Professional coding auditor and educator jobs

Professional Coding Auditor and Educator - Remote

Tufts Medicine Fort Worth, TX, USA

Professional Coding Auditor And Educator - Remote This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following Health Information Management duties: Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a "hands on" environment. The majority of time is spent in the delivery of support services or activities, typically under supervision. An experienced level role that requires basic knowledge of job procedures and tools obtained through work experience and may require vocational or technical education. Works under moderate supervision, problems are typically of a routine nature, but may at times require interpretation...

Full Time

Coding Educator & Auditor Revenue Integrity (Remote Opportunity, Texas residents only)

UNIVERSITY HEALTH San Antonio, TX, USA

University Health is one of the largest employers in San Antonio. We are a nationally recognized teaching hospital and consistently recognized as a leader in advanced treatment options, new technologies and clinical research. Our mission is to improve the good health of the community through high quality compassionate patient care, innovation, education and discovery. We are currently looking for a talented health professional to join our team as a Coding Educator & Auditor for our Revenue Integrity department . This is an exciting opportunity to join a company with a reputation for exceptional service and patient care. The Position : Works under the direct supervision of the Coding Education & Audit Manager. Will perform any or a combination of the following types of coding education and audit: Basic ancillary services, Emergency Room services, Hospital Observation, Ambulatory surgery, Inpatient Admission. Utilizes the ICD-10-CM and CPT coding...

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Coding Auditor and Provider Educator - Remote (see full posting for eligible states)

Northern Arizona Healthcare Austin, TX, USA

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...

Full Time

On-site Medical Coder Educator - (AAPC or AHIMA)

Gonzaba Medical Group San Antonio, TX, USA

General Summary: The Coding Educator is responsible for the development, management, and oversight of a comprehensive coding program encompassing all activities of the organization. This position serves as the documentation and coding liaison to clinicians, ensuring compliance with government and organizational policies and procedures. Supervisory Responsibilities: General Requirements: This position has no supervisory responsibilities. All duties performed will be done accurately and in a timely manner. 1. Ensures customer service is always maintained at the highest level. 2. Exercise tact and courtesy when dealing with patients, visitors, providers, and co-workers. 3. Must always adhere to customer service expectations including in-person and virtual (via telephone, or telehealth applications) communication. 4. English and...

Full Time

Physician (ProFee) Coding Manager - Remote

Citizens Medical Center Remote (TX, USA)

Assists the CMP Revenue Cycle Director (“Director”) in planning, administering, and directing the day-to-day operations of the coding department of Citizens Medical Professionals (“CMP”). JOB DUTIES AND RESPONSIBILITIES: Develops and carries-out departmental goals and objectives in conjunction with the organization’s mission, strategic plans, and other identified needs, as well as in the planning, supervising, coordinating and directing the activities of the department. (EF) Monitors coding operations and recommends departmental policy and procedures to CMP’s Revenue Cycle Director and complies with and enforces hospital and department policies and procedures, including oversight and compliance with CMP’s coding and documentation policies. (EF) Coordinates with the CMP providers and clinics, as well as physician patient access and billing departments, on coding and documentation processes so that maximum financial reimbursement can be obtained. (EF)...

Full Time

Manager, Coding

Medix Hybrid (Mount Pleasant, TX, USA)

Please note that this is a contract to hire opportunity via Medix. Position Summary: The Coding Manager plays a critical role in ensuring accurate and compliant coding practices for this Texas based regional medical center. This leadership position requires a deep understanding of medical coding guidelines, strong analytical skills, and a commitment to quality and efficiency. The Manager will oversee the activities of all internal and external coders, ensuring they assign accurate and timely codes for all healthcare services provided. They will also be responsible for staying abreast of coding regulation updates, implementing process improvements, and maintaining coding compliance. Essential Functions -Provide comprehensive leadership and oversight for all coding operations. -Assigns and sequencing accurate diagnosis (ICD-10-CM) and procedure (CPT) codes based on physician documentation and medical records. -Adheres to all relevant coding guidelines and regulations (e.g.,...

