76 physician coding auditor jobs found

Cedars-Sinai in Los Angeles is seeking a Physician Compliance Auditor to review claims, medical records, and charges for compliance with documentation, coding, and billing rules. You will educate providers and staff, deliver audit results via Teams or other remote meetings, and act as a subject matter expert on coding and documentation guidelines.This role collaborates with the Manager of Audit and Compliance to identify risks, present findings to leaders, and maintain accurate audit records,J-18808-Ljbffr

Job DescriptionAlign with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company's Workplace of the Year. We provide an outstanding benefit package that includes paid vacation, wellness initiatives and a 403(b). Join us! Discover why U.S. News & World Report has named us one of America's Best Hospitals.What you will be doing in this role:The Physician Compliance Auditor is responsible for reviewing and auditing claims, medical records, and charges to ensure compliance with applicable documentation, coding, and billing requirements. Works closely with providers and staff to educate and train or provide audit results feedback through the use of Teams or other remote meeting platforms. The Physician Compliance Auditor identifies issues and/or risks associated with...

Join to apply for the Compliance Coding Auditor , ATM role at Advanced Medical Management, Inc. Your actual pay will be based on your skills and experience. Talk with your recruiter to learn more. Base pay range: $75,000 to $80,000 per year. Role Overview As a member of AMM’s Compliance and Ethics team, the Compliance Coding Auditor is an important driver of our mission. They are responsible for supporting the Company’s Compliance & Ethics Program (the Program) auditing, tracking, and monitoring initiatives. Robust auditing, testing, and monitoring capabilities are essential to fulfilling the expectations of AMM’s key stakeholders, including patients, families, and government agencies. The Program is led by AMM’s Chief Compliance & Ethics Officer, who reports to the CEO and the Board, and oversees the AMM Compliance Committee. This role requires sound, risk‑aware judgment, productive collaboration across the Company, and demonstrated success in performing audits to...

Job Description Job Description Overview Opportunities for you!   Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek  Free Continuing Education and certification   Tuition reimbursement, education programs and scholarships  Vacation time starts building on Day 1, and builds with your seniority  Free money toward retirement with a 403(b) and matching contributions  Great food options with on-demand ordering  Free parking and electric charging  Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.  We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page.    Responsibilities The Coding Compliance Auditor is a member of the Compliance Office and contributes to the Community Health System’s mission to better the lives of all those we serve. As a Coding...

A healthcare provider in San Diego is seeking a Coding Auditor to conduct audits and ensure compliance with coding standards. The role requires strong knowledge of CPT and ICD-10 codes, exceptional communication skills, and the ability to train clinical staff. The ideal candidate has 3 years of experience in a healthcare setting and holds a CPC or CCS-P certification. Competitive hourly rate offered. #J-18808-Ljbffr

This position is located in the Health Administration Service (HAS), Health Information Management ( HIM) section at the VA Greater Los Angeles Healthcare System. MRTs (Auditor) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, group practices, multi-specialty clinics, and specialty centers. Basic Requirements Citizenship. Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) Experience and Education (1) Experience. One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of a health records. OR, (2) Education. An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information...

In accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded accounts to ensure appropriate CPT, ICD-10-CM, and HCPCS assignments – and accuracy and completeness of all ICD-10-CM, CPT, and HCPCS codes assigned by professional revenue coders and providers. All assigned codes must be supported by professional documentation contained within the medical record and must be in compliance with federal coding compliance regulations, Official Coding Guidelines, AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also, provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding accuracy rates, compliance rates, denial analytics, etc. Recommend education topics based on audit findings and assist in the continuing education of professional coders and providers. Understands coding/billing computer systems such as Cerner, MediTech,...

This position is located in the Health Administration Service (HAS), Health Information Management ( HIM) section at the VA Greater Los Angeles Healthcare System. MRTs (Auditor) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, group practices, multi-specialty clinics, and specialty centers. Basic Requirements a. Citizenship . Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) b. Experience and Education (1) Experience. One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of a health records. OR, (2) Education. An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health...

HIM Coding Specialist II The HIM Coding Specialist II is required to have a full understanding and active participation in fulfilling the mission, vision and values of San Gabriel Valley Medical Center. The employee shall support San Gabriel Valley Medical Center's strategic plan and the goals and direction of the department Performance Improvement Plan (PIP). The HIM Coding Specialist II is required to ensure that all patient records are coded within the bill-hold limits (4 days). HIM Coding Specialist II is further responsible to ensure that all charts pass the SMART cycle and are adjusted as needed. The HIM Coding Specialist II must have a comprehensive knowledge of ICD-10-CM, ICD-10 PCS, CPT conventions in accordance with Official Guidelines for Coding and Reporting. The HIM Coding Specialist II is responsible for abstracting data into Evident/Thrive system using 3M encoder. Furthermore, the HIM Coding Specialist II will work internally and externally with coding staff, HIM...

