38 coding auditor educator jobs found

Christie Clinic, LLC in Champaign, IL is seeking a full-time Compliance Auditor/Educator for its Compliance Quality department. This role involves conducting audits, developing educational materials, and ensuring compliance with regulations. The position is Monday to Friday, 8:00 AM to 5:00 PM, with no night or weekend work. Candidates must have a Certified Professional Coder (CPC) certification upon hire and a minimum of one year in coding or auditing. A competitive salary range and substantial benefits package are offered. #J-18808-Ljbffr

Experience Champaign Urbana is seeking a Compliance Auditor/Educator in Champaign, IL. This full-time role involves auditing quality compliance and providing education to healthcare providers. Applicants should possess a Certified Professional Coder (CPC) certification and have at least one year of experience in coding or auditing. A comprehensive benefits package and sign-on bonus are available. #J-18808-Ljbffr

Compliance Auditor/Educator - Compliance Quality (CPC Required) Hot Job Clark St House (CMC) - Champaign, IL 61820 Overview Salary Range: $28.03 - $38.54 Hourly Position Type: Full Time Job Shift: 1st Shift Education Level: High School Category: Coding/Compliance General Summary of Duties Christie Clinic's department of Compliance Quality is seeking a full-time Compliance Auditor/Educator (Sign-On Bonus Available) at our Clark Street location in Champaign from Monday-Friday 8:00am-5:00pm, with no night or weekend requirements. Duties include performing ongoing functions related to quality of care and compliance including government and clinic regulations and policies in support of the Christie Clinic Compliance System. Job Qualifications and Expectations JOB DUTIES Screen, review, identify and document potential quality and compliance issues. Perform billing and coding audits with both random samples as well as provider and department specific samples; and as required....

10 Sarah Bush Lincoln Health Center seeks a Coding Auditor - Professional to ensure proper coding for clinic services. This full-time role involves assisting coders, conducting audits, and maintaining high accuracy in documentation. Ideal candidates will have a high school diploma and relevant certifications like CPC and CEMA. The position offers remote or hybrid work opportunities within specific states. Benefits include tuition reimbursement and comprehensive health coverage. #J-18808-Ljbffr

HIM Certified Coder The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters. Qualifications Certifications: Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA);...

Become a part of our caring community The 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 Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

Clinic Coder II The Clinic Coder II is responsible for conversion of diagnosis and treatment procedures into codes utilizing the current Revision of the International Classification of Diseases and Operations, Clinical Modification (ICD-10-CM), Current Procedural Terminology (CPT-4), Evaluation and Management (E&M), and HCPCS coding for Professional (Physician) services received in the CMH Health Services system. Requires skill in the sequencing of diagnosis/procedures to optimize reimbursement and compliance to documentation and medical policy guidelines for all payers. Ensures that records are coded in an accurate and timely manner. Performs audits on chart information, level of care charged and provides education to staff and providers on compliant coding. General Duties, Tasks and Responsibilities Selects appropriate codes for reimbursement purposes; enters non-office charges into system as needed; investigates and solves all claims questions releasing the claim for...

Ambulatory Coder Chicago The Ambulatory Coding and Reimbursement Specialist is responsible for reviewing, analyzing, and accurately coding ambulatory and/or hospital-based encounters. This role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers. The Specialist ensures all coding aligns with established coding standards, regulatory requirements, and reimbursement policies. Essential Duties and Responsibilities: Analyzes provider documentation to assure the appropriate Evaluation & Management levels are assigned using the correct CPT and current Evaluation and Management Guidelines Interprets outpatient office visit notes and charge documents to determine services provided and accurately assign CPT, Modifiers, and ICD-10 coding to these services. Performs comprehensive...

Coder/Quality Review Analyst This position is responsible for timely and accurate quality review of both internal and vendor coding team members to assure compliance with coding guidelines and standards in addition to their foundation coding responsibilities. The position performs quality checks on coding and provides feedback to coders to assure the timely and accurate coding of medical charts for billing. This position also reviews and responds to coding-based denials for inpatient, hospital outpatient and professional fee claims and advises leadership on trends related to denials. In collaboration with HIM coding management, the coder/quality review analyst will assist with selection of coders and encounters to be reviewed, as well as education to be presented to the coder based on review outcomes. The coder/quality review analyst will also bring forward any issues related to documentation or systems as they are discovered during the review process. This position participates...

Overview The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. For Carle, HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. This role also includes resolving billing edits related to coding and reviewing clinical encounters using Carle electronic medical record systems. Qualifications Certifications: Certified Professional Coder (CPC) – American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) – American Academy of Professional Coders (AAPC); Certified Inpatient Coder (CIC) – American Academy of Professional Coders (AAPC); Certified Coding Specialist...