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Senior Medical Coder

Clover Health El Paso, TX, USA

Senior Medical Coder At Clover Health, we are committed to providing high-quality, affordable, and easy-to-understand healthcare plans for America's seniors. We prioritize preventive care while leveraging data and technology through the Clover Assistant, a powerful tool that helps physicians make informed health recommendations. By giving doctors a holistic view of each member's complete health history, we ensure better care at a lower costdelivering the highest value to those who need it most. We're building a modern operating model for medical codingone that connects Risk Adjustment, Payment Integrity, and Quality (STARS/HEDIS) into a single, data-driven system. This is a rare opportunity to work at the center of that transformation: ensuring compliant, high-quality coding today while helping design the workflows that will define how a plan of the future operates. As part of the Office of the CEO's AI Ops initiative, you'll combine deep subject matter expertise with an...

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Biller Coder

Lynn County Hospital District Tahoka, TX, USA

Job Description Job Description Description: Title: Medical Biller & Coder (Cross-Trained in Registration & Education Support) Department: Revenue Cycle / Business Office Reports To: Business Office & Billing Operations Manager FLSA Status: Non-Exempt Location: Rural Critical Access Hospital / Multi-Clinic Health System Position Summary The Medical Biller & Coder is responsible for accurate and compliant coding, charge review, claim preparation, and follow-up to ensure timely reimbursement for hospital and clinic services. This position also plays a critical role in identifying trends, documentation gaps, coding issues, and new regulatory or payer updates—and communicating these findings through staff education. This position works under the direct supervision of the Business Office & Billing Operations Manager, who provides oversight, training, and direction for all billing, coding, registration cross-training, and revenue cycle...

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Medical Coding Supervisor

Decypher San Antonio, TX, USA

Job Description Job Description Decypher is seeking a Medical Coding Supervisor to join us in our mission supporting the Defense Health Agency (DHA). This is more than just a job; its an opportunity to lead a team in a supportive and dynamic environment where your skills and passion can truly shine. If you are enthusiastic about making a difference in the support of the US military community and demonstrate unwavering dedication to achieving excellence, you may be the perfect fit for our team. Core Duties: Lead a large team of medical coders and medical coding auditors to meet and exceed customer medical coding requirements (in-patient and out-patient). Ensure team meets and exceeds productivity and quality standards within budget. Maintain proper staffing and provide for continual professional training of team members. Schedule and oversee medical coding team activities. Validate work efforts are properly recorded and accurately reported. Resolve personnel, system and...

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Medical Coder - Boerne

Woundlocal Boerne, TX, USA

Job Description Job Description Woundlocal is looking for a detail-oriented Medical Coder to join our dynamic team in Boerne! Responsibilities: Review and analyze medical documentation to ensure accurate coding and billing processes. Assign appropriate codes for diagnoses, procedures, and services according to the guidelines and regulations. Stay up-to-date with coding standards and insurance requirements, including ICD-10, CPT, and HCPCS coding systems. Collaborate with healthcare providers to clarify documentation and ensure completeness. Identify and resolve discrepancies in medical records and coding for accurate claims processing. Evaluate and re-file appeals of patient claims that were denied. Stay up-to-date on new coding ruleas and code changes. Assist in audits and provide necessary documentation for compliance and quality assurance activities. Collect and distribute coding related information and billing issues to management and provider when changes...

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Hospital Inpatient Coder "USA applicants only"

Addison Group Houston, TX, USA

Job Description Job Description Job Title: Hospital Inpatient Coder (Remote) "USA applicants only" Location: Fully Remote Industry: Healthcare / Hospital & Health System Job Type: Direct Hire (not contract or temp to perm) Pay: $30 – $37 / hour Quarterly performance bonus up to $1,000 (total potential $4,000 per year) Benefits: This position is eligible for (Medical, Dental, Vision, 401k, PTO, Sick Time) About Our Client: Our client is a nationally recognized healthcare organization with a long-standing history of compassionate patient care and innovation. They provide exceptional medical services across a variety of acute care and community hospital settings. Their teams are dedicated to integrity, quality, and collaboration, ensuring the highest standards in every area of their operations. Job Description: Addison Group is hiring an experienced Inpatient Coder to support our client’s remote coding team. This position is responsible for accurately...

