22 coding compliance auditor jobs found

A healthcare provider in Kansas City is looking for a Compliance & Coding Audit Specialist to support their Corporate Compliance Program. The role involves conducting audits, interpreting medical records, and educating providers on compliance standards. The ideal candidate should have a high school diploma, relevant credentials, and at least three years of coding experience. This is an on-site position with a standard schedule of 40 hours per week, Monday to Friday. Competitive compensation is offered. #J-18808-Ljbffr

Compliance Coding Auditor Hours: Variable Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Weekend Requirements: No On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $48.140 - $62.110 - $76.080 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance audit program. The position provides oversight and maintenance of a high-quality, effective, best practices coding, billing, and reimbursement audit...

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...

Clinical Coding Auditor & Trainer Location: Remote (U.S.) Must be willing to travel to New York twice annually Position Type: Full Time The Clinical Coding Auditor & Trainer is responsible for conducting clinical documentation and coding audits to ensure compliance with federal regulations, payer requirements, and company policies. This position focuses on DRG validation, inpatient...

Professional Coding Auditor And Educator - Remote This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following Health Information Management duties: Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a "hands on" environment. The majority of time is spent in the delivery of support services or activities, typically under supervision. An experienced level role that requires basic knowledge of job procedures and tools obtained through work experience and may require vocational or technical education. Works under moderate supervision, problems are typically of a routine nature, but may at times require interpretation...

Job Description**General Purpose** The primary purpose of your job position is to implement assigned modules of the EHR Platform (PointClickCare) in all the facilities supported by PACS in accordance with current federal and state guidelines as well as in accordance with the facility’s established privacy policies and procedures.**Essential Duties** • Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. • Administrative Functions • Receive and follow work schedule/instructions from your supervisor and as outlined in our established policies and procedures. • Assist in organizing, planning and directing the EHR-related projects in accordance with set project deadlines. • Assist the...

The Compliance Auditor is responsible for developing and managing an annual audit plan based on measured risk assessments. This individual will complete compliance audits which includes Developing audit tools and methodologies, conducting entrance conference to explain the audit purpose, scope, and applicable laws/standards. It also includes obtaining the necessary information and data to conduct the audit, including reviewing records and reports. Analyzing the information to determine if it meets the standard and drafting detailed written reports that explain the standards and the audit findings. Including recommendations of corrective action and continued monitoring and presenting the findings/recommendations at an exit conference. Successful Candidate will have: Identify applicable laws, standards, and program requirements, including Department of Mental Health licensure and certification requirements, Health Resources and Service Administration (HRSA) requirements, and...

Job Description Job Description Description: Why you’ll want to work at nimble! Interested in becoming a part of a dynamic Coding team? This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building! Who we are: nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle....

Spine Surgery Coder – Remote – 6-Month Contract-to-Hire Compensation: $30 per hour Start Date: ASAP ABOUT THE ROLE Our client seeks a highly skilled Spine Surgery Coder for a remote 6‑month contract‑to‑hire opportunity. The role focuses on accurate coding of outpatient spine procedures within an Ambulatory Spine Center (ASC) setting, supporting revenue integrity, audits, and denial prevention while adhering to regulatory and payer guidelines. WHAT YOU'LL DO Review operative reports and assign accurate CPT and ICD‑10‑CM codes for outpatient spine surgeries. Abstract and code all billable components of spine cases, ensuring completeness and accuracy. Apply correct modifiers and validate procedures against CMS and commercial payer ASC‑approved code lists for ASC and hospital outpatient reimbursement. Maintain strict adherence to coding and regulatory standards, including CMS, payer‑specific spine policies, and internal compliance guidelines. Support audits, denial prevention, and...

