13 coding documentation compliance auditor jobs found

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary We are seeking an experienced Certified Professional Coder (CPC) for a 3-6 month contract project supporting a growing healthcare revenue cycle team. This fully remote position offers the opportunity to work from home while supporting provider coding, charge posting, billing, follow-up, and payment posting activities. The ideal candidate will have strong Evaluation & Management (E&M) coding experience, excellent attention to detail, and a team-first mentality. Success in this role requires accuracy, adaptability, strong communication skills, and the ability to work efficiently in a production-focused environment. Key Responsibilities Coding & Documentation Review Review patient visit notes and assign or validate appropriate CPT, ICD-10, and diagnosis coding Verify that provider-selected CPT levels...

Become a part of our caring community The 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 Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

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. Core Values 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: Benefits may vary based upon position type and/or level. Job Summary The...

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....

STRIDE Billing Specialist At STRIDE Community Health Center, we're dedicated to more than just providing healthcare-we're committed to making a lasting impact on the lives of our patients and the communities we serve. As one of Colorado's largest Federally qualified healthcare centers (FQHC), we offer comprehensive services-including primary care, dental, pharmacy, behavioral health, health education and outreach services across 13 clinics in the Denver Metro area. With over 35 years of experience serving our community, our growing team is at the heart of our mission. We believe healthcare is about more than treating illness; it is about fostering wellness and addressing the unique needs of every patient, ensuring no one is left behind. If you're passionate about making a meaningful difference, thrive in a collaborative environment, and are ready for a career that transforms lives-including your own, STRIDE is the place for you. General Purpose: Responsible for understanding...

Become a part of our caring community The Senior Market Consultation / Partnership Professional (Nurse Medical Coder) supports Clinical Support Team (CST) initiatives by promoting accurate, compliant, and complete documentation and coding practices that enhance the quality and measurement of programs across risk adjustment. Work assignments involve moderately complex to complex issues where analysis of clinical documentation, coding accuracy, and risk adjustment data requires evaluation of multiple variable factors. Key Responsibilities Perform detailed medical record reviews to ensure accurate ICD-10-CM coding, risk adjustment capture, and alignment with CMS-HCC (e.g., V24/V28) models Validate diagnosis coding and ensure documentation meets compliance standards Identify and escalate coding trends and documentation gaps Serve as a coding subject matter expert supporting CST workflows, including PDV, chart review prioritization, and provider outreach...

Risk Adjustment Coder Denver, CO; United States (Central Time Zone); United States (Eastern Time Zone) How You'll Make An Impact At Strive Health, patients come first. We're on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage of their health journey. Our work reduces emergency visits, improves outcomes, and helps patients live fuller lives. You'll work alongside passionate Strivers who care deeply about making an impact, show up for one another as One Team, and find ways to elevate the everyday. If you're looking for meaningful work where your contributions truly matter, you'll feel right at home at Strive! What You'll Do The Coder, Risk Adjustment Coding is responsible for supporting the Strive operational and clinical team and partner Nephrologists by reviewing risk adjustment visits for appropriate clinical documentation support. This role is responsible for supporting the...

Cedar Point Health is growing and seeking a coder to join our team. The coder is responsible for reporting data completely and accurately in accordance with regulatory standards and requirements, utilizing applicable official coding conventions, rules, and compliance within the practices of CPH. Cedar Point Health offers competitive pay and comprehensive benefits to full-time employees, including medical, dental, vision, AFLAC, employee life and accidental death insurance, 401k, and Paid Time Off including sick time. Background checks will be performed with an offer of employment. *FOR INTERNAL CANDIDATES - SEE BELOW Responsibilities: The Medical Coder works closely with the Revenue Cycle Manager to monitor and maintain accounts receivable at all levels defined in the policy. The Medical Coder will perform charge entry with consideration of all healthcare data elements, ensuring validity of coding and charge additions or deletions, per CPH policies and procedures....

Contact for accommodation if you are unable to complete this application due to a disability. Oasis Reviewer and Coder Broomfield, CO, US 6 days ago Requisition ID: 1007 Salary Range: $55,000.00 To $75,000.00 Annually Are you dedicated and passionate about being part of a team that provides exceptional care? Join our team at Adara Home Healthcare where we pride ourselves on delivering top‑tier home health services. At Adara Home Healthcare, you'll not only make a difference in patients' lives but also enjoy a supportive work environment that values your personal well‑being. Be a part of a team that truly cares – for both our patients and our staff. Apply today and transform lives with us! Job Title: Home Health Clinical Quality Assurance Specialist (OASIS & Medicare Compliance) Applicants must have OASIS and CODING experience in healthcare setting. Position Overview: The Home Health Quality Assurance Specialist ensures the accuracy, compliance, and quality of patient...

Medical Coder Requisition Number: 72814 Location: Boulder Colorado Employment Type: University Staff Schedule: Full Time Posting Close Date: 05-Jul-2026 Date Posted: Job Summary CU Boulder encourages applications for a Medical Coder ! This role is a member of the Medical Operations and Compliance team located in Wardenburg Health Services a part of the division of student life. The position is responsible for supporting accurate and compliant coding and billing processes across clinical services for Medical Services and Counseling and Psychiatric Services. This role works under the guidance of Manager and Billing and Insurance staff to ensure proper assignment of diagnosis and procedure codes, maintain compliance with coding standards, and assist in daily revenue cycle operations. The role collaborates with clinical, administrative, and billing teams to help ensure timely and accurate charge capture, reduce claim errors, and support reimbursement...

Risk Adjustment Coder Denver, CO; United States (Central Time Zone); United States (Eastern Time Zone) How You'll Make An Impact At Strive Health, patients come first. We're on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage of their health journey. Our work reduces emergency visits, improves outcomes, and helps patients live fuller lives. You'll work alongside passionate Strivers who care deeply about making an impact, show up for one another as One Team, and find ways to elevate the everyday. If you're looking for meaningful work where your contributions truly matter, you'll feel right at home at Strive! What You'll Do The Coder, Risk Adjustment Coding is responsible for supporting the Strive operational and clinical team and partner Nephrologists by reviewing risk adjustment visits for appropriate clinical documentation support. This role is responsible for supporting the...

Job Description Job Description Position Overview The Certified Professional Coder (CPC®) assigns accurate, compliant ICD‐10‐CM, CPT®, and HCPCS Level II codes for physician clinic and surgical encounters, supporting documentation integrity, regulatory compliance, and appropriate reimbursement for neurosurgical and related services. This is a fully remote role requiring independent work and virtual collaboration with providers, billing, and facility partners. Limited onsite attendance may be requested for onboarding or business‐critical needs. Employment Details · Job Title: Certified Professional Coder (CPC®) · Department: Revenue Cycle – Physician Coding · Status: Full‐Time, Exempt · Work Arrangement: Fully Remote but must live in Colorado · Reports To: Lead Coder Compensation · Pay Range: $ 24.50-35.50 Pay is based on experience, specialty expertise, credential status, Epic proficiency, geography, and internal...