13 profee coding auditor jobs found

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,...

Marana Health is seeking a Medical Assistant Supervisor to join our Medical team at the Marana Main Health Center, located in the heart of Marana, AZ. The Medical Assistant Supervisor provides leadership, supervision, guidance, mentorship, and operational oversight to Medical Assistant (MA) staff while supporting high-quality patient care across primary care, specialty, clinical, and behavioral health services. This position partners with clinicians and staff to support efficient workflows, staff development, and a positive patient experience. Marana Health is a Federally Qualified Community Health Center (FQHC), with 11 sites in Tucson and Pima County. Our mission is to improve our community by providing exceptional, whole-person healthcare. Required Qualifications: High School diploma or equivalent 2 years' experience as a Medical Assistant Graduate of a Medical Assistant program accredited by ABHES (Accrediting Bureau of Health Education Schools) OR CAAHEP...

Description Position Summary: The Certified Coder is a key position in two ways: First, the employee will be responsible for abstracting medical record data and assigning/reviewing codes using current clinical classification systems appropriate for the type of care provided. Second, the employee will be able to review Medicare Risk Adjustment, understanding Medicare Advantage Plans and evaluating medical records with attention to detail. Requirements Essential Functions 1. Reviewing and assigning codes to diagnosis and procedures in order to ensure proper financial reimbursement from insurance companies. Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests. Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided. Conducts claims audits/reviews, identifying opportunities for improving. 2. The Certified Coder is responsible for...

Medical Coder (Full-Time)We are seeking a detail-oriented and reliable Medical Coder to join our healthcare team in Tucson, Arizona. The Medical Coder will be responsible for accurately reviewing, assigning, and verifying diagnostic and procedural codes for patient records to ensure proper billing and compliance with all applicable regulations. This role plays a key part in optimizing revenue cycle performance while maintaining high standards of accuracy and confidentiality.Key Responsibilities:Review patient medical records, provider notes, and clinical documentation to assign appropriate ICD-10, CPT, and HCPCS codesEnsure coding accuracy and compliance with federal, state, and payer-specific regulationsWork closely with healthcare providers to clarify diagnoses and procedures as neededIdentify and resolve coding discrepancies or denialsMaintain up-to-date knowledge of coding guidelines, regulations, and industry standardsAssist with audits and support internal compliance...

Overview We are seeking an experienced Emergency Department Facility Coding Specialist to join our remote coding team. This role is responsible for reviewing emergency department medical records and accurately assigning ICD-10-CM, CPT/HCPCS, and facility Evaluation & Management (E/M) codes while ensuring compliance with payer, regulatory, and organizational requirements. The ideal candidate will have recent emergency department facility-fee coding experience, strong knowledge of injection and infusion coding, and an active coding certification through AAPC or AHIMA. Responsibilities Review emergency department medical records and assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers. Accurately assign facility E/M levels based on client-specific emergency department leveling guidelines and facility charging methodologies, including use of the ACEP leveling tool. Analyze documentation from physicians, nursing...

Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affidea ??? ??? ... Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. The incumbent performs highly technical and specialized functions by reviewing, analyzing, and coding diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. The primary function of this position is to perform medical coding for...

Department Name:Coding AmbulatoryWork Shift:DayJob Category:Revenue CycleA rewarding career that fits your life. As an employer of the future, we are proud to offer our team members many career and lifestyle choices including remote work options. If you’re looking to leverage your abilities – you belong at Banner Health.In this Physician Coder Quality Associate position, you bring your 5 years of Ambulatory Physician coding experience to a team who resolves complex denials, identifies trends, and provides solutions to help support mid-revenue cycle.This is a Quality position, not a day-to-day coding production role, but does require coding proficiency and recent Physician Ambulatory/Professional Coding experience. This position is task-solution-oriented ensuring quality in the Ambulatory Coding department and allows opportunity for coaching fellow coders through different aspects of Ambulatory Coding and denial prevention.Requirements:5 years current experience in Ambulatory...

