46 profee coding auditor jobs found

Datavant is seeking a Profee Auditing Specialist to perform professional fee coding audits and education across multiple specialties. This fully remote role offers a flexible schedule, ideally 20 hours per week, and a focus on accurate coding, regulatory changes, and customer support from a home workspace. Ideal candidates have 5+ years in professional fee coding/auditing, CPC certification, and experience with EMRs like Epic or Cerner. #J-18808-Ljbffr

Job Description At NorthBay Health the Professional Fee Coding Auditor is responsible for auditing professional fee coding across all service lines (Ambulatory/Hospitalist, Surgery, and Emergency Medicine), resolving pre‑billing coding edits, and reviewing post‑billing coding‑related denials. This role ensures coding accuracy, documentation integrity, and compliance with CPT, HCPCS, ICD‑10‑CM, and payer‑specific rules. The position supports coding quality improvement, identifies trends, provides coder feedback and physician education based on audit and edit findings, and partners with leadership to strengthen coding workflows across the organization. Primary Job Duties Audit Responsibilities Performs routine and targeted professional fee coding audits across all service lines: Ambulatory/Hospitalist (including Urgent Care and Pools), Surgery, and ED ProFee. Reviews documentation for completeness, accuracy, and compliance with CPT, HCPCS, ICD‑10‑CM, and payer policies....

NorthBay Health is seeking a Professional Fee Coding Auditor to audit professional fee coding across Ambulatory/Hospitalist, Surgery, and ED ProFee, ensuring CPT/HCPCS/ICD-10-CM accuracy and payer rule compliance. The role involves resolving pre-bill edits, reviewing post-billing denials, and educating coders and physicians based on audit findings to strengthen coding workflows and documentation integrity. #J-18808-Ljbffr

Professional Fee Coding Auditor At NorthBay Health the Professional Fee Coding Auditor is responsible for auditing professional fee coding across all service lines (Ambulatory/Hospitalist, Surgery, and Emergency Medicine), resolving pre-billing coding edits, and reviewing post-billing coding-related denials. This role ensures coding accuracy, documentation integrity, and compliance with CPT, HCPCS, ICD-10-CM, and payer-specific rules. The position supports coding quality improvement, identifies trends, provides coder feedback and physician education based on audit and edit findings, and partners with leadership to strengthen coding workflows across the organization. PRIMARY JOB DUTIES Audit Responsibilities Performs routine and targeted professional fee coding audits across all service lines: Ambulatory/Hospitalist (including Urgent Care and Pools), Surgery, and ED ProFee. Reviews documentation for completeness, accuracy, and compliance with CPT, HCPCS, ICD-10-CM, and payer...

Medical Billing Specialist Maximise your chances of a successful application to this job by ensuring your CV and skills are a good match. Location: Long Beach, CA Pay: $27.00 - $31.00 /hr Schedule: Monday-Friday Hours: 9:00 AM - 5:00 PM Job Type: Full-Time About the Opportunity We're partnering with a well-established outpatient healthcare clinic to find a detail-oriented Medical Billing Specialist to join their revenue cycle team. This organization is known for its patient-centered, inclusive approach to care and its commitment to serving the communities it operates in. This is a great opportunity for a billing professional who thrives in a fast-paced clinical environment and wants to make a direct impact on the financial health of a mission-driven healthcare organization. What You'll Do: Medical Billing & Revenue Cycle Submit insurance claims accurately and on time Review, correct, and resubmit denied or rejected claims Monitor accounts receivable and follow up on unpaid or...

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...

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. Schedule: Monday-Friday, 8-hour shifts between the hours of 7am-5pm PST. Training schedule will be 8:30am-5pm PST. Travel will be required up to 50% of the time for chart retrievals. The Medical Coder supports IPA (Independent Provider Association) Providers with ongoing ICD-10 CM Coding Education relating to Medicare Advantage - Risk Adjustment CMS Documentation & Coding Guidelines by providing tools to allow for greater meaningful information exchange to...

Medical Billing Specialist Location: Long Beach, CA Pay: $27.00 – $31.00 /hr Schedule: Monday–Friday Hours: 9:00 AM – 5:00 PM Job Type: Full-Time About the Opportunity We're partnering with a well-established outpatient healthcare clinic to find a detail-oriented Medical Billing Specialist to join their revenue cycle team. This organization is known for its patient-centered, inclusive approach to care and its commitment to serving the communities it operates in. This is a great opportunity for a billing professional who thrives in a fast-paced clinical environment and wants to make a direct impact on the financial health of a mission-driven healthcare organization. What You'll Do: Submit insurance claims accurately and on time Review, correct, and resubmit denied or rejected claims Monitor accounts receivable and follow up on unpaid or underpaid claims Post payments, adjustments, and denials accurately Coordinate with providers and clinical staff to ensure proper documentation and...

