332 lead coding auditor jobs found

Auditing Team Lead Under direct supervision, the Auditing Team Lead provides day to day supervision and instruction of the auditors. The Auditing Team Lead oversees the internal and external auditing function and assists Director Inpatient Coding, Coding Audits, and Education in developing reports specific to audit findings and assists with implementing action plans. The Auditing Team Lead ensures internal audits are accurate, complete and reported on a timely basis and serves in an advisory and educator role for Coding Specialists. The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. 1. Provides for day to day supervision and instruction for the auditors which includes audit assignments, problem solving, monitoring productivity and scheduling. Manages time and attendance...

A consulting firm based in Hinesville, GA, seeks a Lead Medical Coder and Auditor to support U.S. Armed Forces health facilities. The successful candidate will ensure accurate coding of medical records and perform quality checks to comply with federal regulations. This full-time position demands a minimum of 2 years of coding experience and relevant certifications. The role offers competitive compensation, comprehensive benefits, and opportunities for professional development. #J-18808-Ljbffr

Job Description FlexStaff - Head Surgical Coding Manager & Compliance Auditor Are you a seasoned coding professional with a passion for accuracy, compliance, and team leadership? Do you thrive in a fast-paced healthcare environment and want to make a real impact? FlexStaff wants you to lead our client's anesthesia and procedural coding efforts! The Head Surgical Coding Manager & Compliance Auditor play a pivotal role in ensuring the organization's coding excellence, compliance, and revenue integrity. Ready to lead the charge in healthcare coding excellence? Don't miss this incredible opportunity to make a difference! Responsibilities: Must have Leadership & Surgical Coding Experience. Lead and inspire a team of Coding Team Leads, fostering a culture of accuracy and continuous improvement Oversee all anesthesia and procedural coding, ensuring compliance with the latest regulations and payer guidelines Conduct meticulous audits, identify...

Req Number 177401 FlexStaff - Head Surgical Coding Manager & Compliance Auditor Are you a seasoned coding professional with a passion for accuracy, compliance, and team leadership? Do you thrive in a fast-paced healthcare environment and want to make a real impact? FlexStaff wants you to lead our client's anesthesia and procedural coding efforts! The Head Surgical Coding Manager & Compliance Auditor play a pivotal role in ensuring the organization's coding excellence, compliance, and revenue integrity. Ready to lead the charge in healthcare coding excellence? Don't miss this incredible opportunity to make a difference! Responsibilities: Must have Leadership & Surgical Coding Experience. Lead and inspire a team of Coding Team Leads, fostering a culture of accuracy and continuous improvement Oversee all anesthesia and procedural coding, ensuring compliance with the latest regulations and payer guidelines Conduct meticulous audits,...

A healthcare organization is seeking a Senior Compliance Coding Auditor to perform coding audits and ensure adherence to regulatory standards. The ideal candidate will conduct chart reviews, identify discrepancies, and educate medical staff on coding practices. Preferred qualifications include a CPC or CCS certification, 4 years of experience, and knowledge of the Epic EHR system. This full-time role offers a competitive salary reflecting industry standards for healthcare compliance professionals. #J-18808-Ljbffr

A healthcare provider in Ridgewood, NJ is seeking an Outpatient Coding Auditor to ensure compliance with coding guidelines through detailed audits of outpatient medical records. The ideal candidate will have at least 5 years of relevant experience and certifications in coding. This position offers comprehensive benefits including medical, dental, and a retirement plan, with a competitive hourly pay range of $33.16 - $41.45. #J-18808-Ljbffr

Description **Medical Mutual employees must submit their applications through MySource. Note: While this role is currently remote, we are prioritizing candidates within commuting distance of our Rossford, Dublin, or Brooklyn offices to accommodate a potential future shift to a hybrid schedule. Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Job Summary: Supervises staff, operations, and activities of the Risk Adjustment Retrieval and Coding Quality Department. Acts as a primary liaison between provider groups, medical coding, and chart retrieval teams to communicate appropriate documentation for Risk Adjustment coding....

Description Support compliance excellence at UCLA Health by joining our team as a Compliance Auditor, MAPD, focused on Medicare Advantage (Part C) and Prescription Drug (Part D) programs. In this vital role, you will conduct Risk Adjustment Data Validation (RADV) audits, compliance risk-based audits, support external audit coordination, and ensure alignment with CMS and DMHC regulations across the organization. Reporting to the Compliance Manager, MAPD Audit, you will contribute to the organization's audit work plan, assess operational risk areas, and prepare audit findings that help guide regulatory readiness and operational improvement. This position calls for a strong foundation in CMS guidelines, managed care compliance, and effective collaboration with both internal teams and external partners. In this role, you will: Conduct compliance audits related to operational functions, vendor performance, data validation, RADV, Triennial Review, pre-delegation reviews, and...

