14 drg coding auditor jobs found

Coding Auditor Educator - Hospital CodingVancouver, WA | Administrative/Non-Clinical Support | Full TimePeaceHealth is seeking a Coding Auditor Educator - Hospital Coding for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $34.74 – $52.12. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.Job SummaryThe coding reviewer acts as an expert resource for auditing and training in support of accuracy and appropriateness of coding using ICD-10 and CPT industry standards and PeaceHealth guidelines.Essential FunctionsPerforms coding audits and pre-billing coding compliance functions as required by system regulatory policies/procedures and established review metrics. Participates in development of action plans to include follow up education on identified issues with subsequent audit and reassessment. Utilizes a...

Inpatient Facility Medical CoderTo 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...

Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to medical coding and...

Experienced Associate, Healthcare ForensicsThe Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients.Job Duties:Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance mattersContributes to forensic engagements related to medical coding and...

PeaceHealth is seeking a remote Coding Auditor Educator for Hospital Coding, with a remote-friendly setup but residency within WA, OR, or AK. The role emphasizes audits, education, and regulatory compliance for accurate ICD-10/CPT coding and DRG validation. The position requires acute care coding experience, relevant credentials, and the ability to work independently in a remote environment. PeaceHealth offers a comprehensive rewards package and professional growth opportunities. #J-18808-Ljbffr

Medical Coder & BillerIntegrative Medicine with Purpose, Compassion, and Impact.Location: Salish Cancer Center | Fife, WA | On-SiteStatus: Full-Time | 1.0 FTE | 40 Hrs/WkHiring Range: $28.00 - $34.66 per hourAt Salish Cancer Center, every detail matters, especially when it comes to ensuring patients receive the care they need without unnecessary financial barriers. We're looking for a skilled Medical Coder & Biller with oncology experience to join our team and play a key role in supporting accurate, compliant, and efficient revenue cycle operations.What You'll Do:In this role, you'll take ownership of coding and billing processes that directly impact patient care and organizational success. You will:Accurately assign ICD-10-CM, CPT, and HCPCS codes for oncology services, including hematology conditions, chemotherapy, infusions, and immunotherapyReview provider documentation to ensure completeness, accuracy, and compliancePrepare and submit clean claims, reducing denials and...

Job Type Full-time Description Integrative Medicine with Purpose, Compassion, and Impact. Location: Salish Cancer Center | Fife, WA | On-Site Status: Full-Time | 1.0 FTE | 40 Hrs/Wk Hiring Range: $28.00 - $34.66 per hour Position Close Date: October 2, 2026 At Salish Cancer Center , every detail matters, especially when it comes to ensuring patients receive the care they need without unnecessary financial barriers. We're looking for a skilled Medical Coder & Biller with oncology experience to join our team and play a key role in supporting accurate, compliant, and efficient revenue cycle operations. What You'll Do: In this role, you'll take ownership of coding and billing processes that directly impact patient care and organizational success. You will: Accurately assign ICD-10-CM, CPT, and HCPCS codes for oncology services, including hematology conditions, chemotherapy, infusions, and immunotherapy Review provider documentation to...

Experience preferred. Certified Coder with 5+ years experience coding professional and facility fees for surgical cases and office visits. Specialties include Obstetrics/Women's Health, Orthopedics, Podiatry, Cardiology, Urology & General Surgery. JOB SUMMARY The Coder is responsible for reviewing discharge abstracts and patient charts in order to assign the appropriate ICD-CM/CPT codes to diagnoses and procedures. Reviews charts for potential liability risk and documents specific information as necessary. Performs studies as requested by physicians or administration. Maintains State reporting documentation for certain procedures in compliance with regulations. The Coder encounters the mission of providing quality healthcare to the patients of WhidbeyHealth to ensure medical records are charged and coded accurately and efficiently. This position may be responsible for applying the appropriate codes for ICD-10, CPT / HCPCS, evaluation and management, and/ or modifiers...

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. 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 terminology. This role is fully remote with a flexible schedule, allowing...

CTHCA Medical Billing Specialist Hot Job Reservation Wide - WA Overview Salary Range $23.08 - $28.12 Hourly Description Closing Date: Open Until Filled with Bi-weekly Reviews Position: CTHCA Medical Billing Specialist (2 Positions) Salary: $23.08 to $28.12 per hour DOE Reports To: Revenue Cycle Supervisor Location: Nespelem Health Center, 6 Month Training in Nespelem, WA, with Possibility of Working in Other Districts Upon Completion of Training. Basic Functions: This is a Non-Exempt Position. Performs Clerical Standard and Procedures of the Medical Billing Office Through Direct Contact with Eligible Programs Using Computer-Aided Data Entry Screens. Qualifications Minimum Qualifications: Education and Training: Requires a High School Diploma or GED Requires 12 Months Billing and Coding Experience with Anatomy and Pathophysiology Training Willing to Obtain a Certified Professional Coder (CPC) Certificate or Certified Professional Biller (CPB)...

RCM Specialist / Medical Biller (Hybrid)Albany, New York, United States; Albuquerque, New Mexico, United States; Lakewood, Washington, United StatesWorkit Health is an industry-leading provider of on-demand, evidence-based telemedicine care. Our programs are based in harm reduction, and bring together licensed clinicians who really listen, FDA-approved medication, online recovery groups and community, interactive therapeutic courses, and care for co-existing conditions. Workit Health's patient-centered telemedicine model is improving clinical outcomes and eliminating barriers to treatment, making long-term recovery accessible to individuals who need it, without disrupting their daily lives.We're excited to expand our team as our impact and coverage areas continue to grow. Our team members are dedicated and passionate about our mission of making exceptional, judgment-free care for addiction more accessible.We believe everyone deserves respectful, effective treatment for substance...

RCM Specialist / Medical Biller (Hybrid) Albany, New York, United States; Albuquerque, New Mexico, United States; Lakewood, Washington, United States Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine care. Our programs are based in harm reduction, and bring together licensed clinicians who really listen, FDA-approved medication, online recovery groups and community, interactive therapeutic courses, and care for co-existing conditions. Workit Health's patient-centered telemedicine model is improving clinical outcomes and eliminating barriers to treatment, making long-term recovery accessible to individuals who need it, without disrupting their daily lives. We're excited to expand our team as our impact and coverage areas continue to grow. Our team members are dedicated and passionate about our mission of making exceptional, judgment-free care for addiction more accessible. We believe everyone deserves respectful, effective treatment for...

Requisition number: 2387224 Job category: Medical & Clinical Operations Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Medical Coder performs concurrent review of FFS coding rules within Epic, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. Schedule : Monday to Friday, 8 AM- 5 PM Location : Remote Nationwide You'll enjoy the flexibility to work remotely...

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