Profee coding auditor jobs | Healthcare Careers

Medical Facility & Profee Coding Auditor / Educator - REMOTE

Quadris Team LLC AZ

Quadris Team, LLC - A Revenue Cycle Management Group, is searching for a dynamic person to join us, working with our highly skilled Medical Coding Team to fill the role of Medical Coding Auditor & Educator.We are a 100% remote team supporting our clients across the United States! See us at.The ideal applicant will be a subject matter expert in both Facility and Profee medical coding auditing.Job Focus :The Senior Coding Auditor may be responsible for a variety of duties and obligations, depending on the client and assignment.These responsibilities may include inpatient / outpatient / professional fee facility auditing, denial management, coding, implementation specialist, job aid creation, training, and specialty coding.The position may also be responsible for management of the audit team and project management.All coding and auditing are performed within the scope of regulatory and compliance law expectations.Auditing Responsibilities :May include conducting inpatient,...

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ProFee Medical Coding Auditor E/M & CPT Specialist

Veradigm LLC Raleigh, NC

A healthcare solutions company is seeking a skilled RCS Medical Coding Auditor to perform audits on professional fee medical coding. The ideal candidate should possess a CPC certification and 2+ years of ProFee auditing experience, with a strong focus on accuracy and compliance. Responsibilities include conducting daily quality assurance, validating coding against documentation, and providing training to improve coding practices. This position supports hybrid work and includes a competitive salary range of $57,728 to $80,243. #J-18808-Ljbffr

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Coding Auditor - Ambulatory/Professional Coding/Profee

Huron Consulting Group Chicago, IL

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

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Coding Auditor – Ambulatory/Professional Coding/Profee

Huron Consulting Group Inc. Chicago, IL

Coding Integrity Specialist - Professional Fee page is loaded## Coding Integrity Specialist - Professional Feeremote type: Remotelocations: Chicago - 550 Van Burentime type: Full timeposted on: Posted Todayjob requisition id: JR-0013443Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower...

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Profee Clinical Data Quality Admin (CDQA) / Coding Auditor / Coding Educator for Virtua Medical Group - CPC (Remote)

Virtua Health NJ

Virtua Health Coding SpecialistAt Virtua Health, we exist for one reason to better serve you.That means being here for you in all the moments that matter, striving each day to connect you to the care you need.Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between we are your partner in health devoted to building a healthier community.If you live or work in South Jersey, exceptional care is all around.Our medical and surgical experts are among the best in the country.We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home.A Magnet-recognized health system ranked by U.S.News and World Report, we've received multiple awards for quality, safety, and outstanding work environment.In addition to five hospitals, seven emergency departments,...

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Senior Medical Coder - Outpatient ProFee Coding, HealthCare

Amazon Bondurant, IA

Senior Medical Coder - Outpatient ProFee Coding, HealthCare The Finance Operations organization works with every part of Amazon to deliver world-class operations accounting and operational excellence with the highest standards of controllership and efficiency. We design, operate, and continuously improve the core systems and processes that accurately and timely pay suppliers, invoice customers, and report financial results that enable the business to scale with confidence. Amazon Health Services (AHS) continues to rapidly expand its Healthcare FinOps capabilities to support the growth of its One Medical Commercial Health services. As part of the global Healthcare Finance Operations team, you will work alongside highly driven, talented professionals who are deeply committed to financial integrity, scalability, and process excellence. Success in this role requires a strong sense of ownership, a passion for raising the bar, and the ability to drive measurable results through...

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RCS Medical Coding Auditor

Veradigm United States

Position Summary The RCS Medical Coding Auditor is responsible for auditing professional (ProFee) medical coding to ensure accuracy, compliance, and alignment with AMA CPT, CMS, NCCI and payer guidelines. This role supports coding integrity, mitigates compliance risk, and drives continuous quality improvement through targeted education and audit-based feedback. The ideal candidate brings strong hands-on experience with professional fee coding , deep knowledge of E/M, surgical, and modifier use , and the ability to translate audit findings into actionable insights. Key Responsibilities Perform daily QA to ensure accuracy of completed coding and provide targeted coding education and feedback Validate ICD-10-CM, CPT®, HCPCS, and modifier assignment against clinical documentation to ensure accuracy and compliance with AMA CPT, ICD-10, CMS, NCCI, and payer-specific guidelines Conduct medical chart audits of professional services across multiple specialties...