About the Job Position Highlights: Compliance Auditors conduct Compliance Department audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including detection and correction of documentation, coding, and billing errors. The Compliance Auditor evaluates the adequacy and effectiveness of controls designed to ensure that processes and practices lead to appropriate execution of regulatory requirements and guidelines related to professional or hospital documentation, coding and billing, and federal and state regulations and guidelines. The Compliance Auditor communicates audit results to physicians, physician leadership, senior management, management, and staff and provides physician and coder education. The Compliance Auditor will act as a liaison with assigned faculty members, developing relationships and functioning as a resource to all providers and their staffs and will serve as an...

At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Responsible for auditing physician evaluation and management and procedures coding and billing to ensure they meet the official coding guidelines, medical necessity and compliance with regulatory requirements. Responsibilities: Prepare formal audit report of audit background, steps and findings to presentation to executive leadership and the Board of Commissioners.Participates in investigations and responds to questions, issues, reports and formal inquiries by federal and state agencies of possible violations or non- compliance matters raised by employees, patients, physicians and the public.Monitor and assess compliance with state and federal laws and the System's policies and procedures to identify...

***To be considered for the role, you must permanently reside in one of the following states: Alabama, Arkansas, Florida, Georgia, Kentucky, Kansas, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, South Carolina, Tennessee, Texas, Virginia, or West Virginia*** The Senior Compliance Auditor reviews complex audits, performs quality assurance reviews, acts as a peer mentor, and assists management with onboarding process of new auditors. The Senior Compliance Auditor supports the audit supervisor with the development and maintenance of the quarterly audit work plan and audit workflow processes. The Senior Compliance Auditor recommends changes to improve business operations by using professional judgement and knowledge of best practices. This position contributes to special projects, as applicable. The Senior Compliance Auditor performs documentation/chart audits on inpatient and outpatient records, and to provide analysis of the records (provider and facility)...

Req Number 174853 Lead Compliance Auditor - Heavy Anesthesia & Healthcare Expertise Needed. This is a HYBRID position- MUST be in the office located in Chappaqua, NY 3 days a week. Are you a seasoned compliance professional with a passion for anesthesia and healthcare auditing? Do you thrive in fast-paced environments where your expertise can make a real impact? FlexStaff is seeking a dynamic, detail-oriented Lead Compliance Auditor to join our client's team and lead the charge in safeguarding healthcare integrity and regulatory excellence! Position Summary: As a Lead Compliance Auditor, you will leverage your extensive anesthesia auditing experience to oversee comprehensive compliance reviews, develop training programs, and collaborate with senior leadership to enhance our compliance framework. Your expertise will ensure the organization remains at the forefront of regulatory adherence, risk mitigation, and quality improvement. Ready to make a difference in...

Position Highlights: Compliance Auditors conduct Compliance Department audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including detection and correction of documentation, coding, and billing errors. The Compliance Auditor evaluates the adequacy and effectiveness of controls designed to ensure that processes and practices lead to appropriate execution of regulatory requirements and guidelines related to professional or hospital documentation, coding and billing, and federal and state regulations and guidelines. The Compliance Auditor communicates audit results to physicians, physician leadership, senior management, management, and staff and provides physician and coder education. The Compliance Auditor will act as a liaison with assigned faculty members, developing relationships and functioning as a resource to all providers and their staffs and will serve as an institutional subject matter...

Benefits: 401(k) Competitive salary Employee discounts Paid time off Overview: We are seeking a Clinical Coding Auditor & Trainer to lead DRG and medical record auditing and deliver staff training programs. This role supports quality improvement, compliance, and education across clinical and coding teams. Responsibilities: Conduct audits of staff work; report findings and improvement recommendations. Develop and deliver coding and DRG training programs. Revise policies and procedures to improve audit accuracy. Maintain training and audit records and track staff progress. Ensure compliance with company policies and healthcare standards. Requirements: RN, PA, MD, APRN, DO, or MBBS license. Associate's degree in Nursing or equivalent experience. 4+ years of DRG and/or medical record audit experience. 1 year of clinical experience in a hospital setting. Strong written communication skills. Preferred: Inpatient coding experience....

Job Description Lead Compliance Auditor - Heavy Anesthesia & Healthcare Expertise Needed. This is a HYBRID position- MUST be in the office located in Chappaqua, NY 3 days a week. Are you a seasoned compliance professional with a passion for anesthesia and healthcare auditing? Do you thrive in fast-paced environments where your expertise can make a real impact? FlexStaff is seeking a dynamic, detail-oriented Lead Compliance Auditor to join our client's team and lead the charge in safeguarding healthcare integrity and regulatory excellence! Position Summary: As a Lead Compliance Auditor, you will leverage your extensive anesthesia auditing experience to oversee comprehensive compliance reviews, develop training programs, and collaborate with senior leadership to enhance our compliance framework. Your expertise will ensure the organization remains at the forefront of regulatory adherence, risk mitigation, and quality improvement. Ready to make a difference in...

