30 coding compliance auditor jobs found

Memorial Hermann Health System seeks a skilled clinical coder to ensure the accuracy and completeness of coding for reimbursement and data integrity. This role reports to the Coding Compliance Manager and emphasizes ICD-10-CM and CPT guidelines, coding audits, and maintaining organization-wide coding standards. The ideal candidate has RHIT/RHIA or equivalent certifications, four years of hospital coding or auditing experience, and proven ability to develop educational sessions for staff while #J-18808-Ljbffr

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary If you are located outside of the state of Texas -- you must be located in KANSAS, OKLAHOMA, TENNESSEE, LOUISIANA, GEORGIA, SOUTH CAROLINA, NORTH CAROLINA, or be willing to relocate to one of the eligible states (including Texas). Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and...

Emory Healthcare is seeking a remote Medical Coding Auditor to ensure accuracy, completeness, and regulatory compliance of professional coding services. You will review patient records, collaborate with providers, coders, and compliance staff, and support correct reimbursement. The role includes chart reviews, audits, and education to improve coding quality and regulatory adherence. Strong hcpcs/icd-10 knowledge and AAPC/AHIMA certification are preferred. #J-18808-Ljbffr

Signature Performance, Inc. is seeking an Outpatient Coding Auditor to ensure coding accuracy and drive documentation improvements across our organization. This remote role involves quality reviews, coordinating with department managers, and delivering education to coders and staff. You will work with ICD-10-CM/PCS, CPT-4, HCPCS, and reimbursement concepts while supporting multiple client systems and providing actionable audit reports and guidance. #J-18808-Ljbffr

Where You’ll Work With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Job Summary and Responsibilities As our Coding Auditor and Educator Professional Fee, you will utilize ICD-10-CM, HCPCS, and CPT-4 classification systems to support the professional fee coding team. You will serve as a key resource for coding and billing inquiries while facilitating the standardization of coding practices across the organization. Every day, you will perform internal audits and provide necessary follow-up education to...

Job Description Join our team as a day shift, full time, Coding Auditor and Educator at INTEGRIS Health in Oklahoma City, OK. Get to Know Your Team INTEGRIS Health, Oklahoma's largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives. Benefits of being an INTEGRIS Health caregiver include front-loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more. Take the first step toward growing your career by joining us. Responsibilities The Coding Auditor and Educator leads coding quality assurance and education efforts to drive coding accuracy, regulatory compliance, and continuous improvement across coding operations. Performs comprehensive coding audits to assess accuracy, compliance, and performance trends. Analyzes audit findings to identify root causes and develops targeted...

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2972 United States Apply X Facebook LinkedIn Email Copy Work Schedule 8 hours daily between 6:00a - 6:00p Eastern Time Monday - Friday Compensation Range $28.00 - $30.00/Hour Position Type Full Time Description About You You are a person who enjoys ensuring coding accuracy and solving documentation and compliance challenges. We need someone who demonstrates skills in organization, prioritization, professionalism, and coaching others. In the role of Outpatient Coding Auditor, you will be responsible for quality reviews and audits and coordinating with department managers to ensure standards are met in accordance with department and organization policies. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you...

Certified Professional Coder, PAM Hybrid • DRH Business Center (CBO and CWS) - Duncan, OK 73533 Overview Position Type Full Time Job Shift Day Shift Education Level Certification Travel Percentage None Category Finance and Accounting Description JOB SUMMARY: This position is responsible for reviewing a patient's medical records after a Clinic visit and translating the information into codes that insurers use to process claims for patients. Duties include confirming treatments with medical staff, identifying missing information, and submitting information to insurers for reimbursement. RESPONSIBILITIES (ESSENTIAL FUNCTIONS): Accurately assigns and sequences codes (ICD-10-CM, CPT, HCPCS/modifiers as necessary) for each patient encounter, following proper coding guidelines and legal requirements to ensure compliance with federal and state regulations. Ensures professional/physician billing CPT codes/ICD-10 codes are assigned correctly and sequenced appropriately as...

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. Follows...

Coding Auditor And EducatorJoin our team as a day shift, full time, Coding Auditor and Educator at INTEGRIS Health in Oklahoma City, OK.INTEGRIS Health, Oklahoma's largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives.Benefits of being an INTEGRIS Health caregiver include front-loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more.Take the first step toward growing your career by joining us.QualificationsREQUIRED QUALIFICATIONSEXPERIENCE:4+ year coding experienceEDUCATION:High School Diploma or GEDLICENSE/CERTIFICATIONS:AHIMA-RHIA (Registered Health Information Administrator) OR AHIMA-RHIT (Registered Health Information Technician) OR AHIMA-CCS (Certified Coding Specialist) OR AAPC-CIC (Certified Inpatient Coder) OR AAPC-CPC (Certified Professional Coder); AAPPC-COC (Certified Outpatient...

