14 profee coding auditor jobs found

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...

Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry‑standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation, coding, and billing in accordance with regulatory guidelines, payer policies, and Humana’s internal standards. WORK STYLE Remote / Work at home WORK HOURS Associates will work on EST, regardless of where the associate resides. All associates must start between 6 AM‑9 AM EST, Monday‑Friday as a dedicated schedule. Work hours can vary occasionally and/or depending on business needs. Responsibilities Conduct comprehensive...

Medical Biller (Inpatient/Medicare) for Physician Network (Remote) Our client is seeking a detail-oriented and knowledgeable Medical Biller (Remote) to join their team. This role is responsible for accurate and timely billing of inpatient, skilled nursing facility (SNF), and Medicare claims. The ideal candidate will have strong knowledge of healthcare billing regulations, coding guidelines and reimbursement processes, along with a commitment to compliance and accuracy. This organization is a regional network of credentialed physicians dedicated to improving the health status of patients and the communities they serve. This role plays a critical part in supporting that mission by ensuring the integrity of their revenue cycle operations. ________________________________________ Full time - Remote Direct Hire Key Responsibilities: • Prepare, review, and submit accurate claims for inpatient, skilled nursing, and Medicare services • Ensure compliance with all federal, state, and...

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...

100% remote Medical Coder needed / Must have hospital and/or acute care experience! This Jobot Consulting Job is hosted by: Christine McNamara Are you a fit? Easy Apply now by clicking the "Quick Apply" buttonand sending us your resume. Salary: $30 - $40 per hour A bit about us: We are currently seeking an experienced Inpatient Medical Coder to join our dynamic and fast-paced team. The successful candidate will play a crucial role in accurately coding patient records for our inpatient services. This is a fantastic opportunity to utilize your coding skills and knowledge in a challenging and rewarding environment, working with a variety of medical specialties and interacting with our dedicated healthcare professionals. This is a long term contract role with strong likelihood of converting to a permanent employee in 2027. Why join us? 100% remote work Flexible work schedule Growth opportunities Job Details Responsibilities 1. Reviewing and analyzing patient records to accurately...

10 Sarah Bush Lincoln Health Center seeks a Coding Auditor - Professional to ensure proper coding for clinic services. This full-time role involves assisting coders, conducting audits, and maintaining high accuracy in documentation. Ideal candidates will have a high school diploma and relevant certifications like CPC and CEMA. The position offers remote or hybrid work opportunities within specific states. Benefits include tuition reimbursement and comprehensive health coverage. #J-18808-Ljbffr

Overview Employment Type : Full Time In-Office Position 82 Orland Square Drive Orland Park, Illinois 60462 Benefits : M/D/V, Life Ins., 401(k) JOB SCOPE: Under general supervision, the Billing Specialist is responsible for all claim submissions, which includes verifying accuracy of charges and patient demographic information on claim detail. Responsible for timely follow-up with patients and third-party payers. Supports and adheres to The US Oncology Compliance Program, to include the Code of Ethics and Business Standards. HOURLY RANGE : $19.00 - $29.00 The US Oncology Network is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes! Come join our team in the fight against cancer! About The US Oncology Network The US Oncology Network is one of the nation's...

Salary: $25.89 - $28.48 Hourly Location : Springfield, IL Job Type: Civil Service Job Number: 2401379 Department: SIU HealthCare Coding-SMS Division: Administration Opening Date: 04/24/2026 Closing Date: 5/26/2026 3:30 PM Central FLSA: Non-Exempt Bargaining Unit: Non-Represented Shift: Days ExemptorNon_Exempt: Non-Exempt We recommend using the following browsers to complete the application: Desktop: Google Chrome, Edge with Chromium Mobile: Google Chrome, Safari Description The Revenue Cycle Coding Auditor will perform reviews for employees in the Coding department. Audits will include, but are not limited to; employee productivity and quality based on proper documentation, accuracy and coding guidelines. The Auditor will also provide feedback and support relating to departmental/role specific productivity and quality expectations. The incumbent for this position will utilize a high level of in-depth knowledge of the coding role to perform...

Become a part of our caring community 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. Where you Come In 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 accuracy of...

Ankura is a team of excellence founded on innovation and growth. Practice Overview: Ankura’s Health Care team is a recognized leader in health care disputes, compliance, and investigations. We combine unparalleled clinical, technical, and operational expertise with financial, economic, analytic skills. Our clients and their legal counsel rely upon us to successfully resolve complex matters. Ankura’s health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice leaders each have over 25 years of health care and consulting experience. The Ankura team has a mastery of the data and information systems used by providers, payers, and CMS. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic skills enabling us to help our clients and their legal counsel assess and quantify the potential impact of a dispute. Our clients include the largest...

Ankura is a team of excellence founded on innovation and growth. Practice Overview: Ankura's Health Care team is a recognized leader in health care disputes, compliance, and investigations. We combine unparalleled clinical, technical, and operational expertise with financial, economic, analytic skills. Our clients and their legal counsel rely upon us to successfully resolve complex matters. Ankura's health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice leaders each have over 25 years of health care and consulting experience. The Ankura team has a mastery of the data and information systems used by providers, payers, and CMS. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic skills enabling us to help our clients and their legal counsel assess and quantify the potential impact of a dispute. Our clients include the...

We recommend using the following browsers to complete the application: Desktop: Google Chrome, Edge with Chromium Mobile: Google Chrome, Safari Description The Revenue Cycle Coding Auditor will perform reviews for employees in the Coding department. Audits will include, but are not limited to; employee productivity and quality based on proper documentation, accuracy and coding guidelines. The Auditor will also provide feedback and support relating to departmental/role specific productivity and quality expectations. The incumbent for this position will utilize a high level of in-depth knowledge of the coding role to perform all audits based on specific departmental need. Examples of Duties PBS Auditor: 100% Conduct quality and productivity reviews of coding staff using structured and consistent review programs and methods. Demonstrate in-depth knowledge and experience with SIU-HC supported applications, including but not limited to Athena IDX, TouchWorks,...

Job Description Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Revenue Cycle Revenue Integrit Work Type: Full Time (Total FTE between 0.9 and 1.0) Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits). Pay Range: $29.36 - $47.79 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary: The Billing Coding Auditor uses advanced knowledge of billing, coding, auditing, documentation requirements, and charge capture to...

Description The Revenue Cycle Coding Auditor will perform reviews for employees in the Coding department. Audits will include, but are not limited to, employee productivity and quality based on proper documentation, accuracy, and coding guidelines. The Auditor will also provide feedback and support relating to departmental/role‑specific productivity and quality expectations. The incumbent will utilize a high level of in‑depth knowledge of the coding role to perform all audits based on specific departmental need. Duties Conduct quality and productivity reviews of coding staff using structured and consistent review programs and methods. Demonstrate in‑depth knowledge and experience with SIU‑HC supported applications, including but not limited to Athena IDX, TouchWorks, Epic, Cerner and Precision BI. Understand the integration of applications and their impact on business processes and operations. Provide on‑site guidance and assistance to end users as necessary. Review, develop and...