431 hims coding auditor jobs found

Riverside Health System in Newport News, VA is seeking a HIMS Coding Auditor to maintain data quality and audit APC/MSDRG accuracy for inpatient and outpatient records. This remote-eligible role reviews coding compliance and collaborates with payer denials and the CDI team. The ideal candidate has 5–6 years of acute care coding experience, 2 years of auditing, and AHIMA or ACID certifications; strong Excel/Office skills and excellent communication are required. Remote work options are available. #J-18808-Ljbffr

Riverside Health System seeks a HIMS Coding Auditor to maintain coded data quality and perform audits of APCs and MSDRGs. Remote work eligible for select states and based in the Newport News area. Responsibilities include applying coding guidelines, identifying training needs, conducting focused reviews, preparing audit reports, and supporting denial management with payers. Required: CCS, 5–6 years IP/OP coding, 2 years auditing; preferred RHIA/RHIT or CD/CPC credentials. #J-18808-Ljbffr

To ensure the quality of coded data, the full-time Virginia Licensed HIMS Coding Auditor will perform audits on outpatient and inpatient records, maintain coding compliance, and provide education to team members while working remotely. Key responsibilities Ensures coding compliance by applying guidelines and standards for accurate coding Identifies training needs and provides education, coaching, and mentoring to coding staff Performs focused reviews and quality audits, preparing reports for leadership Required qualifications High School Diploma or GED (Required) 5-6 years of Acute Care Inpatient and Outpatient Coding experience (Required) 2 years of Auditing experience in Acute Care (Required) Certified Coding Specialist (CCS) certification (Required) Associates Degree in Healthcare or related field (Preferred)

## HIMS Coding AuditorApply: Remote: Warwick Medical & Professional Center - Newport News, Virginia: Full time: Posted Today: 2026-037744Newport News, Virginia**Hiring Range**$28.90 - $39.78/HourlyActual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs. **FOR APPLICATION REVIEW - PROVIDE YOUR AHIMA ID or CREDENTIAL NUMBER ON YOUR APPLICATION OR RESUME** ***This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA.*** **Overview** Responsible for maintaining coded data quality through ongoing quality review and assessment of outpatient or inpatient records. Performs audits on accuracy of APC or MSDRGs as well as on quality of medical record documentation needed for accurate coding. Works with DRG and CPT denials from commercial payers and writes appeal letters as indicated. **What you will do*** Ensures coding...

Coding SpecialistNewport News, VirginiaHiring Range $28.90 - $39.78/Hourly Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA.Overview Responsible for maintaining coded data quality through ongoing quality review and assessment of outpatient or inpatient records. Performs audits on accuracy of APC or MSDRGs as well as on quality of medical record documentation needed for accurate coding. Works with DRG and CPT denials from commercial payers and writes appeal letters as indicated.What you will doEnsures coding compliance. Applies all coding guidelines and principles as defined in the Coding Clinic and leading authorities. Complies with standardized coding standards, conventions and regulations, corporate compliance standards and reimbursement...

Newport News, Virginia Hiring Range $28.90 - $39.78/Hourly. Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs. This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA. Overview Responsible for maintaining coded data quality through ongoing quality review and assessment of outpatient or inpatient records. Performs audits on accuracy of APC or MSDRGs as well as on quality of medical record documentation needed for accurate coding. Works with DRG and CPT denials from commercial payers and writes appeal letters as indicated. What you will do Ensures coding compliance. Applies all coding guidelines and principles as defined in the Coding Clinic and leading authorities. Complies with standardized coding standards, conventions and regulations, corporate compliance standards and reimbursement policies....

Riverside Health System is seeking a Clinical Coder with extensive experience in acute care coding to ensure high-quality documentation and coding compliance across inpatient and outpatient settings. You will audit records, support denial management, and educate teams to improve revenue integrity. Responsibilities include applying coding guidelines, mentoring staff, coordinating with CDI and payor relations, and preparing audit reports for leadership. #J-18808-Ljbffr

Newport News, Virginia Hiring Range $28.90 - $39.78/HourlyActual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs. FOR APPLICATION REVIEW - PROVIDE YOUR AHIMA ID or CREDENTIAL NUMBER ON YOUR APPLICATION OR RESUME This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA. Overview Responsible for maintaining coded data quality through ongoing quality review and assessment of outpatient or inpatient records. Performs audits on accuracy of APC or MSDRGs as well as on quality of medical record documentation needed for accurate coding. Works with DRG and CPT denials from commercial payers and writes appeal letters as indicated. What you will do Ensures coding compliance. Applies all coding guidelines and principles as defined in the Coding Clinic and leading authorities. Complies with...

