55 compliance coding auditor jobs found

Jobrapido is seeking a skilled medical coder to review clinical documentation and assign accurate anesthesia-related codes. The role involves querying EMR systems, resolving coding denials, and supporting offshore vendor coding activities to ensure compliant billing. You will handle daily edits in billing systems, research inquiries, and retrieve missing documentation to support accurate submissions. CPC/ CCS-P certification and at least two years of coding experience are required. #J-18808-Ljbffr

Signature Performance, Inc. is seeking an Outpatient Coding Auditor for a remote nationwide role. You will conduct quality reviews, audits, and provide actionable feedback to improve coding accuracy and documentation quality across departments. Ideal candidates have 5+ years in professional medical coding, AHIMA/AAPC credentials or eligibility, and proficiency with ICD-10-CM/PCS, with experience in Cerner, EPIC, or 3M 360 Encompass. Competitive benefits offered. #J-18808-Ljbffr

Outpatient Coding AuditorThis is a remote based position. Applicants can be located nationwide.Work Schedule: 8 hours daily between 6:00a - 6:00p Eastern Time Monday - FridayCompensation Range: $28.00 - $30.00/HourPosition Type: Full TimeAbout 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 to manage multiple projects using your problem-solving skills. We are looking for someone...

About Optima Medical :Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130medical providers, who care for more than 200,000 patients statewide.Our mission is to improve the quality of life throughout Arizona by helping communities Live Better, Live Longer through personalized healthcare, with a focus on preventing the nation's top leading causes of death.We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services.We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard.This position requires an initial 60-day training period at our corporate office in Scottsdale, Arizona.Upon successful completion of training, the position will transition to a fully remote role.Job Responsibilities :Audit Medical Records...

CommonSpirit is seeking a Coding Auditor and Educator Professional Fee to apply ICD-10-CM, CPT-4 and HCPCS to support the professional fee coding team. You will audit and educate to ensure accuracy and compliance across the organization. You will onboard and train staff, monitor regulatory changes, and collaborate with leadership on strategic planning to sustain compliant coding and billing practices. Remote work possible for qualified candidates in designated states. #J-18808-Ljbffr

Where You'll WorkWith 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...

Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor to lead clinical charge audits for denial review and retrospective reviews across Intermountain hospitals and clinics. The role requires nursing licensure, coding certification, and strong knowledge of healthcare revenue cycle and denial processes. Fully remote position with additional considerations for interview format; maintaining compliance with state restrictions and confidentiality is essential. #J-18808-Ljbffr

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...

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...

This is a remote based position. Outpatient Coding Auditor #Remote/Nationwide 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. Advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), Procedural Coding System (PCS), Current Procedural Terminology (CPT-4 and Healthcare Common Procedure Coding System (HCPCS). Practical knowledge of reimbursement systems, including Prospective Payment System (PPS), Diagnostic Related Groupings (DRGs), and Ambulatory Payment Classification (APC). Creates clear and accurate audit findings and recommendations in written audit...

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....

Inpatient Coding AuditorBeacon Hill was founded to set a new standard in search, career placement and flexible staffing.Are you passionate about coding accuracy, compliance, and helping others succeed? We're seeking an Inpatient Coding Auditor to join a leading healthcare organization in a remote capacity. In this role, you'll play a key part in strengthening coding quality, supporting professional development within coding teams, and ensuring documentation and reimbursement practices align with industry standards. This is an excellent opportunity for an experienced inpatient coding professional who enjoys a blend of auditing, education, collaboration, and continuous improvement.Join a highly respected healthcare organization that is committed to delivering quality patient care through operational excellence and regulatory integrity. As part of a collaborative coding and revenue cycle environment, you will have the opportunity to influence coding quality initiatives, support coder...

About the role As a Medical Coding Quality Auditor, you will play a critical role in ensuring coding accuracy, compliance, and quality across healthcare records. You will collaborate with coding professionals and physicians to support accurate clinical documentation, regulatory compliance, and operational excellence while maintaining high quality and productivity standards in a remote work environment. In this role, you will: Review medical documentation to accurately assign diagnosis and procedure codes. Communicate with physicians and other healthcare providers to obtain or clarify diagnoses and procedures through the coding query process. Assign accurate codes using electronic encoder applications in accordance with company policies, coding guidelines, and regulatory requirements. Perform peer reviews and quality audits of Health Information Management coding auditors and coders. Prepare and complete reports, audit findings, and other deliverables as requested. Monitor...

Quadris Team, LLC - A Revenue Cycle Management Group, is searching for a dynamic person to join us, working with our highly skilled Medical Coding Team to fill the role of Medical Coding Auditor & Educator.We are a 100% remote team supporting our clients across the United States! See us at.The ideal applicant will be a subject matter expert in both Facility and Profee medical coding auditing.Job Focus :The Senior Coding Auditor may be responsible for a variety of duties and obligations, depending on the client and assignment.These responsibilities may include inpatient / outpatient / professional fee facility auditing, denial management, coding, implementation specialist, job aid creation, training, and specialty coding.The position may also be responsible for management of the audit team and project management.All coding and auditing are performed within the scope of regulatory and compliance law expectations.Auditing Responsibilities :May include conducting inpatient,...

Professional Billing Coder II The Professional Billing Coder II is an intermediate-level coding professional responsible for independently reviewing medical documentation and assigning accurate diagnostic and procedural codes for outpatient and professional services. This role requires advanced knowledge of coding guidelines and payer-specific requirements to support correct billing, compliance, and optimal reimbursement. The PB Coder II works with minimal supervision and may assist with training or mentoring entry-level coders. Responsibilities: Review and interpret complex clinical documentation to assign appropriate ICD-10-CM, CPT codes for physician and outpatient services. Ensure coding accuracy and compliance with official guidelines, payer rules, and regulatory requirements. Analyze coding and documentation discrepancies and collaborate with providers or departments for clarification when needed. Resolve coding-related denials, edits, and rejections to support...

