19 outpatient coding auditor jobs found

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:...

Stout Risius Ross, LLC is seeking a Healthcare Auditor & Coding Consultant to support complex engagements in forensics and compliance across multiple U.S. offices, including Chicago. You will analyze coding, billing, and reimbursement data, identify risks, and translate findings into actionable recommendations for clients and regulators. The role requires substantial experience in inpatient/outpatient facility and professional fee coding, familiarity with Medicare/Medicaid and payer-specific #J-18808-Ljbffr

Sign On Bonus: $1,500; paid in two installments:$500 at the time of hire and $1,000 after one year of service. DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients....

Anticipated End Date: 2026-10-12 Position Title: DRG Coding Auditor - MS-DRG and APR-DRG Job Description: Sign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service. DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development . Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The DRG Coding Auditor is responsible for auditing inpatient...

Overview The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters. Qualifications Certifications: Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA) - American Health Information Management Association...

HIM Certified CoderThe HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM coder uses Carle electronic medical record systems to review clinical encounters.QualificationsCertifications: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC); Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information...

HIM Certified CoderThe HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM coder uses Carle electronic medical record systems to review clinical encounters.Qualifications:Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA)Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC)Certified Outpatient Coder (COC) - American Academy of...

Overview The Laboratory Billing & Coding Representative is responsible for accurate and timely billing of Laboratory services. Responsible for understanding medical terminology, patient registration, insurance eligibility, payer rules, CPT/HCPCS bundling, CCI modifiers, and lab-related coding for problem resolution. Responsible for understanding and applying compliance and regulatory guidelines to resolve charge review edits, claim edits, billing-related issues, and assigned work queues. Functions as a lab-billing resource for internal and external parties. This position uses Carle electronic medical record systems and Lab Information System to review clinical encounters and laboratory results. Qualifications Certifications: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information...

Carle Health in Champaign, IL is hiring an HIM Certified Coder to accurately code hospital inpatient, hospital outpatient, and professional fee encounters using ICD-10, CPT, HCPCS, and related encoders. You will ensure compliant billing and apply all regulatory coding guidelines, including local and national determinations. The role requires CPC/COC/CIC/CCS-P/CCS/RHIT/RHIA certifications and experience with audit processes, interdepartmental collaboration, and coding accuracy. #J-18808-Ljbffr

HIM Certified CoderThe HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM coder uses Carle electronic medical record systems to review clinical encounters.Qualifications:Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC)Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA)Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA)Registered Health Information Technician (RHIT) - American Health...

Carle Health is seeking a licensed HIM Certified Coder to accurately code hospital inpatient, hospital outpatient, and professional fee encounters using ICD-10/ICD-PCS, CPT, and HCPCS codes. The coder reviews documentation within the EMR to ensure compliant billing in accordance with CMS and local guidelines. The role requires expertise in regulatory coding guidelines, supporting revenue optimization while maintaining compliance, and performing audits and education as needed. #J-18808-Ljbffr

Medical Coder (Remote) - Contract Opportunity Job ID: 297083 Location: Remote Facility: Hopedale Medical Complex Employment Type: Contract Duration: 13 Weeks Schedule: Day Shift Start Date: ASAP (Quick Start Available) Position Summary Hopedale Medical Complex is seeking an experienced Medical Coder to join its team on a contract basis. This remote opportunity is ideal for a coding professional with strong experience across multiple healthcare service lines and a commitment to coding accuracy, compliance, and revenue cycle integrity. The Medical Coder will be responsible for reviewing clinical documentation and assigning accurate diagnostic and procedural codes for a variety of patient encounters within a Critical Access Hospital environment. This position plays a key role in supporting compliant billing practices, reimbursement accuracy, and regulatory requirements. Key Responsibilities Assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes based on...

Jamison Professional Services, Inc. (“Jamison”) is currently seeking a qualified and motivated candidate for the position of Certified Inpatient/Outpatient Medical Coder (Medical Records Technician). Certified Inpatient/Outpatient Medical Coder. Candidates must hold at least one current certification from AHIMA or AAPC, including: Registered Health Information Technician - RHIT Certified Coding Specialist - CCS Certified Coding Specialist–Physician Based - CCS-P Registered Health Information Administrator - RHIA Certified Professional Coder - CPC Candidates must provide documentation verifying their current certification. DESCRIPTION OF SERVICES: The Medical Records Technicians - Inpatient/Outpatient Coders will provide remote medical coding services in support of a federal healthcare client. The selected candidates will perform inpatient and outpatient medical records coding, coding validation, documentation review, provider queries, and related health information...

