41 coding auditor facility jobs found

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);...

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. 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 Professional Coder (CPC) – American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) – American Academy of Professional Coders (AAPC); Certified Inpatient Coder (CIC) – American...

Now hiring Certified Medical Coder Location: Rockford, IL Pay Rate: $25.00 per hour Schedule: Monday - Friday | 8:00 AM to 4:00 PM Requirements CPC or CPC-A certification required Minimum 2 years of medical coding, claims processing, or medical billing experience Strong knowledge of medical coding, billing guidelines, and industry standards Ability to review claims accurately and identify billing types and coding requirements Strong attention to detail and quality assurance skills Excellent organizational, communication, and problem‑solving abilities Proficiency with data entry and medical claims management systems Ability to handle confidential medical information in accordance with compliance standards Job Duties Receive client submissions and enter client and examinee information into the database Review and verify claims for completeness and required documentation Process medical claims by identifying billing types and entering bills into the review system...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking a dedicated Critical Care Registered Nurse to join their team. The primary responsibility is to perform concurrent and retrospective reviews, ensuring accurate coding of physician claims and maintaining compliance with all regulatory guidelines. Key Responsibilities Perform 100% concurrent/retrospective review: audit and code physician critical care claims to ensure documentation supports billed service levels. Assign accurate ICD-10-CM & CPT codes for complex provider documentation in Critical Care, Hospital Inpatient, and Observation visits. Mitigate over-billing risks by validating time-based documentation and clinical indicators. Manage high-volume workqueues, efficiently navigating and clearing assigned Epic workqueues for a hospital. Balance mixed coding workloads by pivoting between...

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. 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...

Inpatient Coding Auditor Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the...

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...

Job Summary The University of Chicago Physicians Group (UCPG) team is responsible for the overall management of clinical revenue for physician billing. This includes frontend revenue capture, working of edits, conducting audits for physician education, and ensuring the workflow of charge capture through invoice creation. UCPG is seeking an Abstractor/Coder to work with providers and staff on professional billing and compliance activities. Strong knowledge of evaluation and management coding guidelines and requirements is strongly preferred. This position is eligible for a flexible work arrangement. Responsibilities Obtain appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits. Analyze denial and rejection reports, and appeal wherever appropriate. Submit charges in a timely manner. Work in collaboration with the Clinical Revenue Supervisor and others, providing guidance to faculty and staff on the...

PFS - Coder I FT Gibson City, IL 60936 Overview Salary Range $21.00 - $32.00 Hourly Position Type Full Time Description The PFS Medical Coder is responsible for the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The coder is responsible for assigning and verifying the correct codes are used to describe the type of service(s) the patient received. The Coder will ensure the codes are applied correctly during the medical billing process, which includes removing the information from the documentation, assigning the appropriate codes, and creating a claim to be paid by the insurance carriers. Coders will work with the hospital, clinics, and physician offices as needed to provide personalized, professional healthcare services to the residents of the Communities we serve. Principle Duties and Responsibilities Assign codes to diagnosis and procedures, using ICD-10, CPT, and HCPS codes. Ensure...

Now hiring Certified Medical Coder Location: Rockford, IL Pay Rate: $25.00 per hour Schedule: Monday - Friday | 8:00 AM to 4:00 PM Start your next chapter with Staffmark, where people come first, and every role makes an impact. Want a Certified Medical Coder job where you're treated like part of the team, not just part of the process? We're hiring motivated individuals who keep things moving - and we don't take that lightly. Every role makes an impact. Here's what it takes to make yours count. Requirements: CPC or CPC-A certification required Minimum 2 years of medical coding, claims processing, or medical billing experience Strong knowledge of medical coding, billing guidelines, and industry standards Ability to review claims accurately and identify billing types and coding requirements Strong attention to detail and quality assurance skills Excellent organizational, communication, and problem-solving abilities Proficiency with data...

Job Description 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...

Medical Coder (Remote) - Contract Opportunity Job ID: 297083 Location: Remote Facility: Hopedale Medical Complex Employment Type: Contract Duration: 13 Weeks Schedule: Day Shift Start Date: ASAP (Quick Start Available) Position Summary Hopedale Medical Complex is seeking an experienced Medical Coder to join its team on a contract basis. This remote opportunity is ideal for a coding professional with strong experience across multiple healthcare service lines and a commitment to coding accuracy, compliance, and revenue cycle integrity. The Medical Coder will be responsible for reviewing clinical documentation and assigning accurate diagnostic and procedural codes for a variety of patient encounters within a Critical Access Hospital environment. This position plays a key role in supporting compliant billing practices, reimbursement accuracy, and regulatory requirements. Key Responsibilities Assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes based on...

Clinic Coder I The Clinic Coder I 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...

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...

Outpatient Surgery Coder LaSalle Network is hiring for a skilled Outpatient Surgery Coder to support a high-performing healthcare team in a fully remote environment. This role is ideal for someone who thrives in independent work settings and has a sharp eye for detail, particularly when working with surgical documentation and coding accuracy. If you're ready to jump into a fast-paced, quality-driven role, we want to hear from you. Compensation: $60,000 $70,000 Benefits: Medical, Dental, Vision Location: Illinois, Indiana, Iowa, Wisconsin, Ohio, Missouri, Michigan or Florida. Work Model: Fully Remote What's the Job? Assign accurate ICD-10-CM, CPT and HCPCS codes for outpatient surgical encounters, with a strong focus on same day surgery cases Review operative reports and clinical documentation to ensure coding accuracy and completeness Apply APC reimbursement methodologies to support accurate billing outcomes Ensure compliance with CMS guidelines and payer-specific...

