34 compliance coding auditor jobs found

CommonSpirit Health is seeking a Coding Auditor & Educator to leverage ICD-10-CM, ICD-10-PCS, and CPT-4 coding expertise to support the Coding Service Center and ensure compliant, standardized coding practices. The role includes onboarding and training staff, conducting audits, and leading education initiatives across the system. Ideal candidates demonstrate expert-level coding proficiency, strong analytical audit skills, and exceptional communication abilities to standardize practices. #J-18808-Ljbffr

This is a remote based position. Applicants can be located nationwide Outpatient Coding Auditor #2972 United States Remote/Nationwide Position 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. Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position 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...

Signature Performance, Inc. is seeking an Outpatient Coding Auditor for a remote, nationwide role. You will perform quality reviews, audits, and educate staff to ensure coding accuracy and compliance with ICD-10-CM, CPT-4/HCPCS, and related reimbursement rules. Responsibilities include identifying documentation gaps, delivering written and verbal feedback, and guiding coding staff and managers to improve outcomes. #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...

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...

Job Summary and Responsibilities As our Revenue Cycle Coder Lead-Inpatient Coding, you will be a cornerstone of our medical coding department, providing essential leadership and strategic direction for our inpatient coding team. You will be instrumental in driving coding accuracy, ensuring regulatory compliance, and optimizing revenue cycle performance for complex medical cases, making a direct impact on our healthcare data integrity and financial health. Every day you will provide expert technical guidance, conduct comprehensive quality oversight, and perform complex coding audits. You will actively collaborate with clinical and revenue cycle teams to enhance documentation and streamline processes. A significant part of your role involves mentoring, training, and fostering the professional growth of coding staff, ensuring adherence to the highest coding standards and best practices. To be successful in this role, you will possess advanced inpatient coding credentials...

Coding Auditor & EducatorInspired 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 $35.70 - $58.91 /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.Job Summary and ResponsibilitiesAs our Coding Auditor & Educator, you will utilize advanced ICD-10-CM, ICD-10-PCS, and CPT-4 coding systems to support the...

Coding Auditor And Educator Professional FeeInspired 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 $34.00 - $56.10 /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. Job Summary and Responsibilities As our Coding Auditor and Educator Professional Fee, you will utilize ICD-10-CM, HCPCS, and CPT-4 classification...

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...

Become a part of our caring community Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Outpatient Behavioral Health Coding disputes and is part of the PPI Coding Disputes Team with Humana. The Outpatient Behavioral Health Coding Auditor on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. Will be an experienced medical coding auditor with in-depth experience in outpatient Behavioral Health coding disputes and expertise in CPT/HCPCS code...

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. Our Core Values are: 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...

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...

Job Description Job Description Description: At AMPLIFII, we support Federally Qualified Health Centers who provide comprehensive services—including primary care, dental, pharmacy, behavioral health, health education, and outreach. General Purpose: This position is responsible for understanding the billing requirements for all payors and programs. Essential Duties and Responsibilities: Responsible for understanding the billing requirements for all payers Enters and approves data into the Management Information system according to appropriate guidelines to ensure that the accounts receivable is accurate. Analyzes provider documentation to assure the appropriate Evaluation & Management coding levels are assigned the correct CPT or CDT code Provides expertise to the billing staff in addressing appeals for denials for incorrect diagnoses for services performed. Completes audits of provider encounters to ensure compliance and maximize reimbursement. Serves as coding...

Overview Apex Service Partners - We are not just another HVAC service provider - we're a team of passionate professionals dedicated to delivering exceptional service to our valued customers. We're passionate about people, collaborative in our approach, and believe in staying scrappy while having fun. Here, you'll find a work environment that feels like family, where every team member is valued and empowered to succeed. We are seeking a motivated and detail-oriented Accounts Payable Coder to join our growing Accounting/Finance team. This individual will play a key role in supporting the Accounts Payable Manager while contributing to the continued development of a scalable, efficient, and best-in-class finance organization. This position offers an exciting opportunity to make a meaningful impact by driving process improvements, strengthening financial operations, and supporting the company's continued growth. The ideal candidate will demonstrate exceptional organizational and...

CommonSpirit Health is seeking a Coding Auditor and Educator for Professional Fee to ensure accurate and compliant coding across the organization. You will apply ICD-10-CM, CPT-4, and HCPCS, audit charts, and educate staff on coding practices. You will onboard new hires, develop ongoing training, stay current with regulatory changes, and collaborate with leaders to improve documentation quality and cross‑department communication. #J-18808-Ljbffr

CommonSpirit Health is seeking a Coding Auditor and Educator for the Professional Fee team. The role involves using ICD-10-CM, HCPCS, and CPT-4 to support coding accuracy and educate staff across the organization. Responsibilities include audits, onboarding, and ongoing education while monitoring regulatory changes and ensuring compliant billing practices. Strong knowledge of professional fee coding, plus Epic experience, is essential. #J-18808-Ljbffr

Outpatient Coder Lead 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. As our Outpatient Coder Lead, you will code and abstract outpatient records for data retrieval, analysis, reimbursement, and research, ensuring complete charge capture, and providing expert guidance to coding and hospital staff. Every day you will direct Outpatient Coding Service Center operations including personnel management, training, education, productivity, work assignments, and quality reviews. You will assist with coding education, audits, denials, claim edits, and CHA data submissions,...

