29 coding auditor educator jobs found

Humana Inc. is seeking an IPA Consultative Coder to collaborate with multidisciplinary teams in CenterWell Senior Primary Care to improve documentation accuracy and support cost-effective care. You will educate providers and clinic staff in IPA clinics, perform documentation audits, and conduct quarterly chart reviews to reinforce coding best practices. This full-time role requires 3+ years of risk adjustment coding and CCS/CRC/CPC certification, with residence within 50 miles of the assigned #J-18808-Ljbffr

Become a part of our caring community Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices. Responsibilities You will deliver coding and documentation education to providers and clinic staff within IPA clinics. You will be a consultative resource and ongoing support for providers in assigned clinics. You will conduct documentation audits to identify gaps, trends, and opportunities for improvement. You will perform quarterly chart reviews to support coding accuracy and documentation completeness. Use your...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Schedule: Monday-Friday, 8-hour shifts between the hours of 7am-5pm PST. Training schedule will be 8:30am-5pm PST. Travel will be required up to 50% of the time for chart retrievals. The Medical Coder supports IPA (Independent Provider Association) Providers with ongoing ICD-10 CM Coding Education relating to Medicare Advantage - Risk Adjustment CMS Documentation & Coding Guidelines by providing tools to allow for greater meaningful information exchange to...

NON-CLINICAL CODING AUDITOR AND TRAINER - 5525 US:NV:Carson City | Information Management | Full Time Description US:NV:Carson City Health Information Management Full Time Standard Office Hours Summary The Non-Clinical Coding Auditor and Trainer reviews services provided and compares them to EHR and billing records to determine accuracy. This position is responsible for performing quality reviews of outpatient medical records to validate the integrity of ICD-10 diagnoses and procedures as well as CPT/CPT II/PCS coded procedures. The position reviews medical records and other documentation to identify under and over coded services, prepares reports of findings and meets with management to educate on and improve coding practices. The Coding Auditor and Trainer ensures appropriate coding and maintains compliance documentation. This position ensures that billing is optimized, and errors are minimized by identifying opportunities through audit and observation; remaining abreast of...

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: Benefits may vary based upon position type and/or level. Job...

Remote Coding SpecialistThis position is open to remote candidates who reside in one of the following states only: Nevada, Texas, Arizona, Utah, Florida, Idaho, Oregon, or Washington. Due to business operations, tax registration, and employment compliance requirements, we are only able to hire individuals who currently live and work in these states. Applicants must maintain residency in one of the approved states as a condition of employment.Position PurposeTo be responsible for accurately assigning diagnostic and procedural coding for all encounters associated with Renown Health Network and Ambulatory Services. This will also include translating patient information into alpha-numeric medical codes using patient treatment, health history, diagnosis, and related information. Assignment of ICD-10-CM and CPT codes must be consistent with CMS' Official Guidelines and any regulatory agency guidelines.Nature and ScopeIncumbents must be proficient with CPT and ICD-10-CM coding systems and...

Full Time - Eligible for Benefits, Day, 8a-4p Clerical & Administrative Support Remote Worker Biweekly Hours: 80 Position Purpose To be responsible for accurately assigning diagnostic and procedural coding for all encounters associated with Renown Health Network and Ambulatory Services. This will also include translating patient information into alpha-numeric medical codes using patient treatment, health history, diagnosis, and related information. Assignment of ICD-10-CM and CPT codes must be consistent with CMS’ Official Guidelines and any regulatory agency guidelines. Nature and Scope Incumbents must be proficient with CPT and ICD-10-CM coding systems and are responsible for assigning ICD diagnosis codes and CPT procedure codes accurately and completely to ensure optimal reimbursement and coding quality. Coders in this position are held accountable for adhering to coding and compliance guidelines; and accounts must be coded and complete within timeframes specified by...

Company: New Horizon Billing Solutions (NHBS) Department: Medical Billing – Revenue Cycle Management (RCM) Location: In-Office / On-Site – Las Vegas, NV Schedule: Monday – Friday, 9:00 AM – 5:00 PM Employment Type: Full-Time POSITION SUMMARY The Certified Medical Coder is responsible for reviewing patient medical records and accurately translating diagnoses, procedures, and healthcare services into standardized ICD-10-CM, CPT, and HCPCS codes. This role ensures accurate billing, proper insurance reimbursement, compliance with federal, state, and payer regulations (including LCD/NCD guidelines), and efficiency across revenue cycle operations. The coder collaborates closely with providers, the billing team, and the auditing function to clarify documentation, resolve discrepancies, and support coding audits and reviews. KEY RESPONSIBILITIES Coding & Documentation Review Review medical records and assign accurate diagnosis and procedure codes (ICD-10-CM, CPT, HCPCS)....

Medical Coding Professional 2Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands.As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices.This is a hybrid position that requires occasional travel within the assigned market.ResponsibilitiesDeliver coding and documentation education to providers and clinic staff within IPA clinics.Be a consultative resource and ongoing support for providers in assigned clinics.Conduct documentation audits to identify gaps, trends, and opportunities for improvement.Perform quarterly chart reviews to support coding accuracy and...

Medical CoderOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.Schedule: Monday-Friday, 8-hour shifts between the hours of 7am-5pm PST. Training schedule will be 8:30am-5pm PST. Schedule to be determined by supervisor upon hire.Location: 2716 North Tenaya Way, Las Vegas, NV 89128. Travel will be required up to 50% of the time for chart retrievals.The Medical Coder supports IPA (Independent Provider Association) Providers with ongoing ICD-10 CM Coding...

