45 professional coding auditor and educator jobs found

Coding Auditor & Provider Educator NAH 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: Alabama Arizona Florida Georgia Idaho Indiana Kansas Michigan Missouri North Carolina Ohio Oklahoma Pennsylvania South Carolina Tennessee Texas Virginia The Coding Auditor & Provider Educator is a critical role responsible for ensuring the accuracy, completeness, and compliance of medical coding (CPT, HCPCS, ICD-10-CM) for professional services. This individual will conduct thorough coding audits, identify areas for improvement in documentation and coding practices, and develop and deliver targeted educational programs to physicians, advanced practice providers (APPs), and clinical staff. The primary goal is to optimize revenue integrity, mitigate compliance risks, and foster a culture of accurate and compliant documentation and...

The Coding Specialist reports to the Manager of Physician Coding. Ensures that appropriate diagnostic and procedural codes (CPT‑4, ICD‑9/10, HCPCS) are submitted for professional charges resulting in accurate claims processing, data retrieval, and analysis. Brown University Health employees are expected to successfully role‑model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES RESPONSIBILITIES • Assesses the adequacy of the documentation for the provider visit or procedure which supports the diagnosis. • Reviews procedure codes selected by the provider for hospital services and...

Medical Coder and Auditor - Family Care Practice Full-Time Monday - Friday Flexible Schedule $22.00 - $28.00 per hour (depending on experience) Medical Coder and Auditor Benefits: Generous paid time-off that increases with years of service 8 paid holidays per year Closed on major holidays Free onsite parking Health, dental and vision benefits availablewith coverage effective the first of the month following date of hire Full complement of voluntary benefits $1,000 annual employer HSA contribution for employeesenrolled in CNYFC high deductible health plan Free office visits with NP or PA employees who are patients of the practice and enrolled in CNYFC high deductible health plan Waiver program for health benefits ($3,000 annually) 401K after six months with up to 7% combined employer match and annual discretionary profit-sharing contribution Annual performance review, performance-based merit increase CNY Family Care's commitment to excellence sets us apart and guides us as we...

A healthcare organization is seeking an experienced Facility Outpatient Coding Auditor to join their remote team on a PRN basis. Responsibilities include performing coding quality audits, providing feedback and education to staff, and extracting clinical information for coding. Candidates should possess AHIMA or AAPC certification and have 2-3 years of experience in facility outpatient audits. This position offers opportunities for professional growth in a dynamic work environment with competitive pay. #J-18808-Ljbffr

Job Description Job Description Description: JOB SUMMARY: Responsible for accurate coding and billing of provider office, inpatient and outpatient charges to ensure coding and billing compliance is maintained. Maintains an extensive knowledge of CPT Procedural Coding, ICD-10 Diagnosis Coding and HCPCS Level II coding along with Evaluation and Management (E&M) documentation requirements. DUTIES & RESPONSIBILITIES: Responsible for reviewing and submitting charges from the coding workqueues (WQ). Manually enters off-premise charges in Charge Review. If applicable, manually enters in-house charges for certain Specialty areas as designated. Ability to code for many different Specialties as assigned. Provides cross-coverage in the department as needed and directed by the Coding and Compliance Manager /Data Collection Team Leader. If indicated, arrives the Surgery Schedule on a daily basis using the DAR function. Checks each patient in to create the visit number....

Overview Join Our Award-Winning Team and Work with the Best! We are excited to share that UASI has been recognized as a Top Workplace by the Cincinnati Enquirer in 2022, 2023 and 2024. With over 40 years of experience and enduring partnerships with our valued clients, we are proud of the stability we have built and the long-term success of our dedicated team. We are currently seeking an experienced Facility Outpatient Coding Auditor to join our team working remotely from a home office on a PRN basis. Responsibilities Performs coding quality audits and reviews on a variety of facility outpatient records including but not limited to: Same Day Surgery, Observations, ED and Infusions/Injections Provides feedback and education to coding staff 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 Assists in developing educational training content and materials for...

Join to apply for the Compliance Auditor Analyst role at Upstate Medical University 5 months ago Be among the first 25 applicants Join to apply for the Compliance Auditor Analyst role at Upstate Medical University Get AI-powered advice on this job and more exclusive features. Job Summary Position Summary: Under the direction of the Compliance Officer the main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or guidelines and professional coding and billing audits. Duties/Responsibilities Analysis of coding and billing data, identification of trends and aberrations. Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding, and billing guidelines. Interpretation of coding, billing, and regulatory standards. Preparation and completion of audit reports including recommendations, education and corrective action. Knowledge, Skills and Abilities: Strong...

