62 outpatient coding auditor educator jobs found

Omega Healthcare Management Services is seeking an outpatient auditor to review medical records, abstract and code diagnoses and procedures across inpatient, outpatient, ED and pro fee records. The role emphasizes accurate coding for reimbursement, research, and quality evaluation, while maintaining patient confidentiality and regulatory compliance. Responsibilities include abstracting data, ensuring correct code assignments, and using coding principals to support financial planning and #J-18808-Ljbffr

Job Description Join our team as a day shift, full time, hybrid, Coding Auditor and Educator at INTEGRIS Health in Oklahoma City, OK. Job Description Join our team as a day shift, full time, hybrid, Coding Auditor and Educator at INTEGRIS Health in Oklahoma City, OK. Get to Know Your Team INTEGRIS Health, Oklahoma’s largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives. Benefits of being an INTEGRIS Health caregiver include front-loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more. Take the first step toward growing your career by joining us. Responsibilities The Coding Auditor and Educator leads coding quality assurance and education efforts to drive coding accuracy, regulatory compliance, and continuous improvement across coding operations. Performs comprehensive coding audits to...

Overview Ardent Health is a leading provider of healthcare in growing mid-sized urban communities across the U.S. With a focus on people and investments in innovative services and technologies, Ardent is passionate about making healthcare better and easier to access. Through its subsidiaries, Ardent delivers care through a system of 30 acute care hospitals, 24,000+ team members and more than 280 sites of care with over 1,800 affiliated providers across six states. Position Summary The Hospital Auditor is responsible for reviewing hospital (inpatient and outpatient) to ensure accuracy, completeness, and compliance with regulatory guidelines and coding standards. This role supports the team’s broader mission by identifying documentation gaps, validating coding accuracy, and assessing the effectiveness of hospital practices. Through targeted feedback and education, the Hospital Auditor helps strengthen documentation quality, promote compliant billing, and safeguard reimbursement...

POSITION SUMMARY This position will be responsible for performing on-going auditing of outpatient provider coding, and education. Individuals must be a certified coder, with experience in NY Medicaid regulations. The Senior Coding & Billing Specialist is responsible for auditing outpatient provider coding and documentation to ensure accurate code assignment, regulatory compliance, and optimal reimbursement. This position serves as a subject matter expert in CPT, ICD-10-CM, HCPCS, New York State Medicaid, CMS, and commercial payer requirements, ensuring services are coded and billed accurately in accordance with applicable federal, state, and payer guidelines. In addition to coding audits, this role is responsible for reviewing and resolving billing work queues, analyzing claim denials and reimbursement trends, identifying charge capture and documentation opportunities, and supporting timely claim resolution. The Senior Coding & Billing Specialist partners with providers,...

Responsibilities Remote opportunity Independence Physician Management (IPM) was formed in 2012 as the physician services unit. IPM develops and manages multi-specialty physician networks and urgent care clinics within the Acute Care and Behavioral Health Divisions. A subsidiary of UHS, IPM operates in 13 markets across 7 states – and counting. We help doctors manage their practices and clinical procedures so they can concentrate on caring for their patients. To learn more about IPM visit Physician Services - Independence Physician Management - UHS. Successful candidate must live in one of these locations: Pennsylvania Florida Texas Nevada Coder Certification Required (CPC). The Coder- Cardiology and Orthopedics 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 medical terminology, anatomy, CPT-4 and ICD-10 codes and coding...

Job Summary Oneida Health is actively searching for a skilled Revenue Integrity Outpatient Coder Level II to join our dynamic team. The successful candidate will play a crucial role in ensuring accurate and compliant coding of outpatient services, optimizing revenue capture, and maintaining regulatory compliance. Job Title Outpatient Coder Level II Key Responsibilities Review outpatient services (primarily surgical, emergency, oncology, and wound care) medical records to assign appropriate CPT, HCPCS, and ICD-10 codes. Ensure accuracy and completeness of coded information for billing and reimbursement purposes. Stay updated on coding guidelines, regulations, and compliance requirements related to outpatient services. Collaborate with physicians, nurses, and other healthcare professionals to resolve coding discrepancies and obtain additional documentation if necessary. Work closely with the Revenue Integrity team to identify and address coding-related issues affecting revenue...

JOB TITLE: Coder - Outpatient - Riedman - Remote, Coding/Clinical Documentation (Full-Time, Days)STATUS: Full-TimeLOCATION: Riedman- RemoteDEPARTMENT: Coding/Clinical DocumentationSCHEDULE: M-F; DaysSUMMARYReview clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and ICD-10-PCS codes for billing, internal and external reporting, research, and regulatory compliance. Demonstrate knowledge of reimbursement methodologies and apply these to assigned charts to optimize reimbursement and/or resolve regulatory edits. Resolve error reports associated with the billing process, identify and report error patterns, and, when necessary, assist in the design and implementation of workflow changes to reduce billing errorsRESPONSIBILITIESAbides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA), adheres to official coding guidelines, and keeps abreast of coding changes and interpretation of...