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RCS Medical Coding Auditor

Veradigm LLC Raleigh, NC

RCS Medical Coding Auditor page is loaded## RCS Medical Coding Auditorremote type: Hybridlocations: Raleigh, NCtime type: Full timeposted on: Posted 7 Days Agojob requisition id: JR10360**Position Summary**The **RCS Medical Coding Auditor** is responsible for auditing professional (ProFee) medical coding to ensure accuracy, compliance, and alignment with AMA CPT, CMS, NCCI and payer guidelines. This role supports coding integrity, mitigates compliance risk, and drives continuous quality improvement through targeted education and audit-based feedback.The ideal candidate brings strong hands-on experience with **professional fee coding**, deep knowledge of **E/M, surgical, and modifier use**, and the ability to translate audit findings into actionable insights.**Key Responsibilities*** Perform daily QA to ensure accuracy of completed coding and provide targeted coding education and feedback* Validate ICD‐10‐CM, CPT(R), HCPCS, and modifier assignment against clinical...

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SINAI HOSPITAL OUTPATIENT CODER

LifeBridge Health Baltimore, MD

Join to apply for the HIM-OUTPATIENT CODER role at LifeBridge Health Join to apply for the HIM-OUTPATIENT CODER role at LifeBridge Health Get AI-powered advice on this job and more exclusive features. FULL-TIME REMOTE OPPORTUNITY Summary HIM OUTPATIENT CODER FULL-TIME REMOTE OPPORTUNITY SIGN-ON BONUS ELIGIBLE $10,000 tion : District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia JOB SUMMARY: Following established conventions and guidelines, codes and abstracts the medical records of the diverse population of facility outpatient records. Assists with coding and leveling ERs as needed. Assists with coding and charging infusion cases as needed. Meets departmental accuracy and production standards. Reviews medical records to determine the providers diagnoses/procedures for outpatient records (ER, Infusion, other outpatient) and assigns ICD-10CM/PCS codes or CPT codes to those diagnoses/procedures. Abstracts predetermined information from ER and outpatient...

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Physician Coding Auditor

MedKoder Mandeville, LA

About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding for health systems, providers, and payers. MedKoder delivers accurate, efficient, and ethical coding, aiming to ensure accurate payment and financial peace for clients. With a team of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote-work flexibility, and a positive workplace culture, earning high employee satisfaction ratings and awards with Best Places to Work in Modern Healthcare and City Business Best Places to Work. Position Location: 100% Remote Position Classification: Full-time, 40 hour work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable...

Full Time

Medical Coding and Billing Analyst

C2Q Health Solutions Hybrid (NY)

JOB PURPOSE: Responsible for supervising, evaluating, and consistently improving the day-to-day operations of Medical Practice. This role is responsible for accurate and timely billing of insurance claims and patient statements across multiple sites, implements accurate medical coding policies, and enhances operational processes. It involves acting as a liaison between coding operations and clinical staff, training and coaching medical personnel on coding guidelines, and ensuring the accuracy and timeliness of clinical documentation. Additionally, the role includes analyzing and optimizing diagnosis data submission processes, presenting performance results to leadership, and supporting HCC/RAF optimization strategies. The role will also oversee the training of Medical Practice Assistants, Physician and IDT disciplines in ICD-9/ICD-10 guidelines. JOB RESPONSIBILITIES: Responsible to deliver accurate and timely billing of insurance claims and patient statements for all...

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(RN) Registered Nurse Coding Auditor - HCS-D, COS-C - Full Time

Northwell Health Garden City, NY

Req Number 186351 Job Description Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Remote position in New York. Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code changes 3.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. 4.Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. 5.Applies coding rules and regulations to the validation review process. 6.Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. 7.Communicates DRG changes and rationale to the...

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Hospital Inpatient Coder III

Baptist Health Care Pensacola, FL

Coder III Location Requirement: Candidates must reside in one of the following states- Florida, Alabama, or Georgia. If offered the position, will be required to come onsite in Pensacola, FL for orientation The Coder III reviews inpatient records and accurately assigns appropriate ICD-10-CM/PCS codes according to established guidelines with a 97% accuracy rate, while maintaining coding standards for productivity. This position must preserve confidentiality of health information. This position must be able to use tact and diplomacy when communicating with employees, physicians, administration, and public, under complex or emotional situations. Responsibilities Reviews patient records and accurately assigns appropriate ICD-10-CM/PCS codes according to established guidelines. Meets Productivity Standard for Inpatient Coding: 17 charts/day. Understands appropriate assignment of MS-DRG, POA, and discharge disposition. Assists with all levels of coding including inpatient,...

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Medical Biller

Hope Christian Health Center North Las Vegas, NV

Job Description Job Description Description: JOB SUMMARY: The Medical Biller participates in the delivery of excellent medical services in a patient centered medical home environment with an emphasis on the prevention of disease by serving as the primary responsible party for insurance claims processing and collecting. The Medical Biller is responsible for all medical billing within the clinic, including submitting claims, processing denials, updating patient accounts, and collecting/recording patient payments. The Medical Biller coordinates improvement in all areas of the clinic with an emphasis on the importance of the individual patient and putting their needs first. DUTIES AND RESPONSIBILITIES: Medical Biller Duties: Demonstrates proficiency with Electronic Medical Records (EMR) and when needed, enters data into computerized system. Posts charges and claims to payers in a correct and timely fashion; works claims and claim denials to ensure maximum reimbursement...

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Coder 3 - Remote (see full posting for eligible states)

Northern Arizona Healthcare Corporation Flagstaff, AZ

Job Description Job Description Overview NAH reserves the right to make hiring decisions based on applicants' state of residence if outside the state of Arizona. NAH currently hires for remote positions in the following states: Alabama Arizona Florida Georgia Idaho Indiana Kansas Michigan Missouri North Carolina Ohio Oklahoma Pennsylvania South Carolina Tennessee Texas Virginia The Coder 3 electronically records, stores, and reports on reams of data. Responsible for coding the following service types, based on department and assignments. Facility HIM: Inpatient, outpatient, emergency room, and outpatient clinical. Ambulatory: Coding and auditing professional inpatient, outpatient, emergency and clinic. Coders will need to apply a broad knowledge of procedure coding, diagnosis coding, medical terminology and anatomy/physiology. Hospital Coder Proficiency: ICD-10 PCS/DRG/CPT/HCPCS/ICD -10 CM. Professional Coder...

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Medical Biller

Betsy Ross Nursing Home & Rehab Center Rome, NY

Resident Finance Coordinator A Great Place to Work. A Great Place to Receive Care! Our Nursing Home Facility located in Rome, NY is seeking an experienced full-time Resident Finance Coordinator. Betsy Ross Nursing & Rehab Center is a 120-bed facility offering excellence in rehabilitation and skilled nursing care in a lovely homelike environment undergoing an exciting large-scale renovation under new management and administration! With a focus on rehabilitation and recovery, our skilled team of therapists and healthcare professionals assist residents in achieving optimal health and well-being. Our mission is to provide high quality care to all with respect and compassion through a team approach that focuses on personalized goals. We offer excellent Aetna Health benefits first of the month after hire date, along with other key benefits to those who qualify! Medical Biller Job Summary: You play a key role in managing NYS Medicaid applications, insurance verifications, and...

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Medical Coder Specialist - Full-Time

CONSERVATIVE CARE MANAGEMENT COMPANY LLC Springdale, AR

Job Description Job Description Description: About Us: At Conservative Care Occupational Health (CCOH), we provide comprehensive occupational medicine and urgent-care services designed to keep employees healthy, safe, and work-ready. Our team takes pride in delivering exceptional, compassionate care with professionalism and efficiency. We’re looking for a Medical Coder Specialist in the NW Arkansas area, who will play a key role in supporting accurate, timely and efficient billing operations that keep our clinics running smoothly and our clients well-served. Position Summary: This Coder reviews medical records to assign accurate ICD-10-CM, CPT, and HCPCS codes to injuries and treatments, ensuring compliance with state regulations and proper insurance reimbursement. They analyze high-dollar, complex claims for medical appropriateness, acting as a liaison between medical providers and claims staff to process payments. What You’ll Do: Coding Accuracy: Translate...

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Operations Support Compliance Auditor

Monro Muffler Brake Rochester, NY

Candidate should ideally be located in Rochester or Buffalo New York Monro’s family of brands is one of the leading automotive service and tire dealers in the United States. We work on approximately five million vehicles a year, but with us, it is personal. Every guest is important, and every teammate is valued. That is our people-first approach. Headquartered in our hometown of Rochester, New York, where our founder, Chuck August, opened his first store in 1957, we have grown to 1,115 auto repair shops and tire dealers in 32 states from coast to coast. Monro powers 16 highly respected tire and auto service brands, supporting each company’s regional strength and community connections. From big cities to small towns to rural crossroads, you will find us in neighborhoods of every shape, size, and color. Under the Monro banner, we are united TEAM, and share the same mission to bring our guests the highest quality tire and auto service in the industry. Do you have what it...