Job Description Staff Position Description Position Title: Professional Services Coder and Coding Reviewer Position Code: Coder-8125 Oracle code: Coder-8215 Department: Health Information Management Safety Sensitive: ☒ Yes ☐ No Reports to: HIM Director/Manager Exempt Status: ☐ Yes ☒ No Position Purpose: All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI's vision to be among the kindest, highest quality health systems in the country. Key Responsibilities Evaluates medical record documentation and charge reports to ensure completeness, accuracy and compliance with the Correct Coding Initiative Edits; evaluates and report audit findings or reviews and reports on results to physicians and/or operations directors; evaluate insurance requests and claim denials to assist the Business Office with the revenue cycle. Ensures data quality in compliance with State, Federal and regulatory...

Midwestern University in Glendale, AZ seeks a Medical Coding and Billing Specialist to ensure compliance with ICD-10, CPT, HCPCS, and Medicare guidelines. You will review EHR data for coding suitability, support provider education on documentation and charge capture, and assist in audits with internal and external vendors. This role collaborates with the Assistant Manager and Manager of Patient Accounts to reach revenue goals and maintain the revenue cycle. #J-18808-Ljbffr

Health Information Management Sr Coder Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. The posted compensation range of $29.44 - $43.79/hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law. As a Senior Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are...

Job Description Job Description Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Position Summary The Medical Biller is responsible for managing the full revenue cycle for a small, fast‑paced family practice. This role ensures accurate claim submission, timely payment posting, denial management, and patient billing. The ideal candidate is detail‑oriented, reliable, and able to work independently while maintaining strict compliance with payer rules and practice policies. Key Responsibilities Claims & Billing • Prepare, review, and submit clean claims to insurance carriers (electronic and paper). • Verify coding accuracy and ensure all required documentation is present before submission. • Correct and resubmit rejected or denied claims promptly. • Maintain up‑to‑date knowledge of CPT, ICD‑10, and payer‑specific billing guidelines. Payment Posting & Reconciliation • Post insurance and patient payments...

Medical Records CoderJoin our team and help support accurate, compliant patient records and reimbursement. Northern Cochise Community Hospital is seeking a detail-oriented Medical Records Coder to assign and review diagnosis and procedure codes for hospital records. This position works closely with Health Information Management leadership to promote complete documentation, coding accuracy, and compliance with payer, government, and state requirements.What You'll Do• Perform diagnostic and procedural coding for outpatient and emergency room services.• Code inpatient admission records as assigned.• Review medical records for complete and compliant documentation.• Apply appropriate, supported ICD-10, CPT, and HCPCS classifications.• Review charges, units, modifiers, and medical-necessity edits for accuracy.• Research coding or documentation issues and communicate findings to the HIM Manager.• Assist with coding corrections during audits and state reviews.• Participate in departmental...

DISCOVER IES Integrative Emergency Services (“IES”) LLC, is a physician founded, owned, and led company whose goal is to empower physician leaders to create the best places to give and receive care. We are a clinically integrated and outcomes-based organization with a commitment to doing the right thing for our clinicians, patients, and communities. Through our commitment to patient care and reinvestment in our physicians, IES has a proven track record of improving patient outcomes and producing results that uphold the hospitals' reputations in which we operate. We strive to create a culture of continuous improvement, community, and recognizing our Physician leaders. To learn more, visit our website IES.Healthcare and click to see a highlight of our 12th Annual Quality Summit. POSITION SUMMARY Integrative Emergency Services, LLC (“IES”) is seeking a certified Medical Coding Specialist with emphasis on surgical services. The Medical Coding Specialist responsible for accurate...

Medical Records Coder Northern Cochise Community Hospital | Health Information Management Position Information: This position may be full-time in person, hybrid, or remote, based on the department manager’s decision. Join our team and help support accurate, compliant patient records and reimbursement. Northern Cochise Community Hospital is seeking a detail-oriented Medical Records Coder to assign and review diagnosis and procedure codes for hospital records. This position works closely with Health Information Management leadership to promote complete documentation, coding accuracy, and compliance with payer, government, and state requirements. Perform diagnostic and procedural coding for outpatient and emergency room services. Review medical records for complete and compliant documentation. Review charges, units, modifiers, and medical-necessity edits for accuracy. Research coding or documentation issues and communicate findings to the HIM Manager. Assist with coding corrections...

Required Skills & Experience Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) Strong ICD-10-CM coding experience and medical record review background Knowledge of Risk Adjustment and HCC coding methodologies Experience reviewing physician documentation and assigning accurate diagnosis codes Strong understanding of medical terminology, anatomy, physiology, and disease processes Ability to interpret complex clinical documentation with high accuracy and productivity Familiarity with CMS guidelines and Medicare Advantage requirements Nice to Have Skills & Experience Medicare Advantage Risk Adjustment experience Experience working with CMS-HCC models CRC (Certified Risk Adjustment Coder) certification Experience with EMRs and coding software platforms Background in a health plan, physician practice, hospital, or revenue cycle environment Audit and quality assurance experience Job Description Insight Global is seeking Medical Coders specializing in Risk...

Southwest Network is hiring a Medical Coding Auditor to review charts and clinical records, ensuring all diagnostic and procedural codes and modifiers are strictly accurate and compliant. You will identify trends in improper coding that could lead to denials or audits and collaborate with rendering providers to clarify ambiguities. In this role you will provide targeted education and direct coaching, translate audit findings into actionable training, and work with IT/EHR teams to improve charge #J-18808-Ljbffr