22 coding auditor and educator jobs found

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...

Job Description Job Description Description: Riverland Community Health is a Federally Qualified Health Center in St. Paul, where patients receive community-based Family Practice medical care in addition to mental health, dentistry, social work and other integrated services. When joining RCH, you become part of a diverse, inclusive, and welcoming team who are dedicated to serving our patients and pursuing our mission to deliver excellent healthcare for all and training for the providers of tomorrow.  JOB SUMMARY: The Medical Coding Specialist / Provider Educator is responsible for the review of medical records, notes, dictation and other related documentation to ensure the accurate and timely submission of charges for professional services provided by physicians and other providers as well as diagnoses for clinic services. The Medical Coding Specialist / Provider Educator is also responsible for conducting coding audits, providing education and communication of process...

Medical Coding AuditorOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able to...

Coding SpecialistMinnesota Urology is looking for a dedicated Coding Specialist to join our team!Monday- FridayNo Weekends, Holidays, or EveningsEligible for Hybrid Work Options after minimum of 90 days in officePOSITION TITLE: Coding SpecialistDEPARTMENT: Business ServicesREPORTS TO: Business Services ManagerPRIMARY OBJECTIVE:To accurately link ICD-10, CPT and HCPCS codes to daily charges, ensure ICD-10, CPT and HCPCS codes are updated and reviewed regularly for accuracy, monitor physician and physician extender coding practices, and ensure that all charges are accounted for and entered in a timely manner.RESPONSIBILITIES:Monitors daily flow of office, hospital, and laboratory charges to ensure accuracy and timeliness of entry.Verifies and audits provider documentation.Provides feedback and education to providers as needed to ensure documentation and compliance standards are met.Links ICD-10 codes to CPT and HCPCS codes correctly and completely prior to processing for billing,...

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. Follows...

Medica, a nonprofit health plan, seeks a Clinical Quality Review III (RN and Certified Coder) to conduct medical record reviews, data collection, and clinical audits across its network. You will assess documentation accuracy, adherence to clinical standards, and compliance with HEDIS, STARS, CMS Cost Audit, and RADV, while sharing expertise to strengthen quality review processes. This remote role requires strong nursing and coding skills, 5+ years in quality reviews, and the ability to educate #J-18808-Ljbffr

Medical Coding Auditor Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able...

Job ID: 102055892240Posted: 2026-10-18Location: Eden Prairie, Minnesota, United StatesSalary: $91,700 - $163,700/yearJob Area: TechnologyCompany: UnitedHealth GroupOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, and data they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.As a Senior Information Security Risk Auditor within Optum Technology, you will play a critical role in maintaining Optum Public Cloud PCI compliance certification and other compliance standards selected for Optum Cloud platform. You will lead...

Title: Risk Adjustment Coding Auditor Location: Remote Job Type: Contract (6 months) Compensation: $35.00 – $38.00 per hour Industry: Health Insurance About the Role Our firm is partnering with a leading nonprofit health insurance organization that serves members across commercial, Medicare, and Medicaid health plans. We are seeking an experienced Risk Adjustment Coding Auditor to help ensure the accuracy, integrity, and compliance of clinical coding and documentation used in risk adjustment programs. In this role, you will support accurate reimbursement and regulatory compliance by conducting detailed coding audits, identifying documentation gaps, and providing expert guidance on risk adjustment coding practices. This position is ideal for a coding professional with strong HCC auditing experience who is passionate about data accuracy, compliance, and continuous improvement. Job Description As a Risk Adjustment Coding Auditor, you will evaluate coded clinical data...

Beacon Hill Technologies is seeking an Inpatient Coding Auditor for a remote-capacity role within a leading healthcare organization in the United States. The role emphasizes auditing, education, and collaboration to improve coding accuracy, compliance, and documentation practices across teams. You will support onboarding and ongoing training, and help develop enterprise-wide quality measures that impact reimbursement and patient care outcomes. #J-18808-Ljbffr

Job Duties Beacon Hill was founded to set a new standard in search, career placement and flexible staffing. Summary Are you passionate about coding accuracy, compliance, and helping others succeed? We're seeking an Inpatient Coding Auditor to join a leading healthcare organization in a remote capacity. In this role, you'll play a key part in strengthening coding quality, supporting professional development within coding teams, and ensuring documentation and reimbursement practices align with industry standards. This is an excellent opportunity for an experienced inpatient coding professional who enjoys a blend of auditing, education, collaboration, and continuous improvement. About the Opportunity Join a highly respected healthcare organization that is committed to delivering quality patient care through operational excellence and regulatory integrity. As part of a collaborative coding and revenue cycle environment, you will have the opportunity to influence coding quality...

Required Skills & Experience Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) Strong ICD-10-CM coding experience and medical record review background Knowledge of Risk Adjustment and HCC coding methodologies Experience reviewing physician documentation and assigning accurate diagnosis codes Strong understanding of medical terminology, anatomy, physiology, and disease processes Ability to interpret complex clinical documentation with high accuracy and productivity Familiarity with CMS guidelines and Medicare Advantage requirements Nice to Have Skills & Experience Medicare Advantage Risk Adjustment experience Experience working with CMS-HCC models CRC (Certified Risk Adjustment Coder) certification Experience with EMRs and coding software platforms Background in a health plan, physician practice, hospital, or revenue cycle environment Audit and quality assurance experience Job Description Insight Global is seeking Medical Coders specializing in Risk...

