36 professional coding auditor jobs found

Overview Are you ready to take the next step in your professional journey? At Minnesota Oncology, we believe that our people are our greatest asset, and we are committed to fostering a diverse and inclusive workplace where everyone can thrive. We are constantly on the lookout for talented individuals who are passionate, driven, and eager to make a difference. Come join this dynamic team who is passionate about providing exceptional care to our patients. Why Work for Us? We offer a competitive benefits package that includes - Medical Dental Vision Free Life Insurance Generous Paid Time Off (PTO) Plan Free Short-term and Long-term Disability Coverage 401k plan with company contribution Wellness program that rewards your healthy lifestyle Tuition Reimbursement Employee Assistance Program and Discount Program to some of your favorite retailers Free Parking Career Growth and Development Supportive Team and Resources This position may be...

Solventum is seeking a Senior Medical Auditor to enable safer healthcare through rigorous audits, education, and collaboration. This remote role involves staying current with coding guidelines and supporting clients worldwide. ideal candidates will have a strong auditing background, ICD-10-CM/PCS/CPT expertise, relevant certifications, and a proven eye for detail. Remote work with up to 10% travel may apply. #J-18808-Ljbffr

Overview Are you ready to take the next step in your professional journey? At Minnesota Oncology, we believe that our people are our greatest asset, and we are committed to fostering a diverse and inclusive workplace where everyone can thrive. We are constantly on the lookout for talented individuals who are passionate, driven, and eager to make a difference. Come join this dynamic team who is passionate about providing exceptional care to our patients. Why Work for Us? We offer a competitive benefits package that includes - Medical Dental Vision Free Life Insurance Generous Paid Time Off (PTO) Plan Free Short-term and Long-term Disability Coverage 401k plan with company contribution Wellness program that rewards your healthy lifestyle Tuition Reimbursement Employee Assistance Program and Discount Program to some of your favorite retailers Free Parking Career Growth and Development Supportive Team and Resources This position may be remote for well-qualified applicants....

Optum in Minnesota seeks an Evaluation & Management Medical Coder/Auditor to provide coding and auditing services to providers. The role emphasizes education outreach, research, and maintaining accurate procedure codes, modifiers, and units. The position is full-time with standard CST hours and potential overtime. Telecommuting from anywhere in the U.S. is supported, with virtual training and onboarding. #J-18808-Ljbffr

OrthoVirginia Inc is seeking a Medical Auditor (Billing & Coding) to audit coding and documentation for providers and educate clinicians on documentation requirements and billing compliance. The role works under the Billing & Coding Compliance Manager with travel to regional offices. The successful candidate will review audits, prepare reports, and stay current with E/M guidelines while supporting the organization’s compliance program. #J-18808-Ljbffr

Experienced Associate, Healthcare ForensicsThe Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients.Job Duties:Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance mattersContributes to forensic engagements related to medical coding and...

Optum in Minnesota seeks an Evaluation & Management Medical Coder/Auditor to provide coding and auditing services to providers. The role emphasizes education outreach, research, and maintaining accurate procedure codes, modifiers, and units. The position is full-time with standard CST hours and potential overtime. Telecommuting from anywhere in the U.S. is supported, with virtual training and onboarding. #J-18808-Ljbffr

Job Description Job Description Description: Riverland Community Health is a Federally Qualified Health Center in St. Paul, where patients receive community-based Family Practice medical care in addition to mental health, dentistry, social work and other integrated services. When joining RCH, you become part of a diverse, inclusive, and welcoming team who are dedicated to serving our patients and pursuing our mission to deliver excellent healthcare for all and training for the providers of tomorrow.  JOB SUMMARY: The Medical Coding Specialist / Provider Educator is responsible for the review of medical records, notes, dictation and other related documentation to ensure the accurate and timely submission of charges for professional services provided by physicians and other providers as well as diagnoses for clinic services. The Medical Coding Specialist / Provider Educator is also responsible for conducting coding audits, providing education and communication of process...

Join OptumOptum 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. Join us to start Caring. Connecting. Growing together.You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Review provider documentation and medical records to assign appropriate diagnosis and procedure codesAbstract and code professional fee services for non-invasive cardiology procedures, including but not limited to:Stress testing (exercise and pharmacologic)Stress...

Optum is hiring a Senior Medical Coder for remote nationwide work. The role emphasizes accurate CPT, ICD-10-CM, and HCPCS coding with audits and denial management to optimize reimbursement. Strong query and provider communication skills are needed to maintain revenue cycle integrity. The position requires 3+ years of professional coding experience, CPC/CPC-H/CPC-P or RHIT/RHIA/CCS credentials, and Epic experience is a plus. Salary reflects market norms for this senior coding role. #J-18808-Ljbffr

Join Optum 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. Join us to start Caring. Connecting. Growing together. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Review provider documentation and medical records to assign appropriate diagnosis and procedure codes Abstract and code professional fee services for non-invasive cardiology procedures, including but not limited to: Stress testing (exercise and...

Senior Medical Coder 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Medical Coder performs concurrent review of FFS coding rules, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. This position will support coding functions within charge review, claim edits, and denials and play a critical role in maintaining coding accuracy and supporting revenue cycle integrity....

Summary Join the Indian Health Service and make a meaningful impact in Native communities. In this role, you will support vital healthcare operations that ensure patients receive timely, high-quality care. If you're looking for a rewarding career where your work directly supports patient services and community well-being, we encourage you to apply. Duties Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures. Ensures diagnostic and procedural terminology aligns with current medical nomenclature and...

