28 coding auditor educator jobs found

Coding Auditor/ Educator, Physician Billing HMH PHYSICIAN SERVICES, INC. Edison, New Jersey Requisition # 2025-173031 Shift Day Status Full Time with Benefits Overview Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Physician Billing (PB) Coding Auditor and Educator is responsible for auditing and educating healthcare providers on related applicable clinical documentation. This work supports coding and billing regulations that ensure appropriate reimbursement, public reporting, and various initiatives as...

A healthcare provider in Edison is seeking a Coding Auditor/Educator with at least 5 years of physician coding experience. The role involves auditing and educating healthcare providers on coding practices, ensuring compliance with regulations like ICD-10 and CPT. Candidates should have excellent communication skills, advanced coding knowledge, and proficiency in Google Suite. This is a full-time position with a starting salary of $104,166.40 annually, including competitive benefits. #J-18808-Ljbffr

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Physician Billing (PB) Coding Auditor and Educator is responsible for auditing and educating healthcare providers on related applicable clinical documentation. This work supports coding and billing regulations that ensure appropriate reimbursement, public reporting, and various initiatives as directed by the Hackensack Meridian Health (HMH) Network.

Overview Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Physician Billing (PB) Coding Auditor and Educator is responsible for auditing and educating healthcare providers on related applicable clinical documentation. This work supports coding and billing regulations that ensure appropriate reimbursement, public reporting, and various initiatives as directed by the Hackensack Meridian Health (HMH) Network. Responsibilities A day in the life of a Physician Billing (PB) Coding Auditor and Educator...

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. Physician Billing (PB) Coding Auditor and Educator Responsible for auditing and educating healthcare providers on related applicable clinical documentation. This work supports coding and billing regulations that ensure appropriate reimbursement, public reporting, and various initiatives as directed by the Hackensack Meridian Health (HMH) Network. Education, Knowledge, Skills and Abilities Required High School diploma, general equivalency diploma (GED), and/or GED...

A healthcare organization in Edison, NJ, seeks a Physician Billing Coding Auditor and Educator to audit clinical documentation and educate healthcare providers. The role requires a minimum of 5 years of coding experience and familiarity with ICD-10 and CPT coding systems. Essential certifications include RHIT or CPC. The ideal candidate will demonstrate the ability to work independently in a fast-paced environment, supporting the organization’s mission to improve healthcare outcomes. #J-18808-Ljbffr

Local candidates preferred - requires ability to be onsite as needed. Job Summary : Responsible for leading professional fee (pro-fee) coding quality audits, education, and training, etc. for CPT, ICD-10-CM, and HCPCS codes for Virtua Medical Group clinicians and coding department. This includes leading the workflow of the audit team performing internal audits and providing education and training to the pro-fee coders and clinicians. Responsible for leading all activities related to the large scale external audit, including creating and maintaining audit documentation, ensuring audit schedule and reporting meet required timelines, and coordinating post-audit activities (including provider education and re-audit). Works with Director to implement and execute on the compliance plan for VMG coding. Position Responsibilities: Leads and coordinates all phases of external clinical professional fee coding audit: Selects audit sample and applies national bell curve in...

Job Summary: Responsible for professional fee (pro-fee) coding quality and audits, education and training, etc. for CPT, ICD-10-CM, and HCPCS codes for Virtua Medical Group clinicians and coding department. This includes performing internal audits, overseeing external audits, and providing education and training to the pro-fee coders. Responsible for working with VMG practices to resolve all coding issues that prevent accounts from being processed appropriately. Responsible for developing, implementing and maintaining compliance plan for pro-fee coding and abstracting. Position Responsibilities: Training and Education: Providing training and education for newly hired coders that includes utilizing the medical record in conjunction with rules and regulations to properly code VMG encounters. Audits new coders once they approved to submit charges in the work queues and provides appropriate feedback. Developing coding and training resources for the entire coding team...

