1349 documentation coding auditor jobs found

Extended Job Title Documentation & Coding Auditor Position Description Performs medical billing coding and documentation quality audits; provides feedback to coding and reimbursement specialists, coders, and educates them. This job has no supervisory responsibilities. Requisition ID 42210BR Travel Required Up to 25% Pay Grade Maximum Compensation is commensurate upon the qualifications of the individual selected. Major/Essential Functions Current and active professional medical billing coding certification required from an accredited organization. Billing and coding experience in a multi-specialty group practice and/or academic practice setting is preferred. Five or more years of health care items/services. Managerial/supervisory and program management implementation experience strongly preferred. Ability to initiate administrative activities as necessary. Excellent oral and written communication skills. Ability to write and present ideas and information in a...

Coding & Documentation Compliance Auditor Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: pride in what they do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The Coding & Documentation Compliance Auditor contributes to the success of the Office of Compliance and Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The Coding & Documentation Compliance Auditor performs independent reviews to assess compliance with federal, state and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional, facility (inpatient and outpatient), home health and skilled nursing facilities. Responsibilities include but, are not limited to the following: Conducts audits in accordance with the approved Revenue Compliance Work...

City/State: Tarrytown, New York Grant Funded: No Department: REV - Revenue Integrity Engagement Team Work Shift: Day Work Days: MON-FRI Scheduled Hours: 8:30 AM-5 PM Scheduled Daily Hours: 7.5 HOURS Pay Range: $76,632.04-$95,790.05 Job Summary The Senior Coding Auditor performs detailed audits of medical cases to ensure accuracy of assigned codes, charges, availability of documented medical records, medical accounts and compares the cases with the itemized bill and overall procedures. The Senior Coding Auditor reviews and audits current and retro accounts, and reports audit outcomes regarding charge errors, percentage of savings or losses for the facility, data processing errors, the performance of the hospital charging system as well as documentation and justification within the medical record and itemized bill. Works cooperatively with the Associate Directors/Director in the identification of process improvement initiatives related to the coding and charging of hospital services....

A leading U.S. healthcare company is seeking a Medical Coding Auditor to review medical claims and ensure compliance with coding guidelines. This role involves analyzing medical documentation, confirming CPT coding assignments, and maintaining strict confidentiality. Ideal candidates will possess strong coding certifications and a minimum of 3 years of relevant experience. This position offers a remote work style with competitive benefits and a salary range of $59,300 - $80,900 per year. #J-18808-Ljbffr

Certified Coding Auditor page is loaded## Certified Coding Auditorlocations: Melville Corporatetime type: Full timeposted on: Posted Todayjob requisition id: JR11503Melville,NY - USA**Position Requirements**Use coding skills to review clinical documentation to accurately code for anesthesia services. Retrieve information from hospital EMR systems to resolve coding questions to support offshore vendors. To work daily tasks/edits in billing system.PRIMARY RESPONSIBILITIES* Review medical record documentation to identify correct coding based on billing and payor guidelines.* Research, analyze and respond to inquiries regarding compliance and inappropriate coding denials.* Retrieve missing patient documentation required for accurate billing.* Work task queues within various systems.* Support offshore vendor coding questions.* Recommend vendor education based on tasks reviewed.REQUIRED QUALIFICATIONS* Minimum of 2 years’ professional medical coding experience.* CPC or CCS-P...

The Position We seek to fill a Compliance Auditor role in the Cherry Hill, NJ area. The candidate will be responsible for supporting the corporate compliance program. The position includes a generous salary of up to $67K and benefits. (This is not a remote position). Compliance Auditor responsibilities include: Conducting audits of inpatient and outpatient hospital regulatory requirements, including billing, coding, and documentation, and related processes to determine the organizational integrity of billing facility and technical hospital fees, including detection and correction of documentation, coding, and billing errors. Preparatory work for reviews/audits including developing a scope of work. Reviewing available documentation. Assisting in the development of policies and procedures that establish standards for compliance, as well as preparation of other guidance documents and tools to assist providers and staff in appropriate billing, coding, and documentation....

Overview Baptist Health is the region’s largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families...

Description WHAT IT'S LIKE AT SGMC HEALTH Purpose . No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place. Excellence . We strive to do the right thing the right way, are accountable in all we do, require competence of our people, and are compassionate in our service. Team Spirit. We encourage team effort, support personal and professional development, acknowledge individual talents and skills, and support innovation and empowerment. Award Winning Performance. We are committed to providing the best care possible and we are proud to be recognized locally, statewide, and nationally for the exceptional care that our staff provides. WHY YOU WILL LOVE SGMC HEALTH SGMC has great benefit options, depending on the role that you are going into- including healthcare, supplementary benefits, ways to save for the future, opportunities for career advancement, and opportunities...

Mountain View Hospital is looking for a Medical Coding Auditor to join our team! JOB SUMMARY: Medical Record Auditor will be responsible for assisting/ conducting audits of medical records, coding and billing information. The auditor will look at both departments inside the hospital, outside departments and physician records and billing. Auditors will put together informational reports of finding and relay the information to the appropriate source. Reporting will be generated to help track which providers, locations or target areas need to be audited. The medical auditor will assist in putting together appeals/ rebuttals for external auditing sources. Auditor should have audits completed within a timely manner that is set up with the supervisor/ manager. Auditor will be provided as education as directed by the Auditing Integrity Department manager. Works collaboratively with the unit-specific educators, department manager, department supervisor, the DON and the compliance...