SIU ICD10 Professional Coder - Healthcare Fraud, Waste and Abuse Department - Hybrid 2 days in office SIU ICD10 Professional Coder - Healthcare Fraud, Waste and Abuse Department - Hybrid 2 days in office Location US-MA-Worcester Job ID 8406 # Positions 1 Category Professionals Location US-MA-Worcester Job ID 8406 # Positions 1 Category Professionals Overview About us: Fallon Health is a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability,...

INTEGRIS Health in Oklahoma City, OK, is seeking a Day Shift, full-time Coding Auditor and Educator to join our team. The role focuses on leading coding quality assurance and education to improve accuracy, compliance, and data integrity across coding operations. You will conduct comprehensive audits, analyze findings, and develop targeted education for coders and providers, collaborating with leadership to drive measurable improvements and ensure reimbursement integrity. #J-18808-Ljbffr

ED/OP CoderFully Remote • Home Office - Oklahoma City, OK 73134OverviewPosition Type Full Time Job Shift Day Education Level Certification Travel Percentage Occasional Category Health Information Management (HIM)DescriptionJOB PURPOSE: This position is for an Outpatient Coder with Emergency Dept and Ambulatory Surgery coding experience. The coder will code Surgery, Emergency department, and Ancillary records. Emergency Dept coding includes injection & infusion coding as well as the assignment of the E&M Professional fee. Coder will demonstrate competency by meeting productivity standards and achieving an accuracy rate of 95% on all chart types coded.Will abstract and code every account compliantly, accurately, and completely, to ensure accurate and timely reimbursement and reporting. Verifies, reviews, analyzes, and abstracts medical information; researches missing clinical information; assigns accurate codes; appropriately queries physicians when required; elevates...

OU Health in the United States is seeking an Experienced Professional Coding Specialist to independently perform complex professional coding across multiple settings, ensuring accurate E/M levels, modifiers, and documentation alignment to support compliant reimbursement and audit defensibility. You will analyze denials, apply payer policies, and guide peers while participating in quality reviews. Hybrid work options and a competitive compensation package accompany this role. #J-18808-Ljbffr

Remote Medical CoderEdmond, Oklahoma, United StatesPosition DetailsReports to: Billing & Patient Services SupervisorLocation: Remote – Must currently reside in OklahomaSchedule:Monday–Thursday: 8:00 a.m.–5:00 p.m. CSTFriday: 8:00 a.m.–12:00 p.m. CSTWhy the role is open: Growing patient volume and expanded clinical programsAre you detail-oriented, analytical, and passionate about getting coding right the first time?We're seeking an experienced Medical Coder to join a respected and growing healthcare organization. This is a fully remote opportunity for candidates currently residing in Oklahoma and is ideal for someone who thrives on accuracy, works well independently, and understands how proper coding directly impacts compliance, reimbursement, and the overall revenue cycle.Why This Role Stands OutFully remote opportunity for Oklahoma residentsConsistent weekday schedule with early FridaysDirect impact on accurate reimbursement and provider successCollaborative partnership with...

At Emory Healthcare At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. Student Loan Repayment Assistance & Reimbursement Programs ~ Remote This position is remote; This position ensures the accuracy, completeness, and compliance of medical coding and clinical documentation for professional coding services. The role supports accurate coding practices, appropriate reimbursement, and regulatory compliance by reviewing patient records and collaborating with healthcare providers, coding teams, and compliance staff. Ensures the accuracy, completeness, and compliance of medical coding and documentation for professional coding services. Reviews patient records, clinical documentation, and coded data to identify discrepancies and coding issues. Works closely with...

Your future role at a glance Location: Tulsa, OK | Remote Facility: AMG South Harvard Department: Revenue Cycle Patient Accounting Schedule: Full time, Monday - Friday How you'll make an impact in this role Translates complex clinical data into precise medical codes, expertly abstracting patient records to assign ICD, CPT, and HCPCS codes for accurate APC and DRG classifications. Maintains peak operational excellence by consistently achieving top-tier productivity and quality benchmarks while strictly adhering to AHIMA Standards of Ethical Coding and official guidelines. Fosters collaborative clinical relationships by proactively querying physicians to resolve ambiguous documentation, ensuring maximum coding clarity and accurate reimbursement reporting. Drives organizational compliance and continuous learning, staying at the forefront of changing regulatory requirements while leading internal chart audits and educational sessions for...

Job DetailsJob Location: Home Office - Oklahoma City, OK 73134Position Type: Full TimeEducation Level: CertificationTravel Percentage: OccasionalJob Shift: DayJob Category: Health Information Management (HIM)JOB PURPOSE: This position is for an Outpatient Coder with Emergency Dept and Ambulatory Surgery coding experience. The coder will code Surgery, Emergency department, and Ancillary records. Emergency Dept coding includes injection & infusion coding as well as the assignment of the E&M Professional fee. Coder will demonstrate competency by meeting productivity standards and achieving an accuracy rate of 95% on all chart types coded. Will abstract and code every account compliantly, accurately, and completely, to ensure accurate and timely reimbursement and reporting. Verifies, reviews, analyzes, and abstracts medical information; researches missing clinical information; assigns accurate codes; appropriately queries physicians when required; elevates documentation issues...

