22 coding auditor facility jobs found

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

Inpatient Facility Medical Coder To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), and Kaiser Permanente organization/institutional coding...

This is a remote based position. Applicants can be located nationwide Back 1d 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...

City/State: Tarrytown, New York Grant Funded: No Department: REV - Revenue Integrity Engagement Team Work Shift: Day Work Days: MON-FRI Scheduled Hours: 8:30 AM-5 PM Scheduled Daily Hours: 7.5 HOURS Pay Range: $76,632.04-$95,790.05 Job Summary The Senior Coding Auditor performs detailed audits of medical cases to ensure accuracy of assigned codes, charges, availability of documented medical records, medical accounts and compares the cases with the itemized bill and overall procedures. The Senior Coding Auditor reviews and audits current and retro accounts, and reports audit outcomes regarding charge errors, percentage of savings or losses for the facility, data processing errors, the performance of the hospital charging system as well as documentation and justification within the medical record and itemized bill. Works cooperatively with the Associate Directors/Director in the identification of process improvement initiatives related to the coding and charging of hospital services....

Inpatient Medical Coder Company Overview Health Partners Management Group, Inc (HPMG) is a government contracting company in Poplar Bluff, Missouri. HPMG is bidding on a federal contract for several coding positions. You would be a W-2 employee with HPMG, not a government employee. Summary Responsible for assigning accurate ICD codes for diagnoses and procedures. The Medical Severity - Diagnostic Related Group (MS-DRG) is automatically assigned by the grouper software for inpatient stays. Inpatient coders may also assign accurate ICD diagnoses, CPT and HCPCS codes, modifiers, and quantities from medical record documentation for professional services (rounds or IBWA encounters). They train and educate military staff on coding issues and play a significant role in coding compliance activities. Mandatory Knowledge and Skills Excellent computer and communication skills for provider and staff interactions. Knowledge of anatomy/physiology, disease processes, medical terminology,...

Job Summary The Coding Supervisor is responsible for overseeing the daily operations of the coding team, ensuring accurate and compliant coding practices across all clinical departments. This role provides leadership, training, and quality assurance for coding staff, supports provider education, and collaborates with Revenue Cycle and Compliance teams to optimize reimbursement and maintain regulatory compliance. Job Specific Competencies Team Leadership & Oversight Supervises coding staff including Coder I and Coder II. b. Monitors productivity and quality metrics, ensuring standards are met or exceeded. c. Conducts regular team meetings and one-on-one check-ins to support performance and development. Quality Assurance & Compliance Oversees internal/external audits and reviews coding accuracy, documentation, and billing compliance. b. Ensures adherence to federal, state, and payer-specific coding guidelines. c. Coordinates with Compliance and Revenue...

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...

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...

Summary: The Creative Audio team is seeking a Creative Coder for the Tech & Prototypes department. This role collaborates closely with Engineering and Product Design to define sound functionality and deliver advanced audio systems. It involves developing advanced audio solutions, optimizing performance, refining tools, and solving complex technical challenges. As a key contributor and leader to Meta's day-to-day sound design, the Creative Coder provides creative and technical insights to drive immersive and agentic audio experiences, offering a long runway for creativity, innovation, and empowerment to push the boundaries of sound technology and make a meaningful impact. Required Skills: Creative Coder Responsibilities: Identity potential large scale opportunities within Meta and partner with design and engineering teams to deliver state of the art audio functionality, tooling and pipeline solutions Provide audio engineering leadership to cross-functional...

Description As a key member of the Amazon One Medical Revenue Cycle team the Coding Compliance Auditor 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 perform detailed reviews of medical coding practices to ensure accuracy, compliance with regulatory requirements and adherence to organizational policies and procedures. This role reports into the Coding Compliance Auditing Manager, 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...

Medical Billing Specialist - Insurance AR Olympic Sports & Spine (OSS) is seeking an experienced Medical Billing Specialist with expertise in Insurance AR to join our on-site billing team. This role is responsible for insurance follow-up to ensure medical claims are accurately billed, processed, and reimbursed in a timely manner. The ideal candidate thrives in a fast-paced billing office, delivers excellent customer service, and wants a MondayFriday schedule with no weekends. Position Summary: The Medical Billing Specialist performs insurance A/R collection by following up with assigned insurance carriers, manages appeals, resolves patient and payer inquiries, and ensures accurate account activity. Ideal candidates will have experience with patient accounting, including billing, follow-up, collections, payment posting, and credit balance resolution. Key Responsibilities: Review patient financial information to verify compliance with payer requirements and...

