50 network practice coder auditor jobs found

Where You'll Work CommonSpirit Medical Group (Mountain Management Services) is a leading provider of comprehensive office management services and affiliated physicians in Southeast Tennessee and North Georgia. Our award-winning, faith-based organization is dedicated to supporting the delivery of exceptional healthcare in the region. We are proud to be consistently recognized for excellence by organizations like U.S. News & World Report, PINC AI™, CMS, Healthgrades®, Leapfrog, and as one of the Best Places to Work in Tennessee. We are honored to be your trusted ally in health, dedicated to serving our community with compassion and excellence. Job Summary and Responsibilities The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an emphasis on documentation, coding improvement, and revenue capture. Provides education to clinicians, clinic staff, and others as needed via face-to-face meetings, classroom settings, webinars, and...

Job Summary and Responsibilities The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an emphasis on documentation, coding improvement, and revenue capture. Provides education to clinicians, clinic staff, and others as needed via face-to-face meetings, classroom settings, webinars, and online modules. Develops, maintains and presents coding and compliance educational materials to staff and clinicians. Collaborates with the coding team to support the needs of the organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition Category (HCC) Quality program was developed by CMS to promote quality care for Medical Advantage members. By focusing on comprehensive documentation to identify, evaluate and assess chronic conditions at the appropriate specificity, patient medical needs are met at the highest level. The Sr Coding Compliance Auditor's primary focus will be...

Job Title: Senior Coding Educator Location: Chicagoland Type: Remote Pay: target salary $65,000-90,000 Job Type: Permanent Benefits: Medical, dental, vision, and 401(k) for eligible employees About the Opportunity Our client is a top-tier, fully integrated healthcare system serving the Chicagoland area and surrounding suburbs , known for delivering high-quality, patient-centered care across a broad network of hospitals and outpatient facilities. With a large regional footprint and strong reputation for clinical excellence, this organization offers stability, growth, and the opportunity to make a meaningful impact . They are seeking a Coding Educator to support coding excellence, provider documentation improvement, and compliance initiatives across the system. Position Overview The Coding Educator is responsible for developing and delivering education programs that enhance coding accuracy, documentation quality, and regulatory compliance....

Medical Auditor/Educator - West Jordan - FT - Prior Industry Experience Required Granger Medical Clinic has an immediate opening for a Full Time Medical Auditor/Educator at our Taylorsville headquarters location. We are seeking candidates with relevant professional experience who can contribute quickly and effectively in this role. Essential Functions and Duties: Supports and implements the organization's vision, mission, and values. Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies as necessary or required. Effectively communicates with providers/Coders to clarify diagnoses, procedure coding and documentation requirements, including proper sequencing. Monitors all coding accuracy at various levels of detail and maintains coding quality as needed. Tracks coding issues and reviews coding inaccuracies to highlight areas of...

Medical Auditor/Educator - West Jordan - FT - Prior Industry Experience Required Granger Medical Clinic has an immediate opening for a Full Time Medical Auditor/Educator at our Taylorsville headquarters location. We are seeking candidates with relevant professional experience who can contribute quickly and effectively in this role. Essential Functions and Duties: Supports and implements the organization's vision, mission, and values. Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies as necessary or required. Effectively communicates with providers/Coders to clarify diagnoses, procedure coding and documentation requirements, including proper sequencing. Monitors all coding accuracy at various levels of detail and maintains coding quality as needed. Tracks coding issues and reviews coding inaccuracies to highlight areas of improvement....

Certified Medical Coder This is not a remote position. This position is on site. Become a part of our caring community. As Certified Medical Coder you will be accountable for timely, accurately coding and filing claims to minimize the number of claim rejections and denials. Location: CenterWell Senior Primary Care office address: Multiple locations, The Villages, FL Certified Medical Coder Role Overview: Review medical records, provider notes, dictation and other documentation and compare to the actual codes selected by the provider. In accordance with correct coding guidelines, correct codes and notify provider as needed. Utilize ICD9/ICD10 to code diagnosis and determine principal and significant secondary diagnoses. Utilize CPT/HPCS to assign and sequence all codes for services rendered. Provide education and teaching to providers and clinical assistants as needed related to properly coding encounters (CPT, ICD-10 and HCC) and compliance with medical record...

Job Description Job Description Description: Come and join our growing organization as a Medical Biller! Sign-On Bonus Eligible! Roswell Park Care Network is a recognized leader in oncology and specialty care, supporting community physician practices across New York State. We are committed to delivering exceptional patient care while advancing innovative treatment options in a collaborative and patient-focused environment. Comprehensive Benefits: Monday-Friday schedule Medical, dental, and vision coverage Employer funded Health Reimbursement Account (HRA) 401(k) with company match Generous vacation and sick time Company-paid life insurance 11 paid Holidays Position is Sign-On Bonus Eligible! The Medical Biller position offers a hybrid schedule. After successfully completing on-site training, the schedule transitions to just one on-site day per week As the Medical Biller you will be responsible for entering charges and submitting medical claims...

