33 coding auditor educator jobs found

Quadris Team, LLC - A Revenue Cycle Management Group, is searching for a dynamic person to join us, working with our highly skilled Medical Coding Team to fill the role of Medical Coding Auditor & Educator.We are a 100% remote team supporting our clients across the United States! See us at.The ideal applicant will be a subject matter expert in both Facility and Profee medical coding auditing.Job Focus :The Senior Coding Auditor may be responsible for a variety of duties and obligations, depending on the client and assignment.These responsibilities may include inpatient / outpatient / professional fee facility auditing, denial management, coding, implementation specialist, job aid creation, training, and specialty coding.The position may also be responsible for management of the audit team and project management.All coding and auditing are performed within the scope of regulatory and compliance law expectations.Auditing Responsibilities :May include conducting inpatient,...

Marana Health is seeking a Medical Assistant Supervisor to join our Medical team at the Marana Main Health Center, located in the heart of Marana, AZ. The Medical Assistant Supervisor provides leadership, supervision, guidance, mentorship, and operational oversight to Medical Assistant (MA) staff while supporting high-quality patient care across primary care, specialty, clinical, and behavioral health services. This position partners with clinicians and staff to support efficient workflows, staff development, and a positive patient experience. Marana Health is a Federally Qualified Community Health Center (FQHC), with 11 sites in Tucson and Pima County. Our mission is to improve our community by providing exceptional, whole-person healthcare. Required Qualifications: High School diploma or equivalent 2 years' experience as a Medical Assistant Graduate of a Medical Assistant program accredited by ABHES (Accrediting Bureau of Health Education Schools) OR CAAHEP...

Job Description Job Description Overview This position aids in properly capturing charges and correctly billing for services performed.  The Medical Billing Specialist minimizes department rework, reprocessing of multiple claims from misaligned coding, and tracks and trends repeated missed opportunities for compliant charging and proactively finds and/or provides input regarding tools to streamline and/or improve charging processes. Responsibilities MAIN: Analyze daily financial exceptions from the charge capture audit reports to determine areas of leakage and partner with information technology and clinical service lines to rectify charge capture issues by assisting service lines to improve their ability to capture compliant charges.  Performs assigned audits by researching documentation, analyzing information, and makes recommendations to improve flow of claim and enters all corrections into the systems. Perform root cause analyses, when warranted by continuous...

Overview Join the Indian Health Service and make a meaningful impact in Native communities. In this role, you will support vital healthcare operations that ensure patients receive timely, high-quality care. If you’re looking for a rewarding career where your work directly supports patient services and community well‑being, we encourage you to apply. Real ID Requirement A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021). Responsibilities Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented...

Department Name:Coding AmbulatoryWork Shift:DayJob Category:Revenue CycleA rewarding career that fits your life. As an employer of the future, we are proud to offer our team members many career and lifestyle choices including remote work options. If you’re looking to leverage your abilities – you belong at Banner Health.In this Physician Coder Quality Associate position, you bring your 5 years of Ambulatory Physician coding experience to a team who resolves complex denials, identifies trends, and provides solutions to help support mid-revenue cycle.This is a Quality position, not a day-to-day coding production role, but does require coding proficiency and recent Physician Ambulatory/Professional Coding experience. This position is task-solution-oriented ensuring quality in the Ambulatory Coding department and allows opportunity for coaching fellow coders through different aspects of Ambulatory Coding and denial prevention.Requirements:5 years current experience in Ambulatory...

Join to apply for the Professional Billing Coder II role at Onvida Health 2 days ago Be among the first 25 applicants Join to apply for the Professional Billing Coder II role at Onvida Health Get AI-powered advice on this job and more exclusive features. Job Description Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks Job Description Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks Shift: Days Pay Rate Type: Hourly Location: Remote Listed is the base hiring salary range offered for this position. Actual salaries may vary depending on factors, including but not limited to skills and experience. The salary range listed is just one component of the total rewards/compensation package offered to candidates. Min = $22.62 Mid = $28.28 Max = $33.93 Summary The Professional Billing Coder II is an intermediate-level coding professional responsible for independently reviewing medical documentation and assigning accurate diagnostic and...