Improve the lives of others while Caring. Connecting. Growing together. Job Description - Medical Coder (2390762) Medical Coder - 2390762 Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Schedule: Monday‑Friday, 8‑hour shifts between the hours of 7am-5pm PST. Training schedule will be 8:30am-5pm PST. Schedule to be determined by supervisor upon hire. Location: 2716 North Tenaya Way, Las Vegas, NV 89128. Travel will be required up to 50% of the time for...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Schedule: Monday-Friday, 8-hour shifts between the hours of 7am-5pm PST. Training schedule will be 8:30am-5pm PST. Travel will be required up to 50% of the time for chart retrievals. The Medical Coder supports IPA (Independent Provider Association) Providers with ongoing ICD-10 CM Coding Education relating to Medicare Advantage - Risk Adjustment CMS Documentation & Coding Guidelines by providing tools to allow for greater meaningful information exchange...

Optum, part of UnitedHealth Group, is seeking a Medical Coder to support IPA providers with ICD-10 coding education for Medicare Advantage risk adjustment. The role trains clinical documentation to build accurate member health profiles and improve patient outcomes. The position involves concurrent chart reviews, coding audits, and collaboration with clinic partners. Travel up to 50% may be required. #J-18808-Ljbffr

Medical Coder Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Schedule: Monday-Friday, 8-hour shifts between the hours of 7am-5pm PST. Training schedule will be 8:30am-5pm PST. Schedule to be determined by supervisor upon hire. Location: 2716 North Tenaya Way, Las Vegas, NV 89128. Travel will be required up to 50% of the time for chart retrievals. The Medical Coder supports IPA (Independent Provider Association) Providers with ongoing ICD-10 CM...

Become a part of our caring community Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices. This is a hybrid position that requires occasional travel within the assigned market. Responsibilities: You will deliver coding and documentation education to providers and clinic staff within IPA clinics. You will be a consultative resource and ongoing support for providers in assigned clinics. You will conduct documentation audits to identify gaps, trends, and opportunities for improvement. You will...

Join Our Caring Community Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices. This is a hybrid position that requires occasional travel within the assigned market. Responsibilities: Deliver coding and documentation education to providers and clinic staff within IPA clinics. Be a consultative resource and ongoing support for providers in assigned clinics. Conduct documentation audits to identify gaps, trends, and opportunities for improvement. Perform quarterly chart reviews to support coding...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Schedule: Monday-Friday, 8-hour shifts between the hours of 7am-5pm PST. Training schedule will be 8:30am-5pm PST. Schedule to be determined by supervisor upon hire. Location: 2716 North Tenaya Way, Las Vegas, NV 89128. Travel will be required up to 50% of the time for chart retrievals. The Medical Coder supports IPA (Independent Provider Association) Providers with ongoing ICD-10 CM Coding Education...

Datavant is seeking a Profee Auditing Specialist to audit professional fee coding and educate users on coding quality. The role supports remote work with a flexible schedule, and emphasizes accuracy, ethics, and regulatory awareness. CPC certification is required, CPMA preferred, with experience in Epic or Cerner. Availability around 20 hours per week is preferred. Ideal candidates will manage multiple cases, provide clear change rationales, and maintain a high accuracy rate while delivering #J-18808-Ljbffr

Hourly Wage Estimate: $34.59 - $51.89 / hour Learn more about the benefits offered ( https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards ) for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Schedule: Monday-Friday Day Shift Hours Candidate must have Inpatient Facility Coding and DRG Validation experience Job Summary and Qualifications As a work from home Inpatient Coding Auditor, you will be...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Schedule: Monday-Friday, 8-hour shifts between the hours of 7am-5pm PST. Training schedule will be 8:30am-5pm PST. Schedule to be determined by supervisor upon hire. Location: 2716 North Tenaya Way, Las Vegas, NV 89128. Travel will be required up to 50% of the time for chart retrievals. The Medical Coder supports IPA (Independent Provider Association) Providers with ongoing ICD-10 CM Coding Education...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Schedule: Monday-Friday, 8-hour shifts between the hours of 7am-5pm PST. Training schedule will be 8:30am-5pm PST. Schedule to be determined by supervisor upon hire. Location: 2716 North Tenaya Way, Las Vegas, NV 89128. Travel will be required up to 50% of the time for chart retrievals. The Medical Coder supports IPA (Independent Provider Association) Providers with ongoing ICD-10 CM Coding Education...

UnitedHealth Group is seeking a Medical Coder to support IPA providers with ICD-10 coding education and CMS documentation guidelines. You will train clinical documentation skills to improve health profiles and outcomes for members. The role involves concurrent reviews, coding audits, records retrieval, and collaboration with clinicians and leaders to address emerging needs while maintaining HIPAA confidentiality and quality standards. #J-18808-Ljbffr

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Schedule: Monday-Friday, 8-hour shifts between the hours of 7am-5pm PST. Training schedule will be 8:30am-5pm PST. Schedule to be determined by supervisor upon hire. Location: 2716 North Tenaya Way, Las Vegas, NV 89128. Travel will be required up to 50% of the time for chart retrievals. The Medical Coder supports IPA (Independent Provider Association) Providers with ongoing ICD-10 CM Coding Education...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Schedule: Monday-Friday, 8-hour shifts between the hours of 7am-5pm PST. Training schedule will be 8:30am-5pm PST. Schedule to be determined by supervisor upon hire. Location: 2716 North Tenaya Way, Las Vegas, NV 89128. Travel will be required up to 50% of the time for chart retrievals. The Medical Coder supports IPA (Independent Provider Association) Providers with ongoing ICD-10 CM Coding Education...