15 e m coder auditor jobs found

Certified ER Medical Coding AuditorThe Certified ER Medical Coding Auditor is responsible for auditing emergency department medical records to ensure accurate coding, compliance, and optimal reimbursement. This role also includes training and mentoring offshore coding teams to maintain high-quality standards and consistency across operations.Key ResponsibilitiesAudit ER charts for accurate assignment of ICD-10-CM, CPT, and HCPCS codesValidate E/M level selection for emergency department visitsEnsure compliance with payer guidelines and regulatory standards (CMS, HIPAA)Identify under coding, over coding, and documentation deficienciesPrepare detailed audit reports with corrective recommendationsProvide education and feedback to coders and providersTrain and mentor offshore coding teams on ER coding guidelines and audit findingsConduct regular quality review sessions and calibration meetings with offshore staffDevelop and update training materials, Review SOPs, and coding...

Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

Job Summary (Par time-Potential for Fulltime) The Certified ER Medical Coding Auditor is responsible for auditing emergency department medical records to ensure accurate coding, compliance, and optimal reimbursement. This role also includes training and mentoring offshore coding teams to maintain high-quality standards and consistency across operations. Key Responsibilities Audit ER charts for accurate assignment of ICD-10-CM, CPT, and HCPCS codes Validate E/M level selection for emergency department visits Ensure compliance with payer guidelines and regulatory standards (CMS, HIPAA) Identify under coding, over coding, and documentation deficiencies Prepare detailed audit reports with corrective recommendations Provide education and feedback to coders and providers Train and mentor offshore coding teams on ER coding guidelines and audit findings Conduct regular quality review sessions and calibration meetings with offshore staff Develop and update...

Job Title Experienced CPC-Certified Medical Coder Job Description MUST ALREADY HAVE EXPERIENCE DOING BILL AUDIT REVIEWS FOR DIFFERENT STATES. We are seeking an experienced CPC-certified medical coder with multi-state experience to perform coding audits, utilization reviews, demand package reviews, and provide litigation support including deposition and testimony services as needed. The ideal candidate must have experience reviewing medical records and billing across multiple states and payer environments. Responsibilities Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS) Conduct utilization reviews to assess medical necessity and documentation compliance Review the medical portion and prepare the billing and coding review portion of demand package reviews for personal injury and insurance cases Analyze medical records for payer disputes, recoupments, and appeals Prepare detailed, defensible written audit reports Provide expert review, affidavit...

Inpatient/Outpatient MRT Coder Lead 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 Estimated Compensation: $38.28 per hour. Working Hours: Work must be staffed within the Monday-through-Friday service window of 6:00 AM–6:00 PM local facility time. Individual schedules will be assigned based on operational needs; off-hours work...

Description• Review emergency department medical records to assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers.• Accurately assign facility Evaluation and Management (E/M) levels in accordance with client-specific emergency department leveling guidelines and facility charging methodologies, including knowledge of the ACEP tool.• Analyze documentation from nursing staff, physicians, ancillary departments, and diagnostic services to ensure complete code assignment and charge capture.• Apply official coding guidelines, CMS regulations, National Correct Coding Initiative (NCCI) edits, and payer-specific requirements.• Review accounts for appropriate assignment of procedural services and injections/infusions when applicable.• Identify documentation deficiencies and communicate within the appropriate channels regarding coding clarification needs.• Maintain compliance with Medicare, Medicaid, commercial payer, and organizational coding...

Labela is seeking certified U.S. medical coders for high-level coding and documentation consulting. You will serve as a subject matter expert to validate, refine, and audit the coding logic and documentation reasoning of frontier AI models. This is a flexible, remote role designed for practicing coders and auditors to influence the accuracy and compliance of medical AI at scale. Responsibilities include auditing coding logic, validating E/M level selection, MS-DRG and APC assignments, and #J-18808-Ljbffr

MUST ALREADY HAVE EXPERIENCE DOING BILL AUDIT REVIEWS FOR DIFFERENT STATES. We are seeking an experienced CPC-certified medical coder with multi-state experience to perform coding audits, utilization reviews, demand package reviews, and provide litigation support including deposition and testimony services as needed. The ideal candidate must have experience reviewing medical records and billing across multiple states and payer environments. Responsibilities Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS) Conduct utilization reviews to assess medical necessity and documentation compliance Review the medical portion and prepare the billing and coding review portion of demand package reviews for personal injury and insurance cases Analyze medical records for payer disputes, recoupments, and appeals Prepare detailed, defensible written audit reports Provide expert review, affidavit support, deposition preparation, and testimony when required Interpret CMS...

