jobs found

Professional Coding Auditor And Educator - Remote This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing.In addition, this role focuses on performing the following Health Information Management duties:Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information.An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a hands on environment.The majority of time is spent in the delivery of support services or activities, typically under supervision.An experienced level role that requires basic knowledge of job procedures and tools obtained through work experience and may require vocational or technical education.Works under moderate supervision, problems are typically of a routine nature, but may at times require interpretation or...

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...

**ABOUT MACHINIFY:**In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify’s AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We’re reshaping healthcare payment through seamless intelligence.**ABOUT THE OPPORTUNITY:**### Hiring Range:$70,000 - $85,000### **Key Responsibilities to include:*** Audit Medical Records: Review and audit medical records to ensure accurate coding of diagnoses, procedures, and services using ICD-10, CPT, and HCPCS codes.* Compliance Monitoring: Ensure that coding practices comply with federal, state, and payer-specific regulations and...

A leading healthcare intelligence firm in Indiana seeks a Medical Coding Auditor to review and audit medical records, ensuring accurate coding practices according to federal and state regulations. Candidates should have in-depth knowledge of ICD-10, CPT, and HCPCS coding systems, as well as familiarity with healthcare regulations including HIPAA. The position offers a competitive salary between $70,000 and $85,000 and includes comprehensive benefits for a work-life balance. #J-18808-Ljbffr

Job Description Job Description Description: About e4health At e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do: Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth. Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day. WE GROW: We believe in win/win outcomes—when our customers win, we win. GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions. Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. Our...

Thomas Jefferson University is seeking a Compliance Auditor to monitor and improve the quality of clinical and financial documentation. This role requires expertise in auditing clinical documentation, coding accuracy, and compliance with regulations. The position offers a comprehensive benefits package including medical, dental, and tuition assistance. Ideal candidates will possess a Bachelor's degree in Health Information Management and relevant certifications. Join us to support continuous improvement in patient service documentation! #J-18808-Ljbffr

Position Overview Compliance Auditor – monitors and improves the quality of clinical and financial documentation related to the provision of patient services. Under general supervision, the Compliance Auditor compares clinical and financial records to ensure documentation supports patient charges, codifies findings, and assists in reporting, monitoring, and education. Responsibilities Performs audits of clinical documentation of physician, technical or specialty (e.g., Home Health, Hospice, Inpatient Rehab) billing and payment records and applicable industry standard billing codes by analyzing medical records, coding records and health system bills, validating clinical documentation in conjunction with the bill; assessing the level and accuracy of coding; determining that governmental and third‑party payer regulations are being complied with; and evaluating appropriateness of billing and coding procedures. Evaluates accuracy of coding and billing performance by individuals,...

Job Summary The Senior Compliance Auditor ensures the integrity and accuracy of facility and professional compliance audits, monitoring, and provides compliance education for facility and professional documentation, coding, and billing. The Senior Compliance Auditor serves as a mentor for Compliance Auditors and assists management with the onboarding process for new Compliance Auditors. This position requires the use of judgement and critical thinking skills to determine appropriate corrective actions for non‑compliance and ensure corrective actions are fully implemented by the entity service line area. Job Duties One of the following coding or auditing certifications are required (CCS, CPC, RHIA, RHIT or CPMA). Performs scheduled facility and/or professional audits on the adequacy of medical record documentation to support coding (DRG, CPT, ICD 10) and billing as required by the Compliance work plan reflecting scheduled activities and target dates. Performs audits resulting...

Job Description About Us For 55 years the medical experts of Bryn Mawr Medical Specialists Association have been providing personalized care to patients in the Philadelphia region. Our patients have seamless access to 80 highly-trained physicians in 11 specialties and primary care. This integration of primary and specialty care allows our providers to improve communication by using a shared medical chart at various stages of care. Our physicians, nurses and staff work as a team to provide comprehensive, patient-centered care with a "whole person" approach. Medical Coder/Certified Professional Medical Auditor Medical Coder/Certified Professional Medical Auditor will act as an internal resource for performing routine internal compliance audits, managing internal and external chart audits, addressing coding questions, and providing education for physicians, APPs, and staff. Duties/Responsibilities: - Monitors provider coding and documentation for compliance with...

Job Details Compliance Auditor Job Description Compliance Auditor Under general supervision, using a unique combination of clinical expertise and billing knowledge, the Compliance Auditor monitors and improves the quality of clinical and financial documentation related to the provision of patient services. The Compliance Auditor will compare clinical and financial records to ensure that the documentation provided supports the patient charges listed. The Compliance Auditor will utilize our technology to codify and quantify findings to assist with reporting, monitoring and educating where appropriate. ESSENTIAL FUNCTIONS: • Performs audits of clinical documentation of physician, technical or specialty (e.g., Home Health, Hospice, Inpatient Rehab) billing and payment records and applicable industry standard billing codes by analyzing medical records, coding records and health system bills validating clinical documentation in conjunction with the bill; assessing the level...