Job Posting The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. Job Description I. General Summary Accurately audits hospital...

Certified Medical Coder This is not a remote position. This position is on site. Become a part of our caring community. As Certified Medical Coder you will be accountable for timely, accurately coding and filing claims to minimize the number of claim rejections and denials. Location: CenterWell Senior Primary Care office address: Multiple locations, The Villages, FL Certified Medical Coder Role Overview: Review medical records, provider notes, dictation and other documentation and compare to the actual codes selected by the provider. In accordance with correct coding guidelines, correct codes and notify provider as needed. Utilize ICD9/ICD10 to code diagnosis and determine principal and significant secondary diagnoses. Utilize CPT/HPCS to assign and sequence all codes for services rendered. Provide education and teaching to providers and clinical assistants as needed related to properly coding encounters (CPT, ICD-10 and HCC) and compliance with medical record...

Job Posting The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. Job Description I. General Summary Accurately audits hospital...

Drive Accuracy. Influence Outcomes. Protect Revenue. We are seeking a highly experienced Senior Risk Adjustment Coder to play a critical role in risk adjustment accuracy, audit readiness, provider education, and clinical documentation excellence. Job Title: Senior Risk Adjustment Coder Location: Newark, CA (Candidates must currently reside within approximately 100 miles of the Newark area due to onsite operational needs.) Employment Type: Full-Time (Direct Hire) Salary Range: $91,000 – $119,000 annually, based on experience, skills, and internal equity   About the Role: We are seeking a senior-level Risk Adjustment professional to support a leading healthcare organization focused on accurate HCC capture, audit readiness, documentation integrity, and provider engagement. This role is highly operational and collaborative in nature and is not a traditional production-only coding position. The ideal candidate will bring strong expertise across Risk...

divh2Certified Professional Coder (CPC) Lead/Provider Liaison/h2pA Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing./ppThis is Contract position with my direct client/ph2Job Description/h2pDirect Client Need- Immediate Interviews- We have a strong hold, with many consultants working onsite! Location could be: Newark, NJ OR West Trenton OR Ewing OR Wall, NJ/ppDuration: Contract to Hire/ppJob Summary:/ppThe Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing...

Riverside Medical Clinic Come and join the RMC Family! We have been in the community since 1935. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Quality healthcare is our passion, improving lives is our reward. We are working to change lives and transform the delivery of healthcare. Riverside Medical Clinic is the best place to work, practice medicine, and receive care. Medical Coding Specialist SUMMARY: Responsible for abstracting, reviewing, auditing and the education of all coding and compliance processes, as they relate to CPT, HCPCS and ICD 10 and/or HCC activity. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. EDUCATION...

Overview Are you ready to take the next step in your professional journey? At Minnesota Oncology, we believe that our people are our greatest asset, and we are committed to fostering a diverse and inclusive workplace where everyone can thrive. We are constantly on the lookout for talented individuals who are passionate, driven, and eager to make a difference. Come join this dynamic team who is passionate about providing exceptional care to our patients. Why Work for Us? We offer a competitive benefits package that includes - Medical Dental Vision Free Life Insurance Generous Paid Time Off (PTO) Plan Free Short-term and Long-term Disability Coverage 401k plan with company contribution Wellness program that rewards your healthy lifestyle Tuition Reimbursement Employee Assistance Program and Discount Program to some of your favorite retailers Free Parking Career Growth and Development Supportive Team and Resources Responsibilities SCOPE: Under minimal supervision...

Dental And Medical Biller We are hiring detail-oriented professionals to manage end-to-end revenue cycle management (RCM) for our growing network of dental and medical practices across the United States. This role offers a unique opportunity to launch a career in healthcare billing without prior experiencewe provide comprehensive training, all required compliance certifications, and ongoing support. As a Dental and Medical Biller, you will be the financial backbone of multiple healthcare practices, managing insurance claims, patient billing, eligibility verification, and appointment coordination. You will work directly with practice teams to ensure accurate, timely claim submissions and maximum revenue recovery. Key Responsibilities Submit dental and medical insurance claims daily through secure clearinghouses. Post insurance payments and process Explanations of Benefits (EOBs). Process claim denials and initiate appeals with insurance companies. Manage aging reports to ensure...

A Brief Overview The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs, including but not limited to Medicare Advantage Risk Adjustment. Locations Stanford Health Care - University Healthcare Alliance What you will do Risk Adjustment Review May perform prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing Reviewing medical records to ensure accurate HCC coding and identify opportunities for recapture and suspect diagnoses. Evaluating medical records to verify that M.E.A.T criteria support the submitted diagnosis codes. Inquire with clinicians the recommended HCC diagnosis for chart addendum. Collaborating with other departments to address...

