66 coding auditor and educator jobs found

Job Title: Surgical Coding Auditor & Senior Revenue Integrity Educator (Contract) Overview Seeking an experienced Senior Surgical Coding Auditor and Rev Integrity Educator to support our clients growing surgical revenue integrity team. This is a 12\u2011month, full-time contract role focused primarily on independent surgical coding and documentation audits, along with targeted provider education and consulting. The ideal candidate is a seasoned auditor who thrives without handholding, brings strong surgical coding expertise, and can quickly adapt to new specialties and audit scenarios. Key Responsibilities Conduct comprehensive coding and documentation audits for surgical services across inpatient and/or outpatient settings. Independently manage audit workload with minimal supervision Identify documentation deficiencies, coding errors, and revenue risk areas; provide clear and actionable feedback. Deliver provider education , one-on-one or in group...

Job Title: Surgical Coding Auditor & Senior Revenue Integrity Educator (Contract) Overview Seeking an experienced Senior Surgical Coding Auditor and Rev Integrity Educator to support our clients growing surgical revenue integrity team. This is a 12month, full-time contract role focused primarily on independent surgical coding and documentation audits, along with targeted provider education and consulting. The ideal candidate is a seasoned auditor who thrives without handholding, brings strong surgical coding expertise ( Otolaryngology (ENT), Urology, OB/GYN ,Spine, Neurosurgery, Orthopedic, Plastic) , and can quickly adapt to new specialties and audit scenarios. Key Responsibilities Conduct comprehensive coding and documentation audits for surgical services across inpatient and/or outpatient settings. Independently manage audit workload with minimal supervision Identify documentation deficiencies, coding errors, and revenue risk areas; provide...

A healthcare consulting firm is seeking an experienced Surgical Coding Auditor and Senior Revenue Integrity Educator for a 12-month contract based in Dallas, Texas. This role focuses on conducting surgical coding audits and delivering provider education. The ideal candidate should have over 5 years of experience, a CPC certification, and strong skills in independent auditing and surgical coding expertise. This is a flexible, full-time position with a team of three, offering opportunities for professional growth and contribution to a growing team. #J-18808-Ljbffr

A healthcare consulting firm in Dallas, Texas is seeking a Senior Surgical Coding Auditor & Revenue Integrity Educator. This full-time contract role involves conducting comprehensive coding and documentation audits while providing targeted education for providers. The role requires expertise in surgical coding and the ability to manage audits with minimal supervision. Ideal candidates should have strong communication skills and relevant certifications. Competitive benefits and flexible hours are offered. #J-18808-Ljbffr

Job Title: Surgical Coding Auditor & Senior Revenue Integrity Educator (Contract) Overview Seeking an experienced Senior Surgical Coding Auditor and Rev Integrity Educator to support our clients growing surgical revenue integrity team. This is a 12‑month, full-time contract role focused primarily on independent surgical coding and documentation audits, along with targeted provider education and consulting. The ideal candidate is a seasoned auditor who thrives without handholding, brings strong surgical coding expertise (Otolaryngology (ENT), Urology, OB/GYN ,Spine, Neurosurgery, Orthopedic, Plastic), and can quickly adapt to new specialties and audit scenarios. Key Responsibilities Conduct comprehensive coding and documentation audits for surgical services across inpatient and/or outpatient settings. Independently manage audit workload with minimal supervision Identify documentation deficiencies, coding errors, and revenue risk areas; provide clear and actionable...

DHR Health - US:TX:McAllen - Days Summary: POSITION SUMMARY: The Inpatient coder reviews and analyzes documentation in the medical record for inpatient visits to ensure accuracy of diagnosis and procedure codes. Coder finalizes the coding and abstracting of the medical record according to ICD-10-CM/PCS, CPT, and HCPCS coding conventions and guidelines supported by the clinical documentation in the medical record. Coder analyzes diagnosis and procedure codes concurrently assigned by Clinical Documentation Specialists. The Inpatient Coder assumes primary responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff members with improving quality of clinical documentation. Sequence the diagnoses and procedures using official coding guidelines. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Resolve Inpatient billing edits. Abide by the Standards of Ethical Coding as set...