Evaluation & Management Medical CoderOptum 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.As an Evaluation & Management Medical Coder, you will provide coding and coding auditing services directly to providers. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes. The ideal candidate will possess prior experience of any kind talking to physicians,...

Coding SpecialistThe Coding Specialist is responsible for the accurate and timely review, abstraction, and assignment of diagnosis and procedure codes for outpatient and/or inpatient medical records. This position ensures compliance with ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and applicable payer guidelines while supporting optimal reimbursement, data integrity, quality reporting, and regulatory requirements. The employee must maintain effective communication and good working relationships with the revenue cycle personnel, other departments, Medical Staff and the public, in conjunction with organization policies.Essential duties and responsibilities include the following. Other duties may be assigned:Review medical records and clinical documentation to assign accurate diagnosis and procedure codes.Abstract pertinent patient, physician, and clinical information into applicable information systems.Apply ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding guidelines according to official coding...

Inpatient CoderDatavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.What We're Looking ForWe're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule,...

Join the Indian Health Service in Cass Lake, Minnesota, as a Medical Records Technician. In this role, you'll support healthcare operations and ensure that patients receive high-quality care through accurate coding and documentation standards. Responsibilities include reviewing medical records, assisting providers with coding compliance, and contributing to performance improvement audits. Certification as a Professional Coder is preferred. This position offers an opportunity to significantly impact Native communities. #J-18808-Ljbffr

UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others. Join us to start Caring. Connecting. Growing together. Quality at UnitedHealth Group means striving for excellence in everything we do in order tohelp us achieve our Mission. Simply put, it's in our DNA and why we're in business - to help people. Our Mission serves as our why;ourValuesunite us around how we willachieve it. Because when we follow our Mission and live our Values, we deliver Quality. We are seeking a detail-oriented and analytical professional to join our team as a Healthcare System Revenue Cycle Compliance Auditor ....

At Unifeye Vision Partners (UVP) our mission is simple: to partner with leading eye care practices and support them in their quest to improve the quality of their patients' lives. We are building the leading, nationally recognized integrated eye care community in the country through these partnerships and our commitment to upholding our mission and core values. Unifeye Vision Partners is currently hiring for a full-time Medical Billing (AR) Specialist. This position is fully remote. Ophthalmology billing experience is preferred. SUMMARY The Medical Billing (AR) Specialist at UVP plays a vital role in the revenue cycle process by ensuring accurate and timely submission of medical claims, working denials, and supporting the financial health of the organization. This individual will work closely with clinical and administrative teams to ensure billing accuracy and compliance with payer requirements. Starting pay for the position is $22.00-24.00/hour. ESSENTIAL DUTIES AND...

UnitedHealth Group seeks an Evaluation & Management Medical Coder to translate diagnoses and procedures into codes and perform coding audits. The role involves telephonic outreach to providers, with substantial focus on education and ensuring proper documentation and coding practices. The job includes full-time hours 8:00 AM - 4:00 PM CST, potential overtime, and virtual training from home. Telecommute availability is offered across the U.S., reflecting our flexible work model. #J-18808-Ljbffr

Medical Billing (AR) Specialist At Unifeye Vision Partners (UVP) our mission is simple: to partner with leading eye care practices and support them in their quest to improve the quality of their patients' lives. We are building the leading, nationally recognized integrated eye care community in the country through these partnerships and our commitment to upholding our mission and core values. Unifeye Vision Partners is currently hiring for a full-time Medical Billing (AR) Specialist. This position is fully remote. Ophthalmology billing experience is preferred. Summary The Medical Billing (AR) Specialist at UVP plays a vital role in the revenue cycle process by ensuring accurate and timely submission of medical claims, working denials, and supporting the financial health of the organization. This individual will work closely with clinical and administrative teams to ensure billing accuracy and compliance with payer requirements. Starting pay for the position is $22.00-24.00/hour....

UnitedHealth Group seeks an Evaluation & Management Medical Coder to provide coding and auditing services for providers nationwide. You will translate clinical diagnoses into codes, educate provider offices, and audit claims to ensure proper coding. The role requires telecommunication with physicians and staff and supports remote work within the U.S. The position is full-time with standard hours 8:00 AM–4:00 PM CST, with occasional overtime as needed. #J-18808-Ljbffr

UnitedHealth Group is seeking a dedicated Evaluation & Management Medical Coder to deliver coding and auditing services to providers. You will translate diagnoses and procedures into codes, educate provider offices, and perform claim audits. Remote work options allow telecommuting from anywhere in the U.S. with standard hours 8:00 AM–4:00 PM CST and occasional overtime. Ideal candidates have CPC/COC or AHIMA/AAPC credentials and 2+ years in E/M coding, plus strong communication with physicians #J-18808-Ljbffr

Medical Billing (AR) Specialist At Unifeye Vision Partners (UVP) our mission is simple: to partner with leading eye care practices and support them in their quest to improve the quality of their patients' lives. We are building the leading, nationally recognized integrated eye care community in the country through these partnerships and our commitment to upholding our mission and core values. Unifeye Vision Partners is currently hiring for a full-time Medical Billing (AR) Specialist. This position is fully remote. Ophthalmology billing experience is preferred. Summary The Medical Billing (AR) Specialist at UVP plays a vital role in the revenue cycle process by ensuring accurate and timely submission of medical claims, working denials, and supporting the financial health of the organization. This individual will work closely with clinical and administrative teams to ensure billing accuracy and compliance with payer requirements. Starting pay for the position is $22.00-24.00/hour....