28 coding compliance auditor jobs found

A leading healthcare data firm is seeking an Inpatient Auditing Specialist to perform coding audits and provide education. The role is remote, requiring 5+ years of experience in facility inpatient coding or auditing. Strong organizational skills and proficiency with Epic and Cerner are preferred. This position offers competitive hourly rates and numerous benefits, including medical and professional development support. #J-18808-Ljbffr

A healthcare organization is seeking an ICD-10 Coding Specialist in Ann Arbor, Michigan. Your primary role will include ensuring the accuracy of coding for inpatient records, creating training programs, and supporting coding compliance. The ideal candidate will have a strong background in healthcare coding, effective communication skills, and the ability to work independently. This is an opportunity to contribute to quality patient care through effective coding practices. #J-18808-Ljbffr

Physician Coding Auditor This is a full-time, remote position that offers a flexible schedule. Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder's internal coding/auditing policies and expectations set forth by department management. Physician Coding Auditor must prioritize daily duties, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals. Candidates ideally have recent auditing experience specializing in some of the following profee areas: Ophthalmology, Behavioral Health, Cardiovascular/Cardiothoracic Surgery, Complex ENT Surgery, Dental, Complex Plastic Surgery, Orthopedic Surgery, Peds...

Company Description More Than Just Care,It’sCommunity Imagine doing meaningful work in a place where peoplevacation.That’slife at Munson Healthcare - northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. If you want a career in healthcare and alifestylemost people only dream about – with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. To us, that means teammates who live by our values of excellence,teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country. Invested in You Grow: Tuition reimbursement, in-person and onlinedevelopment,and access to ourcareer hubto help you advance. Thrive: Full benefits, paid holidays, generous PTO,...

Come grow with us. Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding. Yeo & Yeo Medical Billing & Consulting maintains a highly trained staff with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes. Our billing specialists receive ongoing training specific to medical specialty. We continually train our staff by updating and maintaining their knowledge of insurance carrier trends and changes in billing rules and policies. Our people are our future – we provide the venue for individuals who have the desire...

Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g., ICD‑10‑CM, CPT, HCPCS). The role requires interpretation and independent determination of the appropriate courses of action, contributing to overall cost reduction by increasing the accuracy of provider contract payments in our payer systems and ensuring correct claims payment for appropriate CPT/HCPCS code assignments. The Auditor analyzes, enters and manipulates database data, responds to or clarifies internal requests for medical information, understands departmental, segment and organizational strategy and operating objectives, and follows established guidelines and procedures while making decisions in ambiguous situations. Where you come in The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g.,...

A leading healthcare company is seeking a Medical Coding Auditor to ensure coding accuracy and compliance for medical claims. You will verify procedure codes, review documentation, and perform peer reviews in a remote setting. The ideal candidate has at least 3 years of post-certification experience and a strong understanding of CPT/HCPCS coding guidelines and outpatient procedures. Join us in making a positive impact in health care while enjoying a flexible work environment. #J-18808-Ljbffr

Description Come grow with us. Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding. Yeo & Yeo Medical Billing & Consulting maintains a highly trained staff with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes. Our billing specialists receive ongoing training specific to medical specialty. We continually train our staff by updating and maintaining their knowledge of insurance carrier trends and changes in billing rules and policies. Our people are our future - we provide the venue for individuals...

Siu Coder McLaren Health Plan (MHP) is a company with a culture of high performance and a mission to help people live healthier and more satisfying lives. We are looking for a SIU Coder, to join in leading the organization forward. MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare plans to Michigan residents for every stage of life. McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA). MHP values the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plan can thrive. As an employee of MHP, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members. The Special Investigations Unit (SIU) Coder...

Overview Optimal Care is where your dedication meets a rewarding career. As a clinician owned and operated company, we create the opportunity and environment for each employee to realize their highest potential while maintaining a personalized focus on our Patients and Families every day. We are the Midwest's premier provider of Physician Services, Home Health, and Hospice Care. Our integrated care delivery model incorporates technology, innovation and best practices. We produce value based outcomes by managing chronic disease process, rehabilitation and end of life care. We live a simple Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care. What this means for you At Optimal Care, you have our resolute commitment to being an exceptional place to work. Your expertise, passion and commitment to exceptional quality care will continue to thrive. With you we can build a remarkable place to work. Benefits Minimum of 3 Weeks Paid Time Off (PTO) Company Vehicle...

Optimal Care Job Opportunity Optimal Care is where your dedication meets a rewarding career. As a clinician owned and operated company, we create the opportunity and environment for each employee to realize their highest potential while maintaining a personalized focus on our patients and families every day. We are the Midwest's premier provider of physician services, home health, and hospice care. Our integrated care delivery model incorporates technology, innovation, and best practices. We produce value-based outcomes by managing chronic disease process, rehabilitation, and end-of-life care. We live a simple mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care. What does this mean for you? At Optimal Care, you have our resolute commitment to being an exceptional place to work. Your expertise, passion, and commitment to exceptional quality care will continue to thrive. With you we can build a remarkable place to work. Exceptional Benefits: Minimum of 3...

Professional Coder A professional coder provides timely and accurate clinical and administrative data to ensure optimal reimbursement for services performed at acute care, inpatient, outpatient, urgent care, or physician offices. The role requires ICD10CM diagnosis, CPT‑4 coding, and charge entry, working closely with billing staff, practice managers and office personnel while maintaining high coding quality standards. Responsibilities Contribute to organizational success targets for patient satisfaction. Develop and maintain effective working relationships with HIM department staff, physicians, external customers, patients, and other staff. Adhere to coding rules for multiple specialties (neurosurgery, pediatric surgery, rehab, orthopedic, cardiology, etc.) ensuring high-quality coding based on documentation. Follow policies, procedures, and guidelines, while using analytical skills to review charts, interpret documentation, and apply codes. Ensure coding is completed on...

divh2Advanced Coding Position/h2pAdvanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis Related Group, (APR-DRG) based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as all American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications. Utilizes Optum CAC in accordance with established workflow. Follows University of Michigan Medicine Sparrow policies and procedures and maintains required quality and productivity standards./ppEssential Duties:/ppThis job description is intended to...

Job Description Job Description Description: CPC-As are not being considered at this time. We're coding rebels with a cause. KODE is a health-tech company developed by medical coders for medical coders looking to change the way things are done in the industry. Our company may be young but we're growing rapidly. That also means we're not buried in outdated policies and bureaucracies.Coders play a critical role in healthcare, but have you ever felt like you're just a cog in the machine? At KODE there are no cogs, there are people. We aren't looking for a coder to fill an open position simply. We're looking for a new teammate passionate about professional coding who wants to join our collective mission to be awesome.We're serious about two things: coding and treating you like the professional you are. If this intrigues you, please keep reading. About this Role We're looking for a Facility Inpatient Coder to join our company! Responsibilities: Review medical records...

Positions Location: Lansing, MI Job Description General Purpose of Job :   Ensure Revenue Cycle Coding and Billing are compliant with State and Federal regulations.  Respond to and Investigate compliance issues within Revenue Cycle.   Lead and/or coordinate audit activity with governmental audits.   Essential Duties : This job description is intended to cover the minimum essential duties assigned on a regular basis.  Team members may be asked to perform additional duties as assigned by their leader.  Leadership has the right to alter or modify the duties of the position. Ensures conformance with applicable laws, regulations and Medicare/Medicaid reimbursement rules to ensure UMHS is in compliance with federal, state and/or local regulations. Monitors, analyzes and reports on laws, regulations, audits and industry standards that impact the organization. Develops and maintains Professional and Hospital billing issues on the Revenue Cycle Compliance Work Plan....