Medical Coder & Biller Integrative medicine with purpose, compassion, and impact. Location: Salish Cancer Center | Fife, WA | On-Site Status: Full-Time | 1.0 FTE | 40 Hrs/Wk Hiring Range: $28.00 - $34.66 per hour At Salish Cancer Center, every detail matters, especially when it comes to ensuring patients receive the care they need without unnecessary financial barriers. We're looking for a skilled Medical Coder & Biller with oncology experience to join our team and play a key role in supporting accurate, compliant, and efficient revenue cycle operations. What You'll Do: In this role, you'll take ownership of coding and billing processes that directly impact patient care and organizational success. You will: Accurately assign ICD-10-CM, CPT, and HCPCS codes for oncology services, including hematology conditions, chemotherapy, infusions, and immunotherapy Review provider documentation to ensure completeness, accuracy, and compliance Prepare and submit clean...

Billing/Certified Coder The Billing/Certified Coder at Aesthetic Surgery Centre, PLLC plays a critical role in ensuring accurate and efficient medical billing and coding processes that directly impact the financial health of the practice. This position involves meticulously reviewing patient records and surgical documentation to assign appropriate medical codes for procedures and diagnoses in compliance with regulatory standards. The role requires collaboration with clinical staff to clarify documentation and resolve coding discrepancies, thereby optimizing reimbursement and minimizing claim denials. The successful candidate will manage billing submissions, follow up on unpaid claims, and maintain up-to-date knowledge of coding guidelines and payer policies. Ultimately, this position supports the center's mission by facilitating smooth revenue cycle operations and contributing to high-quality patient care through precise administrative practices. Minimum Qualifications:...

Medical Billing Specialist - Insurance AR Posted 11-Jun-2026 (PST) Tacoma, WA, USA 22.57-37.58 per hour Hourly Full Time Full benefit package including medical/dental/vision, Life/ADD, LTD, PTO and holiday leave and much more. Olympic Sports & Spine (OSS) is seeking an experienced Medical Billing Specialist with expertise in Insurance AR to join our on‑site billing team. This role is responsible for insurance follow‑up to ensure medical claims are accurately billed, processed, and reimbursed in a timely manner. The ideal candidate thrives in a fast‑paced billing office, delivers excellent customer service , and wants a Monday–Friday schedule with no weekends . Position Summary: The Medical Billing Specialist performs i insurance A/R collection by following up with assigned insurance carriers, manages appeals, resolves patient and payer inquiries, and ensures accurate account activity. Ideal candidates will have experience with patient accounting, including billing , follow‑up ,...

CLOSING DATE: Open Until filled with Bi-weekly reviewsPOSITION: Medical Billing Specialist (2 positions)SALARY: $23.08 to $28.12 per hour DOEREPORTS TO: Revenue Cycle SupervisorLOCATION: Nespelem Health Center, 6 month training in Nespelem, WA, with possibility of working in other districts upon completion of training.Basic Functions: This is a Non-Exempt position. Performs clerical standard and procedures of the Medical Billing Office through direct contact with eligible programs using computer-aided data entry screens.MINIMUM QUALIFICATIONS:Education and Training:Requires a High School Deploma or GEDRequires 12 months billing and coding experience with Anatomy and Pathophysiology trainingWilling to obtain a Certified Professional Coder (CPC) certificate or Certified Professional Biller (CPB) certificate from the American Academy of Professional Coders (AAPC) within 36 months of hire and maintain certification throughout employment.May require valid driver’s license and be...

Job Title Medical Program Specialist 3 (MPS3/DAIO) – 71029080 Overview The primary responsibility of this position is to serve as the agency’s expert in medical coding and Medicaid program integrity. This work helps ensure that fraud, waste, and abuse is identified and improper payments are recovered. The level of expertise required means that DAIO staff often serve as subject matter experts for the agency and others in a variety of areas related to medical and other benefits claims and billing. About the Division The Division of Audit, Integrity, and Oversight (DAIO) is responsible for providing oversight and ensuring the integrity of our healthcare purchasing and grant activities. This includes auditing medical and other benefit providers and beneficiaries, preventing and investigating fraud, waste, and abuse, monitoring grant subrecipients, managing care organization contract monitoring, PEBB/SEBB monitoring, and overseeing behavioral health and recovery spending. About the...

