23 coding auditor facility jobs found

Job Summary Assists with implementing and maintaining a system-wide effective compliance program through performance of compliance and coding quality audits. Under indirect supervision, assures appropriateness and accurate coding assignments in accordance with federal coding regulations and guidelines. Evaluates the effectiveness of internal controls designed to ensure that processes and practices lead to appropriate execution of regulatory requirements and guidelines related to professional and facility fee documentation, coding and billing, including CMS and OIG compliance standards. Leads meetings with providers to review the audit findings and recommend ways to improve when indicated. Prepares written reports of findings. Also responsible for providing assistance with coding inquiries from providers, coders, billing staff, etc. Monitors relevant resources and publications related to high-risk compliance areas. Serves as an audit software system administrator as assigned. Serves...

Certified Professional Coder III As a Certified Professional Coder III, you will be part of a dynamic team of Cardiovascular Coders supporting patient care by driving accuracy and adherence to coding guidelines, governmental and private Third-Party rules, and regulations. Helping Novant Health deliver the most remarkable patient experience, in every dimension, every time. What You Will Do: Schedule: Monday Friday, daytime hours. Perform monthly site visits to assigned clinics in the Charlotte, NC area. Review surgical operative reports and abstract clinical diagnoses, procedure codes, and other pertinent information to bill appropriately for services. Perform coding of cardiovascular events (surgeries, procedures, office visits). Ensure all technical aspects of the assignment of diagnostic and procedure coding are carried out in accordance with established standards and in compliance with CMS, NCQA, third party payers and other regulatory agencies. Ensure physicians...

RCS Medical Coding Auditor page is loaded## RCS Medical Coding Auditorremote type: Hybridlocations: Raleigh, NCtime type: Full timeposted on: Posted 7 Days Agojob requisition id: JR10360**Position Summary**The **RCS Medical Coding Auditor** is responsible for auditing professional (ProFee) medical coding to ensure accuracy, compliance, and alignment with AMA CPT, CMS, NCCI and payer guidelines. This role supports coding integrity, mitigates compliance risk, and drives continuous quality improvement through targeted education and audit-based feedback.The ideal candidate brings strong hands-on experience with **professional fee coding**, deep knowledge of **E/M, surgical, and modifier use**, and the ability to translate audit findings into actionable insights.**Key Responsibilities*** Perform daily QA to ensure accuracy of completed coding and provide targeted coding education and feedback* Validate ICD‐10‐CM, CPT(R), HCPCS, and modifier assignment against clinical...

Internal Auditor The Internal Auditor is responsible for conducting regular medical record and coding compliance reviews to ensure that organizational strategies, practices and internal controls are in place and in compliance with all legal and industry regulations. Regularly reviews appropriate federal and state regulations, industry standard policies and procedures, i.e., CMS, AHIMA, AMA, etc., to ensure compliance Conducts internal audits, following established protocols, furnishing detailed reports and periodic updates of audit findings, presenting any irregularities or exceptions, as well as pertinent recommendations for improvement, to the Provider, Auditing Supervisor, executive management, the Compliance Committee, Physician Board and others as appropriate Provides feedback and instruction to the Provider regarding documentation improvements, to include EHR best practices Essential Duties/Responsibilities: Serve as a compliance resource for all coding...

Join First Choice Community Health Centers Nestled in the heart of North Carolina, Harnett County offers a unique blend of small-town charm and convenient access to big-city amenities. Located less than an hour from both Raleigh and Fayetteville, residents enjoy the tranquility of rural living with the benefit of nearby urban excitement. At First Choice, we're proud to offer employment opportunities in this beautiful area, giving you the chance to work in a close-knit community while staying connected to the vibrant Triangle region. With a perfect balance of peaceful + affordable living and easy access to cultural and career opportunities, Harnett County is an ideal place to call home. Position Summary The Medical Billing Specialist will be responsible for billing and collections for Medicare, Medicaid, Insurance, and Self Pay patients for all Medical and Dental clinics. Responsibilities of individual Billing Specialist will vary depending on assignment of responsibilities...

Revenue Cycle Manager Responsible for billing team leadership, subject matter expertise and performing a variety of regular tasks to ensure timely and comprehensive billing and collections for Medical and Dental services rendered by First Choice Community Health Center (FCCHC) providers. Supervises billing specialists to ensure all tasks are completed timely and accurately. The Revenue Cycle Manager is expected to devote 50% of work time to learn leadership and subject matter expert responsibilities. The Revenue Cycle Manager should proactively seek to further develop billing process competencies; and assist in implementation of process improvements. Team Leadership Supervise and coordinate the workload of the billing staff to ensure all task are completed accurately and in a timely manner. Define and communicate current and new billing tasks and definitions of the billing team. Recommend and report billing issues of concern related to clinic operations. Run, work and...

