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6 coding auditor and provider educator jobs found

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coding auditor and provider educator Intermediate Level Remote
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Gainwell Technologies
Full Time
 
Clinical DRG Auditor – Remote
Gainwell Technologies Remote (USA)
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary: We are seeking a talented individual for a Clinical DRG Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to validate the conditions that were documented in the medical record, the ICD-10-CM/PCS code assignments and determine the accuracy of DRG assignment that is clinically supported as defined by review methodologies specific to the...

Mar 10, 2026
Physicians Choice LLC
Full Time
 
Quality Analyst / Coding Auditor I
Physicians Choice LLC Remote
Physicians' Choice is currently seeking a highly proficient and seasoned Medical Coding Auditor specializing in Evaluation and Management (E/M) services, with a comprehensive understanding of Emergency Medicine, to join our esteemed team. If you possess extensive expertise in current E/M coding guidelines and have a strong background in auditing, we invite you to apply for this exceptional opportunity. Job Description:  As a Medical Coding Auditor you will play a vital role in ensuring accurate and compliant coding practices within our organization. You will be responsible for conducting detailed audits of medical records, coding documentation, and related billing processes to verify compliance with established coding guidelines, regulatory requirements, and internal policies. Responsibilities: Perform comprehensive audits of medical records, coding documentation, and billing processes. Evaluate the accuracy, completeness, and appropriateness of medical...

Feb 18, 2026
US
Full Time
 
Healthcare Compliance Audit Analyst (Must have CPC, CCS-P, or CPMA)
U.S. Urology Partners Remote
General Summary:   U.S. Urology Partners, LLC (USUP) and its physician groups are committed to promoting conduct that is responsible, ethically sound, and compliance with applicable law.  USUP’s Compliance Department (CD) fosters a corporate culture of ethical behavior and integrity in all matters related to compliance with the laws and regulations that govern the delivery and reimbursement of health care.  An integral function of USUP’s compliance program is auditing and monitoring compliance with billing, coding, and documentation requirements of its providers.    An CPC, CCS-P, or CPMA is required for this position.     Compliance Audit Services:   Compliance audit initiatives include physician, other providers, and facility documentation audits as well as preparation of guidance documents and tools to assist physicians and staff in appropriate billing, coding, and documentation.  The audit program looks at professional fee billing,...

Feb 03, 2026
Prairie Flower Billing
Full Time Part Time
 
Medical Billing Assistant
Prairie Flower Billing Remote
The Medical Billing Assistant is responsible for handling insurance claims, patient billing, and  payment processing in a fully remote environment. This role ensures the accuracy and timeliness  of financial transactions while maintaining compliance with regulatory standards. The position  requires a dedicated home office setup, reliable high-speed internet, and proficiency with digital  communication and billing systems. Duties & Responsibilities  Billing & Claims Processing  ● Prepare, review, and submit insurance claims and patient invoices with accuracy and  timeliness.  ● Verify patient insurance coverage and eligibility prior to billing.  ● Follow up with insurance companies to ensure timely payments and resolve claim issues.  ● Process claim denials and coordinate appeals when necessary.  ● Follow up and collect payments from patients.  Financial Management  ● Process patient payments, reconcile accounts, and manage accounts receivable.  ● Investigate...

Mar 12, 2026
UM
Full Time
 
INPATIENT CODING EDUCATION ANALYST
UW Medicine Remote
UW Medicine Enterprise Records and Health Information has an outstanding opportunity for an INPATIENT CODING EDUCATION ANALYSTS. WORK SCHEDULE 100% FTE Mondays - Fridays 100% Remote POSITION HIGHLIGHTS Performs daily activities related to auditing, education and training of one or more content areas ERHI has coding oversight for. Serve as an expert in Inpatient coding, respond to general coding questions (ICD, DRG, CPT and HCPCS), engage in the development and/or implementation of audit/monitoring plans, participate in the development and/or delivery of educational and outreach materials, report on unit activities, maintain unit records, monitor regulatory developments, and help develop Coding program policies and procedure. DEPARTMENT DESCRIPTION Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical...

Feb 23, 2026
University of Colorado Medicine
Full Time
 
Coding Education Specialist
University of Colorado Medicine Remote
University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado. We are seeking 2 motivated  Coding Education Specialists  with an emphasis in Pathology/Interventional Radiology and Anesthesia/Radiation Oncology.  This job can be performed 100% remotely and out of state candidates will be considered. The Coding Education Specialist will primarily be responsible for supporting and leading ongoing education to existing coding staff,...

Feb 20, 2026
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