37 coding auditor facility jobs found

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2814 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...

Location: Boston, Massachusetts, United StatesCompany: TakedaPosted: 2026-08-04LocationsZurich, Switzerland; Boston, MAJob DescriptionOBJECTIVES / PURPOSEProvides enterprise-level governance, portfolio and operational leadership for medical grants, medical education grants and sponsorships within Global Medical.Ensures that funding decisions are transparent, objective, well documented, aligned with enterprise Medical priorities, Therapeutic Area strategies, unmet scientific or educational need, patient-centric outcomes, and compliant with Takeda standards and applicable industry requirements.Establishes and maintains clear funding frameworks, decision criteria, review pathways, committee operations, documentation expectations, budget visibility, system/repository requirements and lifecycle oversight from intake through close-out. The role partners with Global Therapeutic Areas, regions, LOC Medical, Ethics & Compliance, Legal and Finance to define areas of scientific and...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? Exemption Status: Non-Exempt Hiring Range: $0.00 - $0.00 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 7a-3:30p Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5470 ED Coding and Revenue Capture This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are...

Join Our Team at OptumOptum 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.You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Codes a variety of medical records using CPT, HCPCS and ICD-10 codes for office, outpatient, inpatient, surgical, hospital ancillary, nursing facility, urgent care, ambulatory surgery center and other charges for physicians and other providers of...

About This RoleThe Strategy & Operations (S&O) Lead is a strategic partner within Biogen, who will take a lead role in owning and managing critical operational aspects of US Medical. The S&O Lead’s role focuses on two key objectives: The primary objective is to support strategic planning and execution of plans for the Ophthalmology Therapeutic Area (TA).  The secondary objective is to support the overall strategy and operational efforts for all of US medical, in close collaboration with the Head of Medical Strategy, Operations and Excellence (MSOE).  This role will report into the US Medical TA Head for Lupus.The S&O Lead is a critical member of the TA medical leadership team.  They organize and prioritize critical issues and required information to facilitate decision making and serve as the primary strategic liaison between the Lupus TA Head, members of the NAMLT, Global Medical Teams, and the US cross functional teams. Within this role, the person is expected to...

By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda’s Privacy Notice and Terms of Use.  I further attest that all information I submit in my employment application is true to the best of my knowledge.Job DescriptionOBJECTIVES / PURPOSEProvides enterprise-level governance, portfolio and operational leadership for medical grants, medical education grants and sponsorships within Global Medical.Ensures that funding decisions are transparent, objective, well documented, aligned with enterprise Medical priorities, Therapeutic Area strategies, unmet scientific or educational need, patient-centric outcomes, and compliant with Takeda standards and applicable industry requirements.Establishes and maintains clear funding frameworks, decision criteria, review pathways, committee operations, documentation expectations, budget visibility,...

Health Information Coder (Per Diem) Performs ICD and CPT coding of inpatient and outpatient medical records. Description 1. Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources. 2. Demonstrates complete understanding of coding rules, anatomy, physiology, and medical terminology to appropriately code patient information. 3. Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers, to ensure appropriate coding for case mix. 4. Selects the appropriate reimbursement grouper based on financial class for the particular account. 5. Ensures that coding compliance, regulatory and reimbursement requirements are met through the process of assigning reimbursement classifications. 6. Abstracts and enters diagnosis, procedures and level codes with demographic, clinical and related patient information into the Medical Record Abstracting...

Medical Coder/Biller – Full Time Child Health Associates is looking for an experienced Medical Coder/Biller to join our Billing team! We're looking for someone with strong Evaluation & Management (E/M) coding experience who is detail-oriented, organized, and enjoys working collaboratively to support accurate coding, timely billing, and quality patient care. This is a full-time, on-site position based in our Auburn office. What You'll Do Review provider documentation and assign accurate ICD-10-CM, CPT, HCPCS, and E/M codes. Ensure coding is compliant with CMS guidelines, payer requirements, and current coding regulations. Submit and monitor insurance claims for timely reimbursement. Review documentation to ensure it supports the appropriate level of E/M services and identify opportunities for improvement. Research and resolve claim denials, coding edits, and payment discrepancies. Work closely with providers and staff to improve documentation and coding accuracy. Perform charge...

Medical Office Coder Shift details: Per diem Job Summary The Medical Coder complies with all legal requirements regarding coding procedures and practices. Conducts audits and coding reviews to ensure all documentation is accurate and precise, assigns and sequences all codes for services rendered and collaborates with the business office to ensure all bills are satisfied in a timely manner. Essential Duties Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing. Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission. Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims. Adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ICD-9 and ICD-10. Westborough Behavioral...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? Exemption Status: Non-Exempt Hiring Range: $0.00 - $0.00 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 7a-3:30p Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5470 ED Coding and Revenue Capture This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are...

Job Description In order to make an application, simply read through the following job description and make sure to attach relevant documents. Job Description Medical Office Coder Shift details: Per diem Job Summary: The Medical Coder complies with all legal requirements regarding coding procedures and practices. Conducts audits and coding reviews to ensure all documentation is accurate and precise, assign and sequence all codes for services rendered and collaborate with the business office to ensure all bill are satisfied in a timely manner. Essential Duties: Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing. Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission. Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied...

Medical Coder/Biller – Full Time Child Health Associates is looking for an experienced Child Health Associates is looking for an experienced Medical Coder/Biller to join our Billing team! We're looking for someone with strong Evaluation & Management (E/M) coding experience who is detail-oriented, organized, and enjoys working collaboratively to support accurate coding, timely billing, and quality patient care. This is a full-time, on-site position based in our Auburn office. What You'll Do Review provider documentation and assign accurate ICD-10-CM, CPT, HCPCS, and E/M codes. Ensure coding is compliant with CMS guidelines, payer requirements, and current coding regulations. Submit and monitor insurance claims for timely reimbursement. Review documentation to ensure it supports the appropriate level of E/M services and identify opportunities for improvement. Research and resolve claim denials, coding edits, and payment discrepancies. Work closely with providers and staff to...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Hiring Range: $0.00 - $0.00 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations . Schedule Details: Monday through Friday Scheduled Hours: 7a-3:30p Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5470 ED Coding and Revenue Capture This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a...

