7 coding auditor and provider educator jobs found

Accountant 1 - Medical Billing Specialist 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 accounting. If you have healthcare revenue-cycle experience plus accounting coursework — or an accounting credential and the drive to master Medicaid billing — we want to hear from you. OYA offers competitive state benefits, meaningful public-service work, and a team grounded in integrity, professionalism, and equity. Top Duties...

Medical Auditor Position When you hear the term auditor, do you think of mountains of paperwork and digging through files with a fine-tooth comb? As a medical auditor for SAIF, you'll work in a computerized, fast-paced production environment to ensure payments to medical providers are accurate and timely. No reams of paper for this job. A medical auditor does more than review medical bills and ensure correct payment amounts. You'll serve as the primary point of contact for medical providers, claims adjusters, and other parties involved in medical bill payment. You will also be explaining payment amounts, answering their questions and explaining workers compensation rules. If you like working on a team in a fast-paced environment, and you know your way around medical bills, chart notes, and coding, we invite you to apply. Please note: Flexible workers may be required to travel to SAIF's offices in Salem, Oregon. Responsibilities: Review automated audit results and...

Job Posting 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 equivalent:...

Job Description Job Description Description: SUMMARY The Medical Coder is responsible for reviewing clinical documentation and accurately assigning diagnostic, procedural, and billing codes for medical, dental, behavioral health, and ancillary healthcare services provided by CTCLUSI Health Services. This position supports compliant billing practices, reimbursement optimization, and accurate health record documentation in accordance with tribal, federal, applicable state, and payer requirements. The Medical Coder wit collaboratively with providers, [DS1.1]clinical staff, billing personnel, and leadership to ensure timely and accurate coding, claim submission readiness, and compliance with all applicable regulations and standards. Note: This position is fully remote and requires the employee to maintain a secure, confidential workspace that complies with HIPAA and CTCLUSI confidentiality requirements. PRINCIPAL ACTIVITIES & RESPONSIBILITIES: Reviews medical records...

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...

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...

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