58 network practice coder auditor jobs found

Network Practice Coder/Auditor Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info Mgmt-WMC Health Union: No Position: Full Time Hours: mon - friday/8-4:30 Shift: Day Req #: 45355 Posted Date: Oct 31, 2025 Hiring Range: $39.66 - $49.87 Apply Now External Applicant link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/30982) Internal Applicant link Job Details: Job Summary: The Coder is responsible for auditing medical records, including applicable diagnoses and operative/ diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS) and identifying opportunities for improvement as well as assuring compliance with coding and documentation guidelines. In addition the coder is responsible to provide...

Job Summary: The Coder is responsible for auditing medical records, including applicable diagnoses and operative/ diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS) and identifying opportunities for improvement as well as assuring compliance with coding and documentation guidelines. In addition the coder is responsible to provide education and training to providers and other agency coders based on the findings of the medical records audits. Does related work as required. Responsibilities: Using the current HCPCS, ICD and CPT coding guidelines, audits medical records for coding for accuracy Identifies patterns and opportunities requiring provider education. Works with providers and office staff to educate on proper coding and documentation. Identifies service-specific/provider specific trends for...

Job Summary : The Coder is responsible for auditing medical records, including applicable diagnoses and operative/ diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS) and identifying opportunities for improvement as well as assuring compliance with coding and documentation guidelines. In addition the coder is responsible to provide education and training to providers and other agency coders based on the findings of the medical records audits. Does related work as required. Responsibilities: Using the current HCPCS, ICD and CPT coding guidelines, audits medical records for coding for accuracy Identifies patterns and opportunities requiring provider education. Works with providers and office staff to educate on proper coding and documentation. Identifies service-specific/provider specific...

Job Summary : The Coder is responsible for auditing medical records, including applicable diagnoses and operative/ diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS) and identifying opportunities for improvement as well as assuring compliance with coding and documentation guidelines. In addition the coder is responsible to provide education and training to providers and other agency coders based on the findings of the medical records audits. Does related work as required. Responsibilities: Using the current HCPCS, ICD and CPT coding guidelines, audits medical records for coding for accuracy Identifies patterns and opportunities requiring provider education. Works with providers and office staff to educate on proper coding and documentation. Identifies service-specific/provider specific...

Job Description Job Description Hybrid-Sunrise, Florida Position Summary: The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through post payment medical records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines and regulatory and contract requirements. Essential Duties and Responsibilities: Performs post payment medical record review audits of claims payments to identify potential fraud, waste, abuse and/or overpayment. Completes and maintains detailed documentation of audits including but not limited to coding guidelines reviewed, medical necessity documentation, decision methodology, and monetary discrepancies identified. Coordinates overpayment recoveries with the Fraud Investigative Unit Manager. Responsible for assisting the Fraud...

Medical Auditor (Billing & Coding) page is loaded## Medical Auditor (Billing & Coding)locations: Remote VAtime type: Full timeposted on: Posted 10 Days Agojob requisition id: JR100312At OrthoVirginia, you’re part of a team dedicated to delivering expert orthopedic and therapy care across the state. As Virginia’s largest provider of musculoskeletal care, we offer full-time and part-time opportunities in a collaborative, team-oriented environment.With more than 159 physicians in over 35 locations—including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads—OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy. Our nationally recognized specialists treat a full range of musculoskeletal injuries and conditions, helping patients of all ages move, heal, and thrive.Join us and become part of a trusted network committed to excellence in orthopedic care.**JOB SUMMARY:**Responsible for...

Overview Unified Women’s Healthcare is a company dedicated to caring for Ob‑Gyn providers who care for others, be they physicians or their support staff. A team of like‑minded professionals with significant business and healthcare experience, we operate with a singular mindset — great care needs great care. We take great pride in not just speaking about this but executing on it. As a company, our mission is to be an indispensable source of business knowledge, innovation and support to the practices in our network. We are advocates for our Ob‑Gyn medical affiliates – enabling them to focus solely on the practice of medicine while we focus on the business of medicine. We are action oriented. We strategize, implement and execute – on behalf of the practices we serve. The Compliance Auditor performs comprehensive audit of care center locations/divisions. Reviews patient chart documentation for accuracy of Evaluation and Management (E/M) service levels, modifier use, in‑office...