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Sr. Medical Coder (Inpatient)

Odyssey Information Services Houston, TX, USA

Job Description Job Description We're seeking an experienced Inpatient Coder to join our remote Health Information Management team. This advanced coding role functions with a high degree of independence and requires strong analytical skills, coding accuracy, and clinical understanding across a wide variety of specialties. You'll be responsible for accurately assigning ICD-10-CM/PCS diagnosis and procedure codes and MS-DRGs for inpatient hospital services across complex medical and surgical cases. This includes specialties such as Neurology, Oncology, Urology, Transplant, OB/Newborn, Orthopedics, Cardiology, and Critical Care — including trauma and acutely ill patients. This position offers the opportunity to work in a collaborative, quality-driven environment where coders partner closely with Clinical Documentation Improvement (CDI) teams and providers to ensure complete and compliant medical records. Key Responsibilities Assign accurate ICD-10-CM/PCS diagnosis and...

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Lead Inpatient Coder

Houston Methodist Houston, TX, USA

Overview At Houston Methodist, the Lead Inpatient Coder position is responsible for providing administrative support to the department while ensuring diagnostic and procedure codes are assigned accurately to inpatient 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. Houston Methodist Standard...

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Medical Coder - Austin

Woundlocal Austin, TX, USA

Job Description Job Description Woundlocal is looking for a detail-oriented Medical Coder to join our dynamic team in Austin! Responsibilities: Review and analyze medical documentation to ensure accurate coding and billing processes. Assign appropriate codes for diagnoses, procedures, and services according to the guidelines and regulations. Stay up-to-date with coding standards and insurance requirements, including ICD-10, CPT, and HCPCS coding systems. Collaborate with healthcare providers to clarify documentation and ensure completeness. Identify and resolve discrepancies in medical records and coding for accurate claims processing. Evaluate and re-file appeals of patient claims that were denied. Stay up-to-date on new coding ruleas and code changes. Assist in audits and provide necessary documentation for compliance and quality assurance activities. Collect and distribute coding related information and billing issues to management and provider when changes...

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Coder II

Trinity Health Dallas, TX, USA

Remote Coding Specialist This is a REMOTE position. Provides high level technical competency and subject matter expertise analyzing charge review errors and claim edits for complex services, including code selection of surgical procedures, and assessment of high-acuity type services. Ensures correct charge capture and coding with proper CPT, HCPCS, and ICD-10 codes, as well as proper modifiers, adhering to local ministry and Trinity Health practices and policies. Analyzes medical documentation verifying diagnoses, assigning diagnostic codes, selecting simple and complex surgical/procedural codes, and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS), performing charge entry, and charge capture reconciliation and discrepancy resolution as required. Serves as a liaison between other Centralized Coding positions in Revenue Site Operations and physicians/clinical sites/departments. Interprets, researches and resolves issues and...

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Medical Coding Auditor

Exceptional Healthcare Dallas, TX, USA

Job Posting Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials. Job Responsibilities/Duties: Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or MS-DRG assignment. Adheres to Standards of...

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Medical Coding Auditor

HealthCare, Inc. Dallas, TX, USA

Job Summary: Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc. Job Responsibilities/Duties: · Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or MS-DRG assignment. Adheres to Standards...

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DRG Coding Auditor

Elevance Health Houston, TX, USA

Anticipated End Date: 2025-06-06 Position Title: DRG Coding Auditor Job Description: DRG CODING AUDITOR Location : This position will work virtually. Alternate locations may be considered. The DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician’s statement sent in by acute care hospitals on submitted DRG. How you will make an impact: Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions....