Night Auditor / Front Desk Supervisor - Hilton Asheville Biltmore Park Picture yourself at Biltmore Farms as part of the Vanderbilt legacy of hospitality! Why join our Front Office team as a Night Auditor / Front Desk Supervisor? $18.50/hour starting pay Outstanding medical, dental, and vision benefits coverage Fun wellness program with annual bonus of up to $600 401K retirement plan with employer matching program Opportunities to earn e-tips directly from guests and clients Parental leave with up to 6 weeks available for birth, adoption, and fostering Hilton-brand hotel discounts for you, your family, and your friends YMCA membership monthly discount Paid time off and paid holidays Friendly and supportive work environments Incredible employee learning and growth opportunities Exciting employee events and activities Essential Elements As a Biltmore Farms Night Auditor / Front Desk Supervisor, you are more than just a welcoming presence, you are the first impression our guests have...

Certified Professional Coder III As a Certified Professional Coder III, you will be part of a dynamic team of Cardiovascular Coders supporting patient care by driving accuracy and adherence to coding guidelines, governmental and private Third-Party rules, and regulations. Helping Novant Health deliver the most remarkable patient experience, in every dimension, every time. What You Will Do: Schedule: Monday – Friday, daytime hours. Perform monthly site visits to assigned clinics in the Charlotte, NC area. Review surgical operative reports and abstract clinical diagnoses, procedure codes, and other pertinent information to bill appropriately for services. Perform coding of cardiovascular events (surgeries, procedures, office visits). Ensure all technical aspects of the assignment of diagnostic and procedure coding are carried out in accordance with established standards and in compliance with CMS, NCQA, third party payers and other regulatory agencies. Ensure...

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...

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:...

Become a part of our caring community 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. Where you Come In 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 accuracy of...

A leading health insurance company is seeking an Inpatient Medical Coding Auditor to work remotely. This role involves reviewing inpatient hospital claims and ensuring accurate coding and reimbursement. Candidates should hold an RHIA, RHIT, or CCS certification with substantial experience in coding audits. Strong attention to detail, excellent communication skills, and the ability to manage multiple priorities are essential. The job offers competitive compensation and various benefits to support overall well-being. #J-18808-Ljbffr

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Medical Billing Specialist Guilford County Government is committed to providing equal employment opportunity (EEO) to employees and applicants for employment regardless of color, religion, sex, national origin, age, disability, genetic information, sexual orientation or political affiliation. The County is committed to complying with all applicable federal, state and local laws that pertain to employment, and to providing a work environment that is free from discrimination of any kind. Guilford County Government empowers successful people to thrive in a strong community supported by quality government. The Medical Billing Specialist performs independent technical work in the billing and collection of healthcare services provided by the Health Department. Responsibilities include reviewing encounters for billing accuracy, validating charges and coding, submitting claims to Medicare, Medicaid (NCTracks), and commercial insurance carriers, resolving claim denials and rejections,...

Candidate should ideally be located in Charlotte, NC Monro’s family of brands is one of the leading automotive service and tire dealers in the United States. We work on approximately five million vehicles a year, but with us, it is personal. Every guest is important, and every teammate is valued. That is our people-first approach.  Headquartered in our hometown of Rochester, New York, where our founder, Chuck August, opened his first store in 1957, we have grown to 1,115 auto repair shops and tire dealers in 32 states from coast to coast. Monro powers 16 highly respected tire and auto service brands, supporting each company’s regional strength and community connections. From big cities to small towns to rural crossroads, you will find us in neighborhoods of every shape, size, and color.  Under the Monro banner, we are united TEAM, and share the same mission to bring our guests the highest quality tire and auto service in the industry.  Do you have what it takes to shape a...

Operations Support Compliance Auditor Reporting to the Director of Operations Support, this individual will evaluate, inspect, audit, and determine the effectiveness of compliance and store operational tasks. This individual will visit store locations daily and perform regularly scheduled audits. They must effectively establish strong credibility with the Monro Field Teammates and Field Leadership. Maintaining a positive and constructive attitude is critical as this role sits at the crossroads between the Store Support Center and Field Management. Compensation: The salary range for this role is $68,000 - $85,000. This role is eligible for additional compensation and incentives. Pay will be determined based on experience level. Essential Functions: Participates in the following areas of focus, including but not limited to Monro Forward initiatives, DM onboarding, inventory subject matter expert, inventory analysis, safety compliance, building and equipment maintenance, and...

Position Summary University Program Associate – Medical Billing Specialist Location: Boone, NC Department: Appalachian Institute for Health and Wellness (273600) Employment Type: Permanent Full-Time Salary Range: $48,004 - $50,530 Visa Sponsorship: Not available Primary Responsibilities Claims submission: Prepare, review, and transmit claims to insurance companies (commercial and government). Revenue cycle management: Monitor claim status, follow up on unpaid claims, and appeal denied claims to ensure timely payment. Patient billing: Calculate patient responsibility, send statements, and handle inquiries. Compliance: Adhere to HIPAA regulations and all payer requirements. Insurance provider enrollment: Execute enrollment processes, set up, and maintain CAQH Provider Profiles. Prior authorizations: Obtain as needed for allied health services. Use and assignment of billing codes; stay current on coding procedures. Balance end-of-day according to clinic policies; track...