Job Description Job Description Senior Medical Coder – Urology/Nephrology Location Irving, TX | Onsite Compensation & Schedule • $35.75/hour – Non-Urology Certified Coder | $42.00/hour – Certified Urology Coder (CUC) • Full Time |8:00 AM - 5:00 PM • Temp to Perm (W2) • Start Date: March 16, 2026 Role Impact: The Senior Medical Coder ensures accurate, compliant coding for high-dollar and specialty professional fee accounts within Urology and Nephrology. This role directly supports clean claims, optimized reimbursement, and reduced denials by maintaining a minimum 95% coding accuracy rate. Success is defined by precision in ICD-10-CM, ICD-10-PCS, and CPT code assignment, strong collaboration with HIM (Health Information Management) and CDI (Clinical Documentation Improvement) teams, and consistent productivity performance. Key Responsibilities • Assign diagnosis and procedure codes in accordance with ICD-10-CM/PCS Official Guidelines and AMA CPT guidelines...

Job Description Job Description Bienvivir All-Inclusive Senior Health (“Bienvivir”) is a community-based, patient-centered, comprehensive health care delivery system that advocates and promotes quality of life, optimum independence, dignity, and choices in a nurturing environment for frail seniors. Since 1987, Bienvivir has served the frail seniors of El Paso, Texas through the provision of the Program of All-Inclusive Care for the Elderly (“PACE”). PACE is a unique managed care benefit for frail seniors (referred to as participants) age 55 and older who are certified by the state as needing nursing home level care and who reside in a PACE service area. PACE programs coordinate and provide comprehensive medical and support services so that participants can remain independent and stay in their homes for as long as safely possible. BENEFITS for Full and Part-time employees who work 30 or more hours per week: We pay 100% of the MEDICAL monthly premiums for Employee Only...

Job Summary JOB SUMMARY The primary purpose of the SPEC, PHYS SVC CODING III is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation. Must have the ability to utilize multiple resources to support code assignment. Must possess knowledge on how to resolve coding denials and pre-bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained. Level III roles include but are not limited to invasive and surgical coding such as general surgery, interventional radiology, invasive cardiology, and anesthesia. ESSENTIAL DUTIES AND RESPONSIBILITIES Assign ICD-10, CPT, HCPCS and modifiers codes from documentation Review and appropriately resolve pre-bill edits Review and appropriately resolve coding denials Meet or exceedproductivity standards Meet or exceed accuracy rate of 95.5% in monthly internal audits Effectively present coding issues to internal team members,...

At Palm Primary Care (PPC) our patients have the peace of mind knowing that their health and well-being are our primary concerns. We give our health plan clients the confidence that their members are well taken care of. With more than 24,000 at-risk members, we provide primary care and other services to seniors and families in our medical centers that are comfortable, convenient and staffed with caring professionals. Our activity and wellness facilities are filled with health plan members who know us for our distinct events and programs that cater to the communities we serve. Every day, we deliver on our promise to bring value based, quality healthcare to our patients.   Overview PPC is looking for a CDI/Certified Professional Coder who will demonstrate deep knowledge in Medical Risk Adjustment, HEDIS, CNS Coding guidelines, billing standards and regulations.  A teamwork person who will deliver a high standard of quality of work to drive improved business performance....

Become a part of our caring community and help us put health first 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. 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...

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 upon 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...