Summary The Medical Records Technician (Coder) Auditor position is located at the Erie East VA Clinic. MRTs (Coders) are skilled in classifying medical data from patient health records in the hospital setting - and/or physician-based settings - such as physician offices - group practices - multi-specialty clinics - and specialty centers. These coding practitioners analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure. Qualifications Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy Experience and Education: 1 Experience One year of creditable experience that indicates knowledge of medical terminology - anatomy - physiology -...

Responsibilities Responsible for daily coding, auditing and diagnosis-related group (DRG) validation of assigned encounters is accurate and compliant with outpatient standards Conduct reviews and provide recommended corrections of billed services for medical records, ensuring accuracy and compliance with current coding guidelines and regulations Conduct DRG validation to ensure appropriate assignment based on clinical documentation and coding Review and audit billed services, providing recommended corrections related to clinical documentation to maintain coding integrity Assist in reviewing and responding to payer and governmental audits of billed services Stay current with and apply new coding guidelines and codes, maintaining expertise in CPT, HCPCS, and ICD-10 coding systems Meet established daily accuracy and production standards as per department policy Collaborate with healthcare team members to ensure continuity of services and clarity in clinical documentation...

Location: Miramar, Florida 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: Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities: Communicates with insurance companies about coding errors and disputes (physician billing). Abstracts pertinent data points for billing and quality reviews. Communicates with various departments as needed to ensure accuracy of patient data. Conducts audits and/or coding reviews with various health care professionals to ensure all documentation is accurate (physician billing). May assign and sequence basic CPT (Current Procedural...

We are sharing a specialised consulting opportunity for experienced Medical Auditors with strong expertise in outpatient professional fee coding, coding audits, academic medical center workflows, audit-program management, and coding quality assurance to contribute to an advanced AI training and medical-coding evaluation project. Selected professionals will audit outpatient professional fee coding, review other coders' work, resolve complex coding cases, identify recurring quality issues, and provide structured feedback grounded in professional coding standards. No prior experience in AI is required. Key Responsibilities Coding Audit & Complex Case Review Audit outpatient professional fee coding for accuracy, compliance, and documentation support Review other coders' work and identify incorrect, incomplete, or inconsistent coding Evaluate complex or ambiguous cases and document well-supported determinations Apply coding guidance consistently across varied clinical...

UnitedHealth Group is seeking an Outpatient Coding Compliance Auditor to conduct audits of OPPS coding, ensuring accurate ICD-10-CM and CPT coding, modifiers, and E/M levels. The role monitors QA processes and communicates findings to stakeholders while aligning with applicable laws and regulations. You will analyze medical records, identify root causes of non-compliance, and support education based on audit results. Remote work within the U.S. is possible. #J-18808-Ljbffr

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Reporting to the Supervisor of Outpatient Coding, The OP Senior Coder is a vital multifaceted role within the Outpatient Coding Department. This position provides support to the Outpatient Coding Department as a OP coding subject matter expert, educator, QA reviewer, and also focuses daily efforts on A/R management and oversight. Additionally, this person works with partner departments to problem solve issues and streamline processes. The OP Senior Coder is also required to mentor other team members and also prepare them for the role of OP Senior Coder. The OP Senior Coder possesses a strong level of OP clinical coding expertise, and has the ability to handle multiple priorities. This...

We are sharing a specialised consulting opportunity for experienced Medical Auditors with strong expertise in outpatient professional fee coding, coding audits, academic medical center workflows, audit-program management, and coding quality assurance to contribute to an advanced AI training and medical-coding evaluation project. Selected professionals will audit outpatient professional fee coding, review other coders' work, resolve complex coding cases, identify recurring quality issues, and provide structured feedback grounded in professional coding standards. No prior experience in AI is required. Key Responsibilities Coding Audit & Complex Case Review Audit outpatient professional fee coding for accuracy, compliance, and documentation support Review other coders' work and identify incorrect, incomplete, or inconsistent coding Evaluate complex or ambiguous cases and document well-supported determinations Apply coding guidance consistently across varied clinical...

Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team! Responsibilities The Outpatient Coder Auditor reviews and analyzes documentation present in the medical record for Outpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Outpatient Coder Auditor finalizes the coding and abstracting of the medical record upon ensuring the assignment of International...

Select how often (in days) to receive an alert: At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. Coding for Interventional radiology Occ Summary The Medical Coder Specialist will have frequent and daily interactions with internal and external clients including but not limited to Physician and Non-physician Surgical Providers. Responsibilities include primary diagnosis and procedural coding for the designated major surgical specialty areas and other major procedural...