GENERAL STATEMENT OF DUTIES Performs independent technical work in the billing and collection of healthcare services provided by the Health Department. Responsibilities include reviewing encounters for billing accuracy, validating charges and coding, submitting claims to Medicare, Medicaid (NCTracks), and commercial insurance carriers, resolving claim denials and rejections, posting and reconciling payments, managing accounts receivable, and providing customer service regarding patient billing inquiries. Work requires knowledge of medical billing regulations, insurance guidelines, electronic health records, and revenue cycle processes to ensure accurate and timely reimbursement while maintaining compliance with federal, state, and payer requirements. DISTINGUISHING FEATURES OF THE CLASS An employee in this class independently performs a variety of technical medical billing and revenue cycle functions supporting the Health Department's clinical services. Responsibilities include...

Posting Details Work experience or education that is NOT included on the application will NOT be considered when screening your application. Please include ALL work experience and education on the application to ensure that you receive the appropriate credit toward qualification for this position. Position Summary Information Classification Title University Program Associate Working Title Medical Billing Specialist Location Boone, NC Job Category 5 Position Number 062941 Not Eligible for Visa Sponsorship VISA sponsorship is not available for this position. All candidates must be eligible to work and live in the U.S Department Appalachian Institute for Health and Wellness - 273600 Primary Purpose of Position To execute all billing and credentialing for all AppWell clinic facilities. Claims Submission: Prepare, review, and transmit claims to insurance companies(commercial and government) for reimbursement. Revenue Cycle...

Empower Successful People to Thrive in a Strong Community Supported by Quality Government GENERAL STATEMENT OF DUTIES Performs independent technical work in the billing and collection of healthcare services provided by the Health Department. Responsibilities include reviewing encounters for billing accuracy, validating charges and coding, submitting claims to Medicare, Medicaid (NCTracks), and commercial insurance carriers, resolving claim denials and rejections, posting and reconciling payments, managing accounts receivable, and providing customer service regarding patient billing inquiries. Work requires knowledge of medical billing regulations, insurance guidelines, electronic health records, and revenue cycle processes to ensure accurate and timely reimbursement while maintaining compliance with federal, state, and payer requirements. DISTINGUISHING FEATURES OF THE CLASS An employee in this class independently performs a variety of technical medical billing and revenue...

Salary : $40,611.17 - $47,717.07 Annually Location : 1203 Maple Street Greensboro, NC Job Type: Full Time Job Number: 04113 Department: Public Health Opening Date: 07/15/2026 Closing Date: 7/29/2026 11:59 PM Eastern GUILFORD COUNTY GOVERNMENT Empower Successful People to thrive in a Strong Community supported by Quality Government Description GENERAL STATEMENT OF DUTIES Performs independent technical work in the billing and collection of healthcare services provided by the Health Department. Responsibilities include reviewing encounters for billing accuracy, validating charges and coding, submitting claims to Medicare, Medicaid (NCTracks), and commercial insurance carriers, resolving claim denials and rejections, posting and reconciling payments, managing accounts receivable, and providing customer service regarding patient billing inquiries. Work requires knowledge of medical billing regulations, insurance guidelines,...

Physician Practices Coder Ashe Memorial Hospital | Health Information Management Department At Ashe Memorial Hospital, we are driven by our mission: "To meet the needs of the community by delivering patient-centered, high-quality health care." Ashe Memorial Hospital is proud to have been voted Ashe's Best Place to Work from 2022-2025. Join an award-winning team recognized for excellence in healthcare, including Best Hospital, Best Surgeon, Best Physician, Best Nurse, and Best Medical Practice. This is your opportunity to make a meaningful impact while serving a close-knit mountain community. Position Details Position: Physician Practices Coder Department: Health Information Management (HIM) Reports To: HIM Supervisor Status: Full-Time | Non-Exempt Schedule: Monday-Friday during general business hours Location: Ashe Memorial Hospital - West Jefferson, NC Remote Work: Eligible for remote work up to three (3) days per week upon approval Supervisory...

Medical Billing SpecialistNestled in the heart of North Carolina, Harnett County offers a unique blend of small-town charm and convenient access to big-city amenities. Located less than an hour from both Raleigh and Fayetteville, residents enjoy the tranquility of rural living with the benefit of nearby urban excitement. At First Choice, we're proud to offer employment opportunities in this beautiful area, giving you the chance to work in a close-knit community while staying connected to the vibrant Triangle region. With a perfect balance of peaceful affordable living and easy access to cultural and career opportunities, Harnett County is an ideal place to call home.The Medical Billing Specialist will be responsible for billing and collections for Medicare, Medicaid, Insurance, and Self Pay patients for all Medical and Dental clinics. Responsibilities of individual Billing Specialist will vary depending on assignment of responsibilities given by Billing Supervisor. This role is...