Responsibilities Remote Opportunity Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve. To learn more about IPM visit Physician Services - Independence Physician Management - UHS. POSITION OVERVIEW Coder Certification Required. The Coder provides coding services and support to assigned IPM Markets/Billing Entities, as required, utilizing clinical documentation in multiple electronic health record (EHR) systems. Applies working knowledge of...

Overview Illinois CancerCare is seeking a highly organized Certified Professional Coder (CPC) to join our team! As a Coding Specialist, you will translate descriptions of medical diagnoses and procedures into codes which record health care data. This is a great opportunity for someone who thrives in a detail-oriented environment and enjoys being a key part of a collaborative team. Pay & Benefits Pay Range: $18.00 - $28.00/hour (Based on experience, education, and other factors) Medical, dental, and vision insurance (multiple plan options) Special wellness programs - Maven, HingeHealth, Livongo, Vitality, and Wondr 401(k) retirement plan with employer contributions Company-paid life, short-term, and long-term disability insurance Health Savings Account (HSA) & Flexible Spending Accounts (FSA) Paid time off and holidays Employee Assistance Program (EAP) Discounts through our Perks Program Responsibilities What You'll Do Assists office staff, physicians and other...

Lead Certified Coding Specialist - Auditor Title: Lead Certified Coding Specialist - Auditor Location: Novant Health Urgent Cares (Columbia, SC) Status: Full-Time Who Are We? Part of the Novant Health family based in North Carolina, Novant Health Urgent Care (formerly Doctors Care) provides exceptional healthcare through our network of more than 50 urgent care centers and 20 physical therapy facilities across South Carolina. Our Columbia-based headquarters delivers non-medical management and administrative services to support these locations. For decades, we have been committed to delivering exceptional, convenient, and affordable healthcare experiences to families and communities throughout the Palmetto State. What Do We Offer? Competitive wages with annual market data review Incentive Pay Program Continuing Education Reimbursement Eligible employer under the Public Service Loan Forgiveness PSLF Program UpToDate Subscription Generous PTO 403(b) with 100% vested...

Description A Brief Overview Under direction of the Market Manager, Care Transitions and Rehab, the Supervisor of Care Transition will manage day to day operations of their site and/or area. The Supervisor will act in two capacities; the liaison between site and/or area leadership and the Care Transitions team and the content expert for all team clinical operations at their site (including TCC, PCN and SW). Supervisors will drive site specific metrics tied to Care Transitions including but not limited to NSOC, observation hours, length of stay, patient throughput, patient flow, readmission prevention efforts, follow up appointment obtainment and tracking as well as daily escalation of barriers. In addition, will focus on patient experience and staff engagement outcomes at their site and/or area. This role requires expert working knowledge of the roles and responsibilities of each team member and ability to be the content expert on all clinical operations for the Care Transitions...

Title: Certified Coding Specialist - Auditor Location: Novant Health Urgent Care (Columbia, SC) Status: Full-Time Part of the Novant Health family based in North Carolina, Novant Health Urgent Care (formerly Doctors Care) provides exceptional healthcare through our network of more than 50 urgent care centers and 20 physical therapy facilities across South Carolina. Our Columbia‑based headquarters delivers non‑medical management and administrative services to support these locations, and for decades we have been committed to delivering convenient, affordable healthcare experiences to families and communities throughout the Palmetto State. What We Offer Competitive wages with annual market data review Incentive Pay Program Continuing Education Reimbursement Eligible employer under the Public Service Loan Forgiveness (PSLF) Program UpToDate Subscription Generous PTO 403(b) with 100% vested match Health, dental, vision insurance Health Reimbursement Account Flexible...