Certified Outpatient Coder - ONSITE Position Overview The Outpatient Coder is responsible for reviewing outpatient medical records and assigning accurate diagnostic and procedural codes. This role ensures timely coding, supports revenue cycle integrity, and partners with providers to clarify documentation when needed. Key Responsibilities Coding & Documentation Review Assign ICD-10-CM and CPT codes for outpatient records Ensure coding is completed within 3 days of discharge Maintain 98% coding accuracy and meet quality benchmarks Abstract and maintain complete and accurate coding records Collaboration & Communication Query providers for clarification of incomplete or unclear documentation Work closely with physicians, nursing staff, Case Management, and Business Office Follow up on uncoded or delayed accounts Quality & Compliance Monitor coding quality and identify error patterns Ensure compliance with federal and...

Hourly Pay Range: $26.61 - $39.92 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Medical Coder III The Medical Coder III is a senior-level position responsible for ensuring precise coding of diagnoses and procedures in compliance with established coding guidelines and regulations. This role is integral to maintaining financial accuracy and regulatory compliance within our institution. Position Highlights: Position: Medical Coder III Location: Hybrid - Skokie, IL and remote Full Time/Part Time: Full-time (40 hours per week) Hours: Monday-Friday, 8:00am-4:30pm What you will do: Assign accurate diagnostic (ICD-10-CM) and procedural (CPT) codes to medical records, demonstrating advanced proficiency in complex coding scenarios. Lead and conduct internal audits of medical records and coding work to ensure the accuracy and consistency of code assignments, providing guidance and feedback to...

Job Type Full-time Description A Certified Professional Medical Auditor is responsible for reviewing and auditing medical documentation, including patient records, charts, and clinical notes, to ensure accuracy, compliance with regulations, and adherence to industry standards. This role is crucial in maintaining the integrity of medical records, billing processes, and healthcare facilities' compliance with applicable laws and regulations. Requirements Key Responsibilities: Medical Documentation Review: Conduct thorough audits of patient medical records, including physician notes, progress notes, discharge summaries, and other relevant documentation. Examine medical records to verify their completeness and conformity with established standards, ensuring they accurately reflect the patient's condition, diagnosis, treatment, and other pertinent information. Verify that documentation adheres to established coding guidelines, such as ICD-10 and CPT, and...

Medical Coder II page is loaded## Medical Coder IIlocations: SRO Corporate Center Warrenville 4201 Winfield Roadtime type: Full timeposted on: Posted Todayjob requisition id: R38555**Hourly Pay Range:**$24.86 - $37.29 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.**Medical Coder II**The Medical Coder II plays a key role in our hospital's revenue cycle by accurately coding diagnoses and procedures in accordance with established coding guidelines. This position is essential in maintaining financial accuracy and compliance with regulatory requirements.**Position Highlights:*** Position: Medical Coder II* Location: Warrenville, IL* Full Time/Part Time: Full-time (40 hours per week)* Hours: Monday-Friday, during normal business hours**What you will do:*** Assign accurate diagnostic (ICD-10-CM) and procedural (CPT) codes to medical records based on clinical documentation, ensuring adherence to coding guidelines and...

Hourly Pay Range: $24.86 - $37.29 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Medical Coder II The Medical Coder II plays a key role in our hospital's revenue cycle by accurately coding diagnoses and procedures in accordance with established coding guidelines. This position is essential in maintaining financial accuracy and compliance with regulatory requirements. Position Highlights: Position: Medical Coder II Location: Hybrid - Warrenville, IL and remote Full Time/Part Time: Full-time (40 hours per week) Hours: Monday-Friday, 8:00am-4:30pm What you will do: Assign accurate diagnostic (ICD-10-CM) and procedural (CPT) codes to medical records based on clinical documentation, ensuring adherence to coding guidelines and conventions. Conduct internal audits of medical records and coding work to ensure the accuracy and consistency of code assignments. Examine...

Medical Coder The Medical Coder is responsible for accurate coding, abstraction, and auditing of patient encounters to support compliant reimbursement, reporting, and regulatory requirements. This role reviews medical records to ensure documentation integrity, identifies diagnostic and procedural information, and validates that services rendered are fully supported by clinical documentation. The Medical Coder serves as a subject matter expert and consultant to providers and coding staff, identifies discrepancies and opportunities for improvement, and supports ongoing education, quality initiatives, and special projects. Essential duties and responsibilities include but are not limited to: Diagnosis coding for all services, inpatient and outpatient Procedural coding for outpatient and inpatient services Auditing of charges for outpatient services Assists in documentation audits as needed Abstracting Maintains current coding competence regarding ICD-10-CM, ICD-10-PCS, CPT...

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for...

Become a part of our caring community The Senior Market Consultation / Partnership Professional (Nurse Medical Coder) supports Clinical Support Team (CST) initiatives by promoting accurate, compliant, and complete documentation and coding practices that enhance the quality and measurement of programs across risk adjustment. Work assignments involve moderately complex to complex issues where analysis of clinical documentation, coding accuracy, and risk adjustment data requires evaluation of multiple variable factors. Key Responsibilities Perform detailed medical record reviews to ensure accurate ICD-10-CM coding, risk adjustment capture, and alignment with CMS-HCC (e.g., V24/V28) models Validate diagnosis coding and ensure documentation meets compliance standards Identify and escalate coding trends and documentation gaps Serve as a coding subject matter expert supporting CST workflows, including PDV, chart review prioritization, and provider outreach...

