28 coding auditor facility 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,...

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2675 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Advanced knowledge...

About Optima Medical :Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130medical providers, who care for more than 200,000 patients statewide.Our mission is to improve the quality of life throughout Arizona by helping communities Live Better, Live Longer through personalized healthcare, with a focus on preventing the nation's top leading causes of death.We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services.We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard.This position requires an initial 60-day training period at our corporate office in Scottsdale, Arizona.Upon successful completion of training, the position will transition to a fully remote role.Job Responsibilities :Audit Medical Records...

Coder 3 - Remote The Coder 3 electronically records, stores, and reports on reams of data. Responsible for coding the following service types based on department and assignments: Facility HIM: Inpatient, outpatient, emergency room, and outpatient clinical. Ambulatory: Coding and auditing professional, inpatient, outpatient, emergency, and clinic. Coders will need to apply a broad knowledge of procedure coding, diagnosis coding, medical terminology, and anatomy/physiology. Responsibilities: Communication: Works in collaboration with physicians in tracking un-coded charts and identifying opportunities to properly complete coding assignments. Works closely with Clinical Documentation Improvement (CDI) specialists, providers, and clinical staff to develop and maintain a comprehensive audit and management system to ensure proper charge capture, sufficient documentation, and proper code assignment across all service lines. Mentors and trains other coders in the department....

Summary This position is located in the Health Information Management (HIM) section at the Southern Arizona VA Health Care System (SAVAHS). MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Responsibilities Duties include, but are not limited to: Outpatient MRTs (Coder) at this level perform the full scope of outpatient coding including ambulatory surgical cases, diagnostic studies and procedures, outpatient encounters, and/or inpatient professional services. Outpatient duties consist of the performance of a comprehensive review of documentation within the health record to accurately assign ICD-10-CM codes for diagnoses, CPT/HCPCS codes for surgeries, procedures and evaluation and management services. They independently review and abstract clinical data from the record for documentation of diagnoses and...

Job Description Job Description PLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center. Position Summary: The Lead Medical Coder serves as a certified professional coder and assists the Medical Coding Office Manager with oversight of daily coding operations. Performs the full range of coding, assigns ICD, CPT, HCPCS, and medical inpatient codes; abstracts data from the record; performs chart analysis, research coding issues; peer reviews; and serves as a medical documentation and coding technical expert to TONHC providers. Scope of Work: This position is located within Tohono O'odham Nation Health Care (TONHC). The work involves performing specialized medical record tasks and resolving problems using established processes, coding conventions, and guidelines. Performance of duties reflects directly on patient care by recording services...

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...

Surgery Him Coder Wickenburg Community Hospital is a beautiful and sophisticated rural-access hospital located in Wickenburg, Arizona. WCH is a 8-bed Emergency Department, 19-bed Acute department and many ancillary services. We also have 3 Primary Care Clinics. Here at WCH, we strive to maintain the highest standards of professionalism and care. Join us today and let us be part of your success story. We offer: Full Benefits PTO/Sick Leave Wellness Benefits Wickenburg Community Hospital is a non-profit organization and qualifies for the Public Service Loan Forgiveness (PSLF) program. General Description We are seeking a highly detail-oriented and experienced Surgery HIM Coder to join our Health Information Management team. This position is responsible for reviewing, analyzing, and accurately assigning ICD-10-CM, CPT, and HCPCS codes for surgical procedures based on clinical documentation in the patient medical record. The Surgery Coder ensures coding compliance with...

Job Description Job Description Hi, we're Oscar. We're hiring an Associate, SIU Coding Auditor to join our SIU. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: The Associate, Special Investigations Unit Coding Auditor executes on Oscar's anti-fraud initiatives by supporting operational and financial targets while adhering to legal and regulatory obligations. You will help execute on audit strategy by ensuring team productivity is met while ensuring quality remains high. The associate networks across all partners, and recommends enhancements to processes, policies, and procedures to support a best in class Fraud Waste and Abuse program. We ask that you have attention to detail, innovation, and ability to shift priorities to align...