Job Posting Performs detailed work involved in the analysis and coding of health information for hospital facility services. Schedule: Monday-Friday. Flexible 8-hour shift between the hours of 6a-6p. Major Responsibilities & Duties: Responsible for thorough and accurate coding of diseases and procedures of each inpatient/hospital record through the use of ICD-10-CM and ICD-10-PCS coding manual and 3M encoder to ensure correct assignment of the Medicare Severity-Diagnosis Related Group, (MS-DRG) or All Patient Refined Diagnosis Related Group, (APR-DRG.) Responsible for verification of the patient's discharge disposition and to ensure the appropriate present on admission, (POA) indicators are assigned to each code. The assigned codes must support the reason for the visit that is documented by the provider in order to support the care provided. Responsible to assist with writing appeals or resolving coding & reimbursement issues with Pt Financial Services staff and...

Business: Boys Town National Research Hospital *$3,000 Hiring Bonus! *Must have Inpatient Coding Experience SCHEDULE: Monday-Friday. Flexible 8-hour shift between the hours of 6a-6p. MAJOR RESPONSIBILITIES & DUTIES Responsible for thorough and accurate coding of diseases and procedures of each inpatient/hospital record using ICD‑10‑CM, ICD‑10‑PCS, 3M encoder and ensuring correct assignment of the Medicare Severity‑Diagnosis Related Group (MS‑DRG) or All Patient Refined Diagnosis Related Group (APR‑DRG). Verify the patient's discharge disposition and ensure the appropriate present‑on‑admission (POA) indicators are assigned to each code, supporting the reason for the visit that is documented by the provider. Assist with writing appeals or resolving coding & reimbursement issues with Patient Financial Services staff and third‑party payers for DRG issues and denials, supporting the assigned DRG and addressing clinical documentation to validate the assigned codes....

Overview Certified Coder, Medical Coders and billing professionals needed for multiple medical device, pharmaceutical, DME, and telemedicine/tele-health related companies. Hiring for part time, full time, contract, hourly, remote (from home), and on/off site facilities. Opportunities Entry level coders (USA, international companies) Senior Coders Director of Coding Manager, Coding and Abstracting (on site - 22 locations) Revenue Cycle Manager - Payments, Credits, Self Pay (1,500+ physician affiliates) Remote (home office) Medical Billing for multiple specialties Application guidance When applying please include in the message box an overview of your experience (specialty area), certifications, and specifics on the position you seek (contract, part time, full time, remote, on-site, Senior, entry level, billing, coding, etc.). Do not enter, see attached resume. Responsibilities Comply with all legal requirements regarding coding/billing procedures and practices Conduct audits...

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America)**This is a Stanford Health Care - University Healthcare Alliance job.** **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****Education Qualifications*** High school diploma or GED equivalent.* Bachelor's Degree preferred.**Experience Qualifications*** 5+ years of work experience in a risk...

Vista Community Clinic (VCC) At Vista Community Clinic (VCC), we believe healthcare is more than medicine, it's about hope, community, and impact. For over 50 years, we've been a leader in the community clinic movement, growing from a small volunteer-driven effort in Vista to a nationally recognized network of state-of-the-art clinics across San Diego, Orange, Los Angeles, and Riverside counties. Today VCC has 14 clinics serving over 70,000 patients annually, we continue our mission of delivering exceptional, patient-centered care where it's needed most. As a private, non-profit, multi-specialty outpatient clinic, VCC provides more than healthcare, we provide opportunity. Here your skills are celebrated, your growth is supported and your work makes a difference. We know that our success is a direct result of the exceptional talents and dedication of our employees. Benefits include: Competitive compensation & benefits Medical, dental, vision Company-paid life insurance...

