920 inpatient coding compliance auditor jobs found

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

Priority One Staffing Services is seeking a Coding Compliance Auditor for a remote/hybrid position in Baltimore, Maryland. The role involves auditing hospital visits for appropriate reimbursement and ensuring compliance with federal and state regulations. Candidates should have a minimum of 2 years in ICD-10-CM and ICD-10-PCS, along with inpatient auditing experience. Relevant certifications such as CCS, RHIT, or CIC are required. This is an excellent opportunity for professionals seeking to leverage their coding expertise. #J-18808-Ljbffr

Job Opportunity At Memorial Hermann At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Description Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs. This position typically reports to the Coding Compliance Manager. Minimum Qualifications Education: High school...

The University of Iowa is seeking a Senior Compliance Coordinator to lead inpatient coding audits and ensure alignment with CMS regulations and payer requirements. You will review medical records, validate ICD-10-CM/PCS codes, POA indicators, and MS-DRG assignments while ensuring documentation supports coding decisions. Responsibilities include preparing comprehensive audit reports, providing education on findings, and collaborating with HIM, Coding, CDI, and Revenue Integrity teams to mitigate #J-18808-Ljbffr

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs. This position typically reports to the Coding Compliance Manager. Job Description Minimum Qualifications Education :  High school diploma or GED,...

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs. This position typically reports to the Coding Compliance Manager. Minimum Qualifications Education: High school diploma or GED, required....

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs. This position typically reports to the Coding Compliance Manager. Job Description Minimum Qualifications Education : High school diploma or GED,...

Baptist Health System, Inc. in Jacksonville, FL is seeking a Full-time Inpatient Hospital Coding Auditor to join our Coding Department at Metro Square. The role focuses on accurate inpatient coding and compliance with ICD-10-CM/PCS, MS-DRG and APR-DRG guidelines. Responsibilities include performing retrospective and concurrent audits, identifying educational opportunities, and providing feedback to Coding Leadership while handling government and commercial payor audits. #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

Las Palmas Del Sol Healthcare is seeking an Inpatient Coding Auditor to perform internal quality assessments on coding practices in a work-from-home setting. The role focuses on enhancing the accuracy and integrity of patient data and ensuring coding compliance with various guidelines. The ideal candidate will have strong experience in medical coding and auditing, preferably with at least 3 years in the healthcare field. The position also offers comprehensive benefits, including medical, dental, retirement plans, and educational support opportunities. #J-18808-Ljbffr

Baptist Medical Center Jacksonville is seeking a Full-time Inpatient Hospital Coding Auditor. The successful candidate will conduct Quality Assurance audits of inpatient encounters, ensuring compliance with coding guidelines. We require candidates with an Associate of Science degree, CCS certification, and 3–5 years of experience in coding and auditing. Knowledge of state and federal coding requirements is crucial, as well as a valid driver’s license. This position is based in Jacksonville, Florida. #J-18808-Ljbffr

Senior Coding Compliance Auditor 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! The Senior Coding Compliance Auditor will assist with the development and execution of the Annual Compliance Workplan including the Auditing and Monitoring Workplans. They will lead & complete detailed Coding compliance audits including complex audits, implement Management Action Plans, prepare high quality audit reports, establish and...

HCA Healthcare is seeking a work-from-home Inpatient Coding Auditor to ensure compliance with national coding guidelines and company policies. Responsibilities include leading quality assessments and coordinating coding reviews. The ideal candidate must have extensive coding experience and support educational initiatives. HCA Healthcare offers comprehensive benefits that include medical, dental, retirement plans, and education support. #J-18808-Ljbffr

HCA Healthcare is seeking an Inpatient Coding Auditor to perform internal quality assessment reviews and ensure compliance with national coding guidelines. This role requires managing coding quality for appropriate reimbursement and data integrity. The ideal candidate should have a minimum of three years in coding experience and demonstrate expert-level knowledge of coding practices. Comprehensive benefits including medical, dental, and tuition assistance are offered. #J-18808-Ljbffr

