14 outpatient coding auditor jobs found

Become a part of our caring community Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Outpatient Behavioral Health Coding disputes and is part of the PPI Coding Disputes Team with Humana. The Outpatient Behavioral Health Coding Auditor on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. Will be an experienced medical coding auditor with in-depth experience in outpatient Behavioral Health coding disputes and expertise in CPT/HCPCS code...

Coding Auditor & EducatorInspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.The posted compensation range of $35.70 - $58.91 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.Job Summary and ResponsibilitiesAs our Coding Auditor & Educator, you will utilize advanced ICD-10-CM, ICD-10-PCS, and CPT-4 coding systems to support the...

Humana is seeking an experienced Outpatient Behavioral Health Coding Auditor to handle provider disputes in a metrics-driven environment. The role focuses on CPT/HCPCS coding disputes within the Disputes Team and offers remote work with occasional travel to Humana offices for training. The ideal candidate has CPC or CCS certification, extensive outpatient BH coding audit experience, and strong communication skills to ensure timely, accurate dispute resolutions in health insurance and/or hospital #J-18808-Ljbffr

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Job...

Coding Auditor & EducatorThe Coding Auditor-Educator is an advanced level position utilizing ICD-10-CM, ICD-10 PCS, and CPT-4 Coding Classification systems who supports the facility and Coding Service Center. Responsible for answering coding and billing questions, onboarding and training new staff, performing coding audits, and development and deployment of coding education. Works in conjunction with the Coding Service Center leadership team in planning and performing coding education and training across the system. Responsible for performing internal audits and follow up education. Facilitates and promotes standardization of coding practices, monitors and communicates regulatory coding and billing changes for timely and accurate implementation. Participates in short-term and long-term strategic planning with regard to compliant coding and regulatory billing practices.Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these...

*National Jewish Health - Main Campus · CodingAdministrativeFull Time , Day Shift: Monday - Friday , 8:00 am - 5:00 pmPosted 10/09/2026Work Setting: 100% RemotePosition SummaryThis position is responsible for the accurate coding and billing of inpatient and outpatient professional services provided to patients working from the appropriate documentation in the medical record. Classification systems include the current versions of CPT and ICD as well as other specialty systems as required by diagnostic category. All work is carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association, Centers for Medicare and Medicaid Services, and organizational coding guidelines.Reviews and audits documentation for verification of type and level of professional services rendered using the current version of the Evaluation and Management Guidelines and CPT coding rules and guidelines.Queries providers and/or appropriate staff when documentation is...

National Jewish Health in Colorado is seeking a Medical Coder with 1+ year physician coding experience to ensure accurate inpatient and outpatient billing using CPT/ICD guidelines. This full-time, 100% remote role requires attention to documentation quality and compliance with AHA, CMS, and internal coding guidelines.You will query providers, audit records, and support education to clinicians, contributing to proper reimbursement while maintaining professional standards.J-18808-Ljbffr

Outpatient Coder Lead Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. As our Outpatient Coder Lead, you will code and abstract outpatient records for data retrieval, analysis, reimbursement, and research, ensuring complete charge capture, and providing expert guidance to coding and hospital staff. Every day you will direct Outpatient Coding Service Center operations including personnel management, training, education, productivity, work assignments, and quality reviews. You will assist with coding education, audits, denials, claim edits, and CHA data submissions,...

Job Summary and Responsibilities As our Outpatient Coder Lead, you will code and abstract outpatient records for data retrieval, analysis, reimbursement, and research, ensuring complete charge capture, and providing expert guidance to coding and hospital staff. Every day you will direct Outpatient Coding Service Center operations including personnel management, training, education, productivity, work assignments, and quality reviews. You will assist with coding education, audits, denials, claim edits, and CHA data submissions, promoting standardization and managing DNB and coding compliance to achieve financial goals and improve the accuracy and integrity of patient data. To be successful in this role, you will possess expert-level outpatient coding proficiency, strong leadership and management skills, a deep understanding of coding regulations and reimbursement methodologies, and the ability to drive accuracy, quality, and standardization across coding operations, while...

Outpatient Coder LeadInspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.As our Outpatient Coder Lead, you will code and abstract outpatient records for data retrieval, analysis, reimbursement, and research, ensuring complete charge capture, and providing expert guidance to coding and hospital staff.Every day you will direct Outpatient Coding Service Center operations including personnel management, training, education, productivity, work assignments, and quality reviews. You will assist with coding education, audits, denials, claim edits, and CHA data submissions, promoting...

National Jewish Health in Colorado is seeking a Medical Coder with 1+ year physician coding experience to ensure accurate inpatient and outpatient billing using CPT/ICD guidelines. This full-time, 100% remote role requires attention to documentation quality and compliance with AHA, CMS, and internal coding guidelines. You will query providers, audit records, and support education to clinicians, contributing to proper reimbursement while maintaining professional standards. #J-18808-Ljbffr

Medical Coding SpecialistPosition Summary This position is responsible for the accurate coding and billing of inpatient and outpatient professional services provided to patients working from the appropriate documentation in the medical record. Classification systems include the current versions of CPT and ICD as well as other specialty systems as required by diagnostic category. All work is carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association, Centers for Medicare and Medicaid Services, and organizational coding guidelines.Essential DutiesReviews and audits documentation for verification of type and level of professional services rendered using the current version of the Evaluation and Management Guidelines and CPT coding rules and guidelines.Queries providers and/or appropriate staff when documentation is missing, inadequate, ambiguous or unclear for coding purposes. Utilizes proper written and verbal communication...

Medical CoderAxis Health is seeking a Medical Coder who will handle the responsibility of reviewing clinical documentation and diagnostic results to extract data, review and re-assign as appropriate, provider-assigned primary care, dental, outpatient behavioral health, substance use and psychiatric CPT, HCPCS, and ICD–10 codes. This position resolves error reports associated with the billing process, identifies and reports error patterns, and when necessary assists in the design and implementation of work flow changes to reduce billing errors. This position audits charts for proper documentation and coding. This position will also take on additional duties as assigned.Site with Opening: Axis Health System Montrose, COHiring Organization: Axis Health SystemsPractice Highlights: Axis Health is the leading provider of behavioral health and integrated (primary, dental, and behavioral health) care on the Western Slope of Colorado. As a therapist in their clinic, you'll have access to a...

About the role As a Emergency Deparment Coder, you will make an impact by ensuring the accuracy, quality, and compliance of medical coding practices across multiple healthcare settings. You will be a valued member of the Health Information Management team and work collaboratively with coding professionals, physicians, and operational stakeholders to support regulatory compliance and revenue cycle excellence. In this role, you will: Review clinical documentation and accurately assign diagnosis and procedure codes for outpatient surgery, observation, emergency department, and outpatient diagnostic encounters. Communicate with physicians and clinical staff to obtain clarification on diagnoses and procedures through the coding query process. Utilize electronic encoder applications and coding tools to assign accurate codes in accordance with company policies and regulatory guidelines. Perform peer reviews and quality audits of coding professionals to ensure coding accuracy,...