Compliance Auditor Under general supervision, using a unique combination of clinical expertise and billing knowledge, the Compliance Auditor monitors and improves the quality of clinical and financial documentation related to the provision of patient services. The Compliance Auditor will compare clinical and financial records to ensure that the documentation provided supports the patient charges listed. The Compliance Auditor will utilize our technology to codify and quantify findings to assist with reporting, monitoring and educating where appropriate. Essential Functions: Performs audits of clinical documentation of physician, technical or specialty (e.g., Home Health, Hospice, Inpatient Rehab) billing and payment records and applicable industry standard billing codes by analyzing medical records, coding records and health system bills validating clinical documentation in conjunction with the bill; assessing the level and accuracy of coding, determining that governmental...

100% remote Medical Coder needed / Must have hospital and/or acute care experience! This Jobot Consulting Job is hosted by: Christine McNamara Are you a fit? Easy Apply now by clicking the "Quick Apply" buttonand sending us your resume. Salary: $30 - $40 per hour A bit about us: We are currently seeking an experienced Inpatient Medical Coder to join our dynamic and fast-paced team. The successful candidate will play a crucial role in accurately coding patient records for our inpatient services. This is a fantastic opportunity to utilize your coding skills and knowledge in a challenging and rewarding environment, working with a variety of medical specialties and interacting with our dedicated healthcare professionals. This is a long term contract role with strong likelihood of converting to a permanent employee in 2027. Why join us? 100% remote work Flexible work schedule Growth opportunities Job Details Responsibilities 1. Reviewing and analyzing patient records to accurately...

Medical Records Supervisor This is an in-person position located in Clarion, PA. Position Summary: The Medical Records Supervisor establishes and maintains adequate health information systems in compliance with all applicable laws, standards and policies. These systems include forms control, chart audits, record security, the release of information process, transcription services and filing. The Medical Records Supervisor also supervises the staff members providing medical record coding services. The Supervisor is responsible for coordinating the daily activities of the Medical Records Department and ensures all medical records and related documents are easily located, appropriately filed, assembled and maintained, delivered in a timely manner and analyzed.

Are you an experienced anesthesia medical billing/coding specialist who thrives in a fast-paced surgical environment where accuracy, collaboration, and expertise truly matter? At Intrepidus Surgical Institute, you'll work alongside a dynamic team of anesthesia providers, surgeons, and healthcare professionals supporting high-quality outpatient ophthalmologic and vision surgical procedures. We are seeking a detail-oriented, highly skilled Medical Billing and Coding Specialist who understands the complexities of anesthesia reimbursement and takes pride in driving accurate billing, clean claims, and optimized revenue cycle performance. This is an opportunity to join a collaborative Ambulatory Surgery Center (ASC) environment where your knowledge and contributions directly impact operational success and patient care. Why Join Us? We believe exceptional employees deserve exceptional support. We offer a competitive compensation and benefits package designed to support your...

Job Details Sr. Coder Job Description Key Responsibilities: Coding Medical Records : Review patient medical records and assign appropriate codes using systems like ICD-10-CM, CPT, and HCPCS for diagnoses and procedures. Claims Processing: Prepare and submit claims to insurance companies, ensuring compliance with regulations and accuracy in coding to facilitate reimbursement. Collaboration: Work closely with healthcare providers, billing specialists, and other staff to clarify documentation and ensure accurate coding practices. Auditing and Compliance: Conduct audits of medical records to ensure coding accuracy and compliance with federal regulations and insurance standards. Training and Support: Provide training and support to healthcare staff on coding practices and documentation requirements. Required Qualifications Certification: Must hold a certification from recognized organizations such as AAPC (CPC) Experience: Typically requires a minimum of 2-3...

UPMC is hiring a full-time Certified Professional Coder to support their Women's Health Departments! This position is a remote position, but will be required to work onsite at an office location during our training period. Candidates must be located within a 60-mile radius of Pittsburgh or willing to relocate to the area. Our Women's Health decentralized coding team provides specialized coding support across multiple subspecialties, ensuring accurate and compliant claim submission for a diverse range of services. The team is experienced in handling complex subspecialty claims and coding scenarios unique to the Women's Health service line, including OB/GYN, Uro-gynecology, and Minimally Invasive Surgeries. With a focus on quality, collaboration, and operational efficiency, the team supports timely charge capture and revenue integrity across multiple practice locations across Western PA. The Certified Professional Coder supports Women's Health services by reviewing and releasing...

Job Description Job Description Description: About e4health At e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do: Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth. Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day. WE GROW: We believe in win/win outcomes—when our customers win, we win. GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions. Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. Our...