Position Overview We are seeking an experienced Pay: $45/hour Location: Fully Remote Job Type: 6 month contract-to-hire Position Overview We are seeking an experienced Emergency Department (ED) Outpatient Coder to accurately code outpatient emergency services in compliance with official coding guidelines, payer requirements, and organizational policies. This role is fully remote and ideal for detail-oriented coders with strong ED and outpatient experience. Key Responsibilities Accurately assign ICD-10-CM, CPT, and HCPCS codes for Emergency Department outpatient encounters Review provider documentation to ensure complete, accurate, and compliant coding Apply correct modifiers and ensure proper charge capture Meet productivity and quality benchmarks while maintaining coding accuracy Follow official coding guidelines, CMS regulations, and payer-specific requirements Identify documentation gaps and work with providers or internal teams as needed Maintain...

Certified Inpatient/Outpatient Medical Coder - RemoteJamison Professional Services, Inc. ("Jamison") is currently seeking a qualified and motivated candidate for the position of Certified Inpatient/Outpatient Medical Coder (Medical Records Technician).Candidates must hold at least one current certification from AHIMA or AAPC, including:Registered Health Information Technician - RHITCertified Coding Specialist - CCSCertified Coding Specialist–Physician Based - CCS-PRegistered Health Information Administrator - RHIACertified Professional Coder - CPCCandidates must provide documentation verifying their current certification. The Medical Records Technicians - Inpatient/Outpatient Coders will provide remote medical coding services in support of a federal healthcare client. The selected candidates will perform inpatient and outpatient medical records coding, coding validation, documentation review, provider queries, and related health information management functions. The work will...

Department: 02160 AMG Sykes - Hematology/Oncology Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Monday-Friday On-site Medical Oncology Advocate Christ Medical Center Advocate South Suburban Hospital Advocate Trinity Hospital Sykes Outpatient Center Orland Park Outpatient Center Major Responsibilities Clinical Care and Health Outcomes - Provides support in the delivery of quality clinical care. Works closely with healthcare team and physician to assure triage, telephone assessments, home therapies and patient visits are consistent with established guidelines and followed by the healthcare team. Takes a lead role in assisting the clinical team to meet/exceed CI goals. Assists physicians and associates in managing patient registries. 8)Ensures monthly office inspection checklist and other required audits are conducted in a timely manner. 9)Ensures AMG standing operating procedures are followed. 10)Oversees approved site research...

Overview The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters. Qualifications Certifications: Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Coding...

Overview: The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders to ensure compliant billing of Carle claims. Responsibilities Accurately code all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCs and modifiers) system. The assignment of codes will accurately reflect the diagnoses and procedures pertinent to the patient. Provide interdepartmental coding assistance, as needed, to determine accurate coding assignment. Develop methodology to provide a coding process that is compliant with regulatory agencies, including the utilization of reference materials such as, but not limited to, Center for Medicare Services (CMS) publications, Coding Clinic, CPT Assistant, etc. Facilitate optimization of revenue while maintaining...

Job Summary We are seeking an experienced and certified Medical Coder - Inpatient & Outpatient to join our Health Information Management/Revenue Cycle team.The Medical Coder is responsible for accurately reviewing and coding inpatient and outpatient hospital medical records in accordance with official coding guidelines, CMS requirements, payer regulations, and hospital policies.This position plays an essential role in ensuring coding accuracy, regulatory compliance, timely reimbursement, and the integrity of clinical and financial data.The successful candidate will demonstrate strong knowledge of hospital coding, medical terminology, anatomy and physiology, reimbursement methodologies, and regulatory requirements.Essential Duties and Responsibilities Review inpatient and outpatient medical records and accurately assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes based on assigned account type. Assign and validate appropriate MS-DRG/APR-DRG, APC, Present on Admission (POA),...