22 professional coding auditor and educator jobs found

Join our team at Sixteenth Street Community Health Centers! We are dedicated to the highest quality health care. JOB RESPONSIBILITIES: Review, abstract, and code clinical data such as diseases, operations, procedures, and therapies into computer system for billing and data collection within the established time frame. Assign appropriate ICD-10, CPT, HCPCS and modifiers to accurately report and support the need for each physician service. Identify physician services provided but not adequately documented in the medical record. Advise coding auditor/educator or Manager of deficiencies. Code and abstract patient care records to provide information for insurance/billing and to establish accurate working indices. Perform void/re-enter of charges and changes to insurance as indicated by the medical record and insurance nuances. Perform follow-up claim duties as required and assigned. Comply with the Sixteenth Street TB Control Plan including PPD testing. Perform...

Join our team which is committed to the delivery of the highest quality healthcare service. We are seeking a full-time Certified Professional Coder who is self-motivated, energetic, and a take-charge individual. JOB RESPONSIBILITIES: 1. Review, abstract, and code clinical data such as diseases, operations, procedures, and therapies into computer system for billing and data collection within the established time frame 2. Assigns appropriate ICD-9, ICD-10, CPT, HCPCS and modifiers to accurately report and support the need for each physician service 3. Identifies physician services provided, but not adequately documented in the medical record. Advises coding auditor/educator or Manager of deficiencies 4. Codes and abstracts patient care records to provide information for insurance/billing and to establish accurate working indices 5. Perform void/re-enter of charges and changes to insurance as indicated by the medical record and insurance nuances 6. Comply with the...

Join our team at Sixteenth Street Community Health Centers! We are dedicated to the highest quality health care. Job Responsibilities Review, abstract, and code clinical data such as diseases, operations, procedures, and therapies into a computer system for billing and data collection within the established time frame. Assign appropriate ICD-10, CPT, HCPCS and modifiers to accurately report and support the need for each physician service. Identify physician services provided but not adequately documented in the medical record and advise the coding auditor/educator or manager of deficiencies. Code and abstract patient care records to provide information for insurance/billing and to establish accurate working indices. Perform void/re-enter of charges and changes to insurance as indicated by the medical record and insurance nuances. Perform follow-up claim duties as required and assigned. Comply with the Sixteenth Street TB Control Plan including PPD testing. Perform other...

Join our team at Sixteenth Street Community Health Centers! We are dedicated to the highest quality health care. Job Responsibilities Review, abstract, and code clinical data such as diseases, operations, procedures, and therapies into the computer system for billing and data collection within the established time frame. Assign appropriate ICD-10, CPT, HCPCS and modifiers to accurately report and support the need for each physician service. Identify physician services provided but not adequately documented in the medical record and advise coding auditor/educator or Manager of deficiencies. Code and abstract patient care records to provide information for insurance/billing and to establish accurate working indices. Perform void/re-enter of charges and changes to insurance as indicated by the medical record and insurance nuances. Perform follow‑up claim duties as required and assigned. Comply with the Sixteenth Street TB Control Plan including PPD testing. Perform other...

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The key challenge of this role centers around your ability to work quickly, accurately, and independently. You'll be challenged with daily production goals as well as maintaining a high accuracy rate to achieve your quality goals. Extensive use of electronic medical records in an ICD-10 environment is also required. Hours : This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 5am - 5pm. We offer 2-3 weeks of paid training. The hours during training will be...

Job Posting Back Certified Coder #26-039 Green Bay, Wisconsin, United States This position is full-time and will work 40-hours per week. It is full-time benefit eligible. Remote and/or hybrid can be an option after 6-months of on-site training. Coder Certified Come work where we specialize in you! We have nearly 2,000 reasons for you to consider a career with Prevea Health-they're our employees. We're an organization that values kindness, responsibility, inclusivity, wellness and inspiration. At Prevea, we provide continuous education, training and support so every member of the team contributes to our success. Together we are the best place to get care and the best place to give care. Job Summary The Certified Coder is responsible for accurately translating medical records and patient services into standardized numerical codes for billing and reimbursement purposes. This role ensures compliance with federal, state, and organizational regulations, while maintaining the...

Back Certified Coder #26-039 Green Bay, Wisconsin, United States Apply X Facebook LinkedIn Email Copy Location Tulip Lane-023 Description This position is full-time and will work 40-hours per week. It is full-time benefit eligible. Remote and/or hybrid can be an option after 6-months of on-site training. Coder Certified Come work where we specialize in you! We have nearly 2,000 reasons for you to consider a career with Prevea Health-they're our employees. We're an organization that values kindness, responsibility, inclusivity, wellness and inspiration. At Prevea, we provide continuous education, training and support so every member of the team contributes to our success. Together we are the best place to get care and the best place to give care. Job Summary The Certified Coder is responsible for accurately translating medical records and patient services into standardized numerical codes for billing and reimbursement purposes. This role ensures...