Sr. Coder Key Responsibilities: Coding Medical Records: Review patient medical records and assign appropriate codes using systems like ICD-10-CM, CPT, and HCPCS for diagnoses and procedures. Claims Processing: Prepare and submit claims to insurance companies, ensuring compliance with regulations and accuracy in coding to facilitate reimbursement. Collaboration: Work closely with healthcare providers, billing specialists, and other staff to clarify documentation and ensure accurate coding practices. Auditing and Compliance: Conduct audits of medical records to ensure coding accuracy and compliance with federal regulations and insurance standards. Training and Support: Provide training and support to healthcare staff on coding practices and documentation requirements. Required Qualifications: Certification: Must hold a certification from recognized organizations such as AAPC (CPC) Experience: Typically requires a minimum of 2-3 years of experience in medical coding,...

Medical Billing Specialist DuBois, PA 15801 $17–21/hour Hybrid Schedule Available After 90 days of Training (4 Remote Days / 1 In-Office Day Weekly) Full-Time | Monday–Friday | 8:00 AM – 5:00 PM A leading regional healthcare system serving communities across Pennsylvania is seeking a Medical Billing Specialist to join their growing revenue cycle team! This organization provides a wide range of healthcare services including hospitals, specialty clinics, physician offices, and outpatient care centers, and is looking for someone who thrives in a fast-paced healthcare billing environment. This opportunity offers strong long-term stability, a collaborative team environment, and a hybrid schedule after training. Employees will work fully onsite for the first 90 days, then transition to a flexible schedule of 4 remote days and 1 in-office day per week. Responsibilities: Manage the full revenue cycle process including charge/revenue capture and timely claim submission Submit clean...

Coder Coder Certification Required. The Coder provides coding services and support to assigned Independence Physician Management Markets/Billing Entities, as required, utilizing clinical documentation in multiple electronic health record (EHR) systems. Applies working knowledge of medical terminology, anatomy, CPT-4 and ICD-10 codes and coding skills/ experience to ensure timely and accurate coding of clinical documentation. Meets or exceeds established performance targets (productivity and quality) established by the Coding Manager. Works closely with the Billing Department to ensure accuracy in charge posting to the Practice Management System (PMS). Effectively communicates with providers and market staff to ensure that clinical documentation is completed and signed to avoid coding delays and minimize lag days. Assists in educating providers on clinical documentation requirements to support their coding and ensure all coding (charge) possibilities are being captured. Timely...

Sr. Coder Key Responsibilities: Coding Medical Records: Review patient medical records and assign appropriate codes using systems like ICD-10-CM, CPT, and HCPCS for diagnoses and procedures. Claims Processing: Prepare and submit claims to insurance companies, ensuring compliance with regulations and accuracy in coding to facilitate reimbursement. Collaboration: Work closely with healthcare providers, billing specialists, and other staff to clarify documentation and ensure accurate coding practices. Auditing and Compliance: Conduct audits of medical records to ensure coding accuracy and compliance with federal regulations and insurance standards. Training and Support: Provide training and support to healthcare staff on coding practices and documentation requirements. Required Qualifications: Certification: Must hold a certification from recognized organizations such as AAPC (CPC) Experience: Typically requires a minimum of 2-3 years of experience in medical...

Responsibilities Remote Opportunity Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve. To learn more about IPM visit Physician Services - Independence Physician Management - UHS. POSITION OVERVIEW Coder Certification Required. The Coder provides coding services and support to assigned IPM Markets/Billing Entities, as required, utilizing clinical documentation in multiple electronic health record (EHR) systems. Applies working knowledge...

Job Family: Coding OP (India) Travel Required: None Clearance Required: None What You Will Do Review medical records and operative reports to assign accurate CPT, ICD 10CM and ASA codes Abstract Anesthesia services including time, modifiers and physical status Follow ASA guidelines and payer specific rules for anesthesia billing and compliance Verify documentation of anesthesia start/stop time procedures and medical necessity Ensure to use appropriate modifiers and check concurrency rules for anesthesiologists and CRNA’s Maintain up to date knowledge in CPT, ICD 10CM, HCPCS, ASA crosswalk and CMS guidelines Participate in audits and provide feedback on documentation improvement What You Will Need Candidate should possess a minimum of 1 year experience in medical coding with Anesthesia specialty Graduation is mandatory Good analytical skills and communication are required Ability to work independently and manage deadlines Mandatory certification from either AAPC or...

UPMC Hillman Cancer Center at the Divine Providence Campus in Williamsport is currently hiring a full-time Medical Oncology Coder. This position offers a consistent day shift schedule from 8:00 AM to 4:30 PM, totaling 40 hours per week. This is a great opportunity to join a dedicated oncology team and contribute to accurate, compliant coding that supports high-quality patient care. This position requires candidate to be a Certified Professional Coder (CPC). This is a hybrid position. The initial phase of employment will require on-site work at UPMC Hillman Cancer Center in Williamsport, PA for several months. After this period, mandatory attendance for monthly meetings and other required on-site sessions will continue. Ideally, the candidate will work minimum one day per week in the office at UPMC Hillman Cancer Center, with the remaining time remote. Responsibilities: Query physicians when documentation is inadequate, ambiguous, or unclear to ensure accurate...