Staff Position Description Position Title: Professional Services Certified Coding Reviewer Position Code: Coder-8125 Department: Health Information Management Safety Sensitive: YES Reports to: HIM Director/Manager Exempt Status: NO Position Purpose: All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision to be among the kindest, highest quality health systems in the country. Key Responsibilities Ensures data quality in compliance with State, Federal and regulatory requirements. Evaluates medical record documentation and charge reports to ensure completeness, accuracy and compliance with the Correct Coding Initiative Edits. Codes all professional charges to ensure accurate and timely billing Perform coding reviews and/or surgical coding for practices and providers. Evaluates and report audit findings or reviews and reports on results to physicians and/or operations directors. Provides technical guidance, training, and...

Medical Coder (Full-Time)We are seeking a detail-oriented and reliable Medical Coder to join our healthcare team in Tucson, Arizona. The Medical Coder will be responsible for accurately reviewing, assigning, and verifying diagnostic and procedural codes for patient records to ensure proper billing and compliance with all applicable regulations. This role plays a key part in optimizing revenue cycle performance while maintaining high standards of accuracy and confidentiality.Key Responsibilities:Review patient medical records, provider notes, and clinical documentation to assign appropriate ICD-10, CPT, and HCPCS codesEnsure coding accuracy and compliance with federal, state, and payer-specific regulationsWork closely with healthcare providers to clarify diagnoses and procedures as neededIdentify and resolve coding discrepancies or denialsMaintain up-to-date knowledge of coding guidelines, regulations, and industry standardsAssist with audits and support internal compliance...

Southwest Network is hiring a Medical Coding Auditor to review charts and clinical records, ensuring all diagnostic and procedural codes and modifiers are strictly accurate and compliant. You will identify trends in improper coding that could lead to denials or audits and collaborate with rendering providers to clarify ambiguities. In this role you will provide targeted education and direct coaching, translate audit findings into actionable training, and work with IT/EHR teams to improve charge #J-18808-Ljbffr

Specialist - Concurrent Coding / Inpatient CoderFull-timeCompany DescriptionAccounting and Finance/HealthcareJob DescriptionSpecialist-Concurrent Coding/Inpatient Scottsdale Arizona 85258Exp 2-5Degree AssociatesJob Summary: The Concurrent Coding Specialist performs and facilitates concurrent inpatient coding in order to establish a working DRG. Ensures high quality documentation that is thorough, accurate and complete to ensure accurate reimbursement capture. He or she will concurrently reviews health records, identifies key clinical data elements within the record, and translate this data from verbal description of disease, injuries and procedures into numerical designations, applying ICD coding systems. Audits for documentation opportunities and queries clinical staff with CDI to fill in any gaps, clarify confusing, incomplete or conflicting information and obtain any needed additional documentation in real time. Ensures coding compliance and acts as technical resource, resolves...

Medical Billing SpecialistThis position aids in properly capturing charges and correctly billing for services performed. The Medical Billing Specialist minimizes department rework, reprocessing of multiple claims from misaligned coding, and tracks and trends repeated missed opportunities for compliant charging and proactively finds and/or provides input regarding tools to streamline and/or improve charging processes.ResponsibilitiesMAIN:Analyze daily financial exceptions from the charge capture audit reports to determine areas of leakage and partner with information technology and clinical service lines to rectify charge capture issues by assisting service lines to improve their ability to capture compliant charges.Performs assigned audits by researching documentation, analyzing information, and makes recommendations to improve flow of claim and enters all corrections into the systems.Perform root cause analyses, when warranted by continuous trends, to pinpoint areas, process gaps...