Medical Coder Lead Revenue Cycle Management is looking for a Medical Coder Lead to join our team! Remote opportunity after 30-90 day in-person training SUMMARY The Medical Coder Lead is responsible for serving as a subject matter expert in coding processes providing advanced technical guidance and ensuring coding accuracy compliance and productivity standards are met. The position supports coders and auditors through consultation mentoring and expertise on complex coding scenarios. ESSENTIAL FUNCTIONS: Serve as a resource and consultant for coders on complex or specialty coding scenarios. Review and provide guidance on challenging cases to ensure coding accuracy and compliance. Partner with auditors to resolve discrepancies and identify trends in coding errors. Provide mentoring and technical support to coders promoting knowledge sharing and best practices. Assist in developing and updating coding procedures guidelines and reference materials. Collaborate with clinical...

Medical Coder Multi-Specialty (Hospital & Clinic) Location: Kingwood-Hybrid Employment Type: Full-Time Reports To: Revenue Cycle Manager Position Summary We are seeking a highly skilled, detail-driven, and high-producing Certified Medical Coder with multi-specialty experience to join our growing healthcare organization. This role requires strong proficiency in both hospital and outpatient clinic coding, with specialty expertise in: Cardiology Urology Dermatology General Surgery Pulmonology The ideal candidate has 2+ years of coding experience, maintains current certification (AAPC or equivalent), and consistently demonstrates accuracy, productivity, and strong clinical understanding across multiple service lines. This is a high-impact role within a performance-driven, collaborative organization focused on compliance, precision, and revenue integrity. Core Responsibilities Coding & Documentation Review Accurately assign ICD-10-CM, CPT, and HCPCS Level...

Job Description Job Description Specialty Senior Medical Coder – General Surgery Location: Irving, TX COMPENSATION & SCHEDULE • $35.75/hr (Non-CGSC Certified) | $42.00/hr (CGSC Certified – General Surgery) • Monday–Friday | 8:00 AM–5:00 PM • W2 | Temp to Perm • Start Date: 03/16/2026 ROLE IMPACT: The Specialty Coder Senior – General Surgery ensures accurate, compliant coding for high-dollar inpatient and outpatient professional services. This role drives revenue integrity by reducing denials, supporting clean claims, and maintaining a minimum 95% coding accuracy rate. Success is defined by precise code assignment, strong documentation review, and consistent productivity in a remote environment. Key Responsibilities • Assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes in accordance with Official Coding Guidelines and AMA CPT standards • Code inpatient and outpatient Evaluation & Management (E/M) and surgical/operative procedures, generating accurate...

Certified Professional Coder Think of yourself as someone who will provide world-class service to our customers or clients in an accurate, efficient, and respectful manner on every call as measured by different performance metrics, so not everyone can qualify for this role. We make sure we get the best of the best, after all, we are a ridiculously good company so we make sure our employees are top-notch. So come on, now we need your full concentration because it's time to imagine what it's like being a Certified Professional Coder. As a Certified Professional Coder you will... Audit charts to ensure accurate ICD-10 CM and CPT code assignment as well as documentation integrity to prevent claim denials. Use critical and logical thinking skills in chart-auditing based on the guidance set forth by the client. Uphold netiquette and professionalism in any interaction with the TaskUs team, other vendors and the client. Job Summary: The CPC will be responsible for reviewing...

EDUCATION & EXPERIENCE: Minimum Qualifications: Three years of multi-specialty coding experience. Proficient in coding Professional services, and/or Outpatient professional and hospital technical services. Experience with communicating, training, and educating providers in proficiency. Preferred Qualifications: Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations. REQUIRED LICENSES, REGISTRATIONS, OR CERTIFICATIONS: One of the following: CCA – Certified Coding Associate (AHIMA) or CCS – Certified Coding Specialist (AHIMA) or CCS-P – Certified Coding Specialist – Physician Based (AHIMA) or RHIA – Registered Health Information Administrator (AHIMA) or RHIT – Registered Health Information Technician (AHIMA) CIC – Certified Inpatient Coder (AAPC) or COC – Certified Outpatient Coder (AAPC) or CPC – Certified Professional Coder (AAPC) or CPC-A – Certified...