Description **Medical Mutual employees must submit their applications through MySource. Note: While this role is currently remote, we are prioritizing candidates within commuting distance of our Rossford, Dublin, or Brooklyn offices to accommodate a potential future shift to a hybrid schedule. Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Job Summary: Supervises staff, operations, and activities of the Risk Adjustment Retrieval and Coding Quality Department. Acts as a primary liaison between provider groups, medical coding, and chart retrieval teams to communicate appropriate documentation for Risk Adjustment coding....

Description Come grow with us. Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding. Yeo & Yeo Medical Billing & Consulting maintains a highly trained staff with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes. Our billing specialists receive ongoing training specific to medical specialty. We continually train our staff by updating and maintaining their knowledge of insurance carrier trends and changes in billing rules and policies. Our people are our future - we provide the venue for individuals who...

Inpatient Coding Auditor Cedar Park Group is hiring an Inpatient Coding Auditor for a remote, short-term summer assignment supporting Inpatient Level 1 Trauma coding audits. If you're looking for flexible hours, competitive pay, and meaningful audit work with clear deliverables, this is a great opportunity to make an immediate impact. Assignment length is 36 months with possible extension. Shift / Schedule Remote Flexible schedule Part-time to full-time Minimum 20 hours per week 36 month assignment (possible extension) Position Overview As an Inpatient Coding Auditor, you will lead annual inpatient coding audits for a Level 1 Trauma program, including chart review, scoring, rebuttals, and executive-level reporting. You'll partner with leadership to communicate audit findings, identify trends and education needs, and deliver both group and 1:1 education sessions to improve coding accuracy and documentation quality. Responsibilities Complete annual inpatient coding...

Outpatient Coding Auditor Cedar Park Group is hiring an Outpatient Coding Auditor for a remote, short-term summer assignment supporting annual outpatient audits across ED, Same Day Surgery (SDS), and Observation. If you're looking for flexible hours, competitive pay, and focused audit work with clear deliverables, this is a strong opportunity. Assignment length is 36 months with possible extension. Shift / Schedule Remote Flexible schedule Part-time to full-time Minimum 20 hours per week 36 month assignment (possible extension) Position Overview As an Outpatient Coding Auditor, you will lead annual outpatient coding audits, including chart review, scoring, rebuttals, and executive-level reporting. You'll analyze trends and error patterns, present findings to leadership, and deliver group and 1:1 education sessions to strengthen coding accuracy and documentation quality across ED, SDS, and Observation services. Responsibilities Complete annual outpatient coding...

Description **Medical Mutual employees must submit their applications through MySource. Note: While this role is currently remote, we are prioritizing candidates within commuting distance of our Rossford, Dublin, or Brooklyn offices to accommodate a potential future shift to a hybrid schedule. Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Job Summary: Supervises staff, operations, and activities of the Risk Adjustment Retrieval and Coding Quality Department. Acts as a primary liaison between provider groups, medical coding, and chart retrieval teams to communicate appropriate documentation for Risk Adjustment coding....

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...

Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. As the only National Cancer Institute-designated Comprehensive Cancer Center based in Florida, Moffitt employs some of the best and brightest minds from around the world. Join a dedicated team of nearly 10,000 who are shaping the future we envision. Moffitt has been recognized as a Best and Brightest Company to Work for in the Nation, a Digital Health Most Wired Organization and continually named one of the Tampa Bay Time's Top Workplaces. A National Cancer Institute (NCI)-designated Comprehensive Cancer Center since 2001. Summary Position Highlights: Compliance Auditors conduct Compliance Department audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including detection and correction of documentation, coding, and billing errors. The Compliance Auditor evaluates the adequacy and...

Description **Medical Mutual employees must submit their applications through MySource. Note: While this role is currently remote, we are prioritizing candidates within commuting distance of our Rossford, Dublin, or Brooklyn offices to accommodate a potential future shift to a hybrid schedule. Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Job Summary: Supervises staff, operations, and activities of the Risk Adjustment Retrieval and Coding Quality Department. Acts as a primary liaison between provider groups, medical coding, and chart retrieval teams to communicate appropriate documentation for Risk Adjustment coding....

Lead Inpatient Coder / Coding Educator - On-site (Houston, TX 77024) Lead Inpatient Coder / Coding Educator - On-site in Houston, TX (77024). Mentor coders, perform coding audits, and deliver ICD-10/CPT education with a collaborative Education Team - apply now. Step into a pivotal role as a Lead IP Coder/Educator supporting the Education Team at a renowned healthcare facility in Houston, TX (77024). This ongoing on-site position in the Memorial area is ideal for an experienced inpatient coder who wants to advance into a leadership and educator role. Enjoy Houston's dining, shopping, and cultural attractions while contributing to coding quality and compliance. Job Details Location: On-site in Houston, TX (77024) - Memorial area Hours: 40 hours per week Shift: 8-hour days Shifts per Week: 5 Estimated Weekly Pay: $1,772 - $1,969 Duration: 26 weeks (with opportunity for ongoing role) Job Type: Lead Inpatient Coder, Coding...