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Physician Coding Compliance Auditor - Professional Billing - Hybrid - FTE - Days

Grady Fort Worth, TX, USA

Physician Compliance Auditor Grady Health System offers many career paths for experienced professionals. Whether you have many years of experience or are in the early stages of your career, you can find a rewarding career at Grady! Location: Atlanta, GA Job Type: FTE Shift/Schedule: Days This is a remote role, but the ideal candidate will be required to come into the office occasionally to meet with the providers. The Physician Compliance Auditor is responsible for conducting compliance audits, reporting results, researching/investigating issues, and establishing compliance monitoring processes. The Compliance Auditor is responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding accuracy, medical necessity, the appropriateness of treatment setting, HIPAA matters, and other compliance issues as directed by the Physician Coding Director, Compliance Director. This position requires effective communication with internal...

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Billing Coder III - Molecular

Inform Diagnostics Coppell, TX, USA

Job Details Level : Experienced Job Location : IDX Coppell TX Site - Coppell, TX 75019 Position Type : Full Time Education Level : High School Job Category : Biotech About Us Inform Diagnostics, a Fulgent Genetics Company , is a nationally recognized diagnostics laboratory focused on anatomic pathology subspecialties including gastrointestinal pathology, dermatopathology, urologic pathology, hematopathology, and breast pathology. Founded in 2011, our parent entity, Fulgent Genetics, has evolved into a premier, full-service genomic testing company built around a foundational technology platform. Through our diverse testing menu, Fulgent is focused on transforming patient care in oncology, anatomic pathology, infectious and rare diseases, and reproductive health. We believe that by providing a wide range of effective, flexible testing options in conjunction with best-in-class service and support, we can...

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Certified Medical Coder in office

Neville Foot And Ankle Centers Spring, TX, USA

Job Description Job Description Benefits: Bonus based on performance Company parties Employee discounts Health insurance Opportunity for advancement Certified Medical Coder Neville Foot and Ankle Center On-site position not remote Job Summary Neville Foot and Ankle Center is seeking a highly organized and detail-oriented Certified Medical Coder to join our team. The ideal candidate will have extensive experience in medical coding, billing, and documentation, ensuring accuracy, compliance, and efficiency in all medical record processes. This role plays a key part in maintaining compliant and timely coding practices that support accurate billing and quality patient care. Qualifications Required: High school diploma or equivalent Required: CPC certification (AAPC) or CCS (AHIMA) with 3 years of experience Preferred: Experience with EClinicalWorks In-depth knowledge of CPT , ICD-10 codes , Medicare , and commercial billing...

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PRN - Medical Coder/Records Clerk

Dallas Behavioral Healthcare Hospital DeSoto, TX, USA

Job Description Job Description THIS IS NOT A REMOTE POSITION We are hiring a Medical Records Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, research, and correspond with insurance companies to obtain accurate reimbursement for healthcare claims. This person will also be responsible for analyzing, abstracting, compiling data, and generating reports. This position must provide customer service excellence when dealing with internal and external contacts. Duties include but are not limited to: Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing. Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place before submission. Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims...

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Certified Medical Coder

Dallas Behavioral Healthcare Hospital DeSoto, TX, USA

Job Description Job Description We are hiring a part-time Medical Coder to to assign procedure,diagnosis codes for insurance billing, review claims data, research and corresponds with insurance companies in an effort to obtain accurate reimbursement for healthcare claims. . Duties include but are not limited to: Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing. Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission. Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims Adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ICD-9 and ICD-10. Answer coding questions Review clinical documentation to ensure it meets level of CPT codes and ICD-10 codes...

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Senior CPC Medical Coding & Compliance Auditor

Concentra Addison, TX, USA

A leading health care provider in Addison, TX is seeking a Medical Coding and Compliance Auditor. This role involves conducting detailed coding audits to ensure compliance with guidelines and providing education to clinicians. Applicants should possess a CPC or CCS certification, with a minimum of four years coding experience. The position requires strong attention to detail and analytical skills. Employee benefits include health, retirement plans, and generous paid time off. #J-18808-Ljbffr

40 professional coding auditor and educator jobs found