Responsibilities Come and join the RMC Family! We have been in the community since 1935. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Your passion, inspiration, and talents are invaluable to us and our mission to serve others. Our facility can provide a place for you to thrive and continue your professional development. Quality Healthcare is our passion, improving lives is our reward. We are working to change lives and transform the delivery of healthcare. Riverside Medical Clinic is the best place to work, practice medicine, and receive care. Summary Responsible for abstracting, reviewing, auditing and the education of all coding and compliance processes, as they relate to CPT, HCPCS and ICD 10 and/or HCC activity. Qualifications To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill,...

Salary: $4,389.00 - $5,612.00 Monthly Location : Administration, 421 NE Water Ave, Ste 2300, Albany, OR Job Type: Full Time- SEIU Job Number: 26-00018 Department: Administration Program: Billing Opening Date: 04/02/2026 FLSA: Exempt Bargaining Unit: SEIU Description HEALTH SERVICES MEDICAL BILLER/CODER Administration/Billing Program (Classification 757) SEIU Represented Full-Time (37.5 hours/week) position Position Open Until Filled First review of applications will be on April 20, 2026. Any applications received after April 20 will be reviewed and considered as needed, and this posting may close at any time after that date. Linn County requires on-site work. Remote work is not available. Job Summary A person employed in this classification must possess the capability to perform the following duties to be considered for and remain in this position. The duties are essential functions requiring the critical skills and expertise needed...

Overview Employment Type : Full Time In-Office Position 82 Orland Square Drive Orland Park, Illinois 60462 Benefits : M/D/V, Life Ins., 401(k) JOB SCOPE: Under general supervision, the Billing Specialist is responsible for all claim submissions, which includes verifying accuracy of charges and patient demographic information on claim detail. Responsible for timely follow-up with patients and third-party payers. Supports and adheres to The US Oncology Compliance Program, to include the Code of Ethics and Business Standards. HOURLY RANGE : $19.00 - $29.00 The US Oncology Network is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes! Come join our team in the fight against cancer! About The US Oncology Network The US Oncology Network is one of the nation's...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking a dedicated Coder to manage the full A-Z cycle for out-of-network billing across multiple practices. The candidate will play a critical role in overseeing and directing offshore staff to ensure tasks such as medical records delivery, appeal drafting, and payment posting are executed efficiently. A key responsibility will be interpreting Explanation of Benefits (EOBs) and identifying cases eligible for arbitration under the Federal No Surprises Act. Key Responsibilities Managing the complete cycle for out-of-network billing for eight practices. Overseeing and directing ten offshore staff members. Ensuring the delivery of medical records, drafting of appeals, and posting of payments. Interpreting EOBs and identifying cases eligible for arbitration under the Federal No Surprises Act. Qualifications...

Overview Bienvivir All-Inclusive Senior Health ("Bienvivir") is a community-based, patient-centered, comprehensive health care delivery system that advocates and promotes quality of life, optimum independence, dignity, and choices in a nurturing environment for frail seniors. Since 1987, Bienvivir has served the frail seniors of El Paso, Texas through the Program of All-Inclusive Care for the Elderly ("PACE"). PACE is a unique managed care benefit for frail seniors (participants) age 55 and older who are certified by the state as needing nursing home level care and who reside in a PACE service area. PACE programs coordinate and provide comprehensive medical and support services so that participants can remain independent and stay in their homes for as long as safely possible. Benefits for Full and Part-time Employees We pay 100% of the MEDICAL monthly premiums for Employee Only coverage. We pay 100% of the DENTAL monthly premiums for Employee Only coverage. We provide an...

Provider Liaison - Certified Professional Coder (CPC) / Certified Coding Specialist (CCS) A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description One of our direct client is looking for potential candidate with the below mentioned skills Direct Client: Immediate Interview Contract to Hire Position: Provider Liaison MUST HAVE: 5 years of experience into Project Management At least 2 years of experience after CPC or CCS certification Bachelor's degree is a must Certifications AAPC Certified Professional Coder (CPC) or...

Compliance Auditor, Billing and Coding Compliance The Compliance Auditor, Billing and Coding Compliance is responsible for the oversight and management of auditing and monitoring billing and coding compliance activities, assist with internal compliance policies and procedures, completing compliance risk assessments, and developing risk-based educational materials to ensure compliance with federal/state laws and regulations, and UT Health San Antonio policies. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc. Responsibilities Provide oversight on billing compliance auditing, monitoring, and educational activities within the compliance department. Performs audits of electronic and manual documentation, coding, and billing systems. Conducts close-out meetings with senior management of audited departments. Maintain current knowledge of changes in federal and state coding and...

Certified Professional Coder (CPC) Lead/Provider Liaison A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. This is Contract position with my direct client Job Description Direct Client Need- Immediate Interviews- We have a strong hold, with many consultants working onsite! Location could be: Newark, NJ OR West Trenton OR Ewing OR Wall, NJ Duration: Contract to Hire Job Summary: The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational...