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7 physician coding compliance auditor jobs found

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physician coding compliance auditor Intermediate Level
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Concord OB/GYN Associates, PC
Full Time
 
Medical Billing & Coding Specialist
Concord OB/GYN Associates, PC Remote (Offering On-site, Remote or Hybrid work to the right applicant.)
OVERVIEW : The Billing & Coding Specialist works collaboratively with the billing team to support all functions of the billing department, ensuring the maximization of receivables and maintaining optimal cash flow.  This role requires advanced knowledge of OB/GYN coding and billing practices.  The Billing & Coding Specialist is responsible for maintaining compliance with office policies, procedures, and all applicable regulatory requirements.   The ideal candidate demonstrates a friendly and professional demeanor, strong interpersonal skills, and the ability to remain composed during high-pressure situations. This role requires the ability to work independently, apply critical thinking to resolve complex billing issues, and manage sensitive financial conversations with patients in a respectful and understanding manner. KEY RESPONSIBILITIES: Serve as the subject matter expert for all billing, coding, and documentation questions. Review provider...

Nov 05, 2026
Valley Medical Center
Full Time
 
Risk Adjustment Auditor & Physician Educator - Remote
Valley Medical Center Remote
Risk Adjustment Auditor and Physician Educator Health Information Management | Full-Time | Renton, Washington Help Improve Clinical Documentation and Support Better Patient Care Valley Medical Center is seeking an experienced Risk Adjustment Auditor and Physician Educator to join our Health Information Management team. This role combines clinical documentation expertise, risk adjustment auditing, coding knowledge, data analysis, and physician education to help ensure the accurate and complete capture of patient conditions and the clinical complexity of the care we provide. The ideal candidate brings strong experience in Medicare risk adjustment, medical record auditing, ICD-10-CM coding, and physician education , along with the ability to translate complex coding and documentation requirements into practical guidance for providers. This is an opportunity to play a meaningful role in improving documentation quality, supporting value-based care initiatives, and...

Aug 14, 2026
SSM Health
Full Time
 
Supervisor - Coding Education
SSM Health Remote (KS)
Lead the team that turns coding expertise into organizational impact. As Supervisor of Coding Education, Professional at SSM Health, you’ll guide a team of coding educators, strengthen provider and coder education, and help advance coding accuracy, compliance, and revenue integrity across the organization. PRIMARY RESPONSIBILITIES Leads and coordinates shift operations, work assignments and daily priorities of assigned activities, resources, and associates. Assists coding staff, physicians, and other health care practitioners with questions regarding coding and documentation guidelines. Provides ongoing feedback based on observations from coding physician/provider documentation. Assists in educational needs of coding staff based on these conversations and questions. Coordinates design, development, maintenance, and delivering of training curricula, coding job aids, reference materials, and workshops for providers and coders....

Nov 04, 2026
North San Antonio Family Medicine
Part Time Contract
 
Independent Medical Biller/Coder, Part Time, Work From Home (athenahealth Expert)
North San Antonio Family Medicine Remote
Job Title: Independent Medical Biller/Coder, Part Time, Work From Home (athenahealth Expert) Job Type: 1099 Independent Contractor (Part-Time, Fractional) Hours: Estimated 20 hours/month (with potential to scale as our practice expands) Location: 100% Remote (US-Based Only; Texas-experienced preferred) About the Practice We are a Family Medicine practice based in Texas with a current patient panel of approximately 2,000 patients . We are just beginning an exciting transition to a HYBRID / Direct Primary Care (DPC) model. As we roll out our direct care cash-pay option, we are keeping a curated insurance panel consisting of Medicare, Tricare, and select commercial payers (BCBS Texas, Aetna, Cigna, UHC). Our Growth Vision: We are actively looking to expand our practice by bringing on additional physicians and non-physician clinicians. To make this expansion possible, we must maximize our practice revenue through highly effective, meticulous billing....

Oct 01, 2026
Optum
Full Time
 
C&S Clinical Coding Analyst
Optum Remote (Remote, OR)
$2,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start  Caring. Connecting. Growing together. The  C&S Coding Clinical Analyst  is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. They must be able to exercise judgement/decision making on complex payment decisions that directly impacts the provider and...

Nov 05, 2026
Optum
Full Time
 
M&R Clinical Investigator
Optum Remote (Remote, OR)
$2,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS The M&R Clinical Investigator  is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. They must be able to exercise judgement/decision making on complex payment decisions that directly impacts the provider and UHC/Client by following state and government compliance guidelines, coding requirements and policies. They must confidently analyze and interpret data and medical records/documentation on a daily basis to understand historical claims activity, determine validity and demonstrate their ability to provide written communication to the provider. They are responsible to investigate, review and provide clinical and/or coding expertise in a review of pre-payment claims. They need to effectively manage their caseload and monthly metrics in a production driven environment and ensure they are...

Nov 05, 2026
Rothman Orthopaedics
Full Time
 
Orthopedic Surgery Certified Professional Coder (Remote)
Rothman Orthopaedics Remote (FL)
Job Summary: The  Business Office Certified Coder reviews coding and documentation for all services provided by the practice through chart auditing as well as AR denials and provides ongoing education to providers regarding coding and documentation while exercising discretion and independent judgment .  Essential Duties: Audits physician and non-physician provider documentation for compliance with carrier and billing regulations.  Tracks and maintains records of all audits, results of conducted audits, and education. Develops a pass/fail system and re-audit procedure based on audit results. Participates and assists actively with external audits. Creates trainings for physicians and staff based on current coding standards and regulations. Reviews and corrects AR Denials for coding issues Provides monthly statistics on audits conducted, trainings provided, and re-trainings for providers failing an audit Requests and reviews confidential employee and...

Oct 30, 2026
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