33 compliance coding auditor jobs found

Emory Healthcare is seeking a Medical Coding Auditor to ensure accuracy, completeness, and regulatory compliance for professional coding services. The role reviews patient records, clinician documentation, and coded data to identify discrepancies and support appropriate reimbursement. You will collaborate with providers, coders, and compliance teams, conduct routine audits, provide training on coding standards, and stay current with ICD-10, CPT, HCPCS guidelines. #J-18808-Ljbffr

Nationwide Children's Hospital in Columbus, OH seeks an Associate Compliance Auditor to learn foundational audit and coding practices while supporting documentation reviews and reporting. This hybrid role offers one day in the office and four days from home after probation, with typical hours from 6am to 7pm, and potential to grow into a Compliance Audit and Education Specialist within about 15 months. Ideal candidates have a high school diploma, are enrolled in or have completed an associate #J-18808-Ljbffr

Ensemble Health Partners, a leader in revenue cycle management solutions for health systems, is seeking an Outpatient Facility Coding Auditor. This remote role requires 3+ years of outpatient coding and auditing experience, with expertise in ICD10CM, CPT, HCPCS, NCCI, and CMS guidelines. Travel to client sites may be required. The position emphasizes accuracy, regulatory compliance, and client education, supported by robust benefits, tuition reimbursement, and certification incentives. #J-18808-Ljbffr

A healthcare service organization is seeking a Medical Coding and Billing Compliance Auditor to perform coding audits and ensure compliance with regulations. The role requires extensive coding knowledge, analytical skills, and a strong background in Microsoft Office applications. Applicants should have a current coding credential and a minimum of three years of outpatient coding experience. This is a full-time remote position. #J-18808-Ljbffr

Medical Coding and Billing Compliance Auditor Location: Remote Division: Coding Compliance About the Role: The Medical Coding Auditor is a detail-oriented position responsible for reviewing medical coding accuracy, documentation integrity, ensuring compliance with federal and state regulations, payer guidelines, and internal policies. The ideal candidate will bring strong analytical skills, extensive coding knowledge, and a passion for maintaining the highest standards of quality and compliance. The candidate will demonstrate a strong background in Microsoft Office applications including PowerPoint, Word, Excel, Outlook, TEAMS, and SharePoint. The Medical Coding Auditor will have a background in physician feedback and education on documentation integrity and coding accuracy. The ideal candidate will have extensive knowledge of CPT coding, ICD-10-CM coding, E/M coding, HCC methodologies, modifiers, telehealth, and HCPCS coding. The candidate will understand and know...

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...

Associate Compliance Auditor# Careers## Associate Compliance AuditorApply: 431 S 18th St, Columbus, OH: Full time: Posted Today: R-28737**Overview:**HYBRID Role. 1 day in office (Near East Office Building) and 4 days from home (after probationary period). Works between 6am and 7pm. This is a new role to introduce a coder to auditing and compliance with opportunity to grow into a Compliance Audit and Education Specialist in as little as 15 months!**Job Description Summary:**Performs foundational audit tasks, assists with documentation reviews, and learns core auditing and compliance principles. This role is designed for early-career professionals or internal candidates transitioning into compliance.**Job Description:****Essential Functions:*** Assists in conducting billing and coding audits under supervision, which includes a review of inpatient and outpatient medical records to determine appropriateness of documentation, procedure, and diagnosis coding. Audits involve...

Thank you for considering a career at Ensemble!Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!O.N.E Purpose:Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.Striving for...

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. 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...

Thank you for considering a career at Ensemble!Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!O.N.E Purpose:Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.Striving for...

Ensemble Health Partners is seeking a Physician Coding Auditor to drive training for medical coders across client sites and ensure coding quality and compliance. The role emphasizes auditing, education program development, and performance reviews, with travel up to 40% for onsite support. CPC/CCS/CMPA or related credentials and 5+ years coding experience are required. Join a nationally recognized leader in revenue cycle management that values continuous improvement, remote flexibility, and #J-18808-Ljbffr

Aultman Health Foundation is seeking a Compliance Billing Auditor to review physician claims and supporting records for accuracy and regulatory compliance. This role focuses on coding, documentation, and reimbursement accuracy within a healthcare setting. The auditor will identify discrepancies, provide education to physicians, and support the compliance program under the supervision of the Compliance Officers. A hybrid work arrangement and local travel are available. #J-18808-Ljbffr

PURPOSE OF THIS POSITION This position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, through various activities, that claims are clean and should be paid promptly by insurers without requiring further intervention. This staff member performs all pre-claim submission activities, including verifying existing information is accurate, determining when additional data is needed, and collecting necessary details to ensure claims are complete. Additionally, this individual follows departmental productivity and quality control measures that support the organization’s operational goals. This position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing, timely payer follow-up activities and collection of accounts. JOB DUTIES/RESPONSIBILITIES Duty 1: Maintains a thorough understanding and education of federal and state regulations and payer specific...

Compliance Audit And Education Specialist HYBRID Role. 1 day in office (Near East Office Building) and 4 days from home (after probationary period). Works between 6am and 7pm. This is a new role to introduce a coder to auditing and compliance with opportunity to grow into a Compliance Audit and Education Specialist in as little as 15 months! Performs foundational audit tasks, assists with documentation reviews, and learns core auditing and compliance principles. This role is designed for early-career professionals or internal candidates transitioning into compliance. Essential Functions: Assists in conducting billing and coding audits under supervision, which includes a review of inpatient and outpatient medical records to determine appropriateness of documentation, procedure, and diagnosis coding. Audits involve professional and facility billing. Reviews medical records for completeness and accuracy. Supports audit processes, documentation, and data entry. Helps prepare...

Medical Claims Specialist This position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, through various activities, that claims are clean and should be paid promptly by insurers without requiring further intervention. This staff member performs all pre-claim submission activities, including verifying existing information is accurate, determining when additional data is needed, and collecting necessary details to ensure claims are complete. Additionally, this individual follows departmental productivity and quality control measures that support the organization's operational goals. This position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing, timely payer follow-up activities and collection of accounts. Job Duties/Responsibilities Maintains a thorough understanding and education of federal and state regulations and payer specific policies...

Job Description Interpret clinical documentation/records from patient records to ensure all diagnoses and procedures are documented and coded accurately. Ensure highest level of reimbursement practice efficiencies and compliance related to coding procedures. Provide feedback and support to physicians. Responsibilities Responsible for translating healthcare providers’ diagnostic and procedural documentation into coded form, applying regulatory and organizational guidelines. Review patient reports and extract data necessary to apply appropriate ICD and CPT codes for billing, internal and external reporting, research and regulatory compliance. Utilize technical coding principals and reimbursement rule expertise to assign appropriate ICD diagnosis and CPT procedures in multiple specialties, with thorough understanding all elements in E/M coding with ability to audit for correct E/M level selection. Regularly communicates with the healthcare provider to ensure documentation and...

CommonSpirit is seeking a Coding Auditor and Educator Professional Fee to support the professional fee coding team. You will apply ICD-10-CM, HCPCS, and CPT-4 classification systems, audit code usage, and educate staff to standardize practices across the organization. Responsibilities include onboarding new hires, developing training programs, monitoring regulatory updates, and collaborating with leadership on strategic planning to ensure compliant coding and billing practices. #J-18808-Ljbffr

Beyond Blue Job Posting Title: PB Coder Requisition Number: R-000004546 Department Name: Medical Practice Billing Work Location: Remote-OH Grade Level: 4 Type of Position: Regular Position Time Status: Full time Equivalency Link https://hr.uky.edu/employment/working-uk/equivalencies Shift: Day (United States of America) Job Summary Responsible for coding professional billing services to ensure accurate claim submission and reimbursement. Applies ICD-10, CPT, and HCPCS coding guidelines to physician and outpatient services while ensuring compliance with payer and organizational policies. Reviews provider documentation and resolves routine coding issues. Essential Functions Assigns CPT, ICD-10 and HCPS codes to PB services with moderate-level of complexity. Maintains consistent achievement of departmental productivity and quality standards.. Reviews documentation for accuracy and completeness, querying providers as needed. Ensures compliance with coding guidelines, payer...