Risk Adjustment Coder I - Sacramento (Central/South) Hybrid 25-234 page is loaded## Risk Adjustment Coder I - Sacramento (Central/South) Hybrid 25-234locations: Sacramento, Californiatime type: Full timeposted on: Posted 4 Days Agojob requisition id: R2344**We’re delighted you’re considering joining us!**At Hill Physicians Medical Group, we’re shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.**Join Our Team!**Hill Physicians has much to offer prospective employees. We’re regularly recognized as one of the “Best Places to Work in the Bay Area” and have been recognized as one of the “Healthiest Places to Work in the Bay Area.” When you join our team, you’re making a great choice for your professional career and your personal satisfaction.**DE&I Statement:**At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your...

Healthcare Coder – Southwest Network This position requires a candidate who can accurately code healthcare services in compliance with government and insurance regulations, maintain confidentiality, and work efficiently with electronic medical record systems. Essential Functions Assigns codes correctly and sequences them according to regulatory guidelines. Complies with all medical coding guidelines. Follows up and clarifies any unclear information with providers. Conducts ad‑hoc audits to ensure fidelity to coding guidelines. Serves as a subject‑matter expert for accurate and efficient coding practices. Analyzes medical records and identifies documentation deficiencies. Nonessential Functions Follows policies and procedures and adheres to the Corporate Compliance Program. Maintains confidentiality of verbal and written information per HIPAA standards and Southwest Network policy. Performs other duties as assigned. Education, Experience & Certifications Associate degree...

Essential Functions Ensures that codes are assigned correctly and sequenced appropriately as per government and insurance regulations Complies with all medical coding guidelines Follows up and clarifies any information that is not clear with the rendering provider Conducts ad-hoc audits to ensure fidelity to coding guidelines Serves as a relevant expert for Southwest Network on accurate and efficient coding practices Analyzes medical records and identifies documentation deficiencies Nonessential Functions Follows policies and procedures and adheres to the requirements of the Corporate Compliance Program Ensures confidentiality of verbal and written information in accordance with HIPAA standards and Southwest Network policy, and adheres to the legal, ethical, and professional guidelines adopted by Southwest Network Other duties as assigned Working Conditions and Driving Travel between Southwest Network sites as well as in the community is required; must have a registered...

Overview If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care - University Healthcare Alliance job. 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...

Job # 25030 Neonatology Coder Acclivity Healthcare - Your personable, proven partner! Since 1999, Acclivity Healthcare has served the specialized recruiting and staffing needs of leading healthcare employers nationwide. Our clients range from independent physician practices to national healthcare systems and insurance providers. We are proud of our 18,000+ successful placements with quality-oriented organizations that recognize the value of better talent. Compensation and Schedule for the Neonatology Coder Neonatology Coder - Full-time, remote, $26-$31 per hour, Monday to Friday, flexible day schedule within Arizona time zone after training. Quarterly bonuses available! Required Qualifications of the Neonatology Coder - 5+ years of recent E/M coding experience required - 2+ years of recent neonatology coding experience required - Must provide equipment - Certified Professional Coder (CPC) certification required - High school diploma or GED required - Must...

Corporate Director Compliance Auditor - Healthcare Provider Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, and leadership programs And more Work Location: Atlanta, GA The Corporate Director Compliance Auditor - Healthcare Provider provides expert leadership in evaluating and strengthening the organization's compliance program across clinical, billing, privacy, and operational domains. This role leads complex, risk-based compliance audits to ensure adherence to federal and state healthcare regulations...

Job Description Job Description Description: Seeking a detail-oriented and knowledgeable Provider/Coding Auditor Educator to support accurate and compliant coding practices across our provider network. This role will be responsible for performing audits of medical documentation and coding, educating providers on best practices, and ensuring adherence to industry guidelines and payer regulations. The ideal candidate is a certified coding professional with strong communication skills and a passion for education and compliance. This role requires flexibility to travel 50% of the time to various provider locations in the State of Georgia for onsite education and auditing support, as needed Requirements: Key Responsibilities Conduct prospective, concurrent, and retrospective coding audits for professional and/or facility services. Review medical documentation to ensure codes assigned (ICD-10-CM, CPT, HCPCS) are supported and meet regulatory and payer guidelines. Deliver coding...