Remote Inpatient/Outpatient Coding Auditor VISN 7 Health Information Management Services - Remote United States This Position Is Contingent Upon Contract Award Work Location Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 7 Health Information Management Services Remote within the United States Supporting VISN 7 medical facilities Fully remote coding and auditing services Citizenship / Access Requirements: U.S. citizenship and English-language proficiency are required for VA system access. Personnel must satisfy all VA onboarding, identity-verification, training, and access requirements applicable to the position. Security Requirements: No classified clearance is specified. The position is designated Low Risk and requires a favorable National Agency Check with Inquiries background investigation, annual VA privacy and security training, and all applicable system-access approvals. Number of FTEs: Not...

Summary This position is located in the Health Information Management Section (HIMS) of the Business Office Service Line at the VAMC Manchester NH. MRTs (Coder) Auditors are skilled in classifying medical data from patient health records in the hospital setting - and/or physician-based settings. This remote option for this position will be assessed continuously - and if selected as a VA employee you may need to return to work to the nearest VA Office in the future - as determined by the agency policy. Qualifications Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements United States Citizenship Experience and Education Experience One year of creditable experience that indicates knowledge of medical terminology - anatomy - physiology - pathophysiology - medical coding - and the structure and format of a health records OR -...

Remote Professional Fee Coding Auditor Remote Professional Fee Coding Auditor VISN 7 Health Information Management Services - Remote United States This Position Is Contingent Upon Contract Award Work Location Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 7 Health Information Management Services Remote within the United States Supporting VISN 7 medical facilities Fully remote coding and auditing services Citizenship / Access Requirements: U.S. citizenship and English-language proficiency are required for VA system access. Personnel must satisfy all VA onboarding, identity-verification, training, and access requirements applicable to the position. Security Requirements: No classified clearance is specified. The position is designated Low Risk and requires a favorable National Agency Check with Inquiries background investigation, annual VA privacy and security training, and all applicable system-access...

Remote Inpatient/Outpatient Coding Auditor Remote Inpatient/Outpatient Coding Auditor VISN 7 Health Information Management Services - Remote United States This Position Is Contingent Upon Contract Award Work Location Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 7 Health Information Management Services Remote within the United States Supporting VISN 7 medical facilities Fully remote coding and auditing services Citizenship / Access Requirements: U.S. citizenship and English-language proficiency are required for VA system access. Personnel must satisfy all VA onboarding, identity-verification, training, and access requirements applicable to the position. Security Requirements: No classified clearance is specified. The position is designated Low Risk and requires a favorable National Agency Check with Inquiries background investigation, annual VA privacy and security training, and all applicable...

Kaiser Permanente in Hawaii seeks an HIM coding auditor/trainer to coordinate, monitor, and audit documentation and coding of inpatient and outpatient services, ensuring compliance with CMS and internal guidelines. The auditor will analyze results, identify patterns, and implement corrective actions as needed, serving as a liaison with HIM staff, revenue cycle, and other regional departments. The role requires auditing and training responsibilities to improve coding accuracy and regulatory

Responsibilities Remote opportunity. Independence Physician Management (IPM) was formed in 2012 as the physician services unit. IPM develops and manages multi-specialty physician networks and urgent care clinics within the Acute Care and Behavioral Health Divisions. A subsidiary of UHS, IPM operates in 13 markets across 7 states - and counting. We help doctors manage their practices and clinical procedures so they can concentrate on caring for their patients. To learn more about IPM visit Physician Services - Independence Physician Management - UHS. Successful candidate must live in one of these locations: Pennsylvania Delaware Florida Nevada New Jersey Texas Coder Certification Required .The Coding Auditor is responsible for determining that ICD-10, CPT-4, and HCPCS coding is supported by the clinical documentation in the medical record as well as validating medical necessity per CMS Local Coverage Determination (LCD). Applies working knowledge of...

Job Description Job Description Job Summary The Medical Coder is responsible for accurately reviewing patient health records and assigning standardized diagnosis, procedure, and service codes in accordance with ICD-10-CM, ICD-10-PCS, CPT, HCPCS, payer requirements, and organizational policies. This role supports accurate reimbursement, regulatory compliance, quality reporting, and the overall integrity of health information. The Medical Coder must maintain a high level of accuracy, productivity, confidentiality, and compliance with applicable healthcare standards. Key Responsibilities Assign accurate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes in accordance with official coding guidelines and regulatory requirements. Review clinical documentation to ensure coding accurately reflects diagnoses, procedures, treatments, and services provided. Abstract clinical and demographic information from patient records into health information and billing systems. Review...

Job Posting Coder - HIM - Medical Records Madison Parish Hospital is currently accepting applications for one(1) Full-Time Coder- HIM. Reports to the Director of Health Information Management. Job Purpose To accurately review, analyze, and assign standardized diagnosis, procedure, and service codes to patient health records in accordance with ICD-10-CM, ICD-10-PCS, CPT, HCPCS, payer regulations, and organizational policies. The Coder supports accurate reimbursement, regulatory compliance, quality reporting, and the integrity of health information while maintaining confidentiality and adherence to applicable healthcare standards. Duties and Responsibilities Assign accurate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes according to official coding guidelines and regulatory requirements. Abstract clinical and demographic data from patient records into health information and billing systems. Ensure coding accurately reflects diagnoses, procedures, treatments, and services...