Datavant is a leading data platform company revolutionizing health data exchange. Our mission is to ensure that every healthcare decision is made with the right data, delivered timely and in the appropriate format. Powered by the most extensive health data network in the U.S., our platform guarantees secure, accessible, and usable data to enhance health decisions. We are proud to be trusted by the foremost life sciences organizations, government bodies, and healthcare providers. By joining our team, you will be part of a high-performing and values-driven culture. Together, we are addressing some of healthcare's most challenging issues with innovative technology solutions. We embrace a diverse array of professional and personal experiences among our team members as we pursue our ambitious goals for healthcare. What We're Seeking We are on the lookout for seasoned and certified inpatient coders to join our team. The perfect candidate will have exceptional attention to...

Hiring Department University Physicians Job Description #upjobs This position is a dual post linked to Job ID 58429-MCS-C- University Physicians, and the department will be hiring for two positions Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10-CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Assist in the audit of medical records in order to identify potential problems with the coding and reimbursement process such as edits, denials, appeal letter, etc. Act as liaison between third party payers and assigned departments in order to coordinate all aspects of professional coding. Provide assistance to faculty, residents and department staff in the standards of medical record documentation and coding of medical records. Assist in the presentation of training sessions for faculty, residents and staff to inform them of...

Hiring Department University Physicians Job Description #upjobs This position is a dual post linked to Job ID 58427 - MCS - University Physicians, and the department will be hiring for two positions. Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10-CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Assist in the audit of medical records in order to identify potential problems with the coding and reimbursement process such as edits, denials, appeal letter, etc. Act as liaison between third party payers and assigned departments in order to coordinate all aspects of professional coding. Provide assistance to faculty, residents and department staff in the standards of medical record documentation and coding of medical records. Assist in the presentation of training sessions for faculty, residents and staff to inform them of changes...

**Date Posted:**2026-01-26**Country:**United States of America**Location:**US-CA-REMOTE**Position Role Type:**Remote**U.S. Citizen, U.S. Person, or Immigration Status Requirements:**U.S. citizenship is required, as only U.S. citizens are authorized to access information under this program/contract.**Security Clearance Type:**DoD Clearance: Secret**Security Clearance Status:**Active and existing security clearance required after day 1RTX Corporation is an Aerospace and Defense company that provides advanced systems and services for commercial, military and government customers worldwide. It comprises three industry-leading businesses – Collins Aerospace Systems, Pratt & Whitney, and Raytheon. Its 185,000 employees enable the company to operate at the edge of known science as they imagine and deliver solutions that push the boundaries in quantum physics, electric propulsion, directed energy, hypersonics, avionics and cybersecurity. The company, formed in 2020 through the...

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Senior Quality System Compliance Auditor (Remote). In this role, you will make a significant impact by ensuring compliance with critical quality management standards across various business units. You will conduct QMS audits, identify areas for improvement, and work collaboratively to enhance quality practices. Your expertise will help maintain high standards in the aerospace, space, and defense industries, ultimately contributing to the success and safety of various operational processes. This is a unique opportunity to leverage your skills in data analytics and quality assurance while enjoying the flexibility of a remote work environment. Accountabilities Plan, lead, and conduct second party QMS audits for compliance with regulatory and client requirements. Perform formal lead auditor responsibilities, including audit planning and conducting opening and closing meetings. Ensure...

Spine Surgery Coder Remote Role 6-Month Contract to Hire Compensation: $30 per hour Start Date: ASAP ABOUT THE ROLE Our client is seeking a highly skilled Spine Surgery Coder for a remote, 6-month contract-to-hire opportunity. In this role, you will leverage your expertise in spine surgery coding-particularly within the outpatient Ambulatory Spine Center (ASC) environment-to ensure accurate and compliant coding of spinal procedures. You will play a critical part in supporting revenue integrity, audits, and denials prevention, while adhering to regulatory and payer-specific guidelines. The ideal candidate will have a strong background in CPT and ICD-10-CM coding for spine surgeries, with a focus on neurostimulator procedures, and familiarity with the Epic electronic health record system is preferred. This is an immediate need with a start date as soon as possible. WHAT YOU'LL DO Review full operative reports to assign accurate CPT and ICD-10-CM codes for...

