353 him coding auditor jobs found

Rush University Medical Center in Chicago, IL seeks a senior coding auditor within the Medical Records department. This role monitors coding quality, provides education to physicians and staff, and prepares reports for administration and the Compliance Council. It requires RHIA/RHIT/CCS certification and 5 years of coding experience, with strong communication skills. The position is full-time, on-site in the Medical Records unit. #J-18808-Ljbffr

Ascension is seeking a qualified HIM Coder Auditor to join the HIM Coding Documentation team. This full-time, remote role conducts audits of professional-fee coding records across ambulatory specialties, focusing on CPT, HCPCS, ICD-10-CM, modifiers, and E/M services. You will analyze findings, prepare clear reports for practice managers and leadership, and design educational programs to address documentation gaps and evolving standards. #J-18808-Ljbffr

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a work-from-home Inpatient Coding Auditor with Parallon you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes and communicate them to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the medical record to support code assignments. What you will do in this role Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and/or outpatient coding...

Position Title: Inpatient Coding Auditor Department: HIM Coders Job Description: Ask your recruiter about our competitive wages and total rewards package! Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment. This position may be filled as levels I, II, or III, depending on individual experience, education, certification(s), and business need. ****Ideal candidate will have experience in complex inpatient coding at an academic medical center.**** General Description Ensures accurate, quality, and compliant Inpatient facility coding through prebill and retrospective audits of coder work and providing targeted education to improve consistency and documentation quality. Essential Job Duties Responsibilities listed in this section are core to the position. Inability to perform these responsibilities, with or without an accommodation, may result in disqualification from the position. · Performs all functions of coding...

About the Job Compliance Auditor - To $67K - Cherry Hill, NJ - Job # 2929 Who We Are? BritePros Healthcare Staffing is completely committed to sourcing only the best administrative and clinical talent in the healthcare industry. Our pool of candidates within the world of healthcare is unparalleled. We simply want your healthcare organization running smoothly so you can focus on providing the best health services to your patients. Healthcare organizations from across the country rely upon BritePros Staffing to present only the most qualified talent for each specific job. Our unique application of the Behavior-based Interviewing Model allows BritePros Staffing to properly vet and evaluate talent relative to key technical and cultural markers for each unique job opening. 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...

Description Providence is calling for Compliance Auditor - Remote The Revenue Cycle Compliance Hospital Auditor conducts audits to evaluate compliance with a wide variety of Federal and State laws, regulatory rules & regulations, PSJH policies and procedures. Areas of audit focus for this position may involve clinical and non-clinical services, including but not limited to revenue cycle: Rev Cycle departments, Rev Cycle Billing Offices, External Vendor; HIM Coding, Revenue Integrity RI, Chargemaster CDM, EPIC, and Clinical Documentation CDT. This position works collaboratively with Case Management, Utilization Review, Revenue Integrity, our PB Professional Revenue Cycle Compliance Team, Clinical Risk, Internal Legal Affairs and Finance under the supervision of the Rev Cycle Compliance Senior Manager. The Revenue Cycle Compliance Hospital auditor navigates and analyzes data across both the Clinical EMR and Epic Billing systems. This includes reviewing...

Compliance Auditor/Educator The Compliance Auditor/Educator serves as the subject matter expert and as a point of contact for IHA offices and Revenue Department for proper coding procedures and workflow for existing medical services. Provides professional expertise and education in CPT, ICD and HCC coding. The Compliance Auditor/Educator is responsible for professional development of educational materials, clinical case studies, guidelines and job aides to provide direction and guidance across IHA departments and offices for coding and documentation regulations. This role is also responsible for responding to compliance-related coding and documentation issues via the event reporting system and managing them to proper resolution. Performs medical record integrity audits and conducts one-on-one meetings with Providers for corrective educational guidance. Essential Job Functions: Develops and leads audit projects for medical record integrity, service line or issues-related...

