314 coding auditor educator lead jobs found

Overview Are you ready to take the next step in your professional journey? At Minnesota Oncology, we believe that our people are our greatest asset, and we are committed to fostering a diverse and inclusive workplace where everyone can thrive. We are constantly on the lookout for talented individuals who are passionate, driven, and eager to make a difference. Come join this dynamic team who is passionate about providing exceptional care to our patients. Why Work for Us? We offer a competitive benefits package that includes - Medical Dental Vision Free Life Insurance Generous Paid Time Off (PTO) Plan Free Short-term and Long-term Disability Coverage 401k plan with company contribution Wellness program that rewards your healthy lifestyle Tuition Reimbursement Employee Assistance Program and Discount Program to some of your favorite retailers Free Parking Career Growth and Development Supportive Team and Resources This position may be remote for well-qualified applicants....

Overview Are you ready to take the next step in your professional journey? At Minnesota Oncology, we believe that our people are our greatest asset, and we are committed to fostering a diverse and inclusive workplace where everyone can thrive. We are constantly on the lookout for talented individuals who are passionate, driven, and eager to make a difference. Come join this dynamic team who is passionate about providing exceptional care to our patients. Why Work for Us? We offer a competitive benefits package that includes - Medical Dental Vision Free Life Insurance Generous Paid Time Off (PTO) Plan Free Short-term and Long-term Disability Coverage 401k plan with company contribution Wellness program that rewards your healthy lifestyle Tuition Reimbursement Employee Assistance Program and Discount Program to some of your favorite retailers Free Parking Career Growth and Development Supportive Team and Resources This position may be remote for well-qualified applicants....

Xtensys in Ithaca, NY seeks a seasoned Professional Lead Medical Coding Auditor to serve as the senior SME across specialties, performing complex audits, developing educational programs, and guiding provider education. The role centers on documentation integrity, compliance, and revenue-cycle improvements. You will mentor staff, monitor audit outcomes, and support quality initiatives while ensuring adherence to CMS, Medicare, HIPAA, and payer requirements. #J-18808-Ljbffr

Datavant, the data collaboration platform trusted for healthcare, is hiring a Profee Auditing & Education Specialist to lead professional fee coding audits, provide rationale for changes, and deliver coder education programs remotely. You will organize multiple cases, identify coding trends, develop educational content, and collaborate with leadership and clients to maintain reference tools while upholding coding ethics. #J-18808-Ljbffr

Xtensys in Ithaca, NY seeks a seasoned Professional Lead Medical Coding Auditor to serve as the senior SME across specialties, performing complex audits, developing educational programs, and guiding provider education. The role centers on documentation integrity, compliance, and revenue-cycle improvements. You will mentor staff, monitor audit outcomes, and support quality initiatives while ensuring adherence to CMS, Medicare, HIPAA, and payer requirements. #J-18808-Ljbffr

Mountain View Hospital is seeking a Medical Coding Auditor to join our team in Idaho Falls. In this role, you will be responsible for conducting audits of medical records and ensuring accurate coding and billing. The ideal candidate should have a high school diploma, relevant certifications, and at least 3 years of coding experience. We offer a comprehensive benefits package including medical, dental, vision insurance, and a retirement plan matching. Join us to make a difference in your community. #J-18808-Ljbffr

The Valley Health System in Ridgewood, NJ is seeking an Outpatient Coding Auditor to review outpatient records for compliance with coding guidelines and regulatory requirements. You will identify trends, educate staff, and collaborate with external vendors to implement industry best practices and improve overall audit results. Requires 5+ years in hospital auditing with ICD-10-CM, outpatient CPT-4, HCPCS coding experience; 3M Encoder experience and EPIC/Meditech/CERNER familiarity are preferred. #J-18808-Ljbffr

Emory Healthcare is seeking an Outpatient Coding Auditor to implement and maintain a compliance plan for outpatient coding and reimbursement, and to assist the Coding Manager with outpatient and emergency coding services. The role includes developing education programs, supervising HIM Compliance activities, and coordinating continual reviews and quality audits to ensure accurate APC assignment and reimbursement. Strong communication and organization are essential. #J-18808-Ljbffr

ECU Health is seeking a qualified auditor/coder to create and maintain education programs, ensuring accurate coding for professional Part B services. You will audit ICD10CM, CPT, HCPCS, and modifiers, and communicate findings to leadership. You will develop targeted training and update policies as needed. Hybrid role based out of Greenville, NC, with a focus on education for staff and providers, and collaboration with coding leadership to improve reimbursement and compliance. #J-18808-Ljbffr

Lexington Regional Health Center Title: Medical Coder Effective Date: October 29, 2021 Supervisor: Director of Health Information Management Department: Health Information Management FLSA Status: Non-Exempt Principle duties and responsibilities Review medical records to assign accurate diagnostic and procedure codes to patient records, which will play a key role in determining reimbursement and adherence to coding compliance regulations and corporate policies developed to ensure accurate billing. Responsible for coding specific areas of the organization as assigned. May have the potential to transition to a work from home position based on the needs of the organization after on- site orientation and training has been established. Use of encoder software to assign appropriate CPT and ICD-10-CM/PCS codes. Collaborate with the various departments to ensure proper charging and billing for maximum reimbursement. Interact with providers regarding documentation...