Medical Billing Specialist Location: Long Beach, CA Pay: $27.00 – $31.00 /hr Schedule: Monday–Friday Hours: 9:00 AM – 5:00 PM Job Type: Full-Time About the Opportunity We’re partnering with a well-established outpatient healthcare clinic to find a detail‑oriented Medical Billing Specialist to join their revenue cycle team. This organization is known for its patient-centered, inclusive approach to care and its commitment to serving the communities it operates in. This is a great opportunity for a billing professional who thrives in a fast‑paced clinical environment and wants to make a direct impact on the financial health of a mission‑driven healthcare organization. What You’ll Do: Medical Billing & Revenue Cycle Submit insurance claims accurately and on time Review, correct, and resubmit denied or rejected claims Monitor accounts receivable and follow up on unpaid or underpaid claims Post payments, adjustments, and denials accurately Coordinate with providers and clinical staff...

Medical Billing Specialist Location: Long Beach, CA Pay: $27.00 - $31.00 /hr Schedule: Monday-Friday Hours: 9:00 AM - 5:00 PM Job Type: Full-Time About the Opportunity We're partnering with a well-established outpatient healthcare clinic to find a detail-oriented Medical Billing Specialist to join their revenue cycle team. This organization is known for its patient-centered, inclusive approach to care and its commitment to serving the communities it operates in. This is a great opportunity for a billing professional who thrives in a fast-paced clinical environment and wants to make a direct impact on the financial health of a mission-driven healthcare organization. What You'll Do: Medical Billing & Revenue Cycle Submit insurance claims accurately and on time Review, correct, and resubmit denied or rejected claims Monitor accounts receivable and follow up on unpaid or underpaid claims Post payments, adjustments, and denials accurately...

We're partnering with a well-established outpatient healthcare clinic to find a detail-oriented Medical Billing Specialist to join their revenue cycle team. This organization is known for its patient-centered, inclusive approach to care and its commitment to serving the communities it operates in. This is a great opportunity for a billing professional who thrives in a fast-paced clinical environment and wants to make a direct impact on the financial health of a mission-driven healthcare organization. What You’ll Do: Medical Billing & Revenue Cycle: Submit insurance claims accurately and on time Review, correct, and resubmit denied or rejected claims Monitor accounts receivable and follow up on unpaid or underpaid claims Post payments, adjustments, and denials accurately Coordinate with providers and clinical staff to ensure proper documentation and coding Ensure compliance with billing regulations, payer requirements, and internal policies Generate billing, aging, and...

Professional Surgical CoderAt NorthBay, the Professional Surgical Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner for professional surgery charges in the outpatient and inpatient settings. The coder is dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. Can effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Work is performed using the approved classification Coding systems to include the modifiers. All work carried out in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA. American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay Healthcare coding guidelines.Primary Job Responsibilities:The coder independently...

Job Description At NorthBay, the Professional Surgical Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner for professional surgery charges in the outpatient and inpatient settings. The coder is dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. Can effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Work is performed using the approved classification Coding systems to include the modifiers. All work carried out in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA. American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay Healthcare coding guidelines. Primary Job Responsibilities The coder independently...

Job Description 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...

Employment Type: Contract (Possible temp to hire) Location: Irvine, CA 92614 Pay Rate: $26-$27/hr on W2 Position Overview We are seeking an experienced Revenue Cycle & Billing Specialist to oversee full-cycle billing, reconciliation, collections support, and revenue cycle optimization across multiple service lines and payor types. The ideal candidate will have strong experience working with California Regional Centers, Department of Rehabilitation (DOR), DDS-funded services, Private Pay, and Third-Party Payors. This role requires excellent analytical skills, attention to detail, and the ability to collaborate across Accounting, Finance, IT, Compliance, and Program teams. Key Responsibilities Manage the monthly full-cycle billing process, including bill generation, billing corrections, reporting, reconciliation, and research of billing and accounting issues across multiple billing systems. Consolidate monthly office and regional billing totals for assigned service lines and/or...

Medical Billing Specialist I/IIThe Department: As a vital department of Ventura County Health Care Agency (HCA), Ventura County Behavioral Health (VCBH) provides comprehensive mental health and substance use treatment services tailored to meet the needs of our community. From mobile crisis response to outpatient treatment, our array of programs ensures individuals receive the support they need at every stage of their journey.The Position: Under general supervision at the (I) level, or direction at the (II) level, the incumbent is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare, and general insurance reimbursement requirements.What We Offer: The County of Ventura offers an attractive compensation and benefits package. Aside from our base salary range, an employee within this position will also be eligible for the following:Educational Incentive - An educational incentive of 2.5% for completion...