Job Title: Coding Auditor Location: Reno, NV Position Overview: The Coding Auditor is tasked with coordinating the auditing schedules of the coding staff to ensure quality and proficiency, thus ensuring compliance with coding/auditing standards and documentation quality. The primary challenge is to guarantee accurate reimbursement is achieved through adherence to high-quality coding standards. This role involves auditing information coded from provider documentation and patient records within designated time frames, facilitating the billing process, ensuring accurate reimbursement, and promoting compliance. The incumbent must document and report all findings to Coding Leadership. Key Responsibilities: Coordinate coding staff auditing schedules to ensure quality and proficiency. Audit information coded from provider documentation and patient records within designated time frames. Document and report all auditing findings to Coding Leadership. Address appeals...

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Inpatient Coding Auditor with Parallon you can be a part of an organization that is devoted to giving back! Job Summary and Qualifications As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. What you will do in this role: Leads,...

Medical Coding Auditor The Medical Coding Auditor is responsible for performing internal QA audits on coding staff and supporting the quality of coding provided by coders. Minimum Requirements: Formal HIM education with national certification (RHIA or RHIT) or Bachelor's Degree required Additional coding certification (CCS, or CCS-P) preferred Minimum of three (3) years of inpatient and outpatient hospital experience (additional physician coding experience preferred) Minimum of three (3) years of inpatient and outpatient hospital coding/auditing experience preferred Must hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC) or have a preferred minimum of 2 years relevant coding experience Must be at least 18 years of age Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks Health,...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Outpatient Coding Auditor Responsible for implementing and maintaining a compliance plan for outpatient coding and reimbursement. The Outpatient Coding auditor will assist the Coding Manager with Outpatient and Emergency Coding Services, and the development of policies and procedures. Develops education and supervises programs regarding elements of the HIM Compliance program, such as appropriate documentation and accurate coding, to all appropriate personnel, including HIM coding staff, physicians, billing personnel and ancillary departments. Coordinates and conducts continual reviews, tracking and trending following the outpatient coding audits. Educates new outpatient coders on documentation requirements including how to read an outpatient medical record and extrapolate the required documentation with regards to outpatient surgery coding. Educate outpatient coders on ICD-10-CM guidelines, coding conventions and Coding Clinics pertinent to outpatient surgery coding....

Key Responsibilities Integrate Huron’s Vision and Values into daily work practices. Conduct audits of coders and auditors, ensuring a minimum coding accuracy of 95%. Perform quality checks on visits coded per client SOPs and conduct calibration audits. Suggest process improvements and schedule calibration sessions with offshore team counterparts and leaders. Assist in preparing audit reports, provide direct feedback to coders and auditors, and participate in client and internal stakeholder meetings. Monitor compliance with clinical documentation and coding guidelines; ensure errors are corrected before claims are rebilled to payers. Analyze findings and present concise, actionable summaries to leadership. Utilize encoder software applications (3M/Solventum, Encoder Pro, Codify) and assign appropriate codes using CDC, CMS, AMA, AHA, AMA CPT, and other guidelines. Navigate patient health records and other systems to determine accurate diagnosis and procedure codes. Meet coding...

Providence is seeking a Compliance Auditor for a remote role focused on revenue cycle compliance and hospital auditing. The position involves evaluating adherence to federal and state laws, regulatory rules, and internal Providence policies across Rev Cycle, HIM Coding, RI, and related areas. The candidate should have a Bachelor's degree in business/healthcare/finance or 5 years of hospital billing auditing or coding experience. Certification in coding is preferred. #J-18808-Ljbffr

Providence is seeking a Compliance Auditor to conduct remote audits across the revenue cycle, ensuring adherence to applicable laws, regulations, and internal policies. The role covers both clinical and non-clinical services with focus areas including Rev Cycle departments, billing offices, external vendors, HIM coding, and related areas. The position is remote with candidates residing in eligible US states; a Bachelor’s degree or 5 years of hospital billing auditing experience is required, and #J-18808-Ljbffr