Medical Coder II This position has a deep understanding of disease process, A&P and pharmacology and acts as a key collaborator with Providers and Clinical areas to ensure the medical record accurately reflects the patient's service. Position Highlights: Position: Medical Coder II Location: Warrenville, IL Full Time/Part Time: Full Time Hours: Monday-Friday, day shift What you will do: Assigns diagnostic and procedure codes for compliant physician reimbursement and for both evaluation/ management, preventive (HCC risk adjustment) and surgical services under general supervision. Communicates daily regularly with physicians and staff to resolve discrepancies with patient records and coding selections. Performs provider audits on E/M (evaluation/management) services and HCC review on Medicare/Medicare Advantage preventive services and educates providers as needed. Trains physicians and other staff regarding documentation, billing and coding, and...

Position Summary Applies CPT-4 and HCPCS codes to medical records for the cardiovascular lab and interventional radiology departments based on documentation provided by physicians. Adheres to strict federal coding rules and guidelines in selecting codes that appropriately reflect the services that were provided. Balances need for (95% accuracy) coding accuracy against timely account completion for billing deadlines. Essential Responsibilities Coding of surgical procedures performed by cardiologists, and interventional radiologists Verification of supplies used during procedures Use of encoders and other references Maintains appropriate non-leading queries to physicians Ability to abstract services from physician documentation and procedure logs. Reconciliation of monthly surgical logs Managing multiple job tasks daily (WQs, emails, surgical logs, census, etc.) Prepares Excel analysis, including V-Lookups and pivot tables. Gathers and compiles data in a systematic fashion,...

Hourly Pay Range $24.86 - $37.29 - The hourly pay rate offered is determined by a candidate’s expertise and years of experience, among other factors. Medical Coder II The Medical Coder II plays a key role in our hospital’s revenue cycle by accurately coding diagnoses and procedures in accordance with established coding guidelines. This position is essential in maintaining financial accuracy and compliance with regulatory requirements. Position Highlights Position: Medical Coder II Location: Warrenville, IL Full Time/Part Time: Full-time (40 hours per week) Hours: Monday-Friday, during normal business hours What you will do Assign accurate diagnostic (ICD-10-CM) and procedural (CPT) codes to medical records based on clinical documentation, ensuring adherence to coding guidelines and conventions. Conduct internal audits of medical records and coding work to ensure the accuracy and consistency of code assignments. Examine clinical documentation in medical records, working...

Job Title Medical Coder Open to remote staff Position Summary The Medical Coder is responsible for accurately assigning diagnostic and procedural codes across multiple service lines of the hospital complex, including inpatient acute, emergency, ICU, surgery, outpatient, physician clinic, swing-bed/skilled nursing, assisted living, specialty clinics, and therapy/diagnostics. This role ensures compliant, complete, and timely coding to support accurate claim submission, appropriate reimbursement, and regulatory compliance for a Critical Access Hospital. Essential Functions Assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes to inpatient, outpatient, emergency, surgical, and clinic encounters based on clinical documentation. Code across all service lines, including acute inpatient, swing bed, SNF, ER, observation, outpatient surgery, physician clinic (professional services), therapy, and diagnostics. Apply appropriate revenue codes, modifiers, and occurrence/value/condition codes...

At LCMH, we pride ourselves on being more than just a healthcare facility; we are a cornerstone of our charming small town. As a critical access hospital, we provide essential medical services to our community with a personal touch that larger hospitals often can't offer. Why Work With Us? Community-Centered Care : Our hospital is deeply integrated into the fabric of our town. You'll have the opportunity to build meaningful relationships with patients and their families, making a real difference in their lives. Supportive Environment : We foster a collaborative and supportive work environment where every team member is valued. Our staff is like family, and we work together to ensure the best outcomes for our patients. Professional Growth : We are committed to the professional development of our employees. You'll have access to ongoing training and education opportunities to help you grow in your career. Work-Life Balance : Enjoy the benefits of living and working...

Job Details 100% remote Medical Coder needed / Must have hospital and/or acute care experience! Salary: $30 - $40 per hour. Long‑term contract with strong likelihood of conversion to permanent employee in 2027. Benefits 100% remote work Flexible work schedule Growth opportunities Responsibilities Reviewing and analyzing patient records to accurately assign ICD‑10‑CM and ICD‑10‑PCS codes for all diagnoses and procedures. Working closely with healthcare providers to clarify ambiguous or conflicting patient information. Ensuring compliance with established coding guidelines, third‑party reimbursement policies, and federal regulations. Conducting regular audits to ensure coding accuracy, completeness, and compliance with the Health Insurance Portability and Accountability Act (HIPAA). Utilizing various coding software and systems, including Medhost and Athena, to facilitate coding processes and maintain patient data. Assisting in the development and implementation of coding...