7 compliance coding auditor jobs found

*This role is in person in Paris, IL not Remote* Position Summary:  The Central Business Office (CBO) Supervisor serves as the operational leader of the organization's billing and accounts receivable functions, providing day-to-day leadership and oversight of departmental operations across all assigned care settings. This position is accountable for ensuring the department consistently achieves established performance, quality, compliance, productivity, reimbursement, and customer service expectations while supporting the organization's overall Revenue Cycle strategy. Working under the direction of the Central Business Office Manager, the Supervisor translates departmental goals and strategic priorities into daily operational execution by coordinating workflow, monitoring productivity and quality, resolving operational issues, developing staff, and ensuring departmental performance standards are consistently achieved. The Supervisor serves as the primary frontline...

*This role is in person in Paris, IL not Remote* The Manager of Coding & Revenue Integrity is responsible for the performance, accuracy, compliance, and accountability of hospital and professional coding, charge capture processes, and chargemaster (CDM) governance across the organization. Responsibilities span all organizational service lines and reimbursement methodologies, including Critical Access Hospital (CAH), Rural Health Clinic (RHC), Emergency Medical Services (EMS), hospital-based (HB), professional-based (PB), and other provider-based services, as applicable. This role ensures accurate and timely code assignment, complete and compliant charge capture, and effective CDM governance to support accurate reimbursement, reduce denials, and prevent revenue leakage while maintaining compliance with federal, state, payer, and organizational requirements. Working in a Critical Access Hospital environment, the Manager balances coding and revenue integrity operations with...

Multiple ED, SDS and IP Coding Assignments Available & Data Quality Auditors Needed Description: Coders and Auditors with 3-5+ years of facility coding experience are needed to provide coverage to Pena4’s clients. Responsibilities : Pena4 M edical Coders are responsible for accurately assigning ICD-10-CM/PCS diagnosis and CPT procedure codes for inpatient and outpatient hospital services. This role ensures coded data is complete, compliant, and supports appropriate reimbursement, quality reporting, and regulatory requirements. Coders must meet or exceed determined productivity and quality standards for respectively assigned client engagements in order to ensure the highest level of coding.  Summary: Position Type: 1099 Independent Consultant 100% Remote Assignments Schedule/Shift varies per assignment. See current assignment details below.   Credentials: CPC, CCS, RHIA, RHIT (preferred) 3-5+ years of Facility Coding Will be required to complete ED,...

Primary Purpose of the Position: The Revenue Cycle Coding Manager provides strategic and operational leadership for professional coding and charge capture. The Manager is accountable for coding quality, productivity, inventory, compliance remediation, workforce planning, vendor performance, physician and division engagement, and coding-related revenue integrity. The position establishes clear standards, analyzes trends, and develops corrective action plans to support accurate, timely, and compliant claim submission.   Essential Duties of the Position May Include the Following: Leads day-to-day and long-range coding operations, including staffing, workload allocation, coverage planning, production priorities, and escalation management. Owns the coding operating model and clearly defines responsibilities among the Coding Manager, Coding Supervisor, internal coders, and external coding vendors. Establishes, monitors, and reports key performance indicators for...