1377 documentation coding auditor jobs found

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...

This is a remote position Job Duties: The Medical Auditor Project Lead will report to the Manager. Responsibilities will include but not be limited to: Oversee the management of multiple projects. Manage client needs and expectations to ensure projects meet scope, requirements and deliverables are on-time and of high quality. Perform production work in addition to project management, meeting department's quality and production standard thresholds. Responsible for maintaining department audit standards, clinical documentation standards, protocols and guidelines. Review auditor work for accuracy and provide feedback written and verbally to auditors. Audit medical records to validate clinical documentation to support evaluation and management services, ancillary services, procedures, and diagnoses and meet department quality and production standards. Research regulatory guidelines for supporting documentation. Prepare audit summary findings, providing...

Baylor Scott & White Health is seeking a Physician Compliance Auditor II to conduct audits ensuring documentation compliance. This role involves developing training for coding conventions and preparing compliance reports. Candidates must have a bachelor’s degree or equivalent experience and active coding certification. The position is 100% remote and offers a salary range from $26.66 to $40.00 per hour based on experience. Key skills include advanced knowledge of coding practices and strong auditing experience. #J-18808-Ljbffr

Baylor Scott & White Health is looking for a Physician Compliance Auditor II to work remotely. This role involves auditing compliance activities to ensure documentation accuracy and conducting training based on audit findings. The ideal candidate will have a Bachelor's degree or equivalent experience, with a focus on auditing and coding compliance across multiple specialties. Salary ranges from $26.66 to $40.00 depending on qualifications. #J-18808-Ljbffr

Baylor Scott & White Health is seeking a Physician Compliance Auditor II who will audit and evaluate compliance activities to ensure documentation standards. This remote position requires advanced knowledge of coding practices and auditing experience. The role includes conducting chart audits, creating educational materials, and ensuring compliance across various specialties. Candidates should possess an active coding certification and four years of relevant experience. #J-18808-Ljbffr

Internal Auditor The Internal Auditor is responsible for conducting regular medical record and coding compliance reviews to ensure that organizational strategies, practices and internal controls are in place and in compliance with all legal and industry regulations. Regularly reviews appropriate federal and state regulations, industry standard policies and procedures, i.e., CMS, AHIMA, AMA, etc., to ensure compliance Conducts internal audits, following established protocols, furnishing detailed reports and periodic updates of audit findings, presenting any irregularities or exceptions, as well as pertinent recommendations for improvement, to the Provider, Auditing Supervisor, executive management, the Compliance Committee, Physician Board and others as appropriate Provides feedback and instruction to the Provider regarding documentation improvements, to include EHR best practices Essential Duties/Responsibilities: Serve as a compliance resource for all coding...

Overview Compliance Auditor Full Time, 80 Per Hour Pay Period, Day Shift Covenant Health Overview: Covenant Health is East Tennessee’s top-performing healthcare network with 10hospitals and over 85outpatient and specialtyservices,andCovenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned, not-for-profit healthcare system and the area’s largest employer with over 11,000 employees. Covenant Health is the only healthcare system in East Tennessee to be named six times by Forbes as a Best Employer. Position Summary: Performs complex professional internal auditing. Work involves compliance audit projects for Covenant Health entities as they relate to charging, coding, documentation and billing compliance. Also provides consulting services to the organization’s management and staff and may participate in requested investigations. Maintains all organizational and professional ethical standards....

Baylor Scott & White Health is looking for a Physician Compliance Auditor II to evaluate compliance activities. The role involves auditing documentation to ensure standards are met across various service lines. The successful candidate will work remotely and is expected to have solid experience in coding, auditing, and a related active certification. Competitive salary based on experience. #J-18808-Ljbffr

Baylor Scott & White Health is seeking a Physician Compliance Auditor II to manage compliance audits, focusing on documentation standards across various services. This fully remote position requires advanced knowledge of medical coding with a pay range between $26.66 to $40.00 based on qualifications and experience. Core responsibilities include conducting audits, providing training, and ensuring coding compliance for multiple specialties such as Cardiology and Orthopedics. A Bachelor's degree along with professional coding certifications is required for applicants. #J-18808-Ljbffr

Overview Coding Educator, C linical Document Integrity Full Time, 80 Hours Per Pay Period, Day Shift This is a hybrid position, with onsite requirements for education Covenant Medical Group Overview: Covenant Medical Group is the employed and managed medical practice organization of Covenant Health, providing comprehensive care across East Tennessee. With more than 300 physicians and advanced practice providers in 20 communities, our team delivers expertise across a broad spectrum of specialties from primary care and walk-in clinics to preventive medicine and advanced surgical and subspecialty services. We are committed to offering coordinated, patient-centered care that spans the continuum of health needs, ensuring access to exceptional providers close to home. Position Summary: Provides consulting services to the organization’s management and staff and may coordinate requested coding investigations. Responsible for education and training for all Covenant coders,...

Overview Compliance Auditor Sr. Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region’s top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area’s largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times. Position Summary: Performs complex-level professional internal auditing. Work involves leading or conducting compliance audit projects for Covenant Health entities as they relate to charging, coding, documentation and billing compliance....