Medical Coding Specialist Key Responsibilities: Analyze patient charts, physician notes and discharge summaries Ensure documentation is complete and accurate before coding Translate diagnoses and procedures into standardized codes using: ICD-10-CM (diagnoses) CPT (procedures) HCPCS (supplies/services) Make sure codes correctly represent services provided Follow healthcare laws and regulations (HIPAA, Medicare/Medicaid guidelines) Company Policies Prevent coding errors that could lead to claim denials or audits Stay updated on coding changes and updates Work with billing teams to submit coded claims to insurance companies Verify claim accuracy to ensure proper reimbursement Fix rejected or denied claims by reviewing and correcting codes Communicate with healthcare providers and insurance companies Protect sensitive patient information Follow strict privacy and data security standards Clarify documentation with physicians when needed Collaborate with billing...

Coder Reimbursement Specialist - Hospital The Coding and Reimbursement Specialist, CCS is responsible for coding and abstracting thoroughly, clinical data from the medical record. This includes both inpatient, outpatient, commercial, Medicare, Medicaid, and Illinois Public Aid, plus any other payor types. This accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis, grouped to the DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. Manages workload and assigns work to three inpatient and two outpatient coders and oversees the day to day workings of the coding/reimbursement area. Monitors various regulatory sources to keep HIM coding and other staff informed and trained on various coding rules, regulations and related issues. Works closely with patient financial services to resolve any...

****COLORADO RESIDENTS ONLY**** Part-time/PRN Non-Exempt Pay range: The pay range for this position is $32.00–$44.00 per hour, depending on qualifications and experience. Most candidates are hired near the midpoint of the range. Reports to: Coding Manager Location: Administrative Building (Louisville) – Hybrid/Remote after Training REMOTE REQUIREMENTS: Internet minimum recommendation: 20Mb/s down, 10Mb/s up, less than 10ms latency. Comcast offers up to 1000Mb/s down, 40Mb/s up, less than 5ms latency. Computer: Windows 10 or 11 with i5 processor or better, 8GB+ RAM or better, 1920x1080 resolution screen, ability to run an extra monitor if you wish. Gotchas: 4K(3840x2160) may be too small of a font for some of the applications. You will have to play with your settings to read some parts of Intergy. Mac with Sequoia OS or newer. Virus protection on your computer. Recommend Sentinel One or Sophos. No Chromebooks, Windows 7, old Mac OS, etc. Computers must be able to update to stay...

JOB SUMMARY: This position is responsible for reviewing a patient's medical records after a Clinic visit and translating the information into codes that insurers use to process claims for patients. Duties include confirming treatments with medical staff, identifying missing information, and submitting information to insurers for reimbursement. RESPONSIBILITIES (ESSENTIAL FUNCTIONS): Accurately assigns and sequences codes (ICD-10-CM, CPT, HCPCS/modifiers as necessary) for each patient encounter, following proper coding guidelines and legal requirements to ensure compliance with federal and state regulations. Ensures professional/physician billing CPT codes/ICD-10 codes are assigned correctly and sequenced appropriately as per government and insurance regulations. Queries providers or other Clinic team members when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Assigns and enters...

Overview Baptist Health is the region’s largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in 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 this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in 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 this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

OverviewThe Professional Coding Compliance Specialist provides revenue cycle support to Riverside Medical Group and its coding team by regularly auditing provider documentation and corresponding coding to ensure correct, complete and compliant practices that fully support diagnoses reported and charges submitted for services rendered, meet regulatory and payor-specific requirements, and accurately describe the patient encounter; providing feedback and education to providers and coders based on audit results, regulatory changes, and industry trends; assisting with orientation of new providers, residents/fellows, and new members of the coding team.Essential DutiesCompletes timely audits of assigned providers and coders for accurate, complete, and compliant ICD-10-CM and CPT/HCPCS code assignment, ensuring that documentation supports the diagnoses reported, E/M level selected, and CPT/HCPCS codes submitted for services rendered during the episodes of care reviewedReviews audit...

Coder Job Summary The Coder's primary job function is to certify accurate billing for professional services and hospital procedures. This is accomplished through review of clinical encounters, confirming correct use of diagnosis and procedural codes and application of appropriate modifiers and CCI edits. The Coder provides education to providers to ensure proper completion of the medical record. Job Specific Competencies 1. Reviews clinical encounters presented via electronic lists to ensure proper submission of services prior to billing. a. Edits and corrects diagnosis and procedural codes and applies modifiers and CCI edits as required according to coding guidelines and department policy. b. Effectively utilizes coding software and/or books to confirm coding accuracy. c. Verifies referring provider, rendering provider, department and other critical data elements are accurate prior to submission of completed coding. 2. Receives and reviews paper fee slips for hospital services...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in 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 this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...