EDUCATION & EXPERIENCE Minimum Qualifications: Two years of medical billing or related experience, or related training from a non-accredited program or accredited agency. Preferred Qualifications: Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations. REQUIRED LICENSES, REGISTRATIONS, OR CERTIFICATIONS CCA – Certified Coding Associate (AHIMA) or CCS – Certified Coding Specialist (AHIMA) or CCS-P – Certified Coding Specialist – Physician Based (AHIMA) or RHIA – Registered Health Information Administrator (AHIMA) or RHIT – Registered Health Information Technician (AHIMA) CIC – Certified Inpatient Coder (AAPC) or COC – Certified Outpatient Coder (AAPC) or CPC – Certified Professional Coder (AAPC) or CPC-A – Certified Professional Coder – Apprentice (AAPC) or CRC – Certified Risk Adjustment Coder (AAPC) JOB SUMMARY Properly codes and/or audits professional services for Inpatient and/or...

Job Description Job Description Job Summary: Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc.   Job Responsibilities/Duties: · Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or...

Join Datavant, the trusted data collaboration platform for healthcare. Our mission is to make health data secure, accessible, and actionable. We provide vital data solutions for healthcare providers, health plans, researchers, and life sciences companies. From assisting with individual patient requests to advancing AI in healthcare, our team is dedicated to shaping the future of health data. By becoming a Datavanter, you will be part of a dynamic and collaborative team committed to transformative change in the healthcare landscape. What We’re Looking For We are seeking experienced and certified inpatient coders to join our team. The ideal candidate will have exceptional attention to detail and a solid understanding of medical terminology. This fully remote position offers a flexible schedule, allowing you to influence the future of healthcare from wherever you work best! Key Responsibilities: Assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS...

Description JOB SUMMARY The Physician Coder I performs evaluation/management coding for clinic, inpatient, and outpatient encounters as well as coding for in-office ancillary services and minor procedures. Assigns and sequences all codes for services rendered. Collaborates with coders, billers, clinical staff, managers, and healthcare professionals to ensure accurate coding assignment and to resolve any coding-related claim denials. JOB DUTIES AND RESPONSIBILITIES: Job Specific: Physician Coder I Duties: Assigns codes to diagnoses, hospital visits, office visits, and in-office ancillary services and minor procedures using correct CPT®, HCPCS Level II, and ICD-10-CM codes. (EF) Ensures that assigned codes are accurate and sequenced correctly in accordance with coding guidelines, as well as insurance and government regulations. (EF) Examines patient medical record to ensure coding accurately reflects the documented medical care provided. (EF) Demonstrates...

Position Description Performs medical billing coding and documentation quality audits; provides feedback to coding and reimbursement specialists, coders, and educates them. This job has no supervisory responsibilities. Major/Essential Functions Current and active professional medical billing coding certification required from an accredited organization. Billing and coding experience in a multi-specialty group practice and/or academic practice setting is preferred. Five or more years of health care items/services. Managerial/supervisory and program management implementation experience strongly preferred. Ability to initiate administrative activities as necessary. Excellent oral and written communication skills. Ability to write and present ideas and information in a concise manner. Ability to work collaboratively with all individuals. Professional bearing, sound business judgment and persuasive skills. Strong problem-solving skills, self-starter, ability...

Description Summary: Responsible for maintaining current and high-quality ICD-10-CM and CPT coding for all Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. The coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM Guidelines for Coding and Reporting and CPT Guidelines. Outpatient coding is applicable towards clinical, provider office visits, therapeutic, laboratory, recurring, emergency department, outpatient observation, and ambulatory surgery patient encounters. Coder will work collaboratively with various CHRISTUS Health departments (Admitting, Charging, Patient Financial Services, HIM, etc.) to resolve charging issues, denials, and physician documentation clarifications, to ensure accurate billing...