19 coding auditor facility jobs found

Medical Auditor Employment Status: Full time Shift: Day (United States of America) Facility: Remote - VA CP07 Carilion Medical Center. Requisition Number: R159300 Medical Auditor (Open) How You'll Help Transform Healthcare The Medical Auditor conducts chart audits by reviewing documentation in the patient's record, including orders, medications, supplies, and procedures performed, and ensures all applicable charges are accurate and appropriately supported. Makes adjustments to the patient's account, adding or removing charges as supported by documentation. Provides education to individuals and groups to improve charging accuracy and documentation practices. The Medical Auditor Performs chart audits in a timely, accurate, and thorough manner. Reviews patient documentation, identifies charging discrepancies, and makes appropriate account adjustments. Records charging weaknesses and communicates deficiencies and trends to departmental leadership. Contacts staff to obtain...

Job Description Job Description At PQC, our employees are our best asset. We pride ourselves on growth and exceeding expectations, not only for our customers but also for our employees. We believe that having the best of the best on staff translates into having the best of the best in customer results. PQC is seeking qualified Inpatient Coder Specialists to support a high-impact project with the Defense Health Agency (DHA). In this role, you will be responsible for accurate medical coding and billing processes that directly support patient care operations within the Military Health System (MHS). This position requires a strong understanding of inpatient coding guidelines, attention to detail, and the ability to navigate healthcare systems. If you thrive in a fast-paced environment and are passionate about precision and compliance, this is an opportunity to contribute to a mission-driven healthcare system serving military members and their families. Key Responsibilities...

Description As a key member of the Amazon One Medical Revenue Cycle team, the Coding Compliance Auditing Manager will be responsible for supporting Amazon One Medical Clinical and Revenue Cycle teams in managing and optimizing compliant healthcare revenue cycle operations. Demonstrating increased autonomy and strategic thinking and problem-solving skills, this role will lead a team of coding compliance auditors, ensuring accurate medical coding practices, and maintaining compliance with regulatory requirements. This role reports into the Manager III, Revenue Cycle. As someone who naturally enjoys finding ways to improve the status quo, you adeptly identify and create processes necessary to get work done. You comfortably interact with your team members as well as other teams and easily tailor your message and communication style to different audiences. You have a high accountability bar and know how to motivate others, consistently following through on commitments and ensuring...

Job Description Job Description At PQC, our employees are our best asset. We pride ourselves on growth and exceeding expectations, not only for our customers but also for our employees. We believe that having the best of the best on staff translates into having the best of the best in customer results. PQC is seeking qualified Inpatient Coder Specialists to support a high-impact project with the Defense Health Agency (DHA). In this role, you will be responsible for accurate medical coding and billing processes that directly support patient care operations within the Military Health System (MHS). This position requires a strong understanding of inpatient coding guidelines, attention to detail, and the ability to navigate healthcare systems. If you thrive in a fast-paced environment and are passionate about precision and compliance, this is an opportunity to contribute to a mission-driven healthcare system serving military members and their families. Key Responsibilities...

Job Family : Operational Effectiveness Consulting Travel Required : Up to 25% Clearance Required : Ability to Obtain Public Trust What You Will Do. Guidehouse is seeking a Revenue Integrity Analyst (Medical Biller) with strong billing, coding, and revenue cycle expertise to support the modernization of MHS GENESIS, the DoD’s enterprise EHR. The role ensures accurate billing, compliant charge capture, and efficient claim resolution by analyzing data, auditing documentation, and collaborating with clinical, coding, IT, and financial teams across the Military Health System. Responsibilities. Revenue Integrity & Charge Capture Optimize and validate MHS GENESIS / Cerner charge capture workflows, CDM logic, billing rules, and revenue cycle configuration. Conduct charge capture validation, reconciliation of clinical activity to billing outputs, and identification of DNFB risks and revenue leakage. Audit documentation and coding (ICD‑10‑CM, CPT/HCPCS, modifiers) to ensure...

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...