Medical Coding Specialist Job Summary: Reviews medical record to assign diagnosis and procedures codes using 3M coding software. Accurately sequences codes according to departmental and AHIMA guidelines. Ensures records are coded in accurate and timely manner. Demonstrates Competency in the Following Areas: Reviews charts thoroughly to ascertain all diagnosis and procedures. Codes are sequenced according to coding guidelines. Productivity standards are met. Utilizes computerized coding system to assign proper codes. Assigns facility and professional E/M levels as applicable. Assigns infusion and injection charges as applicable. Enters observation charges as applicable. Contacts responsible physician, in professional manner, if diagnosis is unclear. Meets quality standards of 96% or greater. Responds to denials received from third party auditors meeting deadlines on 100% of cases. Monitors Delinquent Bill Report to ensure timely completion for...

HIM Coder II HIM Coder II is responsible for coding a variety of services. Those services can include hospital outpatient, surgical services, hospital and clinic professional services as well as procedures and any ancillary services. The coder will be responsible for accurately assigning ICD- 10 codes, CPT and HCPCS codes in accordance with Monument Health guidelines, Official coding guidelines and payor standards. Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include: Supportive work culture Medical, Vision and Dental Coverage Retirement Plans, Health Savings Account, and Flexible Spending Account Instant pay is available for qualifying positions Paid Time Off Accrual Bank Opportunities for growth and advancement Tuition assistance/reimbursement Excellent pay differentials on qualifying positions Flexible scheduling Essential Functions: Review and abstract information in the medical record to accurately...

What you'll do: Accurately codes/audits hospital based accounts utilizing appropriate coding manuals and/or encoder; adheres to official coding guidelines as published by the American Hospital Association and the American Medical Association, and to H.I.M. Standards of Conduct within the Coding Compliance Plan for coding, with the intent to promote quality documentation to support the appropriate use of codes for correct reimbursement. Coder will utilize appropriate code manuals and/or encoder to select accurate codes; demonstrates knowledge of current developments in coding field to maintain proficiency in job performance; communicates with medical staff as needed if questions regarding documentation arise that impact code assignment and clarification is needed; researches coding questions utilizing available online reference materials within the encoder and hardcopy reference manuals. Acts as a resource for business office personnel to answer questions regarding specific...

Medical Records Coder Join our team and help support accurate, compliant patient records and reimbursement. Northern Cochise Community Hospital is seeking a detail-oriented Medical Records Coder to assign and review diagnosis and procedure codes for hospital records. This position works closely with Health Information Management leadership to promote complete documentation, coding accuracy, and compliance with payer, government, and state requirements. What You'll Do Perform diagnostic and procedural coding for outpatient and emergency room services. Code inpatient admission records as assigned. Review medical records for complete and compliant documentation. Apply appropriate, supported ICD-10, CPT, and HCPCS classifications. Review charges, units, modifiers, and medical-necessity edits for accuracy. Research coding or documentation issues and communicate findings to the HIM Manager. Assist with coding corrections during audits and state reviews. Participate in departmental...

Memorial Health Ohio is seeking a Lead Hospital Coder in Marysville, OH for a full-time, on-site role in Medical Records. The coder will code/audit hospital-based accounts, use encoder tools, and ensure compliance with AHA/AMA guidelines and HIM standards. The position includes training responsibilities and quality audits, with a focus on timely billing. Requires CCS or similar certification, with RHIA/RHIT preferred in combination with coding credentials, and at least two years of hospital #J-18808-Ljbffr

Coder Reimbursement Specialist - Hospital The Coding and Reimbursement Specialist, CCS is responsible for coding and abstracting thoroughly, clinical data from the medical record. This includes both inpatient, outpatient, commercial, Medicare, Medicaid, and Illinois Public Aid, plus any other payor types. This accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis, grouped to the DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. Manages workload and assigns work to three inpatient and two outpatient coders and oversees the day to day workings of the coding/reimbursement area. Monitors various regulatory sources to keep HIM coding and other staff informed and trained on various coding rules, regulations and related issues. Works closely with patient financial services to resolve any...

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 experimentation.Striving for...

Coder Reimbursement Specialist - Hospital Full‑time position. The Coding and Reimbursement Specialist (CCS) is responsible for coding and abstracting clinical data from the medical record, including inpatient, outpatient, commercial, Medicare, Medicaid, Illinois Public Aid, and all other payor types. Accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis and DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. The CCS manages workload, assigns work to three inpatient and two outpatient coders, and oversees day‑to‑day operations of the coding/reimbursement area. The CCS monitors regulatory sources to keep HIM coding and other staff informed and trained on coding rules, regulations and related issues, works closely with patient financial services to resolve claim denials, assists in...