Department: 10407 Enterprise Revenue Cycle - Coding Production Operations: Inpatient Coding Operations Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Will support : A mix of inpatient community and academic coding. Includes service lines such as cardiology, neurology, and oncology. Schedule : Full-time, Monday-Friday 40hrs with a standard schedule of Monday through Friday, 8 hours per day, totaling 40 hours each week. Certification required : Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). Remote opportunity: Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY Pay Range: $33.05 - $49.60 Major...

Your Future Role At A GlanceLocation: Tulsa, OK | RemoteFacility: AMG South HarvardDepartment: Revenue Cycle Patient AccountingSchedule: Full time, Monday - FridayHow You'll Make An Impact In This RoleTranslates complex clinical data into precise medical codes, expertly abstracting patient records to assign ICD, CPT, and HCPCS codes for accurate APC and DRG classifications.Maintains peak operational excellence by consistently achieving top-tier productivity and quality benchmarks while strictly adhering to AHIMA Standards of Ethical Coding and official guidelines.Fosters collaborative clinical relationships by proactively querying physicians to resolve ambiguous documentation, ensuring maximum coding clarity and accurate reimbursement reporting.Drives organizational compliance and continuous learning, staying at the forefront of changing regulatory requirements while leading internal chart audits and educational sessions for physicians and staff.What Minimum Requirements You'll...

Remote Medical Coder Edmond, Oklahoma, United States Position Details Reports to: Billing & Patient Services Supervisor Location: Remote Must currently reside in Oklahoma Schedule: MondayThursday: 8:00 a.m.5:00 p.m. CST Friday: 8:00 a.m.12:00 p.m. CST Why the role is open: Growing patient volume and expanded clinical programs Are you detail-oriented, analytical, and passionate about getting coding right the first time? We're seeking an experienced Medical Coder to join a respected and growing healthcare organization. This is a fully remote opportunity for candidates currently residing in Oklahoma and is ideal for someone who thrives on accuracy, works well independently, and understands how proper coding directly impacts compliance, reimbursement, and the overall revenue cycle. Why This Role Stands Out Fully remote opportunity for Oklahoma residents Consistent weekday schedule with early Fridays Direct impact on accurate reimbursement and provider success...

Coding Specialist PositionYour future role at a glanceLocation: Tulsa, OK On-siteFacility: Ascension Medical GroupDepartment/Specialty: Revenue CycleSchedule: Full-time days, Monday - Friday, 8a - 5pHow You'll Make An Impact In This RoleTransform patient records into accurate care stories by evaluating clinical charts and applying precise diagnostic and procedural codes, directly driving accurate reimbursement and flawless claims processing.Collaborate directly with physicians to clarify ambiguous documentation, fostering open communication that elevates health record quality and protects compliance standards.Champion coding accuracy and team growth through regular chart audits and continuous clinical education for both providers and peers.Uphold industry excellence by maintaining high productivity and quality standards while strictly adhering to AHIMA ethical coding guidelines and regulatory updates.What Minimum Requirements You'll NeedLicensure / Certification / Registration:One...

Hiring multiple REMOTE Medical Coders for a 1-2 year project! Must live in the US Must have an active coding certification Must have at least 2 years of experience with Medical Coding Description Review emergency department medical records to assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers. Accurately assign facility Evaluation and Management (E/M) levels in accordance with client-specific emergency department leveling guidelines and facility charging methodologies, including knowledge of the ACEP tool. Analyze documentation from nursing staff, physicians, ancillary departments, and diagnostic services to ensure complete code assignment and charge capture. Apply official coding guidelines, CMS regulations, National Correct Coding Initiative (NCCI) edits, and payer-specific requirements. Review accounts for appropriate assignment of procedural services and injections/infusions when applicable. Identify...

Surg/Op CoderFully Remote • Home Office - Oklahoma City, OK 73134OverviewPosition Type Full Time Job Shift Day Education Level Certification Travel Percentage Occasional Category Health Information Management (HIM)DescriptionJOB PURPOSE: This position is for an Outpatient Coder with Emergency Dept and Ambulatory Surgery coding experience. The coder will code Surgery, Emergency department, and Ancillary records. Emergency Dept coding includes injection & infusion coding as well as the assignment of the E&M Professional fee. Coder will demonstrate competency by meeting productivity standards and achieving an accuracy rate of 95% on all chart types coded.Will abstract and code every account compliantly, accurately, and completely, to ensure accurate and timely reimbursement and reporting. Verifies, reviews, analyzes, and abstracts medical information; researches missing clinical information; assigns accurate codes; appropriately queries physicians when required; elevates...