Job DescriptionInterpret clinical documentation/records from patient records to ensure all diagnoses and procedures are documented and coded accurately. Ensure highest level of reimbursement practice efficiencies and compliance related to coding procedures. Provide feedback and support to physicians.ResponsibilitiesResponsible for translating healthcare providers' diagnostic and procedural documentation into coded form, applying regulatory and organizational guidelines.Review patient reports and extract data necessary to apply appropriate ICD and CPT codes for billing, internal and external reporting, research and regulatory compliance.Utilize technical coding principals and reimbursement rule expertise to assign appropriate ICD diagnosis and CPT procedures in multiple specialties, with thorough understanding all elements in E/M coding with ability to audit for correct E/M level selection.Regularly communicates with the healthcare provider to ensure documentation and coding...

Overview Be inspired. Be valued. Belong. At Emory Healthcare At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, leadership programs And more LOCATION: Remote This position is remote; however, applicants must be physically located and authorized to work in one of the following states: Alabama, Arkansas, Florida, Georgia, Illinois, Louisiana, Michigan, New Hamsphire, North Carolina, Ohio, Pennsylavnia, South Caroline, Tennessee, Texas, Virginia, Wisconsin Description This position ensures the accuracy, completeness, and compliance of medical coding and clinical...

Overview Ansible Government Solutions, LLC (Ansible) is seeking multiple Medical Records Technicians (Coders) to work with us in support of the VA Northeast Ohio Healthcare System (Cleveland VA Medical Center, Wade Park Campus) located at 10701 East Blvd, Cleveland, OH 44106. This is primarily a remote work environment and the shift schedule typically ranges Monday-Friday, 6:00 AM - 6:00 PM. If you accept employment with Ansible, you must also acknowledge that any assigned schedule is subject to change at the direction of either Ansible or its customers. Ansible is a Service-Disabled Veteran-Owned Small Business (SDVOSB) providing Federal customers with solutions in many arenas. Our customers face wide-ranging challenges in the fields of health care, national security, and information technology. To address these challenges, we employ intelligent and committed staff who take care of our customers’ success as if it is their own. Responsibilities Perform coding of...

Lead Hospital Coder | Full Time | Medical Records Requisition Number : LEADH005187 Posted : October 29, 2026 Full-Time On-site Locations Showing 1 location Memorial Hospital Marysville, OH 43040, USA Description What you'll do: Accurately codes/audits hospital based accounts utilizing appropriate coding manuals and/or encoder; adheres to official coding guidelines as published by the American Hospital Association and the American Medical Association, and to H.I.M. Standards of Conduct within the Coding Compliance Plan for coding, with the intent to promote quality documentation to support the appropriate use of codes for correct reimbursement. Coder will utilize appropriate code manuals and/or encoder to select accurate codes; demonstrates knowledge of current developments in coding field to maintain proficiency in job performance; communicates with medical staff as needed if questions regarding documentation arise that impact code assignment and clarification is needed;...

Ambulatory Surgery MRT Coder VA Northeast Ohio Healthcare System – Cleveland, Ohio This Position Is Contingent Upon Bid Award Work Location Department of Veterans Affairs VA Northeast Ohio Healthcare System / Cleveland VA Medical Center Wade Park Campus 10701 East Boulevard Cleveland, OH 44106 Citizenship / Access Requirements: U.S. citizenship is required. Personnel must satisfy all VA suitability, background-investigation, PIV, privacy, information-security, and system-access requirements. Security Requirements: No classified clearance is specified. Favorable VA screening, National Agency Check initiation, PIV eligibility, and applicable ADP-sensitive access requirements apply. Type of Employment: Full-Time Contractor Position with W-2 employment through Fidelity Partners. Estimated Compensation: $35.21 per hour. Paid Sick Leave: Up to 56 hours per year, accrued in accordance with Fidelity Partners policy and applicable requirements. Working Hours:...