Job Description Job Description Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Position Summary The Medical Biller is responsible for managing the full revenue cycle for a small, fastpaced family practice. This role ensures accurate claim submission, timely payment posting, denial management, and patient billing. The ideal candidate is detailoriented, reliable, and able to work independently while maintaining strict compliance with payer rules and practice policies. Key Responsibilities Claims & Billing Prepare, review, and submit clean claims to insurance carriers (electronic and paper). Verify coding accuracy and ensure all required documentation is present before submission. Correct and resubmit rejected or denied claims promptly. Maintain uptodate knowledge of CPT, ICD10, and payerspecific billing guidelines. Payment Posting & Reconciliation Post insurance and patient payments accurately into the practice...

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 resource, resolves issues, educates and works closely...

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 KHIs 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 reports audit findings or reviews and reports on results to physicians and/or operations directors. Provides technical guidance training and on-going coding education when...

Medical Records Technician (Coder Outpatient) This position is located in the Health Information Management (HIM) section at the Southern Arizona VA Health Care System (SAVAHS). MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Duties include, but are not limited to: Outpatient MRTs (Coder) at this level perform the full scope of outpatient coding including ambulatory surgical cases, diagnostic studies and procedures, outpatient encounters, and/or inpatient professional services. Outpatient duties consist of the performance of a comprehensive review of documentation within the health record to accurately assign ICD-10-CM codes for diagnoses, CPT/HCPCS codes for surgeries, procedures and evaluation and management services. They independently review and abstract clinical data from the record for...

Certified Professional Coder (AR & Denials) Phoenix, AZ Direct Hire | $27$32/hr | MondayFriday, 8AM5PM Confidential Employer Third-Party Recruiter Posting Potential Remote Flexibility for Experienced Candidates About the Role We are seeking an experienced Certified Professional Coder to support Accounts Receivable (AR) and Denials Management for a specialty medical group based in Phoenix, AZ. This is a direct-hire opportunity offering stability, growth, and the potential for remote work for top-tier candidates. The ideal candidate brings strong coding accuracy, experience working denials end-to-end, and comfort working with specialty practicesNeurology experience is a major plus. Familiarity with Athena (Athenahealth) is also preferred. Key Responsibilities Perform accurate coding using ICD-10-CM, CPT, and HCPCS Audit and scrub claims to ensure high clean-claim rates Investigate and resolve payer denials; submit corrected claims and appeals Monitor AR...

Responsibilities Essential Functions For This Position: Ensures that codes are assigned correctly and sequenced appropriately as per government and insurance regulations. Essential Functions For This Position: Ensures that codes are assigned correctly and sequenced appropriately as per government and insurance regulations. Essential Functions For This Position: Complies with all medical coding guidelines. Essential Functions For This Position: Follows up and clarifies any information that is not clear with the rendering provider. Essential Functions For This Position: Conducts ad-hoc audits to ensure fidelity to coding guidelines. Essential Functions For This Position: Relevant expert for Southwest Network on accurate and efficient coding practices. Essential Functions For This Position: Analyze medical records and identify documentation deficiencies. Nonessential Functions: Follows policies and procedures and adheres to the requirements of the Corporate Compliance...

Job Description Unlock your potential for professional development! We are hiring a ED / Observation Coder (Full Time) to join our Imaging Services Team! Located in northwest Arizona, Kingman has a mild climate with stunning Arizona sunsets! In the shadows of beautiful mountain ranges and nearby lakes, Kingman is an outdoor enthusiasts' paradise with abundant sunshine and is a great community to live, work and play! 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. The ED / Observation Coder oversees assigned departments' charging through software systems. Benefits ( Full Time Employees ) We offer you an excellent total compensation package, including a competitive salary, comprehensive benefits, and growth opportunities: Exceptional Colleagues Join us and you'll be a part of a culture where we...

Job Description 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...

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. ***** FT and PRN Openings *** Up to $5,000 Sign On Bonus ***** 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...