Medical Billing Specialist I Fully Remote Allied Benefit Systems Overview Salary Range $20.00 - $21.00 Hourly Position Type Full Time Category Accounting & Finance Description POSITION SUMMARY The Billing Specialist I will assist in file imports using multiple systems, state reporting calculation and filing, multiple types of client invoicing, client setups/changes, client audits and creating/maintaining reports. ESSENTIAL FUNCTIONS Process and submit accurate and timely invoices to clients Follow up on outstanding payments and resolve any billing discrepancies Communicate with clients regarding billing inquiries and payment status Maintain accurate records of all billing and collection activities Assist with month end closing and reporting Collaborate with other departments to ensure accurate and timely billing Set up new accounts for our new book of business Change accounts for existing book of business Audit accounts to ensure setup/changes...

Position Summary The DBO Lead Supervisor is responsible for the oversight of teams performing revenue cycle functions across multiple clients, acting as the primary point of contact for day‑to‑day time management, support services, policy interpretation, and dissemination of new directions. The role requires frequent, effective communication via phone, email, and instant messaging with client teams, and a strong focus on analytical, independent, and self‑motivated work. The Supervisor reports to the Domestic Business Office leadership team and has direct responsibility for unit financial performance. Responsibilities Own client‑facing meetings, including creating agendas, issue logs, report packages, and supporting materials to facilitate discussion. Manage team metrics, including individual productivity and quality measures and client‑specific service‑level agreements. Collaborate with HMS Shared Services to complete onboarding for new clients, including staff assignments, system...

Job Summary The University of Chicago Physicians Group (UCPG) team is responsible for the overall management of clinical revenue for physician billing. This includes frontend revenue capture, working of edits, conducting audits for physician education, and ensuring the workflow of charge capture through invoice creation. UCPG is seeking an Abstractor/Coder to work with providers and staff on professional billing and compliance activities. Strong knowledge of evaluation and management coding guidelines and requirements is strongly preferred. This position is eligible for a flexible work arrangement. Responsibilities Obtain appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits. Analyze denial and rejection reports, and appeal wherever appropriate. Submit charges in a timely manner. Work in collaboration with the Clinical Revenue Supervisor and others, providing guidance to faculty and staff on the...

Compensation Based on Experience. Senior Medical Coder $30 - $40 per hour | Glen Allen, VA | Remote | Consulting Remote need for Medical Coder with strong outpatient experience! 5+ month contract position! A bit about us: We are currently seeking a highly skilled and experienced Medical Coder to join our dynamic team. This position requires a dedicated professional who is passionate about the medical industry and is well-versed in Athena EHR or equivalent software. The successful candidate will be responsible for assigning codes to medical procedures, diagnoses, and treatments, ensuring the accuracy and compliance with established coding standards and regulatory bodies. Why join us? Medical, Dental, Vision 401k Remote flexibility Flexible schedules and much more! Job Details Responsibilities: Accurately assign ICD-10 and CPT codes to medical procedures, diagnoses, and treatments in accordance with industry standards and regulatory guidelines. Review patient medical...

Position Summary The Inpatient Coding Auditor will be responsible for the auditing of inpatient coders and auditing of offshore inpatient coding auditors to ensure coding accuracy standards are met. This role requires frequent and effective communication via phone, email, and instant messaging with various client teams and payers. The Inpatient Coding Auditor will report to the Huron Managed Services Domestic Coding team. Key Responsibilities Perform a variety of activities involving the coding of medical records, resolving coding related denials, and auditing of coders to ensure coding accuracy standards are met. Demonstrate Huron’s Vision and Values in behaviors, practices, and decisions. Utilize encoder software applications and all applicable online tools to assign ICD-CM diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments. Apply coding guidelines established by CDC, CMS, AHA, AMA, AHIMA, and client procedures. Conduct quality checks/audits on...

Abstractor/Coder The University of Chicago Physicians Group (UCPG) team is responsible for the overall management of clinical revenue for physician billing. This includes frontend revenue capture, working of edits and conducting audits for physician education. Ensuring the workflow of charge capture through invoice creation. UCPG is seeking an Abstractor/Coder to work with providers and staff on professional billing and compliance activities. Strong knowledge of evaluation and management coding guidelines and requirements is strongly preferred. This position is eligible for a flexible work arrangement. Responsibilities: Obtain appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits. Analyze denial and rejection reports, and appeal wherever appropriate. Submit charges in a timely manner. Work in collaboration with the Clinical Revenue Supervisor and others, provide guidance to faculty and staff on...

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...

Coding Auditor - Professional Department: Physician coding Hours: Full-Time (40 hours per week) Location: Remote or onsite. Must reside in one of the following states: Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas. Pay: Starts at \$23.87/hour, based on experience. Estimated compensation range \$23.87 - \$37.00. Responsibilities Assist coders with coding questions. Conduct collection and reporting of provider and coder audit results and education. Work with coders and providers to ensure appropriate documentation for clinic services. Report results to Coding Supervisor – Professional. Demonstrate ability to code all types of encounters. Maintain 95% accuracy in diagnoses and procedures coding. Ensure data quality and optimum reimbursement under federal and state payment systems. Identify and refer trend patterns of coding and...

Coder Auditor-Professionals are responsible for auditing coding assignments with providers and coders, training coding professional staff, and pro‑fee based coding which includes the assignment of ICD‑CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. They interact with medical staff, nursing, ancillary departments, provider offices, and outside organizations. At this time, we are only able to consider applicants who reside in the following states: Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas. Responsibilities Assists coders with coding questions. Conducts the collection and reporting of provider and coder audit results and education. Works with coders and providers to ensure appropriate documentation for clinic services. Reports results to Coding Supervisor - Professional. Demonstrates ability to code all...