Riverside University Health System (RUHS)is seeking two skilled Coding Compliance Auditors (Administrative Services Manager I) to support the Health System's Compliance Department. Key responsibilities of this role include conducting thorough reviews of medical records to ensure compliance with coding regulations, while providing feedback and education to coders and physicians to enhance coding accuracy and documentation quality. The position involves performing annual, periodic, and focused audits of physician, inpatient, and outpatient coding as requested. It also requires effective communication with all RAC stakeholders to ensure timely and accurate responses to inquiries. Additionally, the role supports ongoing program development through training initiatives and process improvements, delivers coding presentations to diverse audiences including physicians and other staff. The ideal candidate will have at least five years of progressive experience in an acute care hospital...

Coding Compliance Auditor/EducatorLocation: Fountain Valley/Predominantly Remote (Must reside in CA)Department: Document ImprovementStatus: Per DiemShift: DayPay Range*: $50.00/hrMemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of...

Coding Compliance Auditor In accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded accounts to ensure appropriate CPT, ICD-10-CM, and HCPCS assignments and accuracy and completeness of all ICD-10-CM, CPT, and HCPCS codes assigned by professional revenue coders and providers. All assigned codes must be supported by professional documentation contained within the medical record and must be in compliance with federal coding compliance regulations, Official Coding Guidelines, AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also, provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding accuracy rates, compliance rates, denial analytics, etc. Recommend education topics based on audit findings and assist in the continuing education of professional coders and providers. Understands coding/billing computer systems...

Job Details Location: Huntington Beach Office, Huntington Beach, CA 92647. Position Type: Full Time. Salary Range: $72,800.00 – $80,000.00. This position operates on a hybrid work schedule. Candidate must reside in Los Angeles or Orange County. Job Summary The Risk Adjustment Coding Auditor is responsible for conducting retrospective and prospective coding audits, diagnosis validation reviews, provider documentation assessments, and compliance monitoring activities to support accurate Medicare Advantage risk adjustment reporting and CMS audit readiness. This role reviews medical record documentation and ICD-10-CM diagnosis coding to ensure compliance with CMS Risk Adjustment program requirements, Official Coding Guidelines, AHA Coding Clinic guidance, and organizational policies. Functions & Responsibilities Conduct retrospective, prospective, and targeted coding audits to assess the accuracy, completeness, and compliance of ICD-10-CM diagnosis coding and HCC capture....

1.0 FTE Full time Day - 08 Hour R2658919 Remote USA 108610021 Admin Compliance Business & Administration Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview Billing and Coding Compliance Auditors conduct audits and monitoring activities to identify and address compliance risks related to billing and coding practices. They review and evaluate healthcare regulatory compliance, focusing on the detection of documentation, coding, and billing errors. Responsibilities include assessing the adequacy and accuracy of documentation supporting billed services, including ICD, CPT, HCPCS, and other third-party payer codes, as well as adherence to Teaching Physician guidelines, Evaluation & Management criteria, DRG and APC assignments, medical necessity, and reimbursement accuracy. Auditors serve as a communication channel, partnering with Billing and Coding Compliance Educators to address compliance issues. They are responsible for conducting...

Coding Compliance AuditorIn accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded accounts to ensure appropriate CPT, ICD-10-CM, and HCPCS assignments – and accuracy and completeness of all ICD-10-CM, CPT, and HCPCS codes assigned by professional revenue coders and providers. All assigned codes must be supported by professional documentation contained within the medical record and must be in compliance with federal coding compliance regulations, Official Coding Guidelines, AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also, provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding accuracy rates, compliance rates, denial analytics, etc. Recommend education topics based on audit findings and assist in the continuing education of professional coders and providers. Understands coding/billing computer systems...

Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

Job Description Senior & Mid Level Physical Inventory Supervisor – Northern California Competitive Pay | Field Leadership | Growth Opportunity Ready to Be a True Inventory Supervisor? If you've worked in professional inventory and know how to run a successful inventory—not just count one,we want to talk to you. Valley Inventory Service (VIS) is looking for experienced Inventory Supervisors and Crew Leaders throughout Northern California. We are especially interested in people with experience at WIS, RGIS, PICS or other professional inventory companies who are ready for greater responsibility, ownership and an opportunity to grow. At VIS, a Supervisor isn't simply the fastest counter wearing a different title. You are the on-site leader of the inventory. You lead the people. You manage the process. You communicate with the customer. You protect accuracy. And you take ownership of getting the job done right. What You'll Own As a VIS Physical Inventory Supervisor,...