Inpatient Coder Specialist Remote position and can work remotely out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IN, IL, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY. Experience desired: Hospital Based Inpatient coding in either a community inpatient or an Academic facility. Major Responsibilities: This role will have all responsibilities of coder I, II and III in addition to: reviews complex inpatient documentation at a highly skilled and proficient level to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software. Adhere to organizational and internal department policies and procedures to ensure efficient work processes. Responsible for coding high dollar and long length of stay...

Experienced Multi-Specialty Surgery Coder The experienced multi-specialty surgery coder is responsible for daily coding, denial management, charge hold, RAI resolution and abstraction. The coder is responsible for escalation of coding questions and requests for coding guidance to the Coding Coordinator and/or Supervisor. Participate in internal QA audits and provide feedback in the compliance QA process. Hours: Monday - Friday, working 40 hours a week Location: Fully Remote - U.S You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide coding and abstraction of physician or professional records Provide communications to Coordinator, Supervisors and Managers Complete RAI's, denials, charge hold reports, and coding edits Assist on special coding projects as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear...

Job Posting Job Requirements: Discover. Achieve. Succeed. This is a remote, high-level position functioning under general supervision and utilizing independent decision making. The Coder III correctly assigns ICD diagnosis and procedure codes, MS-DRGs, and APR-DRGs for inpatient hospital services for Froedtert Health, which includes an academic, Level I Trauma Center. The level III Coder completes coding on highly complex trauma and acutely ill patients, including mortality, extended length of stay, and high dollar cases. This position is differentiated from the Coder II level by the high complexity and longer lengths of stay. The Coder III will also be required to perform chart audits as needed for Coder Inpatient I's and II's. The senior coding staff in this position will apply all official and departmental coding rules, regulations, and guidelines, and meet or exceed productivity and quality standards. The integrity of the codes assigned and entered into the databases play an...

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...

Location: Remote (Must reside in TX, GA, LA, MS, AL, FL, WA, or TN) Schedule: Full-time, 40 hours/week Training Schedule: Monday–Friday, 7:00 AM – 3:30 PM CT Post-Training Flexibility: Flexible start times between 5:00 AM – 10:00 AM CT; ability to make up time on weekends Systems Used: Epic, 3M 360, Microsoft Teams Position Overview Are you an experienced Inpatient Hospital Coder looking for a stable, high-quality remote role with long-term growth potential? We are partnering with a large, multi-facility health system to hire Inpatient Coders to support both production-based inpatient coding and pre-bill review/audit functions across multiple hospitals. This team supports several inpatient facilities, offering a diverse and engaging case mix. Depending on experience and team needs, coders may be aligned to production coding, auditing, or a blend over time. The organization is known for strong leadership, low turnover, internal promotions, and a supportive approach to...

A leading health data company located in Madison, WI, is seeking an experienced Outpatient Audit Specialist to perform coding audits and provide education to coders. The role requires over 5 years of coding experience and a CCS, RHIA, or RHIT credential. You will maintain a high accuracy rate while working remotely in a flexible schedule. The position offers competitive compensation, benefits including medical and retirement plans, and opportunities for professional development. #J-18808-Ljbffr

Overview Certified Coder – Green Bay, Wisconsin Location: Tulip Lane-023, Green Bay, WI Position status: Full-time, 40 hours/week; benefit eligible. Remote and/or hybrid option after 6 months on-site training may be considered. Job Summary The Certified Coder is responsible for accurately translating medical records and patient services into standardized numerical codes for billing and reimbursement purposes. This role ensures compliance with federal, state, and organizational regulations, while maintaining the highest standards of patient confidentiality. The Certified Coder works independently and collaboratively to support the revenue cycle and overall operational efficiency of the healthcare organization. What you will do (Responsibilities) Review and analyze patient medical records, physician notes, and other documentation to assign appropriate ICD-10, CPT, and HCPCS codes. Ensure accurate coding for diagnosis, procedures, and services for proper reimbursement. Review...

Why ThedaCare? Living A Life Inspired! Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world. At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you're interested in joining a health care system that is changing the face of care and well-being in our community, we...