Coding Auditor - Professional page is loaded## Coding Auditor - Professionalremote type: On-Site or Remotelocations: Sarah Bush Lincoln Health Centertime type: Full timeposted on: Posted Todayjob requisition id: JR103873**Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.**Coding Auditor - Professional**Job Description**Coder Auditor-Professionals are responsible for auditing of coding assignment with providers and coders, training of coding professional staff, pro-fee based coding includes the assignment of Assigns ICD-CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.Department: Physician codingHours: Full-Time, 40 hours a week requiredRequired: High School Diploma, CPC, CEMA within 6 months of hire, CPMA within 1 year of hirePay: Based one experience, starting at $23.87/hourLocation:...

Humana Inc is seeking a Medical Coding Auditor to analyze medical claims and ensure compliance with coding guidelines. This remote position requires a strong coding background, attention to detail, and the ability to handle multiple priorities. The ideal candidate will have relevant certifications and at least 3 years of experience in outpatient procedures. The work involves verifying procedure codes, reviewing medical documentation, and conducting peer audits to maintain quality standards. #J-18808-Ljbffr

Baylor Scott & White Health is looking for a Physician Compliance Auditor II to conduct audits focused on coding and compliance activities from the comfort of your home. This role involves evaluating documentation for outpatient, inpatient, and emergency services to maintain compliance and improve practices. The ideal candidate will have a strong background in coding, auditing, and significant experience with CPT and ICD-10. A competitive salary ranging from $26.66 to $40.00 per hour is offered based on qualifications and experience. #J-18808-Ljbffr

## Coder Professional-3Applyremote type: On-Site or Remotelocations: Remote Office - ILtime type: Full timeposted on: Posted Todayjob requisition id: JR104733**Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.**Coder Professional-3**Job Description**Coder – Professionals are responsible for professional coding includes the assignment of ICD-CM, CPT, and HCPCS codes, modifiers, and evaluation and management (E/M codes) provider audits. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.Department: Physician CodingHours: FT, 40 hours/week\*Remote Work\*Shift: 1st shiftRequired: High School Diploma, Certified Professional CoderPay: Based on experience, starting at $22.72**Responsibilities**Analyze and confirm assigned encounters for provider’s selection of EM code level utilizing EM code level selection auditing tool., Assists physicians with record...

Baylor Scott & White Health is seeking a Physician Compliance Auditor II to conduct audits and evaluate compliance with documentation standards. This role encompasses auditing for outpatient, inpatient, and emergency services using various coding guidelines. The ideal candidate will work remotely and possess a Bachelor's degree or related experience, with an active CPC or CCS-P certification. This role requires strong knowledge of CPT and ICD-10 coding standards. #J-18808-Ljbffr

Baylor Scott & White Health is looking for a Physician Compliance Auditor II to conduct audits and evaluate compliance, ensuring documentation accuracy for various services. The role requires strong knowledge in CPT, ICD-10, and HCPCS coding, with a preference for candidates with coding certification. This position is 100% remote and offers a pay range of $26.66 to $40.00 based on experience. The ideal applicant should have extensive auditing experience and be able to educate staff on compliance matters. #J-18808-Ljbffr

Nuvance Health Coding Position Position at Northwell Health Must reside in the following states: AZ, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, OK, PA, SC, TN, TX, and VA Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State's largest private employer with over 104,000 employees including members of Northwell Health Physician Partners who are working to change health care for the better. Summary Purpose: Provides clinician practice coding, billing, and documentation auditing for professional coding at Nuvance Health. Conducts routine quality assurance (QA)...

Baylor Scott & White Health is seeking a Physician Compliance Auditor II to perform chart audits and ensure compliance with documentation standards. This 100% remote position requires strong knowledge of CPT, ICD-10, and HCPCS. The ideal candidate will have a Bachelor's degree or equivalent work experience, a minimum of 4 years auditing experience, and active coding certification. Benefits include health coverage, 401(k) matching, and tuition reimbursement. #J-18808-Ljbffr

Job Description Job Description Sr. Medical Review AuditorJob at a Glance Title:  Sr. Medical Review Auditor Location:  Columbia, SC Contract:  W2 only Pay:  $ 36/hour + optional medical, dental, vision, 401(k) match Overview Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events for all lines of business. Coordinates rate adjustments with claims areas and provides monthly and quarterly reports outlining trends, outcomes, and savings that directly impact medical costs and contracting rates. Key Responsibilities Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events for all lines of business. Coordinates rate adjustments with claims areas. Provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues. Coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department....

Coding Compliance Auditor Remote (EST or CST Time Zones Only) $35–$38/hr 13-Week Contract | Potential Contract-to-Hire Opportunity Position Overview We are seeking an experienced Coding Compliance Auditor to join a healthcare organization on a remote contract basis. This position is responsible for auditing inpatient and outpatient coding, ensuring coding accuracy, regulatory compliance, and appropriate reimbursement. This role is ideal for candidates with strong inpatient auditing experience, advanced ICD-10 coding knowledge, and a passion for coding quality, education, and compliance. Please Note: Qualified candidates will be required to complete a coding assessment prior to the interview process. Key Responsibilities Coding Audits & Compliance Audit inpatient, outpatient, observation, and ambulatory surgery encounters. Review ICD-10-CM, ICD-10-PCS, and CPT coding assignments for accuracy and compliance. Audit complex inpatient cases including trauma, critical care,...