29 profee coding auditor jobs found

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,...

Job Description Job Description The Medical Billing Specialist plays a crucial role in healthcare financial operations by managing patient billing processes and ensuring accurate and timely reimbursement from insurance companies and patients. This role requires expertise in medical billing systems, coding accuracy, and strong communication skills to interact with healthcare providers and payers effectively. Responsibilities Process and review medical claims for accuracy and compliance with insurance requirements Submit claims to insurance companies and follow up on unpaid or denied claims Verify patient insurance coverage and eligibility Maintain accurate patient billing records and documentation Follow up on unpaid or denied claims through effective collection strategies. Assist in resolving billing inquiries from patients and insurance companies promptly and professionally. Collaborate with healthcare providers to ensure correct coding and billing...

Hospital Outpatient Coder Senior reviews, analyzes and assigns codes for diagnoses and procedures information that uses International Classification of Diseases, Tenth Revision, Clinical Modification (ICD‑10‑CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS). The position promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. It ensures compliance with established coding guidelines, federal regulations, and accreditation guidelines. Hospital Outpatient Coder Senior is expected to function as a subject matter expert, assist less experienced team members on operational policies, train and onboard new team members, and participate in special projects assigned by the Mid Revenue Cycle leadership. Responsibilities Determine proper codes and modifiers for all billable services utilizing ICD‑10‑CM, CPT, and HCPCS code sets in accordance with coding compliant guidelines, federal...

Job Opportunity At Memorial Healthcare System Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Job Description Reviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing, and compliance. Responsibilities For hospital encounters, routes to billing charge entry errors and/ or account edits preventing completion of coding and/or billing. Makes appropriate coding corrections when advised and follows procedure to notify billing. Reviews chargemaster generated CPT/HCPCS codes, when errors are found Coding Management is notified to alert Charge Management to educate department making errors. Makes appropriate coding...

Job Description Job Description Description: Position Overview The 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. Requirements: 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 guidelines Maintain accuracy and productivity standards in a high-volume environment Support internal audits and quality improvement initiatives Required Qualifications Minimum 2+ years of professional billing coding experience Proven experience with vascular surgery coding Strong knowledge of CPT, ICD-10-CM, modifiers, and NCCI edits CPC or equivalent certification...

Service Warranty Booker/Coder AutoNation is one of the largest automotive retailers in the United States, offering innovative products, exceptional services, and comprehensive solutions, empowering our customers to make the best decisions for their needs. With a network of dealerships nationwide strengthened by a recognized brand, we offer a wide variety of new and used vehicles, customer financing, parts, and provide expert maintenance and repair services. Through DRV PNK, we have raised over $40 million for cancer-related causes, demonstrating our commitment to making a positive difference in the lives of our Associates, Customers, and the communities we serve. So what do you say? Are you ready to be part of something big? The Service Warranty Booker/Coder is responsible for reviewing and coding warranty repairs and claims. This includes booking, coding, researching warranty claims and billing them to the appropriate operation codes. What Are The Day-To-Day Responsibilities?...

Overview FTE: .20 Shift Hours: VARIABLE Work Location: Remote - Authorized remote work states - FL, GA, MO, PA, NC, SC, TN and TX Position Summary: Under general supervision, the Coder reviews, analyzes, and assigns final diagnoses and procedures based on provider documentation, adhering to all compliance policies and guidelines. The Coder accurately codes office and hospital procedures to ensure proper reimbursement. This position also provides physician education to ensure proper completion of Electronic Health Records and accurate assignment of ICD-10, CDM, HCPCS, and CPT codes , delivered verbally, physically, and in written form. Responsibilities Review clinical documentation and code to the highest level of specificity for accurate charge capture. Interact with providers to provide feedback and education using verbal, written, and in-person communication. Assign and sequence appropriate codes and modifiers using current procedure, diagnosis, and HCPCS coding for...