By adhering to Connecticut State Law, pay ranges are posted. The pay rate will vary based on various factors including but not limited to experience, skills, knowledge of position and comparison to others who are already in this role within the company. Flu Vaccine Considerations Proof of annual flu vaccination is required for all employees. PACT MSO, LLC is a management service organization that supports a large multi-specialty practice of providers. We are currently looking for an experienced Medical Coding Auditor who will be working in Branford Monday through Friday from 8:30am to 5:00pm. This is not a remote position. Summary The Medical Auditor is responsible for coordinating and conducting medical billing, coding, and documentation audits to ensure compliance with federal, state, and commercial payer regulations, organizational policies, and industry standards. This role evaluates provider documentation, coding accuracy, billing practices, and revenue cycle processes...

Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team! Responsibilities The Outpatient Coder Auditor reviews and analyzes documentation present in the medical record for Outpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Outpatient Coder Auditor finalizes the coding and abstracting of the medical record upon ensuring the assignment of International...

## Compliance Coding AuditorApplyremote type: Remotelocations: Norfolk, VAtime type: Full timeposted on: Posted Yesterdayjob requisition id: JR-104491**City/State**Norfolk, VA**Work Shift**First (Days)**Overview:**# Compliance Coding AuditorPerforms a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara's patients, and also assures that the coding practices fall within established compliance guidelines.Both ICD and CPT coding methodologies are used in the internal audit activity. The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment methodology, including the impact on Relative...

Ardent Health Services is seeking a Hospital Auditor to review inpatient and outpatient records for accuracy and regulatory compliance. You’ll identify documentation gaps, validate coding accuracy, and support education to strengthen reimbursement integrity and patient care quality. Responsibilities include conducting comprehensive audits, analyzing findings, and delivering detailed reports to stakeholders, with strong emphasis on CMS guidelines and coding standards. #J-18808-Ljbffr

MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and above all excellent customer service. MedHQ, LLC, is a 2022 Becker’s Top 150 Places to Work in Healthcare company. We believe our quality of service begins with our quality of team member. We offer exceptional benefits and working environments to exceptional employees. MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate...

## Medical Coder - Spencer HospitalApply: Spencer, IA: Full time: Posted 13 Days Ago: R-260028222**Location:**Spencer, IA**Worker Type:**Regular**Work Shift:**Day Shift (United States of America)Spencer Hospital is proud to employ highly skilled and caring staff members. We offer competitive salaries and benefits as well as a pleasant work environment.**Position Highlights****Spencer Hospital is a rural hospital located in northwest Iowa employing over 500+ employees. Positions at Spencer Hospital are not affiliated with Avera; however, we collaborate to provide services to the communities we serve. Employment offers, if accepted, are exclusively with Spencer Hospital.****Responsibilities:*** Assigns codes to diagnosis and procedures for inpatient and outpatient medical records using ICD-10 and CPT 4 coding classification systems.* Coding assignments are made for the purposes of reimbursement, research, compliance with federal and state regulations/guidelines and for severity of...

Full-time - This is not a remote position. Evaluates medical records, provides clinical abstracts and assigns appropriate clinical diagnosis and procedure codes for both inpatient and outpatient services in accordance with nationally recognized coding guidelines. Meets quality standards of having 95% of principal diagnoses and procedures correctly coded. Serves as a liaison between clinicians and the coding staff. Collaborates with all members of the revenue cycle to ensure data quality and optimum reimbursement allowable under the federal and state payment systems. Supervises the coding department in relation to the following: distribution of work assignments, dissemination of current coding guidelines and modern technology information, and provides relevant coding education to the coders, clinicians, and revenue cycle staff. Knowledge and understanding of ICD10 and CPT coding principles as recommended by the American Health Information Management Association coding competencies....

Cardiology Consultants of Philadelphia (CCP) is a professional medical organization committed to the healing mission of Medicine and is part of a national cardiology platform, Cardiovascular Logistics (CVL). Together, we share the same mission to provide our patients with the highest quality cardiovascular care available. Join our team and be a part of an organization that is dedicated to improving patient outcomes and shaping the future of heart health. CCP specializes in providing comprehensive cardiology care and currently has over 30 locations throughout the Philadelphia region. We are currently hiring for full-time Electrophysiology Coder (CPC) to work at our Philadelphia, PA Office. SUMMARY The Certified Professional Coder – Electrophysiology is responsible for accurate, compliant, and timely coding of the electrophysiology (EP) service line for Cardiology Consultants of Philadelphia (CCP). This is a full-time position dedicated to EP coding, with coverage of general...