Coder-Certified The Health Care Agency is a comprehensive healthcare system serving our diverse community of Ventura County through Ventura County Medical Center (VCMC), Santa Paula Hospital, primary and specialty care clinics, Ambulatory Care, Public Health, and Behavioral Health. Join our team and use your coding expertise to support accurate documentation, appropriate reimbursement, regulatory compliance, and quality patient care. Are you a detail-oriented coding professional who takes pride in accuracy and continuous learning? The Health Care Agency is seeking a Coder-Certified to perform outpatient facility and physician professional fee (Pro-Fee) coding across hospital and ambulatory care settings. Under general direction, the Coder-Certified reviews and analyzes medical documentation, assigns appropriate diagnosis and procedure codes, applies coding and billing guidelines, and collaborates with physicians and other healthcare professionals to support accurate and compliant...

Job Family : PFS Billing Travel Required : None Clearance Required : None The Medical Biller - Hospital Commercial Biller is expected to perform all areas of initial billing, secondary billing, and payer audit follow-up for government and non-government claims. Must work with other departments to facilitate the meeting of both departmental and facility goals and objectives. Demonstrates an ability to find solutions to problems and keeps management informed of patterns regarding billing edits, compliance issues, payments and or other issues with specific payers. Has an extensive knowledge of billing requirements mandated by payers and / or governmental regulations. This position will perform any and all related job duties as assigned. The Commercial Medical Biller will be working a Hybrid schedule two days in the San Marcos, CA office and three days from home. Essential Job Functions Hospital Billing Emphasis Correcting and billing...

Job Title Works independently performing program, compliance and risk-based reviews of health care related activities to ensure accuracy of related medical record documentation, coding, billing and policies. Provides written audit summary of findings to include audit recommendations. Conducts revenue cycle investigations to determine and mitigate risk through findings, reports, and recommended actions through an action plan. Responsible for coordinating, developing and conducting educational training based on audit outcomes. Provides educational training to coders, billers, physicians, and others on documentation requirements and correct coding of inpatient, outpatient and professional fee services. Assists Corporate Compliance in maintaining the hospital's Corporate Compliance Program. Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we...

Job TitleWorks independently performing program, compliance and risk-based reviews of health care related activities to ensure accuracy of related medical record documentation, coding, billing and policies. Provides written audit summary of findings to include audit recommendations. Conducts revenue cycle investigations to determine and mitigate risk through findings, reports, and recommended actions through an action plan. Responsible for coordinating, developing and conducting educational training based on audit outcomes. Provides educational training to coders, billers, physicians, and others on documentation requirements and correct coding of inpatient, outpatient and professional fee services. Assists Corporate Compliance in maintaining the hospital's Corporate Compliance Program.Job DescriptionLocated in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our...

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 (ICD-10)...

Health and Information Management – PB / ProFee Coder 3 weeks ago Be among the first 25 applicants TALENT Software Services provided pay range This range is provided by TALENT Software Services. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $40.40/hr - $41.60/hr Coding Educator (Temp-to-Hire, 13 Weeks) Location: Within *** Footprint (Hybrid – Mostly Remote with Local Travel) Type: Contingent / Temp-to-Hire Overview is seeking experienced Professional Fee (Pro Fee)–focused Coding Educators to support large-scale chart review, coding accuracy validation, physician education, and documentation improvement initiatives. These roles are high-visibility and require strong communication and presentation skills to engage directly with clinicians and support Sutter's revenue cycle, audit, and education functions. Key Responsibilities Coding Education & Training Deliver physician and coder education for...

Billing Specialist - Leading TX Center for over 40 years This Jobot Job is hosted by: Jamal Elkhateib Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $23 - $28 per hour A bit about us: We are a long-standing nonprofit treatment provider with over five decades of service in the recovery community. For over 40 years, we’ve helped more than 50,000 individuals overcome health challenges through compassionate, evidence-based care. With 300+ residential beds and a dedicated team of 150+ staff, interns, and volunteers, we offer comprehensive services that promote long-term sobriety and personal growth. Why join us? Medical Dental Vision 401K Growth Options Job Details The billing specialist ensures accurate and timely billing for services provided. This role is responsible for preparing, reviewing, and submitting claims, resolving denied or unpaid claims, and maintaining compliance with local, state, and federal...

Medical Billing Specialist Location: Long Beach, CA Pay: $27.00 – $31.00 /hr Schedule: Monday–Friday Hours: 9:00 AM – 5:00 PM Job Type: Full-Time About the Opportunity We're partnering with a well-established outpatient healthcare clinic to find a detail-oriented Medical Billing Specialist to join their revenue cycle team. This organization is known for its patient-centered, inclusive approach to care and its commitment to serving the communities it operates in. This is a great opportunity for a billing professional who thrives in a fast-paced clinical environment and wants to make a direct impact on the financial health of a mission-driven healthcare organization. What You'll Do Medical Billing & Revenue Cycle Submit insurance claims accurately and on time Review, correct, and resubmit denied or rejected claims Monitor accounts receivable and follow up on unpaid or underpaid claims Post payments, adjustments, and denials accurately Coordinate with providers and clinical staff...