Physician Billing Coder (Surgical) | Revenue Cycle Admin | Days| PRN Pool | CERTIFIED | REMOTE University of Florida Jacksonville Physicians, Inc. is seeking an experienced Physician Billing Coder for a remote position. This role requires strong coding expertise and a commitment to maintaining compliance with all regulations. Overview FTE: 0.20 Shift Hours: Monday - Friday - VARIABLE Work Location: Remote (within approved states: FL, GA, MO, PA, SC, TN, and TX) Position Summary Under general supervision, the Coder reviews, analyzes, and assigns final diagnoses and procedures based on provider documentation, adhering to all compliance policies and guidelines. The Coder accurately codes office and hospital procedures to ensure proper reimbursement. This position also provides physician education to ensure proper completion of Electronic Health Records and accurate assignment of ICD-10, CDM, HCPCS, and CPT codes, delivered verbally, physically, and in written form....

Overview FTE: .20 Shift Hours: VARIABLE Work Location: Remote - Authorized remote work states - FL, GA, MO, PA, NC, SC, TN and TX Position Summary Under general supervision, the Coder reviews, analyzes, and assigns final diagnoses and procedures based on provider documentation, adhering to all compliance policies and guidelines. The Coder accurately codes office and hospital procedures to ensure proper reimbursement. This position also provides physician education to ensure proper completion of Electronic Health Records and accurate assignment of ICD-10, CDM, HCPCS, and CPT codes , delivered verbally, physically, and in written form. Responsibilities Review clinical documentation and code to the highest level of specificity for accurate charge capture. Interact with providers to provide feedback and education using verbal, written, and in-person communication. Assign and sequence appropriate codes and modifiers using current procedure, diagnosis, and HCPCS coding for...

Physician Billing Coder | Revenue Cycle - Team 5 - Surgery | Days | Full-Time | CERTIFIED | REMOTE Position: Remote Coder – Office/Hospital FTE: 1.0 Shift Hours: Monday – Friday Work Location: Remote – Authorized remote work states: FL, GA, MO, PA, NC, SC, TN and TX. Under general supervision, this role reviews, analyzes, and assigns final diagnoses and procedures based on provider documentation, following all compliance policies and guidelines. The Coder accurately codes office and hospital procedures to ensure proper reimbursement. Additionally, this position provides physician education to ensure proper completion of Electronic Health Records and accurate assignment of ICD‑10, CDM, HCPCS, and CPT codes, delivered verbally, physically, and in written form. Key Responsibilities Review clinical documentation and code to the highest level of specificity for accurate charge capture. Interact with providers to provide feedback and education using physical, verbal, and written...

Position Highlights: Hospital Outpatient Coder Senior reviews, analyzes and assigns codes for diagnoses and procedures information that uses International Classification of Diseases, Tenth Revision, Clinic Modification ("ICD- 10-CM"), Current Procedural Terminology ("CPT"), and Healthcare Common Procedure Coding ("HCPCS") coding. The Hospital Outpatient Coder Senior promotes provider/patient continuity, accurate database information and the ability to optimize reimbursement. In addition, this position ensures compliance with established coding guidelines, federal regulations and accreditation guidelines. Hospital Outpatient Coder Senior is expected to function as a subject matter expert on the team and assist less experience team members on following operational policies. It is responsible for training and onboarding new team members and participating in special projects assigned by the Mid Revenue Cycle leadership. Responsibilities: Determine the proper codes and...

Job Description 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...

*This position is onsite within our CBO office Introduction Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Medical Biller today with Surgery Ventures. Benefits Surgery Ventures offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care...

Overview FTE: 1.0 Hours: Monday - Friday, 8:00 AM - 5:00 PM Location: Remote (eligible only within FL, GA, MO, PA, SC, TN, and TX) Position Summary This role is responsible for reviewing, analyzing, and assigning final diagnoses and procedures as documented by the practicing provider, following all compliance policies and guidelines. The position ensures accurate coding of office and hospital procedures to guarantee proper reimbursement. Key Responsibilities Providing physician education to ensure proper completion of Electronic Health Records (EHR). Ensuring correct assignment of ICD-10-CM, HCPCS, and CPT codes. Delivering education verbally, in writing, and through hands‑on training as needed. Responsibilities Review clinical documentation and code to the highest level of specificity for accurate charge capture. Interact with providers to provide feedback and education using verbal, written, and hands‑on communication methods. Assign and sequence appropriate codes and...

Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. As the only National Cancer Institute-designated Comprehensive Cancer Center based in Florida, Moffitt employs some of the best and brightest minds from around the world. Join a dedicated team of nearly 10,000 who are shaping the future we envision. Moffitt has been recognized as a Best and Brightest Company to Work for in the Nation, a Digital Health Most Wired Organization and continually named one of the Tampa Bay Time's Top Workplaces. A National Cancer Institute (NCI)-designated Comprehensive Cancer Center since 2001. Summary Position Highlights: Hospital Outpatient Coder Senior reviews, analyzes and assigns codes for diagnoses and procedures information that uses International Classification of Diseases, Tenth Revision, Clinic Modification ("ICD- 10-CM"), Current Procedural Terminology ("CPT"), and Healthcare Common Procedure Coding ("HCPCS") coding. The...

At Houston Methodist, the Lead Outpatient Coder position is responsible for providing administrative support to the department while ensuring diagnostic and procedure codes are assigned accurately to outpatient encounters based upon documentation within the electronic medical record and maintaining compliance with established rules and regulatory guidelines. This position serves as the liaison between management, staff and physicians for routine matters, resolving questions and issues. Duties may be varied and may include many of the following: organize work schedules, create work assignments, review timecards for accuracy, conduct quality assurance audits of staff performance, develop and implement quality improvement activities, train and mentor staff, provide feedback on staff performance and developmental needs, collect/analyze/report on data, prepare reports on performance and metrics, and other responsibilities of a similar nature and level. FLSA STATUS Non-exempt...

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

Candidate should ideally be located in Miami, FL or Orlando, FL 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 takes...

Description Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Medical Biller today with Surgery Ventures. Introduction Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Medical Biller today with Surgery Ventures. Benefits Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal...

Overview North Florida Surgeons is a leading healthcare provider committed to delivering exceptional patient care and service. We have over 300 medical providers and physician extenders and are currently seeking a detail-oriented and motivated Medical Coding Specialist to support our revenue cycle department. This role is essential in ensuring accurate coding for services rendered, which directly impacts reimbursement and compliance. The Medical Coder is responsible for reviewing clinical documentation and assigning appropriate ICD-10, CPT, and HCPCS codes for billing and reimbursement. This position works closely with providers, billing staff, and insurance companies to ensure coding accuracy and compliance with federal regulations. Key Responsibilities Review medical records and documentation to assign accurate diagnosis and procedure codes Responsible for coding office visits and surgeries Collaborate between clinical, billing and patient services departments to ensure...

Overview Baptist Health is the region’s largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families...

A leading not-for-profit healthcare organization in Florida seeks an experienced E&M Coding Auditor/Educator. You will be responsible for conducting comprehensive audits to ensure the integrity of coding and billing for clinical fees and develop educational programs based on the audit results. The ideal candidate must possess certifications in coding, have at least 4 years of relevant experience, and excel in customer service. A robust understanding of E&M regulations is essential. Competitive hourly pay of $26.13 - $33.97 is offered. #J-18808-Ljbffr

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. Job Description 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 and 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, outpatient, and psych. Works...

Overview Position Summary: This role is responsible for reviewing, analyzing, and assigning final diagnoses and procedures as documented by the practicing provider, following all compliance policies and guidelines. The position ensures accurate coding of office and hospital procedures to guarantee proper reimbursement. Responsibilities Review clinical documentation and code to the highest level of specificity for accurate charge capture. Interact with providers to provide feedback and education using verbal, written, and hands-on communication methods. Assign and sequence appropriate codes and modifiers using current procedure, diagnosis, and HCPCS codes for billed services. Accurately follow coding guidelines and legal requirements to ensure compliance with Federal and State regulations. Communicate with physicians, business group personnel, clinical staff, and other relevant parties regarding coding-related questions. Manage coding-related edit work queues efficiently....