Ambulatory Surgery Center (ASC) Cardiology Coder MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and above all excellent customer service. MedHQ, LLC, is a 2022 Becker's Top 150 Places to Work in Healthcare company. We believe our quality of service begins with our quality of team member. We offer exceptional benefits and working environments to exceptional employees. Position Summary The Ambulatory Surgery Center (ASC) Cardiology Coder is responsible for accurately reviewing,...

Join a dedicated healthcare team serving the heart of the Midwest region. This role is perfect for a detail-oriented medical coder who thrives in a remote work environment and values accuracy and compliance. General Summary The medical coder ensures accurate billing by assigning appropriate ICD-10-CM, CPT, and HCPCS Level II codes in accordance with American Medical Association (AMA) and Centers for Medicare and Medicaid Services (CMS) guidelines. This position involves insurance credentialing and educating providers and staff on coding and billing standards. Routine chart audits and timely documentation review are essential components of this role. Essential Duties and Responsibilities Assign ICD-10-CM, CPT, and HCPCS Level II codes to finalized medical documentation to create accurate medical claims. Abstract relevant data from patient records to determine appropriate claim modifiers. Communicate with providers to clarify unclear or incomplete documentation and...

A leading healthcare data company is seeking an Inpatient Auditing Specialist with 3-5 years of experience at a Trauma Level 1 facility. This fully remote role involves conducting outpatient coding audits, providing coder education, and assisting with compliance assessments. Candidates should possess an associate or bachelor’s degree from an AHIMA-certified program, with preferred credentials such as CCS, RHIT, or RHIA. Competitive pay ranges from $35 to $45 per hour, alongside great benefits including medical and dental coverage. #J-18808-Ljbffr

A leading health data solutions company is seeking an Inpatient Auditing Specialist to support coding quality and compliance assessments. This fully remote role requires over 5 years of inpatient coding experience and preferred certifications like CCS. You will conduct audits, provide education to coders, and enhance the workflow process. The role offers competitive pay between $35 and $45 per hour, along with comprehensive benefits including medical, dental, and continuing education support. #J-18808-Ljbffr

POSITION TITLE: Compliance Auditor REPORTS TO: Director of Compliance CLASSIFICATION: Non-Exempt POSITION SUMMARY: The Compliance Auditor is responsible for developing and executing audit plans based on research and regulatory guidelines and conducting internal and external audits of departments and their policies. They review programs, records, and systems to ensure adherence to regulations and to support an effective compliance program that prevents illegal, unethical, or improper conduct at the health center. Additionally, they compile and present audit findings to department leadership, assist in implementing procedural changes to resolve compliance issues, and may be reassigned duties as needed for accommodation or staffing reasons. ESSENTIAL FUNCTIONS: The following information is considered the definition of essential functions, but does not restrict the tasks that may be assigned. The Compliance Auditor may be reassigned duties and responsibilities...

A leading accounting firm in Kansas City is seeking an experienced professional for coding and auditing responsibilities. The ideal candidate has over 5 years of experience with revenue cycle processes, strong analytical skills, and a healthcare-related degree. Certifications such as CPC, RHIT, or RHIA are required. This role involves conducting audits, collaborating with teams, and changing compliance education. Competitive pay and inclusion in a dynamic work environment offered. #J-18808-Ljbffr

QA Nurse / Coder (RN) As a QA Nurse / Coder, you will ensure the accuracy, completeness, and regulatory compliance of Home Health documentationparticularly OASIS assessments, the Home Health Plan of Care (485), and face-to-face encounter noteswhile properly sequencing diagnoses according to federal/state standards and agency policy. Core responsibilities include: Review OASIS forms and Plans of Care for appropriateness, completeness, and compliance. Assign and sequence ICD?10 codes in line with current home health coding guidelines. Ensure consistency and compliance of face-to-face encounter documentation with OASIS and care plans. Conduct additional clinical record audits and OASIS reviews as assigned. Stay current on Medicare reimbursement policies, home health regulations, and compliance requirements. Maintain relevant certifications (HCS?D, HCS?O or COS?C). Participate in quality assurance and performance-improvement efforts. Coordinate with physicians,...