Join Datavant, a leading data collaboration platform in healthcare, as we strive to make health data secure, accessible, and actionable. Our mission empowers providers, health plans, researchers, and life sciences companies to transform the way data is utilized for better health outcomes. By becoming a part of our team, you will contribute to meaningful innovations in healthcare from the comfort of your own workspace. Exciting Opportunities Available: Full-Time and PRN Positions with up to $5,000 Sign-On Bonus! What We're Looking For As an experienced inpatient coder, you will play a vital role in our team. We seek candidates with meticulous attention to detail and an extensive knowledge of medical terminology. This fully remote position offers a flexible schedule to help you thrive. Your Responsibilities: Assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS codes. Abstract and sequence medical codes accurately from patient records while...

Certified Professional Coder (AR & Denials) - Phoenix, AZ Direct Hire | $27-$32/hr | Monday-Friday, 8AM-5PM Confidential Employer - Third?Party Recruiter Posting Potential Remote Flexibility for Experienced Candidates About the Role We are seeking an experienced Certified Professional Coder to support Accounts Receivable (AR) and Denials Management for a specialty medical group based in Phoenix, AZ. This is a direct?hire opportunity offering stability, growth, and the potential for remote work for top?tier candidates. The ideal candidate brings strong coding accuracy, experience working denials end?to?end, and comfort working with specialty practices- Neurology experience is a major plus . Familiarity with Athena (Athenahealth) is also preferred. Key Responsibilities Perform accurate coding using ICD?10?CM, CPT, and HCPCS Audit and scrub claims to ensure high clean?claim rates Investigate and resolve payer denials; submit...

Position Summary TheMedical Coder/Audit Specialist position is an exempt salaried position thatensures that AAAI's coding, documentation, and billing practices are accurate,compliant, and aligned with payer regulations. This role reduces risk exposure,strengthens revenue capture, manages payer portals, and supports providersthrough education and proactive auditing. This position supports timelysubmission of insurance claims to a wide variety of payers and functions as anintermediary between healthcare providers, clients, patients and healthinsurance companies. Must be certified from an accredited organization such as AAPC (CPC) (CCS) is required in coding and / or billing. Reports To: Medical PracticeAdministrator Principal Duties andResponsibilities 1.Revenue Protection & Growth Accurate Coding = Correct Reimbursement: Ensures all CPT/ICD-10 codes and HCPCS are properly supported, reducing underpayments. Audit-Driven Optimization: Identifies missed...

Lakewood Surgery Center is hiring a full time Medical Biller Welcome to Lakewood Surgery Center At Lakewood Surgery Center, we provide first-class surgical services for local communities and recognize our employees as our number one assets. We focus on offering a high quality, ambulatory care alternative to a hospital for surgical procedures. Our facility is accredited by The Joint Commission. Medical Biller at Lakewood Surgery Center The Medical Biller is responsible for overseeing the entire billing process for patient accounts, from submitting all billings to insurance in a timely manner, to working with our coding specialist to ensure that all cases are coded correctly, leading monthly coding audits, and taking the lead role in driving insurance collections. Essential Job Duties and Responsibilities include the following: Electronically submit patient procedure bills to third party payers Perform timely and accurate postings of payments received from...

Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Position Summary The Medical Biller is responsible for managing the full revenue cycle for a small, fast‑paced family practice. This role ensures accurate claim submission, timely payment posting, denial management, and patient billing. The ideal candidate is detail‑oriented, reliable, and able to work independently while maintaining strict compliance with payer rules and practice policies. Key Responsibilities Claims & Billing • Prepare, review, and submit clean claims to insurance carriers (electronic and paper). • Verify coding accuracy and ensure all required documentation is present before submission. • Correct and resubmit rejected or denied claims promptly. • Maintain up‑to‑date knowledge of CPT, ICD‑10, and payer‑specific billing guidelines. Payment Posting & Reconciliation • Post insurance and patient payments accurately into the practice management system. •...

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:...