Job DetailsEssential Functions:Audits charts and reviews clinical records ensuring all diagnostic and procedural codes and modifiers strictly adhereIdentifies trends in improper coding or other communication shortcomings that may lead to claim denials or auditsComplies with all medical coding guidelines and monitors evolving regulatory and industry changesProvides targeted education, direct coaching, and facilitates training programs tailored to each medical specialty upon translating audit findingsFollows up and clarifies any information that is not clear with the rendering providerCollaborates with IT and EHR teams to improve charge automation and optimize workflowsConducts ad-hoc audits to ensure fidelity to coding guidelinesRelevant expert for Southwest Network on accurate and efficient coding practicesAnalyze medical records and identify documentation deficienciesNonessential Functions:Follows policies and procedures and adheres to the requirements of the Corporate Compliance...

Who We Are At Copa Health, we are committed to People First, fostering a culture of compassion, innovation, and impact. We support individuals and families across Arizona through high-quality behavioral health and integrated care services while also investing in the growth and well-being of our team. Why Join Copa Health? At Copa Health, we prioritize the growth, well-being, and satisfaction of our team members. When you join our team, you’ll receive: Competitive salary and comprehensive benefits package Personalized Health Coverage - Receive a monthly, tax-free contribution to select the medical plan that works best for you, with guidance and support through our ICHRA program Dental and Vision Coverage to complement your health plan Generous PTO - up to 3 weeks in your first year, plus an additional wellness day to recharge 10 paid holidays annually Wellness Program, including access to mental health resources Tuition Reimbursement up to $3,000 to invest in your growth and...

Pride Global is hiring a Quality Assurance Coder/Auditor to support risk adjustment, HCC coding quality, auditing, and provider education initiatives. You will review medical records and ensure accurate ICD-10 coding per CMS and Medicare Managed Care guidelines. The role conducts QA audits of provider/vendor data, identifies documentation gaps, and develops training materials for providers and coding staff. Strong knowledge of HCC methodologies is required. #J-18808-Ljbffr

Job Title: Quality Assurance Coder/Auditor Location: Hybrid (1 - Day in office) / (Can be Fully remote for Arizona's candidate) Schedule: Full-Time | Monday – Friday | 8:00 AM – 5:00 PM ET Vacancy Type: FTC - 6 months with Option to Extend or Convert to Permanent Pay Rate: $46.07 per hour without benefits Job Summary We are seeking an experienced Quality Assurance Coder/Auditor to support risk adjustment, HCC coding quality, auditing, and provider education initiatives. This individual will review medical records and supporting documentation to ensure accurate, complete, and compliant diagnosis coding in accordance with ICD-10, CMS, Medicare Managed Care, and risk adjustment guidelines. The Coder/Auditor will perform quality audits of provider and vendor-submitted HCC data, identify coding and documentation deficiencies, recommend corrective actions, and develop educational materials for providers and coding staff. This role requires strong knowledge of HCC coding methodologies,...

Overview We are seeking an experienced Emergency Department Facility Coding Specialist to join our remote coding team. This role is responsible for reviewing emergency department medical records and accurately assigning ICD-10-CM, CPT/HCPCS, and facility Evaluation & Management (E/M) codes while ensuring compliance with payer, regulatory, and organizational requirements. The ideal candidate will have recent emergency department facility-fee coding experience, strong knowledge of injection and infusion coding, and an active coding certification through AAPC or AHIMA. Responsibilities Review emergency department medical records and assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers. Accurately assign facility E/M levels based on client-specific emergency department leveling guidelines and facility charging methodologies, including use of the ACEP leveling tool. Analyze documentation from physicians, nursing...

Job Details Essential Functions: Audits charts and reviews clinical records ensuring all diagnostic and procedural codes and modifiers strictly adhere Identifies trends in improper coding or other communication shortcomings that may lead to claim denials or audits Complies with all medical coding guidelines and monitors evolving regulatory and industry changes Provides targeted education, direct coaching, and facilitates training programs tailored to each medical specialty upon translating audit findings Follows up and clarifies any information that is not clear with the rendering provider Collaborates with IT and EHR teams to improve charge automation and optimize workflows Conducts ad-hoc audits to ensure fidelity to coding guidelines Relevant expert for Southwest Network on accurate and efficient coding practices Analyze medical records and identify documentation deficiencies Nonessential Functions: Follows policies and procedures and adheres to the...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Summary Join the Indian Health Service and make a meaningful impact in Native communities. In this role, you will support vital healthcare operations that ensure patients receive timely, high-quality care. If you're looking for a rewarding career where your work directly supports patient services and community well-being, we encourage you to apply. Duties Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures. Ensures diagnostic and procedural terminology aligns with current medical nomenclature and...

Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks Shift: Days Pay Rate Type: Annual Salary Location: Remote Listed is the base hiring salary range offered for this position. Actual salaries may vary depending on factors, including but not limited to skills and experience. The salary range listed is just one component of the total rewards/compensation package offered to candidates. Min = $68,875.27 Mid = $86,094.08 Max = $103,312.90 Summary The Compliance Auditor performs proactive and reactive internal and external audits and investigations related to documentation, coding and billing, and regulatory guidelines for hospital and outpatient services. Responsibilities Performs proactive and reactive internal and external audits and investigations for hospital and outpatient services rendered to ensure proper documentation, medical necessity, accurate coding and billing are supported. Continually monitors regulations, standards and regulatory guidelines in coding...

Specialist - Concurrent Coding / Inpatient Coder Full-time Company Description Accounting and Finance/Healthcare Job Description Specialist-Concurrent Coding/Inpatient Scottsdale Arizona 85258 Exp 2-5 Degree Associates Job Summary: The Concurrent Coding Specialist performs and facilitates concurrent inpatient coding in order to establish a working DRG. Ensures high quality documentation that is thorough, accurate and complete to ensure accurate reimbursement capture. He or she will concurrently reviews health records, identifies key clinical data elements within the record, and translate this data from verbal description of disease, injuries and procedures into numerical designations, applying ICD coding systems. Audits for documentation opportunities and queries clinical staff with CDI to fill in any gaps, clarify confusing, incomplete or conflicting information and obtain any needed additional documentation in real time. Ensures coding compliance and acts as technical...

InclusivCare is seeking a Medical Coder (Remote) to provide coding, audit, and compliance support for all clinical services. This role ensures accurate CPT/HCPCS/ICD-10-CM coding in line with FQHC regulations and payer policies, while supporting risk mitigation and provider education. The ideal candidate holds an AAPC Certification and has at least 3 years of professional medical coding experience, preferably in an FQHC setting. Experience with Athena and strong Excel/Word skills are essential. #J-18808-Ljbffr

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Coder (Remote) 30+ days ago Requisition ID: 1131 GENERAL SUMMARY OF DUTIES: Provides coding, audit, and compliance support for all clinical services rendered by the organization. This role ensures accurate code assignment, adherence to FQHC billing and reimbursement regulations, and supports risk mitigation efforts through provider education and ongoing audit activities. SUPERVISION EXERCISED: None ESSENTIAL FUNCTIONS: Conduct routine and targeted provider coding audits to ensure compliance with FQHC billing requirements, Medicare, Medicaid, and commercial payer policies. Analyze audit findings and communicate results to Providers, including corrective action recommendations and education as needed. Serve as a liaison to Providers regarding coding updates, new services, documentation standards, and regulatory changes;...

Marana Health is seeking a Medical Assistant Supervisor to join our Medical team at the Marana Main Health Center, located in the heart of Marana, AZ. The Medical Assistant Supervisor provides leadership, supervision, guidance, mentorship, and operational oversight to Medical Assistant (MA) staff while supporting high-quality patient care across primary care, specialty, clinical, and behavioral health services. This position partners with clinicians and staff to support efficient workflows, staff development, and a positive patient experience. Marana Health is a Federally Qualified Community Health Center (FQHC), with 11 sites in Tucson and Pima County. Our mission is to improve our community by providing exceptional, whole-person healthcare. Required Qualifications: High School diploma or equivalent 2 years' experience as a Medical Assistant Graduate of a Medical Assistant program accredited by ABHES (Accrediting Bureau of Health Education Schools) OR CAAHEP...