34 coding auditor provider educator jobs found

Christie Clinic's department of Compliance Quality is seeking a full-time Compliance Auditor/Educator (Sign-On Bonus Available) at our Clark Street location in Champaign from Monday-Friday 8:00am-5:00pm, with no night or weekend requirements. Duties include performing ongoing functions related to quality of care and compliance including government and clinic regulations and policies in support of the Christie Clinic Compliance System. JOB DUTIES: (This list may not include all of the duties assigned.) Screen, review, identify and document potential quality and compliance issues. Perform billing and coding audits with both random samples as well as provider and department specific samples; and as required. Meet with providers to share audit results and guidance for accuracy rate improvement. Prepare educational materials specific to new provider's specialty and assist with orientation sessions. Review new providers' daily charges and offer feedback. Notify...

Job Title: Senior Coding Educator Location: Chicagoland Type: Remote Pay: target salary $65,000-90,000 Job Type: Permanent Benefits: Medical, dental, vision, and 401(k) for eligible employees About the Opportunity Our client is a top-tier, fully integrated healthcare system serving the Chicagoland area and surrounding suburbs , known for delivering high-quality, patient-centered care across a broad network of hospitals and outpatient facilities. With a large regional footprint and strong reputation for clinical excellence, this organization offers stability, growth, and the opportunity to make a meaningful impact . They are seeking a Coding Educator to support coding excellence, provider documentation improvement, and compliance initiatives across the system. Position Overview The Coding Educator is responsible for developing and delivering education programs that enhance coding accuracy, documentation quality, and regulatory compliance....

Certified Outpatient Coder Certified Outpatient Coder - ONSITE Position Overview The Outpatient Coder is responsible for reviewing outpatient medical records and assigning accurate diagnostic and procedural codes. This role ensures timely coding, supports revenue cycle integrity, and partners with providers to clarify documentation when needed. Key Responsibilities Coding & Documentation Review Assign ICD-10-CM and CPT codes for outpatient records Ensure coding is completed within 3 days of discharge Maintain 98% coding accuracy and meet quality benchmarks Abstract and maintain complete and accurate coding records Collaboration & Communication Query providers for clarification of incomplete or unclear documentation Work closely with physicians, nursing staff, Case Management, and Business Office Follow up on uncoded or delayed accounts Quality & Compliance Monitor coding quality and identify error patterns...

Certified Outpatient Coder Certified Outpatient Coder - ONSITE Position Overview The Outpatient Coder is responsible for reviewing outpatient medical records and assigning accurate diagnostic and procedural codes. This role ensures timely coding, supports revenue cycle integrity, and partners with providers to clarify documentation when needed. Key Responsibilities Coding & Documentation Review Assign ICD-10-CM and CPT codes for outpatient records Ensure coding is completed within 3 days of discharge Maintain 98% coding accuracy and meet quality benchmarks Abstract and maintain complete and accurate coding records Collaboration & Communication Query providers for clarification of incomplete or unclear documentation Work closely with physicians, nursing staff, Case Management, and Business Office Follow up on uncoded or delayed accounts Quality & Compliance Monitor coding quality and identify error patterns...

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:...

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

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 Inpatient Coder (CIC) – American Academy of Professional Coders (AAPC); Certified Coding Specialist – Physician-Based (CCS‑P) – American Health Information Management Association (AHIMA); Certified Coding...

The Senior / Super Coder serves as a high-performing coding professional responsible for the accurate and timely assignment of ICD-10-CM/PCS, CPT, and HCPCS codes for all hospital services including inpatient, outpatient, emergency, surgery, and RHC encounters. This position functions as the department’s top-tier coder and provides advanced coding expertise, mentorship, and support to the Coding Team Leader, enabling her to focus on quality assurance, compliance, and education. The Senior Coder must maintain exceptional accuracy, productivity, and compliance with official coding guidelines, payer requirements, and FMH policy. Key Responsibilities Independently review and abstract complex clinical documentation for accurate code assignment. Assign appropriate ICD-10-CM/PCS, CPT, and HCPCS codes using the 3M encoder across multiple service lines. Resolve coding edits, medical necessity issues, and payer rejections efficiently. Collaborate with providers and the Coding Team...

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 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, providing guidance to faculty and staff on the...

Certified Outpatient Coder Certified Outpatient Coder - ONSITE Position Overview The Outpatient Coder is responsible for reviewing outpatient medical records and assigning accurate diagnostic and procedural codes. This role ensures timely coding, supports revenue cycle integrity, and partners with providers to clarify documentation when needed. Key Responsibilities Coding & Documentation Review Assign ICD-10-CM and CPT codes for outpatient records Ensure coding is completed within 3 days of discharge Maintain 98% coding accuracy and meet quality benchmarks Abstract and maintain complete and accurate coding records Collaboration & Communication Query providers for clarification of incomplete or unclear documentation Work closely with physicians, nursing staff, Case Management, and Business Office Follow up on uncoded or delayed accounts Quality & Compliance Monitor coding quality and identify error patterns...

Certified Outpatient Coder Certified Outpatient Coder - ONSITE Position Overview The Outpatient Coder is responsible for reviewing outpatient medical records and assigning accurate diagnostic and procedural codes. This role ensures timely coding, supports revenue cycle integrity, and partners with providers to clarify documentation when needed. Key Responsibilities Coding & Documentation Review Assign ICD-10-CM and CPT codes for outpatient records Ensure coding is completed within 3 days of discharge Maintain 98% coding accuracy and meet quality benchmarks Abstract and maintain complete and accurate coding records Collaboration & Communication Query providers for clarification of incomplete or unclear documentation Work closely with physicians, nursing staff, Case Management, and Business Office Follow up on uncoded or delayed accounts Quality & Compliance Monitor coding quality and identify error patterns...