POSITION ELIGIBLE FOR $2,000 SIGN ON BONUS Discover. Achieve. Succeed. #BeHere Location: US:WI:MENOMONEE FALLS at our WOODLAND PRIME 400 facility. This job is REMOTE. FTE: 1.000000 Standard Hours: 40.00 Shift: Shift 1 Shift Details: Holidays: Weekends: Job Summary: Job Summary: This is a remote, high-level position functioning under general supervision and utilizing independent decision making. The Coder III correctly assigns ICD diagnosis and procedure codes, MS-DRGs, and APR-DRGs for inpatient hospital services for Froedtert Health, which includes an academic, Level I Trauma Center. The level III Coder completes coding on highly complex trauma and acutely ill patients, including mortality, extended length of stay, and high dollar cases. This position is differentiated from the Coder II level by the high complexity and longer lengths of stay. The Coder III will also be required to perform chart audits as needed for Coder Inpatient I's and...

Position Summary J2 Integrity Solutions is seeking a Senior Auditor of Coding Quality & Education to lead the review and evaluation of clinical coding accuracy, documentation integrity, and compliance with applicable coding guidelines and regulatory standards. This role serves as a subject matter expert in ICD-10-CM, CPT, HCPCS, modifier, and applicable CMS and payer-specific requirements, ensuring high-quality coding practices that support accurate professional billing and revenue integrity. In addition to performing complex professional audits across multiple specialties and services lines, the Senior Audit develops and delivers targeted education to coders, providers, and documentation staff to promote best practices, reduce denials, and support continuous improvement. The ideal candidate is highly analytical, detailed-oriented leader with a strong understanding of healthcare reimbursement, coding workflows, and training methodologies. This position plays a critical...

POSITION PURPOSE Areas of emphasis will include inpatient and outpatient coding of provider charges as well as documentation reviews and audits. Secondary responsibilities will include assisting Physicians Billing staff and clinic staff with coding questions. SITE(S) Kenosha Campus Urgent Care Physicians Billing Service MINIMUM EDUCATION REQUIRED High School or Equivalent (GED) MINIMUM EXPERIENCE REQUIRED 1-3 years Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician (CCS-P) MINIMUM EXPERIENCE PREFERRED LICENSES / CERTIFICATIONS REQUIRED Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician (CCS-P). SUPERVISES N/A KNOWLEDGE, SKILLS & ABILITIES REQUIRED Knowledge of CPT and ICD-10 codes Ability to accurately audit provider documentation to ensure all CPT codes and ICD-10 codes are accurately assigned...

Overview 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 improvement efforts. Because rural hospitals require team...

CODER INPATIENT III – Froedtert Health Location: Menomonee Falls, WI – Woodland Prime 400 facility (Remote) Sign-On Bonus: Eligible for a $2,000 sign‑on bonus. Job Summary This is a remote, high‑level coding position functioning under general supervision. The Coder III accurately assigns ICD diagnosis and procedure codes, MS‑DRGs, and APR‑DRGs for inpatient hospital services at Froedtert Health, which includes an academic Level I Trauma Center. The role focuses on highly complex trauma and acutely ill patients, including mortality, extended length of stay, and high‑dollar cases. A key responsibility is performing chart audits for levels I and II coders, applying official and departmental coding rules, regulations, and guidelines, and meeting or exceeding productivity and quality standards. Coding staff communicate directly with care providers to clarify information needed for complete and accurate coding and partner with clinical documentation improvement specialists....

Major Responsibilities Acts as a resource and role model to team members, which includes training/orienting, providing day‑to‑day work direction, and giving input on performance. Assigns, monitors, and reviews progress, quality and accuracy of work, monitors productivity, maintains appropriate staffing levels, directs efforts and provides guidance on more complex issues. Codes routine to complex procedures and diagnoses including hospital‑based or surgery center surgical procedures using ICD, CPT, and HCPCS coding guidelines, procedures and protocols for government and commercial payers. Meets or exceeds department quality and production standards. Performs informal quality reviews on a monthly basis providing coding education to coding team members for accuracy. May assist with provider education/orientation regarding policy requirements of federal and state government agencies. Abstracts documentation to choose correct ICD, CPT, HCPCS codes according to standard coding...

Overview This position reports to the Director of Healthcare Compliance. Responsibilities include conducting billing and coding audits, and communicating results and recommendations to providers, management, and executive administration. This role will provide training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, HCPCS and ICD-10 codes on an annual basis. Responsibilities Essential Functions: Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical record notes to reported CPT/HCPCS and ICD codes with consideration of applicable payer coding requirements. Identify coding discrepancies and formulate suggestions for improvement. Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. Work with medical staff department to identify and assist providers with coding. Report findings and...