Frankfort Regional Medical Center is seeking an Inpatient Coding Auditor to perform internal quality assessments on coders. This remote role ensures compliance with national coding guidelines and company policies for accurate medical coding. The ideal candidate should have a high school diploma, preferably an undergraduate degree in HIM/HIT, and significant coding experience. Benefits include comprehensive medical plans, education support, and retirement resources. #J-18808-Ljbffr

The University of Iowa is seeking a Senior Compliance Inpatient Auditor to perform comprehensive inpatient coding and documentation audits, ensuring adherence to CMS, Medicare/Medicaid, and payor requirements. You will review ICD-10-CM/PCS coding, MS-DRG assignments, and POA indicators to identify education and risk mitigation opportunities. You will prepare detailed audit reports, collaborate with HIM, Coding, CDI, and Revenue Integrity teams, and participate in education sessions to improve #J-18808-Ljbffr

Cape Cod Healthcare is seeking a Coding and Billing Compliance Auditor to ensure accuracy, integrity, and regulatory compliance of clinical documentation, coding, and billing across the health system. The role conducts audits, identifies discrepancies, and educates staff to reduce risk and optimize reimbursement. You'll collaborate with Revenue Cycle, HIM, CDI, and Compliance teams, prepare audit reports, and present findings to leadership, driving continuous improvement in coding standards and #J-18808-Ljbffr

Providence is seeking a Compliance Auditor to audit adherence to Federal and State laws, regulatory rules, and Providence policies. The role is remote and open to candidates in multiple US states, with audit focus across revenue cycle, HIM, coding, and related areas. You'll present findings collaboratively and work toward reducing risk within Providence as a system, supporting patient-focused care and maintaining compliance across departments. #J-18808-Ljbffr

Ascension Health is seeking a remote HIM Coding Documentation Auditor based in Florida. The role involves auditing coding records, delivering clear audit reports, and driving corrective actions to improve coding accuracy and compliance. Travel across Florida sites is required, with a day shift, full-time schedule. The position requires a high school diploma/GED with 2 years of experience or an Associate/Technical degree and at least 1 year of related experience, plus travel willingness. #J-18808-Ljbffr

The Medical Coding Auditor is responsible for performing internal QA audits on coding staff and supporting the quality of coding provided by coders. Minimum Requirements: Formal HIM education with national certification (RHIA or RHIT) or Bachelor's Degree required Additional coding certification (CCS, or CCS-P) preferred Minimum of three (3) years of inpatient and outpatient hospital experience (additional physician coding experience preferred) Minimum of three (3) years of inpatient and outpatient hospital coding/auditing experience preferred Must hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC) or have a preferred minimum of 2 years relevant coding experience Must be at least 18 years of age Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks...

Walt Disney is seeking an experienced Auditor to review medical records, coding, and billing practices, ensuring compliance with industry standards. The role requires expertise in medical office procedures, coding systems, and terminology to conduct thorough audits. Responsibilities include audits of claims, reporting findings, and providing education to staff. Remote/hybrid work options may be available; prior HIM coding leadership interaction is valued. #J-18808-Ljbffr

The Medical Coding Auditor is responsible for performing internal QA audits on coding staff and supporting the quality of coding provided by coders. Minimum Requirements Formal HIM education with national certification (RHIA or RHIT) or Bachelor’s Degree required Additional coding certification (CCS, or CCS-P) preferred Minimum of three (3) years of inpatient and outpatient hospital experience (additional physician coding experience preferred) Minimum of three (3) years of inpatient and outpatient hospital coding/auditing experience preferred Must hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC) or have a preferred minimum of 2 years relevant coding experience Must be at least 18 years of age Benefits Competitive pay & weekly paychecks Health, dental, vision, and life insurance 401(k) savings plan Awards and recognition programs Benefit eligibility is dependent on employment status. Amergis is an equal...