Overview Unified Women’s Healthcare is a company dedicated to caring for Ob‑Gyn providers who care for others, be they physicians or their support staff. A team of like‑minded professionals with significant business and healthcare experience, we operate with a singular mindset — great care needs great care. We take great pride in not just speaking about this but executing on it. As a company, our mission is to be an indispensable source of business knowledge, innovation and support to the practices in our network. We are advocates for our Ob‑Gyn medical affiliates – enabling them to focus solely on the practice of medicine while we focus on the business of medicine. We are action oriented. We strategize, implement and execute – on behalf of the practices we serve. The Compliance Auditor performs comprehensive audit of care center locations/divisions. Reviews patient chart documentation for accuracy of Evaluation and Management (E/M) service levels, modifier use, in‑office...

Inpatient/DRG Validation Coding Auditor The Inpatient/DRG Validation Coding Auditor performs documentation and coding audits for all acute inpatient services for clients. Identifies coding errors, compliance, and educational opportunities, and optimizes reimbursement by ensuring that the diagnosis/procedure codes and supporting documentation accurately support the services rendered and comply with ethical coding standards/guidelines and regulatory requirements. Performs independent reviews, interprets medical records, and applies in-depth knowledge of coding principles to determine billing/coding/documentation issues and quality concerns. Demonstrates high level of expertise in researching requirements necessary to make compliant recommendations. Has an extensive understanding of reimbursement guidelines, specifically related to DRG (MS, APR, Tricare, etc.) payment systems. Conducts DRG (ex. MS, APR, Tricare) coding and clinical reviews to verify the accuracy of coding, DRG...

A healthcare institution in Albany, NY, is seeking a Senior Hospital Coder to perform detailed coding audits, provide education and feedback to staff, and ensure compliance with coding practices. The ideal candidate will possess strong knowledge in ICD-10-CM and CPT coding alongside leadership skills. The role demands commitment to ethical practices and involves educating clinical staff. The salary for this full-time position ranges from $60,367.47 to $90,551.20 depending on experience. #J-18808-Ljbffr

Workforce Classification: Telecommuter Join Our Team: Do Meaningful Work and Improve People’s Lives Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare. To better serve our customers, we are fostering a culture that emphasizes employee growth, collaborative innovation, and inspired leadership. We are dedicated to creating an environment where employees can excel and where top talent is attracted, retained, and thrives. As a testament to these efforts, Premera has been recognized on the 2025 America's Dream Employers list. Newsweek honored Premera as one of America's Greatest Workplaces, America's Greatest Workplaces for Inclusion, and America's Greatest Workplaces For Mental Well-Being, Forbes ranked Premera among America’s Best Midsize Employers for the fourth time. Learn how Premera supports our members,...

Schedule - Shift - Hours Full Time (40 Hours) - Days The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but is not limited to: Managing the charge entry and charge reconciliation process for the assigned practice(s). Managing the Encounter Billing Exception Worklist (EBEW) and related worklists to ensure complete, timely and accurate submission of claims. Facilitating the accuracy and completeness of the practice’s codes and charges in the Service Catalog (Charge Description Master) and related encounter forms. Ensuring compliance with CPT/HCPCS and ICD-9/ICD-10 coding guidelines and government regulations, responsible for reviewing and coding from discharge data abstracts. Ensuring the practice(s) is optimizing reimbursement from third party payors by following and utilizing reimbursement guidelines. Establishing relationships with medical/dental staff, following up with providers to...

The Supervisor, Medical Coding - Outpatient is responsible for the oversight and development of the office coding department. This includes mentorship and direct management of the outpatient medical coding team. The Supervisor of Medical Coding understands the organization’s core information technology and information management competencies to bring value to business processes and quality improvement initiatives. The Supervisor interacts with internal and external customers to ensure continuous improvement efforts are being achieved and new coding practices are being implemented. This will require periodic audits of documentation and productivity reports of staff. The Supervisor is responsible for the planning, organizing, and final execution of all processes necessary to provide timely, accurate, and complete posting and billing of patient demographic and clinical coding data as well as managing and tracking results. SECTION II: EDUCATION AND EXPERIENCE REQUIREMENTS: Bachelors...

Professional Coding Auditor - Remote page is loaded## Professional Coding Auditor - Remotelocations: 1275 Broadway Albany, NY 12204: 211 Church St Saratoga Springs, NY 12866: 100 Park Street Glens Falls, NY 12801: 71 Prospect Avenue Hudson, NY 12534time type: Full timeposted on: Posted 6 Days Agojob requisition id: 65977Department/Unit:Health Information ManagementWork Shift:Day (United States of America)Salary Range:$60,367.47 - $90,551.20Professional Coding Auditor will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding/charging/denials follow-up. Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines. Provide...

Overview Summary: Review, analyze and assign the final diagnoses and procedures as stated by the practicing provider's documentation following all compliance policies and guidelines. Accurately codes office and hospital procedures for providers to ensure reimbursement. Provides physician education to the providers to ensure proper completion of Electronic Health Records and proper assignment of ICD-10-CDM, HCPCS and CPT codes, verbally, physically, and in written forms. Responsibilities Review clinical documentation and code to the highest level of specificity for accurate charge capture. Interacts with providers to provide feedback/education utilizing physical, verbal and written communication skills. Assign and sequence appropriate codes and modifiers using current procedure, diagnosis, and HCPCS to services billed. Accurately follow coding guidelines and legal requirements to ensure compliance with Federal and State guidelines. Communicates with Physicians, other business...