Senior & Mid Level Physical Inventory Supervisor – Northern California Competitive Pay | Field Leadership | Growth Opportunity Ready to Be a True Inventory Supervisor? If you've worked in professional inventory and know how to run a successful inventory—not just count one—we want to talk to you. Valley Inventory Service (VIS) is looking for experienced Inventory Supervisors and Crew Leaders throughout Northern California. We are especially interested in people with experience at WIS, RGIS, PICS or other professional inventory companies who are ready for greater responsibility, ownership and an opportunity to grow. At VIS, a Supervisor isn't simply the fastest counter wearing a different title. You are the on-site leader of the inventory. You lead the people. You manage the process. You communicate with the customer. You protect accuracy. And you take ownership of getting the job done right. What You'll Own As a VIS Physical Inventory Supervisor, you will be responsible...

Senior & Mid Level Physical Inventory Supervisor – Northern California Competitive Pay | Field Leadership | Growth Opportunity Ready to Be a True Inventory Supervisor? If you've worked in professional inventory and know how to run a successful inventory—not just count one—we want to talk to you. Valley Inventory Service (VIS) is looking for experienced Inventory Supervisors and Crew Leaders throughout Northern California. We are especially interested in people with experience at WIS, RGIS, PICS or other professional inventory companies who are ready for greater responsibility, ownership and an opportunity to grow. At VIS, a Supervisor isn't simply the fastest counter wearing a different title. You are the on-site leader of the inventory. You lead the people. You manage the process. You communicate with the customer. You protect accuracy. And you take ownership of getting the job done right. What You'll Own As a VIS Physical Inventory Supervisor, you will be responsible...

Job Description Job Description Overview Avanath is proud to be named one of the top property management companies to provide affordable housing for the workforce.  Cultivating the American Dream is the purpose that binds the Avanath team. At Avanath, every day is an opportunity to make a difference in someone's life. Whether it is helping residents call one of our communities' home, providing excellence in customer service, or championing our workforce, we are committed to creating an unforgettable experience as a great place to live, work, and be.  The Role: We are seeking a meticulous, detail-oriented Compliance Auditor to join our Compliance Team. The Compliance Auditor, specializing in hard-file review, will play a crucial role in ensuring our files comply with all relevant laws, Affordable Care Act regulations, and internal policies. This role involves carefully examining resident files, documentation, and records to identify non-compliance issues and recommend...

Hours Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Flex hours are 6:00-9:00 am to 14:30-17:30 pm Weekend Requirements: As Needed On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $34.170 - $44.090 - $49.370 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do To identify and report coding and documentation practices and make recommendations which assure the accurate reporting and documentation of services provided by entity clinical providers. To support and facilitate the implementation of correct coding...

Description: Job Title: Physician Coding Educator - Consultant Location: Remote, United States Schedule: Remote | PST Timezone Support | 26-week engagement | Manager Update: Candidates must have strong OB/OBGYN Professional Fee coding and physician education experience as a primary specialty. Must demonstrate OB/OBGYN chart audits, documentation review, and direct 1:1/group physician education. General multi-specialty coding experience with limited OB exposure is not sufficient. Requirements: CPC (AAPC) or CCS or CCS-P (AHIMA) certification required 3+ years experience in Professional Fee coding across physician, ASC, surgical, or outpatient settings Experience with physician-facing education and ability to deliver 1:1 and group training Experience conducting chart reviews, coding audits, and documentation accuracy validation Knowledge of documentation standards, compliance requirements, and audit readiness practices Ability to analyze coding trends, variances,...

Job Description Job Description Primary Purpose of the Position: The Revenue Cycle Medical Coder II is responsible for assigning diagnosis, procedural, and modifier(s) codes for medical billing purposes which includes verification of charge capture. Position also performs a wide variety of duties, which may include coding accuracy and completeness prior to tickets being processed for billing, insurance filing, and revenue reporting. Monitors daily flow of charge tickets to ensure claim accuracy. This is not a Remote position as you will be expected to come into the Los Angeles Office. Essential Duties of the Position May Include The Following: • Reviews charge tickets, identifies and corrects errors, prepares tickets for review, including proper CPT and ICD-10 codes and proper linkage between the two. • Abstracts all surgical and designated diagnostic procedures and assigns appropriate procedure codes and modifiers using the International Classification of Diseases...