Certified Professional Coder OnPoint Medical Group is searching for an outstanding Certified Professional Coder to join our team! This is a full-time position, and after the training period, the role may be remote for candidates who reside in Colorado, must be able to complete training onsite in Highlands Ranch, CO prior to working remotely. Come join a great group of medical professionals as our network continues to grow!OnPoint Medical Group is a physician-led network of skilled Primary and Urgent care providers who are committed to expanding access to quality healthcare in the most effective and affordable manner possible. About the Role The Certified Professional Coder (CPC) plays a critical role in the healthcare industry by accurately translating medical diagnoses, procedures, and services into standardized codes used for billing and record-keeping. This position ensures that healthcare providers receive proper reimbursement from insurance companies and government programs...

Clinical Risk Adjustment Coder Alpine Physician Partners partners with independent physician groups to deliver coordinated, value-based care that improves outcomes and lowers the total cost of care. Our clinical and coding teams support providers with the accurate, compliant documentation and coding practices that make value-based care possible. The Clinical Risk Adjustment Coder reviews medical records and provider documentation to identify, validate, and accurately code chronic conditions and diagnoses in accordance with Hierarchical Condition Category (HCC) risk adjustment models. This role plays a key part in ensuring accurate risk score capture, supporting provider education, and maintaining compliance with CMS and payer coding guidelines. Review medical records, encounter notes, and provider documentation to identify and validate diagnosis codes relevant to HCC and other risk adjustment models. Conduct in-home or virtual health assessments with patients, evaluating...

Join Care Synergy and be part of a mission-driven organization dedicated to elevating care, advancing wellness, and strengthening the communities we serve. Our collaborative, supportive team works across hospice, palliative care, PACE, CAPABLE, and community-based wellness services to advance excellence for patients, participants, families, and those who care for them—all while offering excellent benefits and meaningful opportunities to grow and make an impact. Care Synergy is looking for a Senior Medical Coding Specialist . LOCATION: Denver, CO STATUS: Full-time SCHEDULE: Monday-Friday; 8am-5pm PAY RANGE: $71,489 - $83,990 SUPPLEMENTAL PAY: Based on position, schedule and/or availability: Paid Mileage/Shift Differentials/Stipends/Overtime CULTURE, BENEFITS AND PERKS: We value engagement, community, and outreach initiatives and know it matters for our team members and our patients. We provide welcoming and supportive care to our patients and a...

Clinical Risk Adjustment Coder Alpine Physician Partners partners with independent physician groups to deliver coordinated, value-based care that improves outcomes and lowers the total cost of care. Our clinical and coding teams support providers with the accurate, compliant documentation and coding practices that make value-based care possible. The Clinical Risk Adjustment Coder reviews medical records and provider documentation to identify, validate, and accurately code chronic conditions and diagnoses in accordance with Hierarchical Condition Category (HCC) risk adjustment models. This role plays a key part in ensuring accurate risk score capture, supporting provider education, and maintaining compliance with CMS and payer coding guidelines. Review medical records, encounter notes, and provider documentation to identify and validate diagnosis codes relevant to HCC and other risk adjustment models. Conduct in-home or virtual health assessments with patients, evaluating...

Job Summary and Responsibilities As our Outpatient Coder Lead, you will code and abstract outpatient records for data retrieval, analysis, reimbursement, and research, ensuring complete charge capture, and providing expert guidance to coding and hospital staff. Every day you will direct Outpatient Coding Service Center operations including personnel management, training, education, productivity, work assignments, and quality reviews. You will assist with coding education, audits, denials, claim edits, and CHA data submissions, promoting standardization and managing DNB and coding compliance to achieve financial goals and improve the accuracy and integrity of patient data. To be successful in this role, you will possess expert-level outpatient coding proficiency, strong leadership and management skills, a deep understanding of coding regulations and reimbursement methodologies, and the ability to drive accuracy, quality, and standardization across coding operations, while...

Care Synergy is seeking a Senior Medical Coding Specialist to translate clinical documentation into precise ICD-10-CM codes across Hospice, Palliative Care, and PACE services. You will work with physicians, HIM, and Revenue Cycle teams to improve accuracy and reimbursement. The role emphasizes CMS/payer compliance, documentation quality improvements, and participation in audits, within a Colorado Front Range nonprofit setting committed to high-quality care. #J-18808-Ljbffr

Medical Coding SpecialistCharlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York, United StatesAbout Judi HealthJudi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care.Location: Hybrid...