Job Description Job Description Description: Sage Clinical RCM, LLC is seeking an experienced Outpatient Coding Auditor with a strong background in surgical coding. This role is responsible for auditing outpatient surgical encounters to ensure accurate code assignment, compliance with regulatory guidelines, and adherence to payer and client requirements. The ideal candidate has hands-on experience auditing complex outpatient surgical cases and providing clear, constructive feedback to coding staff. Key Responsibilities Perform audits of outpatient surgical encounters, including operative reports and related documentation Validate accurate assignment of CPT, ICD-10-CM, modifiers, and applicable APCs Ensure compliance with CMS, payer, and official coding guidelines Identify trends, risks, and educational opportunities based on audit findings Provide written audit feedback and coding education to support quality improvement Collaborate with coding leadership and...

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. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews Maintain strict patient and physician...

A leading healthcare company is seeking a Medical Coding Auditor to review and ensure that medical claims meet coding guidelines. This remote position requires at least 3 years of experience in outpatient specialty surgeries and relevant certifications. You will analyze medical documentation and ensure accurate CPT coding assignments while maintaining confidentiality. The role offers a competitive salary ranging from $59,300 to $80,900 per year along with various benefits. #J-18808-Ljbffr

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. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews Maintain strict patient and physician...

## CMS HCC Coder - Hybrid remote - Orange, CA.Applyremote type: Hybrid Remotelocations: Orange, CAtime type: Full timeposted on: Posted Yesterdayjob requisition id: R2056Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.This position is hybrid- remote in Orange, CA. The Hierarchical Condition Categories (HCC) Coding Analyst will effectively interface with provider partners, to successfully, monitor...

Baylor Scott & White Health is seeking a Physician Compliance Auditor II in Frankfort, Kentucky. This remote role involves auditing compliance activities to ensure documentation meets standards and providing recommendations. Candidates must possess a bachelor's degree or equivalent experience, 4 years of auditing experience, and certifications in coding. The position offers a salary range of $26.66 to $40.00 per hour based on experience, along with competitive benefits such as a 401(k) plan and immediate health benefits. #J-18808-Ljbffr

Baylor Scott & White Health is seeking a Physician Compliance Auditor II to audit documentation and ensure compliance within a fully remote environment. This role entails evaluating documentation across multiple specialties including Cardiology and Orthopedics. The ideal candidate will have at least 4 years of auditing experience and hold an active coding certification, such as CPC or CCS-P. This position offers compensation ranging between $26.66 and $40.00, depending on qualifications. #J-18808-Ljbffr

Baylor Scott & White Health is seeking a Physician Compliance Auditor II to conduct remote audits and ensure compliance standards are met. The successful candidate will evaluate documentation, provide insightful recommendations, and assist in education around coding and compliance. This role requires strong knowledge of CPT, ICD-10, and HCPCS along with active coding certification. A Bachelor's degree and at least 4 years of relevant experience are mandatory. Join a committed team and contribute to healthcare compliance in a supportive environment that values diversity. #J-18808-Ljbffr

Medical Coding Supervisor Provides day‑to‑day supervision and support to the coding team responsible for outpatient, in‑patient, and clinic‑based services across Texas Tech Physician clinics. This role ensures coding accuracy, compliance with regulatory requirements, and timely encounter completion to support revenue cycle integrity and organizational goals. The supervisor serves as a working leader who performs coding and/or auditing functions while supervising team members, monitoring productivity and their quality performance. This position works collaboratively with the Coding Manager, Compliance, and Revenue Cycle teams to implement policies, resolve coding‑related issues, and promote consistent application of coding standards across multiple specialties and oversees a staff. Major / Essential Functions Supervise daily operations and employees on your team of the centralized ambulatory coding team, ensuring timely and accurate coding of outpatient encounters. Monitor staff...

Inpatient Facility Medical Coder (OR; WA) Candidates must reside either in Washington or Oregon to be considered for this position. Essential Responsibilities Proficient in medical record review and translating clinical information into coded data. Identify and assign appropriate codes for diagnoses, procedures and other services rendered, while also validating any Computer Assisted Coded (CAC) assignments for dual coding. Utilizing the Code Base Charge Trigger system (CBCT) and OPTUM 360 EncoderPRO software system for professional surgical services, analyzing and maintaining systems accuracy, validity and meaningfulness for both professional and facility services. Utilizes electronic patient data system and clinical information system (EpicCare) to access patient encounter information. Abstracts and enters clinical data elements as defined by the needs of the organization. Identifies and assigns principal diagnosis and procedure codes, sequencing them as needed for proper...

Work Shift Please see job description for details. Time Type Full time Department CC407515 Corporate Compliance Summary Full-time (40 hrs/wk) - Hybrid work potential Additional Information For research auditor – Human Subjects Research experience is valued. For compliance auditor – Coding experience is valued. Plans and conducts audits, reviews, investigations, and projects to ensure compliance with state and federal laws and regulations, accreditation and industry requirements, and internal policies and procedures. Identifies risks, provides education and training, and participates in compliance program activities to maintain an effective system-wide Corporate Compliance Program. Required Education High school diploma or GED or equivalent Recommended Education Bachelor's degree in a related field of study. Required Work Experience High School Diploma/GED and 4 years of relevant experience, or 6 years of experience in lieu of a diploma/GED. Required Certifications 1 of...

Description Summary: The Compliance Auditor II will assist in the overall quality, compliance, and auditing activities to ensure compliance of standard operating procedures, corporate policies, industry standards, and applicable federal and state laws. Conducts audit activities, reporting and communicates audit findings. Works in conjunction with Compliance Director on compliance work plans, internal and external audits and reviews, and provides assurance that the organization is operating in an efficient and effective manner. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Manages compliance audit activities pertaining to compliance and coordinates with Corporate Compliance Director and Senior Leadership as it relates to such audits Responsible for answering inquiries related to professional documentation, coding, and billing regulatory requirements. Work with VP/Senior/Manager/Director on...