Job TitleExperienced CPC-Certified Medical CoderJob DescriptionMUST ALREADY HAVE EXPERIENCE DOING BILL AUDIT REVIEWS FOR DIFFERENT STATES.We are seeking an experienced CPC-certified medical coder with multi-state experience to perform coding audits, utilization reviews, demand package reviews, and provide litigation support including deposition and testimony services as needed. The ideal candidate must have experience reviewing medical records and billing across multiple states and payer environments.Responsibilities• Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS)• Conduct utilization reviews to assess medical necessity and documentation compliance• Review the medical portion and prepare the billing and coding review portion of demand package reviews for personal injury and insurance cases• Analyze medical records for payer disputes, recoupments, and appeals• Prepare detailed, defensible written audit reports• Provide expert review, affidavit support,...

About the job Supervisory Inpatient/Outpatient MRT Coder Supervisory Inpatient/Outpatient 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 Estimated Compensation: $39.22 per hour. Paid Sick Leave: Up to 56 hours per year, accrued in accordance with Fidelity Partners policy and...

MUST ALREADY HAVE EXPERIENCE DOING BILL AUDIT REVIEWS FOR DIFFERENT STATES. We are seeking an experienced CPC-certified medical coder with multi-state experience to perform coding audits, utilization reviews, demand package reviews, and provide litigation support including deposition and testimony services as needed. The ideal candidate must have experience reviewing medical records and billing across multiple states and payer environments. Responsibilities: • Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS) • Conduct utilization reviews to assess medical necessity and documentation compliance • Review the medical portion and prepare the billing and coding review portion of demand package reviews for personal injury and insurance cases • Analyze medical records for payer disputes, recoupments, and appeals • Prepare detailed, defensible written audit reports • Provide expert review, affidavit support, deposition preparation, and testimony when...

Summary About the Position: This is an open continuous announcement. Multiple vacancies exist and may be filled from this announcement at any of the locations listed. We accept applications on an ongoing basis; qualified applicants will be considered as vacancies become available. Salary negotiation may be available for those candidates who are new to Federal service. This is a Direct Hire Solicitation Responsibilities Perform retrospective audits of diagnoses, E/M levels, procedures, and documentation to identify inaccurately coded services and ensure regulatory compliance. Review medical records, analyze coding accuracy trends, prepare finding reports, and coordinate results with leadership to drive performance improvement. Use encounter audits to identify operational and regulatory issues, ensures complete data capture, and support development of compliance plans. Develop and deliver one-on-one and group training on documentation and coding requirements; updates clinical...

Duties Perform retrospective audits of diagnoses, E/M levels, procedures, and documentation to identify inaccurately coded services and ensure regulatory compliance. Review medical records, analyze coding accuracy trends, prepare finding reports, and coordinate results with leadership to drive performance improvement. Use encounter audits to identify operational and regulatory issues, ensures complete data capture, and support development of compliance plans. Develop and deliver one-on-one and group training on documentation and coding requirements; updates clinical templates and recommends coding resources. Review and code medical records, validates ICD and CPT accuracy, assists providers with documentation needs, and ensures proper RVU/RWP capture. Prepare monthly progress reports, monitors coding performance, conducts special audits/projects, and communicates findings to leadership.

Summary About the Position: This is an open continuous announcement. Multiple vacancies exist and may be filled from this announcement at any of the locations listed. We accept applications on an ongoing basis; qualified applicants will be considered as vacancies become available. Salary negotiation may be available for those candidates who are new to Federal service. This is a Direct Hire Solicitation Learn more about this agency Duties Help Perform retrospective audits of diagnoses, E/M levels, procedures, and documentation to identify inaccurately coded services and ensure regulatory compliance. Review medical records, analyze coding accuracy trends, prepare finding reports, and coordinate results with leadership to drive performance improvement. Use encounter audits to identify operational and regulatory issues, ensures complete data capture, and support development of compliance plans. Develop and deliver one-on-one and group training on...

CSI Companies is seeking an experienced Professional Fee (ProFee) Coder with a strong background in Mental Health and/or Primary Care coding. This role is responsible for accurately reviewing, assigning, and validating CPT, ICD-10-CM, and HCPCS codes for outpatient provider services to ensure compliance with federal regulations and payer-specific guidelines. The ideal candidate brings strong knowledge of behavioral health documentation standards, E/M coding guidelines, and regulatory compliance within physician practice or outpatient settings. This role requires high accuracy, productivity, and the ability to work independently in a remote environment. Hours:40 hours/week “ Monday to Friday, standard business hours Location:Remote (CST) “ Must reside in Texas Pay:Competitive Market Rate Position Type:Consultant “ No C2C Work Authorization:Visas are acceptable (any EAD). Candidates must be eligible to work on...