HCA Healthcare is seeking a work-from-home Inpatient Coding Auditor to perform internal quality assessments on Health Information Management Service Center coders, ensuring compliance with national coding guidelines and company policies for accurate coding and reimbursement. The role supports data integrity, coding practice improvement, and accurate physician documentation, aiming for high productivity and accuracy while meeting all education requirements outlined by the company. #J-18808-Ljbffr

HCA Healthcare is looking for a work-from-home Inpatient Coding Auditor to ensure compliance with national coding guidelines and company policies. You will lead quality reviews for inpatient and outpatient coding across multiple service centers, demonstrating expert knowledge in medical coding practices. The ideal candidate will have at least three years of coding experience and auditing background. We offer comprehensive benefits, including healthcare, retirement plans, and extensive educational support. #J-18808-Ljbffr

HCA Healthcare is seeking a work-from-home Inpatient Coding Auditor responsible for performing internal quality assessments on coding compliance. Essential duties include leading quality reviews, ensuring adherence to coding standards, and applying expert knowledge in medical coding. The ideal candidate will have a preferred undergraduate degree in health information management or technology, along with substantial coding experience. Benefits include comprehensive health coverage, retirement plans, and educational support. #J-18808-Ljbffr

HCA Healthcare is seeking a work-from-home Inpatient Coding Auditor responsible for performing internal quality assessments of coding staff to ensure compliance with national coding guidelines and company policies. The role requires strong coding knowledge and a commitment to maintain high productivity and accuracy standards. HCA Healthcare offers a comprehensive benefits package that includes medical, dental, vision, and education support, ensuring a well-rounded employee experience. #J-18808-Ljbffr

A leading data collaboration company in Olympia, WA, seeks an Inpatient Auditing Specialist. This role focuses on coding quality, compliance assessments, and education in a fully remote setting with a flexible schedule. Candidates should have 3+ years of experience in inpatient coding and auditing, with a preference for CCS certification. Benefits include competitive salary, sign-on bonus, and comprehensive training. #J-18808-Ljbffr

A healthcare data collaboration platform is seeking an Inpatient Auditing Specialist to perform coding audits and provide education to coders. The role requires strong organizational skills and proficiency in inpatient coding. Ideal candidates should have 3+ years of experience and relevant certifications like CCS. This fully remote role allows for a flexible schedule with a competitive salary range of $35—$45 USD/hour. Join to impact healthcare positively. #J-18808-Ljbffr

Licking Memorial Health Systems is seeking a Compliance Auditor responsible for auditing and monitoring adherence to state and federal documentation and billing requirements across LMHS. This position reports to the VP of Financial Services and emphasizes collaboration with clinicians and administrators to improve processes. The role focuses on home care, patient-level care, and internal audits, ensuring compliance with CMS, OIG, ODH, ODM, and RAC standards. #J-18808-Ljbffr

Coding & Compliance Auditor The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders. The Coding & Compliance Auditor monitors external regulatory and internal process changes and provides support to colleagues in adhering to Federal, State and local requirements. This is a hybrid position: 2 days onsite; 3 days remote option. Compensation Pay Range: $73,000.00 - $104,400.00 Job Responsibilities Establishes, implements, and maintains a formalized review process for coding compliance, including a formal review (audit) process. Responsible for conducting both routine and targeted audits to ensure clinical documentation supports accurate CPT, HCPC's, PCS and ICD-10-CM codes. Perform prospective and retrospective audits to validate medical necessity and documentation...

*Description* Risk Adjustment Coding Auditor The Impact you will have The Risk Adjustment Coding Auditor ensures the accuracy and completeness of coded clinical data to support compliant reporting and appropriate reimbursement across risk adjustment programs. The role strengthens organizational performance by identifying coding and documentation gaps, mitigating financial and regulatory risk, and improving data integrity. It provides subject matter expertise to support consistent application of coding standards and enables informed decision-making across the enterprise. Your Responsibilities Evaluates risk adjustment codes to ensure accuracy, consistency, and alignment with coding standards and best practices Protects patient records and audit information by ensuring compliance with HIPAA, privacy, security, and regulatory requirements Performs Retrospective and Prospective chart reviews to ensure accurate risk adjustment reporting Verifies and ensures the accuracy,...

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 accuracy...