Rockstar is an industry-leading staffing company based in Arizona that helps healthcare businesses across the United States streamline operations by connecting them with skilled remote professionals. We partner with talented individuals from around the world, providing meaningful remote career opportunities that empower personal and professional growth. At Rockstar, we are committed to placing team members who not only meet our clients' operational needs but who also reflect our core values of integrity, excellence, and long-term service. Every placement is an opportunity to make a meaningful difference, for the practice, for patients, and for you. Job Description This is a remote position. Rockstar is seeking an experienced Medical Billing Specialist to support U.S.-based healthcare practices on a full-time remote basis. This is a billing-first role built for professionals who know the full revenue cycle, not just one piece of it, and who take ownership of the financial health...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Coder (Remote) 30+ days ago Requisition ID: 1131 GENERAL SUMMARY OF DUTIES: Provides coding, audit, and compliance support for all clinical services rendered by the organization. This role ensures accurate code assignment, adherence to FQHC billing and reimbursement regulations, and supports risk mitigation efforts through provider education and ongoing audit activities. SUPERVISION EXERCISED: None ESSENTIAL FUNCTIONS: Conduct routine and targeted provider coding audits to ensure compliance with FQHC billing requirements, Medicare, Medicaid, and commercial payer policies. Analyze audit findings and communicate results to Providers, including corrective action recommendations and education as needed. Serve as a liaison to Providers regarding coding updates, new services, documentation standards, and regulatory changes;...

Medical Assistant SupervisorMarana Health is seeking a Medical Assistant Supervisor to join our Medical team at the Marana Main Health Center, located in the heart of Marana, AZ.The Medical Assistant Supervisor provides leadership, supervision, guidance, mentorship, and operational oversight to Medical Assistant (MA) staff while supporting high-quality patient care across primary care, specialty, clinical, and behavioral health services. This position partners with clinicians and staff to support efficient workflows, staff development, and a positive patient experience.Marana Health is a Federally Qualified Community Health Center (FQHC), with 11 sites in Tucson and Pima County. Our mission is to improve our community by providing exceptional, whole-person healthcare.Required Qualifications:High School diploma or equivalent2 years' experience as a Medical AssistantGraduate of a Medical Assistant program accredited by ABHES (Accrediting Bureau of Health Education Schools) OR CAAHEP...

Description Position Summary: The Certified Coder is a key position in two ways: First, the employee will be responsible for abstracting medical record data and assigning/reviewing codes using current clinical classification systems appropriate for the type of care provided. Second, the employee will be able to review Medicare Risk Adjustment, understanding Medicare Advantage Plans and evaluating medical records with attention to detail. Requirements Essential Functions 1. Reviewing and assigning codes to diagnosis and procedures in order to ensure proper financial reimbursement from insurance companies. Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests. Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided. Conducts claims audits/reviews, identifying opportunities for improving. 2. The Certified Coder is responsible for...

OverviewNAH 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 :AlabamaArizonaFloridaGeorgiaIdahoIndianaKansasMichiganMissouriNorth CarolinaOhioOklahomaPennsylvaniaSouth CarolinaTennesseeTexasVirginiaThe 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 Proficiency :CPT / HCPCS / ICD-10 / CM.ResponsibilitiesCommunicationWorks in collaboration with physicians in tracking un-coded...

Sage Clinical RCM, LLC supports leading healthcare organizations nationwide, is collaborative with a quality-driven culture, and an excellent opportunity to contribute to audit accuracy and coding excellence without unrealistic productivity expectations.Come join our team! Position SummaryThe Professional Billing Coder - Vascular Surgery is responsible for accurate coding of professional services related to vascular procedures.This role supports compliant billing practices and contributes to revenue integrity and audit readiness.Key Responsibilities-Assign accurate CPT, HCPCS, and ICD-10-CM codes for vascular surgery procedures-Review operative and procedural documentation for coding accuracy and completeness-Apply appropriate modifiers and NCCI edits-Ensure adherence to CMS, AMA, and payer guildelines-Maintain accuracy and productivity standards in a high-volume enviroment-Support internal audits and quality improvement initiatives Required Qualifications-Minimum 2years of...