A leading health data exchange company is seeking an Outpatient Auditing Specialist to conduct coding audits and provide education. This remote position requires 5+ years of experience in outpatient facility coding, with competitive pay ranging from $35 to $45 per hour. Ideal candidates will have certifications and experience with EMRs like Epic and Cerner, and a commitment to quality and customer service. #J-18808-Ljbffr

A healthcare provider in Ridgewood, NJ is seeking an Outpatient Coding Auditor to ensure compliance with coding guidelines through detailed audits of outpatient medical records. The ideal candidate will have at least 5 years of relevant experience and certifications in coding. This position offers comprehensive benefits including medical, dental, and a retirement plan, with a competitive hourly pay range of $33.16 - $41.45. #J-18808-Ljbffr

DRG Coding Auditor Principal _Virtual: _ _ ​_ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group...

Sterile Processing Department Supervisor The Sterile Processing Department Supervisor continuously assesses activities of SPD Team associated in the processing of reusable medical devices, distribution of procedural supplies, and deployment of patient care equipment. Provides subject matter expertise and evidence-based practice to support the department's operational improvement. The SPD Supervisor assists the assistant manager to evaluate and implement educational programs for the department. Principal Accountabilities: Provides SPD team members (internal and external) with educational support, including needs assessments. Provides standardized education in area of expertise, as well as general education including but not limited to orientation, annual competency assessment, regulatory, accreditation and certification. Develops and communicates a full range of educational and quality monitoring programs to assist SPD Assist Manager/ SPD Manager, Lead Technicians, Sterile...

POSITION SUMMARY: Position Summary The Inpatient Senior Coder is responsible for accurate, compliant, and timely coding and abstracting of inpatient medical records, including the assignment of ICD-10-CM/PCS codes and validation of MS-DRG and APR-DRG groupings. This position ensures proper reimbursement, adherence to regulatory and coding guidelines, and supports overall clinical documentation accuracy for inpatient services. This is a remote position with onsite availability required as needed. EDUCATION: High school diploma or equivalent. CCS (Certified Coding Specialist) Required . EXPERIENCE: * Three to five years of inpatient hospital coding experience * Proficient in ICD-10-CM and ICD-10-PCS coding * In-depth knowledge of MS-DRG and APR-DRG reimbursement systems * Familiarity with coding audits and clinical documentation review * Experience with Observation or complex outpatient cases is a plus * Prior mentoring or training experience preferred...

Become a part of our caring community and help us put health first 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. 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...

Medical Billing and Coding Specialist Department of Surgery The Medical Billing and Coding Specialist will: Perform billing activities in a timely manner, i.e. surgical billing, physician billing and coding; may assist with chart audits to identify areas for improvement and resolve as appropriate. Ensure that claims are coded and processed accurately and timely. Work the primary holds daily for all billing related follow-up and communicates with the practice staff and physicians to identify improvement when necessary. Billing liaison between the Practices and other Saint Peter's Healthcare System departments as well as physician billing vendor. Assist Billing/Coding Coordinator with related projects and issues as they arise. Act as the financial interpreter for patients by advising them of their financial responsibility, providing them with concise and easily understood information about healthcare coverage, prior to or at time of service. Coordinates activities...

Position Summary The Outpatient Coding Auditor is responsible for auditing coded outpatient medical records to ensure compliance with official coding guidelines, regulatory agencies, and internal policies. This role supports coding accuracy, education, and process improvement through detailed review of encounters, identification of trends and variances, and communication with coding staff and leadership. This position also collaborates with external vendors to monitor performance and incorporate industry best practices into audit feedback and education. Education High school diploma or equivalent required. Experience Minimum of 5 years of experience in hospital auditing or education experience ICD-10-CM and Outpatient CPT-4, HCPCs coding experience required. Knowledge of Medical Necessity APC,OCE, LCD, and NCD edits required . 3M Encoder experience, Meditech, EPIC, or CERNER preferred. Skills CCS or COC, CPC, RHIT, RHIA required. Knowledge of ICD-10-CM, CPT-4 and HCPCs...

Job Description Job Description This is a remote position. We are looking for a Senior Clinical Coding Auditor & Trainer. This position is primarily remote with a small travel expectation on an annual basis. Purpose: Responsible for developing, conducting, administering, and analyzing clinical coding training and auditing programs. The Senior Clinical Coding Auditor & Trainer will conduct audits of inpatient coding processes and assist in development of training and audit tools. Responsibilities: Develop and maintain complex audit processes and audit tools related to inpatient coding Develop and conduct clinical education courses for existing and new employees Audit established guidelines for medical necessity Analyze training needs and identify, select, or develop appropriate training programs including training aids and materials Audit staff in accordance with established auditing processes, work with staff to identify and...