Job Title: Medical Coder Coordinator Location: Remote (100%) Duration: 6-Month Contract to Hire Schedule: Monday – Friday | 9:00 AM – 5:30 PM EST Pay Rate: $21.42/Hour Position Overview: We are seeking a detail-oriented and highly motivated Medical Coder Coordinator to join our team in a fully remote capacity. This role focuses on retrospective payment reimbursement reviews and requires strong inpatient coding experience, extensive CPT coding knowledge, modifier expertise, and the ability to interpret complex reimbursement documentation. The ideal candidate will thrive in a fast-paced, deadline-driven environment while maintaining exceptional accuracy and compliance standards. Key Responsibilities: Perform retrospective payment reimbursement reviews and coding audits. Review and interpret Explanations of Benefits (EOBs), including: Recoupments Corrections Claim adjustments Apply CPT, ICD-10-CM, and HCPCS coding guidelines accurately. Analyze CPT modifiers and evaluate their impact...

Certified Outpatient Coder Certified Outpatient Coder Position Overview The Outpatient Coder is responsible for reviewing outpatient medical records and assigning accurate diagnostic and procedural codes. This role ensures timely coding, supports revenue cycle integrity, and partners with providers to clarify documentation when needed. Key Responsibilities Coding & Documentation Review Assign ICD-10-CM and CPT codes for outpatient records Ensure coding is completed within 3 days of discharge Maintain 98% coding accuracy and meet quality benchmarks Abstract and maintain complete and accurate coding records Collaboration & Communication Query providers for clarification of incomplete or unclear documentation Work closely with physicians, nursing staff, Case Management, and Business Office Follow up on uncoded or delayed accounts Quality & Compliance Monitor coding quality and identify error patterns Ensure...

100% remote Medical Coder needed / Must have hospital and/or acute care experience! This Jobot Consulting Job is hosted by: Christine McNamara Are you a fit? Easy Apply now by clicking the "Quick Apply" buttonand sending us your resume. Salary: $30 - $40 per hour A bit about us: We are currently seeking an experienced Inpatient Medical Coder to join our dynamic and fast-paced team. The successful candidate will play a crucial role in accurately coding patient records for our inpatient services. This is a fantastic opportunity to utilize your coding skills and knowledge in a challenging and rewarding environment, working with a variety of medical specialties and interacting with our dedicated healthcare professionals. This is a long term contract role with strong likelihood of converting to a permanent employee in 2027. Why join us? 100% remote work Flexible work schedule Growth opportunities Job Details Responsibilities 1. Reviewing and analyzing patient records to accurately...

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

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...

Clinic Coder II The Clinic Coder II 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...

PB Coder Chicago The PB Coder is responsible for reviewing, analyzing, and accurately coding ambulatory and/or hospital-based encounters. This role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers. The PB Coder ensures all coding aligns with established coding standards, regulatory requirements, and reimbursement policies. Essential Duties and Responsibilities: Analyzes provider documentation to assure appropriate Evaluation & Management (E/M) levels are assigned using the correct CPT and current Evaluation and Management Guidelines Analyzes provider documentation to assure that appropriate CPT codes are assigned for surgeries and other diagnostic procedures. Ensures that all coding aligns with coding standards, regulatory requirements and other reimbursement...

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...

PB Coder Chicago The PB Coder is responsible for reviewing, analyzing, and accurately coding ambulatory and/or hospital-based encounters. This role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers. The PB Coder ensures all coding aligns with established coding standards, regulatory requirements, and reimbursement policies. Essential Duties and Responsibilities: Analyzes provider documentation to assure appropriate Evaluation & Management (E/M) levels are assigned using the correct CPT and current Evaluation and Management Guidelines Analyzes provider documentation to assure that appropriate CPT codes are assigned for surgeries and other diagnostic procedures. Ensures that all coding aligns with coding standards, regulatory requirements and other reimbursement...

Certified Outpatient Coder Position Overview The Outpatient Coder is responsible for reviewing outpatient medical records and assigning accurate diagnostic and procedural codes. This role ensures timely coding, supports revenue cycle integrity, and partners with providers to clarify documentation when needed. Key Responsibilities Coding & Documentation Review Assign ICD-10-CM and CPT codes for outpatient records Ensure coding is completed within 3 days of discharge Maintain 98% coding accuracy and meet quality benchmarks Abstract and maintain complete and accurate coding records Collaboration & Communication Query providers for clarification of incomplete or unclear documentation Work closely with physicians, nursing staff, Case Management, and Business Office Follow up on uncoded or delayed accounts Quality & Compliance Monitor coding quality and identify error patterns Ensure compliance with federal and state...

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 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 Academy of...

This position has the primary function of coordinating and supporting the Deputy Chief Compliance Officer with administrative, analytical, and program coordination activities. This position will provide support related to compliance auditing activities and programs, assisting with developing and coordinating the Compliance Audit Plan, supporting proactive and reactive audits of professional fee billings in clinic and facility settings, including federally qualified health centers. Proactively support audit activities related to billing and coding risks to the SOM, identifying and calculating potential overpayments based on audit results, participating in the repayment process if necessary, reviewing research billing compliance issues and assisting the Deputy Chief Compliance Officer in designing and managing a comprehensive billing/auditing program.  The position supports compliance-related activities by gathering information, coordinating documentation reviews, monitoring...