Medical Coder/Biller – Full Time Child Health Associates is looking for an experienced Medical Coder/Biller to join our Billing team! We're looking for someone with strong Evaluation & Management (E/M) coding experience who is detail-oriented, organized, and enjoys working collaboratively to support accurate coding, timely billing, and quality patient care. This is a full-time, on-site position based in our Auburn office. What You'll Do Review provider documentation and assign accurate ICD-10-CM, CPT, HCPCS, and E/M codes. Ensure coding is compliant with CMS guidelines, payer requirements, and current coding regulations. Submit and monitor insurance claims for timely reimbursement. Review documentation to ensure it supports the appropriate level of E/M services and identify opportunities for improvement. Research and resolve claim denials, coding edits, and payment discrepancies. Work closely with providers and staff to improve documentation and coding...

Join our team and help keep our practice running smoothly behind the scenes. We are looking for an experienced, detail-oriented Medical Biller with Coding Experience to join our team. In this role, you'll play an important part in our revenue cycle by ensuring services are billed accurately, claims are processed efficiently, and outstanding balances are followed through to resolution. The ideal candidate is organized, dependable, comfortable working independently, and knowledgeable about medical billing, coding, and insurance requirements. What You'll Do Prepare, submit, and follow up on electronic and paper medical claims Review patient accounts and documentation to ensure accurate billing and coding Ensure claims meet payer guidelines and applicable billing requirements Investigate and resolve claim denials, rejections, and billing discrepancies Follow up on outstanding accounts receivable and unpaid claims Review EOBs and ERAs and accurately post...

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified 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 goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and...

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 rapidly changing healthcare...

Become a part of our caring community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical records. The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG) Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner. Leverages advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices Manages multiple...

Who We Are The Revenue Integrity Department at the Elliot Hospital is responsible for the medical coding of our hospital and professional providers. We take pride in our work and observe best practices to ensure accurate, optimal coding. If you are a credentialed coder with strong coding skills, can work in a dynamic and changing environment, and are seeking a change, please consider Coding with our team. About the Job The Hospital Inpatient Coder is responsible for accurately assigning ICD-10 and DRG codes to hospital inpatient services in accordance with current coding guidelines, payer requirements, and regulatory requirements. This role supports the integrity of clinical documentation and ensures timely, compliant coding to facilitate optimal reimbursement and minimize denials. The Hospital Inpatient Coder collaborates with providers and coding leadership to resolve coding discrepancies, contribute to quality improvement efforts, and uphold organizational goals related to...

Outpatient CoderWhen you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Job DescriptionUnder the general supervision of the Outpatient Coding Manager and OP Coding Supervisor, the OP Coder will review outpatient records and accurate, timely, and compliant assignment of ICD-10-CM, CPT, HCPC, and modifiers to ensure the correct APC assignment. The OP coder will work closely with the Coding leadership, and OP Coding Validators to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, CPT, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic. The OP coder is also responsible for meeting or exceeding quality and quantity expectations while performing coding functions to support timely coding and billing.Essential Duties & Responsibilities including but not limited to:Review the complete electronic and scanned medical record...

Locations Zurich, Switzerland; Boston, MA Job Description OBJECTIVES / PURPOSE Provides enterprise-level governance, portfolio and operational leadership for medical grants, medical education grants and sponsorships within Global Medical. Ensures that funding decisions are transparent, objective, well documented, aligned with enterprise Medical priorities, Therapeutic Area strategies, unmet scientific or educational need, patient-centric outcomes, and compliant with Takeda standards and applicable industry requirements. Establishes and maintains clear funding frameworks, decision criteria, review pathways, committee operations, documentation expectations, budget visibility, system/repository requirements and lifecycle oversight from intake through close-out. The role partners with Global Therapeutic Areas, regions, LOC Medical, Ethics & Compliance, Legal and Finance to define areas of scientific and educational interest, prioritize funding and enable consistent...

Outpatient CoderWhen you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Job Description:Under the general supervision of the Outpatient (OP) Coding Manager and OP Coding Supervisor, the OP Coder will review outpatient records and accurate, timely, and compliant assignment of ICD-10-CM, CPT, HCPC, and modifiers to ensure the correct APC assignment. The OP coder will work closely with the Coding leadership, and OP Coding Validators to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, CPT, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic. The OP coder is also responsible for meeting or exceeding quality and quantity expectations while performing coding functions to support timely coding and billing.Essential Duties & Responsibilities including but not limited to:Hospital Coding:Review the complete electronic and...

Senior Medical Coding AnalystCodaMetrix is revolutionizing Revenue Cycle Management with its AI-powered autonomous coding solution, a multi-specialty AI-platform that translates clinical information into accurate sets of medical codes. CodaMetrix's autonomous coding drives efficiency under fee-for-service and value-based care models and supports improved patient care. We are passionate about getting physicians and healthcare providers away from the keyboard and back to clinical care.Reporting to the Senior Manager, Medical Coding & Audit, as a Senior Medical Coding Analyst, this role will be a key member of the team responsible for ensuring that CodaMetrix meets—and exceeds—our customers' coding quality expectations. They will leverage their strong background in coding, billing, and auditing across service lines to review, analyze, and enhance coding processes, both internally and externally. They will play a pivotal role in improving the quality and efficiency of coding...