This position can be local or remote!! The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but is not limited to: Managing the charge entry and charge reconciliation process for the assigned practice(s). Managing the Encounter Billing Exception Worklist (EBEW) and related work lists to ensure complete, timely and accurate submission of claims. Facilitating the accuracy and completeness of the practice’s codes and charges in the Service Catalog (Charge Description Master) and related encounter forms. Ensuring compliance with CPT/HCPCS and ICD-10 coding guidelines and government regulations, responsible for reviewing and coding from discharge data abstracts. Ensuring the practice(s) is optimizing reimbursement from third party payors by following and utilizing reimbursement guidelines. Establishing relationships with medical/dental staff, following up with providers to ensure documentation...

Senior Hospital Coder - TSH page is loaded## Senior Hospital Coder - TSHlocations: 22 New Scotland Avenue Albany, NY 12208time type: Full timeposted on: Posted Todayjob requisition id: 67645Department/Unit:Health Information ServicesWork Shift:Day (United States of America)Salary Range:$60,367.47 - $90,551.20The Senior Hospital Coder is responsible for performing detailed coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to...

Department / Unit :Health Information ManagementWork Shift :Day (United States of America)Salary Range :$60,367.47 - $90,551.20Professional Coding Auditor will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding / charging / denials follow-up.Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes.Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines.Provide education, instruction and training to providers and coding staff.This position is remote but does require onsite education to providers as needed.This position has remote opportunityThis position requires a CPC Certification - Upon HireTwo years or more prior experience in professional fee coding - requiredEssential Duties and...

Job Summary: The Coder is responsible for auditing medical records, including applicable diagnoses and operative/ diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS) and identifying opportunities for improvement as well as assuring compliance with coding and documentation guidelines. In addition the coder is responsible to provide education and training to providers and other agency coders based on the findings of the medical records audits. Does related work as required. Responsibilities: Using the current HCPCS, ICD and CPT coding guidelines, audits medical records for coding for accuracy Identifies patterns and opportunities requiring provider education. Works with providers and office staff to educate on proper coding and documentation. Identifies service-specific/provider specific trends for...

Job Description Align with an organization that has a reputation for excellence! Cedars‑Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company’s Workplace of the Year. We provide an outstanding benefit package that includes paid vacation, wellness initiatives and a 403(b). Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals. What you be doing in this role: The Physician Compliance Auditor is responsible for reviewing and auditing claims, medical records, and charges to ensure compliance with applicable documentation, coding, and billing requirements. Works closely with providers and staff to educate and train or provide audit results feedback through the use of Teams or other remote meeting platforms. The Physician Compliance Auditor identifies issues and/or risks associated with...

Medical Coder Integrated Management Strategies (IMS) is an award-winning, fast-growing woman-owned small business in the Washington DC area, specializing in healthcare, technology, and management consulting. We are seeking an experienced Medical Coder to join our healthcare consulting practice. The role is fully remote within the US, with infrequent travel to client locations for onboarding and training. We are proud of our national presence, and excited to offer great career opportunities within the organization. What you'll do: Accurately assign ICD-10 CM, E/M, ICD-10 PCS, CPT, HCPCS, modifiers and units based on documentation. Adhere to systems and standards required in multi-specialty medical coding encounters, including Outpatient, Emergency Room, Surgery, Inpatient facilities, Inpatient Professional Rounds, and others. Process encounters within required SLA on contract with deficiencies identified escalated as necessary. Review and respond to each audit within set...

Overview Coder Analyst Specialist, Clinical Document Integrity Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health’s employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology. Position Summary: Analyzes documentation in the medical record to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT-4 codes. Abstracts and codes procedures in conjunction with the provider to code services rendered with correct coding initiatives....

Job Description Job Description Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance 401(k) matching RECOVRY is seeking a highly organized and detail-oriented Medical Biller to join our healthcare team. The ideal candidate will be responsible for ensuring accurate and timely billing and coding for patient services as well as oversee our billing operations. This role will include administrative patient services. This role is a crucial part of our medical office, and we are looking for someone who is passionate about providing excellent patient care while also ensuring the financial well-being of our organization. Duties: Utilize medical coding skills to assign accurate ICD-10 and CPT codes to patient records and submit claims to insurance companies Verify patient insurance coverage and obtain necessary authorizations for services Analyze and resolve billing discrepancies and denials in a timely and efficient manner Maintain accurate...

Overview Job Description Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes. Responsibilities Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. Demonstrates effective skills in validation; provides ad-hoc education to the coding staff. Able to communicate effectively with coders and CDI staff. Demonstrates knowledge of coding policy and procedures. Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies. Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing. Reviews potential reassignments; demonstrates accurate and timely review of all reassignments. Implements coding changes; demonstrates ability to relate coding changes accurately and efficiently to staff. Operates under general...