17 drg coding auditor jobs found

Candidates must reside either in Washintgon or Oregon to be considered for this position. To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid...

Title - Coding Auditor Location - Clackamas, OR Job Type - Permanent Job Summary: To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP),...

JOB DESCRIPTION To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), and Kaiser Permanente organization/institutional coding...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching...

Join Datavant and be a part of our mission to transform healthcare through our innovative data collaboration platform. We provide essential solutions to a wide range of organizations within the healthcare ecosystem, including providers, health plans, researchers, and life sciences companies. Our team's dedication to enhancing data connectivity is paving the way for improved health outcomes. As an Inpatient Auditor Specialist, you will have a vital role in supporting our consulting and educational efforts related to coding quality, compliance assessments, and coding workflow operations. Your insights will exceed customer expectations while addressing and resolving their challenges. This is a fully remote position with a flexible schedule, allowing you to shape the future of healthcare from the comfort of your workspace! Key Responsibilities: Conduct comprehensive inpatient facility coding audits according to the specified scope of work, onboarding, focused reviews, service...

Become a part of our caring community and help us put health first 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. 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...

Coding Auditor, Facility Onsite Clackamas, OR To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), and Healthcare...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. ***** FT and PRN Openings *** Up to $5,000 Sign On Bonus ***** What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical...

Join our team as an Outpatient Coding Auditor in a fully remote position! We are searching for dedicated individuals nationwide who are passionate about maintaining high standards in coding practices. About You Share your experience with Outpatient Coding Auditing. Emphasize your ability as a team player and self-motivator. Demonstrate your skills in managing multiple projects while utilizing problem-solving abilities. What makes you truly unique? We want to know! If you are committed, team-oriented, and value professionalism, trust, honesty, and integrity, we are eager to connect with you. About The Position Possess 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). Have practical knowledge of reimbursement systems such as Prospective Payment System (PPS), Diagnostic Related...

Job Description Job Description Join Trillium Family Services - Make a Difference in Young Lives and Families Job Title: CDI Specialist – Coder Employment Type: Full-Time - MUST BE AN OREGON/WASHINGTON RESIDENT Starting Pay: $23.00 per hour Position Summary The CDI Specialist – Coder is a certified coding professional responsible for conducting real-time, retrospective, and incident-driven audits of clinical documentation to ensure it supports established standards, including medical necessity, CPT/HCPCS, and ICD coding accuracy. This position collaborates closely with clinical, Health Information Management (HIM), and billing teams to improve the quality and clarity of documentation. Through auditing, education, and query processes, the CDI Specialist – Coder helps ensure accurate coding, regulatory compliance, reporting integrity, and improved patient care outcomes. Duties and ResponsibilitiesCoding and Documentation Integrity Apply...

Overview Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal...

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2675 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? 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...

Join Trillium Family Services - Make a Difference in Young Lives and Families Job Title: CDI Specialist Coder Employment Type: Full-Time Starting Pay: $23.00 per hour Position Summary The CDI Specialist Coder is a certified coding professional responsible for conducting real-time, retrospective, and incident-driven audits of clinical documentation to ensure it supports established standards, including medical necessity, CPT/HCPCS, and ICD coding accuracy. This position collaborates closely with clinical, Health Information Management (HIM), and billing teams to improve the quality and clarity of documentation. Through auditing, education, and query processes, the CDI Specialist Coder helps ensure accurate coding, regulatory compliance, reporting integrity, and improved patient care outcomes. Duties and Responsibilities Coding and Documentation Integrity Apply ICD-10-CM, CPT, and HCPCS coding guidelines accurately, ensuring correct assignment of primary and secondary...

Primary Job Title: Medical Billing Specialist About The Company The Trauma Academy Northwest, LLC is a mental health outpatient clinic dedicated to providing effective, compassionate trauma treatment. The clinic specializes in trauma-informed care using evidence-based talk therapy alongside sensory integration techniques to support emotional regulation, healing, and long-term resilience. At its core, The Trauma Academy Northwest values strong camaraderie, professionalism, and transparency. These principles guide both client care and internal collaboration. Staff work closely as a team, maintaining open communication, shared accountability, and mutual respect to ensure consistent, high-quality treatment. The clinic is committed to creating a safe, supportive environment where clients feel understood and empowered, and where clinicians are supported through clear expectations, ethical practice, and ongoing professional growth. Through thoughtful care and a strong internal culture,...

Join Trillium Family Services - Make a Difference in Young Lives and Families Job Title: CDI Specialist - Coder Employment Type: Full-Time Starting Pay: $23.00 per hour Position Summary The CDI Specialist - Coder is a certified coding professional responsible for conducting real-time, retrospective, and incident-driven audits of clinical documentation to ensure it supports established standards, including medical necessity, CPT/HCPCS, and ICD coding accuracy. This position collaborates closely with clinical, Health Information Management (HIM), and billing teams to improve the quality and clarity of documentation. Through auditing, education, and query processes, the CDI Specialist - Coder helps ensure accurate coding, regulatory compliance, reporting integrity, and improved patient care outcomes. Duties and Responsibilities Coding and Documentation Integrity Apply ICD-10-CM, CPT, and HCPCS coding guidelines accurately, ensuring correct assignment...

Overview Coding Auditor/Trainer (Coding Coordinator) US--Remote Requisition ID: 2025-34528 Position Category: Hospital/Clinic Support Job Type: AFSCME union represented Position Type: Regular Full-Time Posting Department: Enterprise Coding Posting Salary Range: $44.02 - $60.45 per hour, with offer based on experience, education and internal equity Posting FTE: 1.00 Posting Schedule: Monday - Friday HR Mission: Central Services Drug Testable: No Department Overview Empower coders. Elevate accuracy. Transform the future of coding excellence. We\'re hiring a Coder Auditor/Trainer to help elevate coding excellence across OHSU. If you\'re an experienced profee coding auditor and trainer who loves diving into complex cases, shaping coder development, and raising the bar for accuracy and compliance, this role puts your expertise exactly where it belongs — at the center of organizational impact. As a Coder Auditor/Trainer at OHSU, you\'ll be the go-to authority for some of the most...

Coding Auditor/Trainer (Coding Coordinator) Location : US – Remote Requisition ID : 2025-34528 Position Category : Hospital/Clinic Support Job Type : AFSCME union represented Position Type : Regular Full-Time Posting Department : Enterprise Coding Salary Range : $44.02 – $60.45 per hour, offer based on experience, education, and internal equity FTE : 1.00 Schedule : Monday – Friday HR Mission : Central Services Drug Testable : No Department Overview Empower coders. Elevate accuracy. Transform the future of coding excellence. We’re hiring a Coder Auditor/Trainer to help elevate coding excellence across OHSU. If you’re an experienced coding auditor and trainer who loves diving into complex cases, shaping coder development, and raising the bar for accuracy and compliance, this role puts your expertise exactly where it belongs — at the center of organizational impact. As a Coder Auditor/Trainer at OHSU, you’ll be the go‑to authority for some of the most challenging coding...