Join OptumOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Review provider documentation and medical records to assign appropriate diagnosis and procedure codesAbstract and code professional fee services for non-invasive cardiology procedures, including but not limited to:Stress testing (exercise and pharmacologic)Stress...

Improve the lives of others while Caring. Connecting. Growing together. Job Description - Senior Medical Coder (2379427) Senior Medical Coder - 2379427 Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Medical Coder performs concurrent review of FFS coding rules, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. This position will support coding functions within charge...

Position Overview We are seeking an experienced Risk Adjustment Coding Auditor to join our team. This role is responsible for ensuring the accuracy, completeness, and compliance of risk adjustment coding and clinical documentation across Medicare, Medicaid, and ACA Commercial populations. The ideal candidate will bring deep expertise in HCC coding, risk adjustment auditing, and regulatory compliance while serving as a trusted resource for coding guidance and best practices. The Risk Adjustment Coding Auditor plays a critical role in supporting accurate reimbursement, reducing compliance risk, improving data integrity, and driving organizational success through high-quality coding audits and reporting. Key Responsibilities Conduct retrospective and prospective chart reviews to validate risk adjustment diagnoses and reporting accuracy. Audit provider-reported diagnosis codes for accuracy, specificity, completeness, and documentation support. Review medical...

Job Duties Beacon Hill was founded to set a new standard in search, career placement and flexible staffing. Summary Are you passionate about coding accuracy, compliance, and helping others succeed? We're seeking an Inpatient Coding Auditor to join a leading healthcare organization in a remote capacity. In this role, you'll play a key part in strengthening coding quality, supporting professional development within coding teams, and ensuring documentation and reimbursement practices align with industry standards. This is an excellent opportunity for an experienced inpatient coding professional who enjoys a blend of auditing, education, collaboration, and continuous improvement. About the Opportunity Join a highly respected healthcare organization that is committed to delivering quality patient care through operational excellence and regulatory integrity. As part of a collaborative coding and revenue cycle environment, you will have the opportunity to influence coding...

Coding Subject Matter ExpertOptum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.Responsible for providing oversight to Optum360 coding services, directly overseeing facility-based and/or HIM (Health Information Management) Center operations leadership of Optum 360 Coding Departments within the assigned Region. The SME will lead key initiatives within the organization related to Quality metrics, workflow improvement, and audits, etc. to meet or exceed metrics, drive efficient coding services, and deliver performance excellence through standardization of processes...

Minnesota Urology is looking for a dedicated Coding Specialist to join our team! Monday- Friday No Weekends, Holidays, or Evenings Eligible for Hybrid Work Options after minimum of 90 days in office POSITION TITLE: Coding Specialist DEPARTMENT : Business Services REPORTS TO : Business Services Manager PRIMARY OBJECTIVE: To accurately link ICD-10, CPT and HCPCS codes to daily charges, ensure ICD-10, CPT and HCPCS codes are updated and reviewed regularly for accuracy, monitor physician and physician extender coding practices, and ensure that all charges are accounted for and entered in a timely manner. RESPONSIBILITIES: Monitors daily flow of office, hospital, and laboratory charges to ensure accuracy and timeliness of entry. Verifies and audits provider documentation. Provides feedback and education to providers as needed to ensure documentation and compliance standards are met. Links ICD-10 codes to CPT and HCPCS codes correctly and completely prior to processing for billing,...

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. Follows...

Inpatient Coding Specialist Find your purpose as an Inpatient Coding Specialist at CentraCare. This position is responsible for analyzing and auditing documentation to ensure it meets requirements for assignment of codes from the appropriate classification system. Professional will work closely with provider and clinical documentation integrity staff to consistently and accurately translate medical record documentation and educate as necessary. Assists with performing quality audits, denial management, data collection, monitoring, and reporting documentation patterns and trends. This role will help guarantee that CentraCare is reimbursed for the services provided. Safeguards patient privacy and confidentiality. Schedule: Full-time 80 hours every 2 weeks Mon-Fri Days Fully Remote Pay and Benefits: Starting pay is 25.70 per hour exact wage determined by years of related experience. Pay range: 25.70-38.57 per hour Full time benefits: medical, dental, PTO, retirement, employee...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Review provider documentation and medical records to assign appropriate diagnosis and procedure codes Abstract and code professional fee services for non-invasive cardiology procedures, including but not limited to: Stress testing (exercise and...

Title: HCC & ProFee Coder Location: Remote Job Type: Contract to Hire Compensation: $30.00 per hour (W2) Industry: Hospital & Healthcare About the Role Our firm is recruiting on behalf of a healthcare services client that supports health plans, provider organizations, and value-based care initiatives through advanced coding, risk adjustment, and documentation review services. We are seeking an experienced HCC & ProFee Coder to perform high-level coding validation, risk adjustment auditing, and clinical documentation review activities. This role is ideal for a coding professional with deep expertise in CMS HCC, Rx HCC, ICD-10-CM, and Medicare coding guidelines who thrives in a detail-oriented, quality-focused environment. Job Description The HCC & ProFee Coder is responsible for reviewing medical records to validate coding accuracy, ensure compliance with regulatory guidelines, and support risk adjustment and quality improvement initiatives. The position requires...