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Medical Billing Specialist

Alta Mira NM Albuquerque, NM

Job Description Job Description Salary: $20 - $22 Alta Mira is a non-profit organization that has been supporting individuals with developmental or intellectual delays or disabilities, and their families, since 1985. We provide services to all age groups. We support over 800 children annually through our Early Intervention Program and 1500 adults in our Family Support Services. We employ over 60 employees and 250 independent contractors. We are an excellent employer with a high level of schedule flexibility and very rich benefits. We are one of New Mexicos Top Workplaces in the category of work/life balance. This is a full-time, 40-hour-per-week position. Some of our benefits include: Paid Time Off from 150 to 304 hours a year Paid Sick Leave - 1 hour for every 30 hours worked Paid Holidays 5 holidays per year Winter Break agency is closed from December 24th through New Years Day (paid) Educational Leave 40 hours after 6 months of employment Bereavement Leave up to...

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Job Title: Medical Biller (Medicaid & MCO - Behavioral Health)

Better Morning, Inc. Washington, DC

Job Description Job Description Company Description Better Morning emerged as an outpatient behavioral health practice in Ashburn, VA in the year of 2014. In addition to providing counseling from the Ashburn office, Better Morning started off as a certified provider for intensive in home and community-based services (IHCBS), for at risk youth in District of Columbia. In August of 2017, Better Morning was certified as a Core service agency (CSA) by DC Department of Behavioral Health. Better morning founder’s passion for at risk youth and their family were the motivation to keep expanding the evidenced based programs to meet the need of the underserved population. Job Description Position Summary The Medicaid & MCO Biller is responsible for accurate and timely submission, tracking, and reconciliation of claims for services billed to DC Medicaid and Managed Care Organizations (MCOs). This role ensures compliance with District of Columbia Department of Health Care...

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Permanent - Inpatient Facility Medical Coder

Healthcare Staffing Plus OR

JOB DESCRIPTION To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), and Kaiser Permanente organization/institutional coding...

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Inpatient Facility Medical Coder

Scout Exchange OR

Title - Inpatient Facility Medical Coder (40h Day) Location - Clackamas, OR, US Job Type - Permanent | Remote Required: Minimum five (5) years experience in coding with four (4) years inpatient facility coding The candidate must have 1 from the following list: Registered Health Information Technician Certificate Certified Coding Specialist Registered Health Information Administrator Certificate Advanced knowledge of medical terminology, pharmacology and medial coding principles for ICD-10-CM, ICD-10-PCS, HCPCS/CPT and coding. Advance knowledge of disease processes, diagnostic and surgical procedures, ICD-10-CM, ICD-10-PCS, HCPCS/CPT classification systems, health information/medical record department responsibilities with knowledge of government regulations and areas of scrutiny for potential fraud and abuse issues. Job description Candidates must reside either in Washintgon or Oregon to be considered for this position. To independently and efficiently...

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Multi Specialty Surgery Pro-Fee Coder

Phenom People O'Fallon, MO

Opportunities At Change Healthcare Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing Together. Job Description: The experienced multi-specialty surgery coder is responsible for daily coding, denial management, charge hold, RAI resolution and abstraction. The coder is responsible for escalation of coding questions and requests for coding guidance to the Coding Coordinator and/or Supervisor. Participate in internal QA audits and provide feedback in the compliance QA process. Hours:...

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DRG Coder, SR

Insight Global Galveston, TX

Job Description Insight Global is seeking a highly skilled Inpatient DRG Coding Specialist to provide the advanced skills necessary for proper coding of all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and analysis of DRG options. ESSENTIAL JOB FUNCTIONS · Selects records from EPIC WQ according to priority. · Reviews all federally insured and other patient discharge encounters for accurate coding and sequencing of diagnoses and procedures. · Correctly assigns ICD-10 -CM diagnoses and ICD-10-PCSprocedure codes and enters appropriate codes into EPIC Encoder. · Identifies responsible staff and resident physicians for each procedure coded. · Always protects confidentiality of patient information. · Participates in section meeting and office in-services. · Attends and participates in coding education sessions. · Keeps coding knowledge and skills current through attending continuing education...

424 profee coding auditor jobs found