Auditor The auditor reviews professional fee billing, coding and documentation. Reviews to be performed are identified based on the then-current OIG Workplan and compliance risk analyses. Customers include employed providers, senior leadership, clinical and non-clinical staff of Cooper University Health Care. Under the supervision of the Chief Compliance Officer, auditors are responsible for supporting the corporate compliance program, responsibilities include: Performance of timely and effective compliance and operational reviews to assess coding, documentation and billing accuracy, identify compliance related risks, internal control weaknesses, revenue capture opportunities and assist in determining the root cause of any identified non-compliance with government rules and regulations, state laws and Cooper policies and procedures Preparatory work for reviews/audits including developing a scope of work. Reviewing available documentation. Analyze/review audit data and...

Please note all candidates must complete & pass onsite testing in Marlton, NJ prior to an interview. Position Responsibilities: Responsible for abstracting clinical information and assigning CPT-4 and ICD-10 codes from medical records and documents to support physicians professional fees, including but not limited to outpatient evaluation and management (E/M) services and procedures in accordance guidelines. Job Description Job Description Position Responsibilities: • Abstract billing for outpatient evaluation and management codes, minor surgical procedure(s) and HCPCS (supplies and pharmaceuticals) codes from provider documentation to include; assignment of CPT-4, ICD-10-CM codes and modifiers. • Research simple coding/billing issues for the physicians to identify and recommend the most appropriate method of coding/billing. Research may involve interaction with such organizations as American Medical Association, specialty societies, or other coding...

The Sterile Processing Department Supervisor continuously assesses activities of SPD Team associated in the processing of reusable medical devices, distribution of procedural supplies, and deployment of patient care equipment. Provides subject matter expertise and evidence-based practice to support the department's operational improvement. The SPD Supervisor assists the assistant manager to evaluate and implement educational programs for the department. Principal Accountabilities Provides SPD team members (internal and external) with educational support, including needs assessments. Provides standardized education in area of expertise, as well as general education including but not limited to orientation, annual competency assessment, regulatory, accreditation and certification. Develops and communicates a full range of educational and quality monitoring programs to assist SPD Assist Manager/ SPD Manager, Lead Technicians, Sterile Processing Technicians, Materials...

A healthcare data platform company is seeking an Inpatient Auditing Specialist to perform facility coding audits and provide coder education. This fully remote position offers a flexible schedule and is ideal for candidates with extensive inpatient coding experience. Join a values-driven team dedicated to improving healthcare through data solutions. Competitive pay and benefits including medical, dental, and training opportunities are available. #J-18808-Ljbffr

Coder - Physician Practice - CPC Required Virtua Health Responsibilities: Abstract billing for outpatient evaluation and management codes, minor surgical procedure(s) and HCPCS (supplies and pharmaceuticals) codes from provider documentation to include; assignment of CPT-4, ICD-10-CM codes and modifiers. Research simple coding/billing issues for the physicians to identify and recommend the most appropriate method of coding/billing. Research may involve interaction with such organizations as American Medical Association, specialty societies, or other coding consultants. Analyze the medical record to determine the appropriateness of coding and potential patterns of abuse, working with the Coding/Charge/Audit Analyst(s) to resolve the issue(s). Qualifications: Minimum of two years records coding experience and/or equivalent education (completion of AAPC course or completion of coding program at trade school). Ability to perform functions in a Microsoft Windows environment....

Job Description The Sterile Processing Department Supervisor continuously assesses activities of SPD Team associated in the processing of reusable medical devices, distribution of procedural supplies, and deployment of patient care equipment. Provides subject matter expertise and evidence-based practice to support the department's operational improvement. The SPD Supervisor assists the assistant manager to evaluate and implement educational programs for the department. Principal Accountabilities: Provides SPD team members (internal and external) with educational support, including needs assessments. Provides standardized education in area of expertise, as well as general education including but not limited to orientation, annual competency assessment, regulatory, accreditation and certification. Develops and communicates a full range of educational and quality monitoring programs to assist SPD Assist Manager/ SPD Manager, Lead Technicians, Sterile Processing...