7 coding compliance auditor jobs found

A community healthcare provider in Hillsboro seeks a Coding Compliance Specialist to ensure organizational compliance with coding standards. Responsibilities include reviewing medical records, conducting audits, and assisting with provider education on billing practices. The role requires a high school diploma, coding certification, and experience with Electronic Health Records. Excellent interpersonal skills and bilingual proficiency in Spanish are desirable. Join us in our mission to provide culturally appropriate healthcare to underserved populations. #J-18808-Ljbffr

Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry-standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation, coding, and billing in accordance with regulatory guidelines, payer policies, and Humana's internal standards. The Medical Coding Auditor Evaluation & Management will report to the Manager, Medical Coding. WORK STYLE: Remote/Work at home WORK HOURS: Associates will work on EST, regardless of where the associate resides. All associates must start between 6AM-9AM EST, Monday - Friday as a dedicated schedule. Work...

Become a part of our caring community 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. Where you Come In 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 accuracy of...

Salary: $4,389.00 - $5,612.00 Monthly Location : Administration, 421 NE Water Ave, Ste 2300, Albany, OR Job Type: Full Time- SEIU Job Number: 26-00018 Department: Administration Program: Billing Opening Date: 04/02/2026 FLSA: Exempt Bargaining Unit: SEIU Description HEALTH SERVICES MEDICAL BILLER/CODER Administration/Billing Program (Classification 757) SEIU Represented Full-Time (37.5 hours/week) position Position Open Until Filled First review of applications will be on April 20, 2026. Any applications received after April 20 will be reviewed and considered as needed, and this posting may close at any time after that date. Linn County requires on-site work. Remote work is not available. Job Summary A person employed in this classification must possess the capability to perform the following duties to be considered for and remain in this position. The duties are essential functions requiring the critical skills and expertise needed...

Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Reviews patient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Applies substantial knowledge of the job and experience to complete a wide range of activities with varying difficulty. Regularly works with sensitive and confidential information, often involving the interpretation of policies and procedures to guide use. Job Requirements: Education and Work Experience: High School Education/GED or...

Datavant is looking for a Profee Auditing Specialist in Salem, Oregon, to perform coding audits and provide support for coding quality and compliance. The role requires more than 5 years of experience in professional fee coding, with a CPC certification being mandatory. This is a fully remote position that offers a competitive salary of $35 to $45 per hour, along with comprehensive benefits including medical, dental, vision, and 401k. Join Datavant to help improve health data accessibility in healthcare. #J-18808-Ljbffr

A nonprofit integrated health system in Portland is seeking a detail-oriented coding specialist. The role involves reviewing patient records to assign accurate diagnosis and procedure codes, ensuring regulatory compliance. Candidates should have a high school education/GED, preferably with technical certifications like Certified Coding Specialist (CCS). This position is ideal for those skilled in audit processes and coding guidelines. Join a dynamic team focused on providing quality healthcare in a supportive environment. #J-18808-Ljbffr