Starts out onsite, then transitions to REMOTE 4 days/week. Job Summary: Required Services provide single path medical coding services and related medical records functions. Single path coding combines facility coding and professional coding and allows one coder to code facility and professional codes for the same patient utilizing a single coding platform. perform technically complex professional services coding for medical conditions and assign the correct International Classification of Diseases, ICD-10-CM, Procedure Coding System (PCS) Current Procedural Terminology (CPT), Health Care Financing Administration Common Procedure Coding System (HCPCS), and Evaluation and Management (E&M) codes for diagnosis, acuity of care and procedures for a wide range of medical specialties to include coding of complicated cases identified as difficult to classify such as treatment of burn injuries, combat related injuries, orthopedic surgery, cardiothoracic surgery, interventional...

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...

Medical Coder - Part Time (Hours Flexible) Poplar Springs Hospital is a 183‑bed acute care and residential facility located in Petersburg, Virginia, 20 minutes south of Richmond. The hospital offers behavioral and psychological treatment for adults and adolescents through various programs. Responsibilities The Medical Coder works under general supervision in the Medical Records Department. Accurately assigns diagnostic and procedural codes in a timely manner for all inpatient and partial patient charts. Prepares charts for quarterly audit, attends corporate coding training sessions, identifies needs for backing up tasks, problem‑solves for Medical Records staff, backs up the Director in her absence, and performs other duties as assigned. Qualifications Position Requirements Medical Records Coder Certification Required (CPC, CCS, RHIA, RHIT) Education / Experience High school graduate or GED Two (2) years’ experience in a psychiatric inpatient hospital preferred or a...

Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organization's coding procedures and standards. - Accurately enter coded data in a system and validate data entered. - Research correct coding practices, clearly document and share findings with others. - Review denials and recommend billing corrections. - Train staff members on the coding process. Minimum Requirements - High School diploma or equivalent with 0 - 2 years of experience. - Additional clinical licensure may be required based on project. - Must be a Certified Medical Coder, Certified Professional Coder, or a Certified Coding Specialist. - Knowledge of Medical Billing and Coding Systems such as CPT and HCPCS. - Ability to work a schedule between the hours of 8:00am - 5:00pm EST Monday - Friday. Preferred Skills and Experience: - At least 2 years of coding experience. - Experience with CPT modifiers and how they impact...

Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organization's coding procedures and standards. - Accurately enter coded data in a system and validate data entered. - Research correct coding practices, clearly document and share findings with others. - Review denials and recommend billing corrections. - Train staff members on the coding process. Minimum Requirements - High School diploma or equivalent with 0 - 2 years of experience. - Additional clinical licensure may be required based on project. - Must be a Certified Medical Coder, Certified Professional Coder, or a Certified Coding Specialist. - Knowledge of Medical Billing and Coding Systems such as CPT and HCPCS. - Ability to work a schedule between the hours of 8:00am - 5:00pm EST Monday - Friday. Preferred Skills and Experience: - At least 2 years of coding experience. - Experience with CPT modifiers and how they impact...

Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organization's coding procedures and standards. - Accurately enter coded data in a system and validate data entered. - Research correct coding practices, clearly document and share findings with others. - Review denials and recommend billing corrections. - Train staff members on the coding process. Minimum Requirements - High School diploma or equivalent with 0 - 2 years of experience. - Additional clinical licensure may be required based on project. - Must be a Certified Medical Coder, Certified Professional Coder, or a Certified Coding Specialist. - Knowledge of Medical Billing and Coding Systems such as CPT and HCPCS. - Ability to work a schedule between the hours of 8:00am - 5:00pm EST Monday - Friday. Preferred Skills and Experience: - At least 2 years of coding experience. - Experience with CPT modifiers and how they impact...

*TekSystems is currently hiring for several AR Medical Billers in the Chesapeake, VA Area! * *MUST HAVE: 1-3 years of medical AR follow up experience, must have medical billing experience. Prefers EPIC experience! * *Description* Day to day responsibilities: Work out of EPIC work ques or an "ATB report" which is an Aged Trial Balance report to hit aged accounts more quickly (once aged accounts are achieved they will go back to work ques) Work high dollar accounts first, work down from there- organizing their report They will sort by age of claims first and work accounts from oldest to newest Go through the accounts to see what is paid, what is denied and then start working from there Working denials If they need a medical records request they will request it from medical records and then load it onto the provider portal Reaching out to insurance companies to figure out why there are denied claims Getting with the patients to update coordination of benefits Anything that...