Job Summary and Responsibilities As a Coding Auditor, you will be a central figure ensuring accurate and timely reimbursement by proactively resolving medical coding claim defects before billing. You will play a vital role in optimizing our revenue cycle and maintaining financial integrity. Every day, you will meticulously research and review coding-related claim denials, providing expert guidance on corrections to prevent future issues and recover lost revenue. You will also proactively address pre-billing resolution of coding defects, safeguarding against reimbursement impacts. To be successful in this role, you will combine a robust understanding of medical coding and reimbursement methodologies, exceptional analytical skills, and meticulous attention to detail. You will demonstrate a proactive problem-solving approach, driven by a commitment to maximizing financial accuracy and efficiency. As a remote employee, we will provide you with the equipment needed to work from home,...

Virginia Mason Franciscan Health is seeking a remote Coding Auditor to ensure accurate reimbursement by resolving coding claim defects proactively. You will research claim denials and provide expert guidance to prevent future issues. The ideal candidate has a high school diploma or equivalent, at least one year of coding experience, and a relevant certification. This role requires critical thinking, attention to detail, and the ability to work under pressure. #J-18808-Ljbffr

Overview Sound Physicians is a nationally respected, physician-led medical group practicing in 400+ hospitals across 45 states. Our team of 4,000+ clinicians and 1,000+ business professionals across the country is united by one mission: to build exceptional clinical partnerships that unlock quality, affordable, dignified care for everyone – no matter who they are or where they live . With physician-led clinical teams and more than two decades of operational expertise, we’ve refined what it takes to consistently deliver exceptional care in hospital medicine, emergency medicine, critical care, anesthesia, and telemedicine. remote-first culture that values flexibility and collaboration Opportunities to grow your career while making a real impact A team that champions inclusivity, innovation, and excellence Whether working virtually or onsite at one of our practices, you’ll be part of a purpose-driven organization shaping the future of healthcare. Sound Physicians offers a competitive...

Become a part of our caring community The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provider onsite education, based on business needs Collaboration with other market provider facing role Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data-driven educational materials and...

CTHCA Medical Billing Specialist Hot Job Reservation Wide - WA Overview Salary Range $23.08 - $28.12 Hourly Description Closing Date: Open Until Filled with Bi-weekly Reviews Position: CTHCA Medical Billing Specialist (2 Positions) Salary: $23.08 to $28.12 per hour DOE Reports To: Revenue Cycle Supervisor Location: Nespelem Health Center, 6 Month Training in Nespelem, WA, with Possibility of Working in Other Districts Upon Completion of Training. Basic Functions: This is a Non-Exempt Position. Performs Clerical Standard and Procedures of the Medical Billing Office Through Direct Contact with Eligible Programs Using Computer-Aided Data Entry Screens. Qualifications Minimum Qualifications: Education and Training: Requires a High School Diploma or GED Requires 12 Months Billing and Coding Experience with Anatomy and Pathophysiology Training Willing to Obtain a Certified Professional Coder (CPC) Certificate or Certified Professional Biller (CPB)...

POSITION SUMMARY: The Medical Accounts Receivable Billing Specialist, reporting directly to the Revenue Cycle Manager, is responsible for managing and resolving insurance and patient accounts receivable, and ensuring accurate and timely billing, reimbursement, and collections. This role supports WACBD's financial health by monitoring outstanding balances, communicating with patients and payers, and maintaining meticulous documentation in accordance with organizational policies and healthcare regulations. This position requires strong analytical skills, attention to detail, and a commitment to delivering exceptional service to patients with chronic and complex medical needs. KEY RESPONSIBILITIES: Review and monitor accounts receivable aging reports to identify outstanding balances and prioritize follow-up activities. Work complex denials (coding, medical necessity, eligibility, prior auth, duplicate, bundling, coordination of benefits) and submit appeals to secure...