A leading health data platform company is seeking an Inpatient Auditing Specialist to conduct coding audits and provide coder education. This fully remote role requires 5+ years of inpatient coding experience and CCS certification preferred. The successful candidate will excel in organizational and customer service skills while ensuring compliance and accuracy in coding. Competitive pay and a supportive work environment are offered. #J-18808-Ljbffr

A healthcare data platform company is seeking an Inpatient Auditing Specialist to conduct coding audits and provide education. This remote role involves reviewing medical records for compliance and accuracy, mentoring coders, and collaborating with healthcare staff. Ideal candidates should have 3-5 years of auditing experience and relevant healthcare credentials. Competitive benefits include medical, dental, vision, and a flexible schedule. #J-18808-Ljbffr

Introduction: A Career at HARMAN Corporate We're a global, multi-disciplinary team that's putting the innovative power of technology to work and transforming tomorrow. At HARMAN Corporate, you are integral to our company's award-winning success. Enrich your managerial and organizational talents - from finance, quality, and supply chain to human resources, IT, sales, and strategy Augment your comprehensive skillset with expert training across decision-making, change management, leadership, and business development Obtain 360‐degree support throughout your career life cycle, from early‐stage to seasoned leader About the Role The Trade Compliance Auditor is responsible for auditing customs-related import and export compliance within the United States, Canada and EMEA regions. This role serves to audit all compliance-related functions in the regions. This role reports to the Audit Manager, Trade Compliance. You will create and maintain trade compliance procedures and requirements...

Job Description Job Description About the Role: The Medical Biller Supervisor for Home Health (Homecare Homebase) plays a critical role in overseeing the billing operations within a home health care setting. This position ensures accurate and timely submission of medical claims, optimizing revenue cycle management while maintaining compliance with healthcare regulations. The supervisor leads a team of billers, providing guidance, training, and performance evaluations to enhance productivity and accuracy. They collaborate closely with clinical, administrative, and insurance teams to resolve billing issues and improve processes. Ultimately, this role drives financial performance by ensuring efficient billing practices and minimizing claim denials and delays. Minimum Qualifications: High school diploma or equivalent; Associate’s or Bachelor’s degree in healthcare administration or related field preferred. Minimum of 3 years of experience in medical billing within a home...

Job Summary Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis Related Group, (APR-DRG) based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as all American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications. Utilizes 3M 360 in accordance with established workflow. Follows Michigan Medicine policies and procedures and maintains required quality and productivity standards. Mission Statement Michigan Medicine improves the health of patients, populations and communities...

Job Description General Purpose of Job :   Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis Related Group, (APR-DRG) based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as all American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications. Utilizes Optum CAC in accordance with established workflow. Follows University of Michigan Medicine – Sparrow policies and procedures and maintains required quality and productivity standards. Essential Duties : This job...

McLaren Health Plan (MHP) is a company with a culture of high performance and a mission to help people live healthier and more satisfying lives. We are looking for a SIU Coder, to join in leading the organization forward. MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare plans to Michigan residents for every stage of life. McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA). MHP values the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plan can thrive. As an employee of MHP, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members. Learn more about McLaren Health Plan at...

Benefits 401(k) Dental insurance Health insurance Paid time off Parental leave Vision insurance WRS US Workers Billing offers a team-oriented and sales-driven culture focused on enriching our patients lives. As our medical billing team grows, we are looking to add a team member with a strong background in medical billing, customer service, and communication with third party adjusters. The ideal candidate will possess strong knowledge in these areas along with the ability to multi-task while staying organized. The WRS culture is one of caring and collaboration, and our team members enjoy working in a fast-paced, team-oriented environment. If this sounds like your ideal work environment, take a look at the job description below and apply today! Role and Responsibilities Audit records to ensure proper submission of services prior to submitting claim to payer Supply correct ICD-10-CM diagnosis codes on all claims Supply correct CPT code on all DME procedures and services performed...

Title: Medical Coder - Long Term Acute Care Hospital Reports to: Director of Operations Effective Date: 12.2025 Revise Date: Summary The Medical Coder - Long Term Acute Care Hospital is responsible for accurate and compliant coding of diagnoses, procedures, and services for inpatient, outpatient, and skilled nursing encounters. This role supports appropriate reimbursement under Medicare, Medicaid, and commercial payers while ensuring compliance with CMS, DRG, and hospital coding regulations. Core Responsibilities: Assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes for inpatient encounters Ensure accurate DRG/APR-DRG assignment and appropriate sequencing of diagnoses and procedures Review operative reports, discharge summaries, progress notes, and ancillary documentation Collaborate with CDI staff to clarify diagnoses and ensure complete, compliant documentation General Responsibilities: Ensure compliance with CMS, Medicare, Medicaid, and payer-specific...