Position: Medical Coding Specialist (Outpatient) Location: Falls Church, VA (Hybrid-3 days onsite) Duration: Long Term(03/24/2026 - 09/23/2026 with 960 hours in total and with further extensions) Job Description: • We are seeking a certified and experienced Medical Coding Specialist (Outpatient) to support Client- Patient Administration Division (PAD) initiatives. The ideal candidate will have strong expertise in outpatient coding, auditing, and compliance within Military Health System (MHS) and MHS GENESIS environments, ensuring accurate and timely coding aligned with DoD standards. Responsibilities: • Perform accurate Outpatient Medical Coding using ICD-10-CM, CPT, and HCPCS in compliance with Client and DoD guidelines • Conduct Coding Audits and Quality Reviews to ensure accuracy, completeness, and regulatory compliance • Review and analyze clinical documentation to assign appropriate diagnosis and procedure codes • Work within MHS (Military Health Systems) and...

Responsibilities Medical Coder - Part Time (Hours Flexible) Poplar Springs Hospital i s a 183 bed acute care and residential facility. For more than 30 years Poplar Springs Hospital has been guided by its mission of helping those who need the full continuum of behavioral health services. Our facility offers behavioral and psychological treatment for adults and adolescents through our acute programs, adolescent residential programs, as well as programs for active duty military. Poplar Springs Hospital is located in Petersburg, Virginia, 20 minutes south of Richmond and 50 minutes north of North Carolina. Situated on 25 acres, our serene, nature-like setting offers our patients a sense of calm and peace. We offer families hope through a nurturing environment for adults and adolescents to flourish in their environment. Much more online at: https://poplarsprings.com/ We have an opening for a Medical Coder. The Medical Coder works under general supervision in the Medical...

Candidate should ideally be located in Norfolk, VA or Raleigh, 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...

About the Job Certified Medical Coder (CPC) About the Job: Our OBGYN practice is seeking to enhance our billing staff with the addition of a new full-time member to our dynamic team. The right candidate should possess a desire to provide high-quality customer service with efficiency and compassion. A growth mindset is vital in this position as we all have an opportunity to learn more every day. Job Summary: The Medical Coder is responsible for accurately assigning diagnosis, procedure, and modifier codes for obstetrics and gynecology services to ensure compliant billing and optimal reimbursement. This role requires in-depth knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines. Specific to OBGYN is a plus. The Medical Coder works closely with providers, billing staff, and clinical teams to resolve documentation issues, reduce claim denials, and maintain compliance with federal, state, and payer regulations. Essential Job Responsibilities : Review clinical...

Job Family : Operational Effectiveness Consulting Travel Required : Up to 25% Clearance Required : Ability to Obtain Public Trust What You Will Do: Guidehouse is seeking a Revenue Integrity Analyst (Medical Biller) with strong billing, coding, and revenue cycle expertise to support the modernization of MHS GENESIS, the DoD's enterprise EHR. The role ensures accurate billing, compliant charge capture, and efficient claim resolution by analyzing data, auditing documentation, and collaborating with clinical, coding, IT, and financial teams across the Military Health System. Responsibilities of this role are as follows, to include but not limited to: Revenue Integrity & Charge Capture Optimize and validate MHS GENESIS / Cerner charge capture workflows, CDM logic, billing rules, and revenue cycle configuration. Conduct charge capture validation, reconciliation of clinical activity to billing outputs, and identification of DNFB risks and...

City / StateNorfolk, VAWork ShiftFirst (Days)Overview :Claims Resolution Coder- RemoteResponsible for reviewing medical documentation to assign modifiers to insurance claims with issues identified by the National Correct Coding Initiative (NCCI), Medicare Outpatient Code Editor (OCE),or other third party payer specific claims processing guidelines.Works with Coding, Billing and Reimbursement staff to resolve edits.Is additionally responsible for trending errors, supporting identification of root causes, and effective communication with coding and training staff to improve coding accuracy and clean claims processing.Researches regulations to ensure accuracy of CPT codes and documentation.Associates degree in Health Information Technology or Medical Billing preferred.2 years direct application of coding, medical billing or reimbursement in health care setting, hospital or physician office required.CPC or CCS coding certification required at time of hire.Thorough knowledge of lab,...