11 professional coding auditor educator jobs found

Certified Coder US:WA:Mount Vernon | Administrative Non-Clinical Support | Per Diem 37.72 - 50.59 USD per hour Description Department: Health Information Management SVH Exempt: No Schedule: DAYS Position Type: Per Diem FTE: 0.000001 Base Wage $37.72 to $50.59 Location: Skagit Valley Hospital Sign-On Bonus: $1,000.00 Job Summary: Responsible for the accurate coding and abstracting of inpatient and outpatient diagnoses and procedures into codes using an international classification of diseases. The Certified Coder will ensure that records are coded in an accurate and timely manner as well as work closely with physicians and documentation nurses or specialists to consistently and accurately translate clinical documentation and medical records into ICD-10, HCPCS, CPT, Modifiers and assign Ambulatory Payment Classifications (APC) and/or Diagnosis-Related Group (DRG) codes. Essential Functions: Accurately applies ICD-10, HCPCS, CPT, APC or DRG codes for both routing and complete...

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...

Job Title: Coder/Abstractor II Professional Coding Req: 2026-0469 Location: Patient Financial Services Shift: Days Type: Full Time FTE: 1 Hours: 7:00a-4:30p City State: Renton, WA Category: Administrative/Clerical Salary Range: Min $26.42 - Max $44.15/hrly. DOE Job Description The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands, and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization. Prerequisites High school graduate required. Associate's or bachelor's degree preferred. CPC-A or CPC required. Demonstrated ability to use and understand ICD-10, CPT-4 and HCPCS coding methodologies. Three years healthcare experience in a hospital or physician group practice or other ambulatory care setting preferred. Knowledge of anatomy, physiology, and medical terminology. Ability to...

Medical Program Specialist 3 (MPS3/DAIO) This recruitment is posted continuously. You are encouraged to submit your application materials as soon as possible. The hiring manager reserves the right to close the posting at any time once a selection has been made. The primary responsibility of this position is to serve as the agency's expert in medical coding and Medicaid program integrity. This work helps ensure that fraud, waste, and abuse is identified and improper payments are recovered. The level of expertise required for this work means that DAIO staff often serve as subject matter experts for the agency and others in a variety of areas related to medical and other benefits claims and billing. If you have a keen eye for details, enjoy sharing your expertise with others, and want to do meaningful work for your community, this might be the right fit for you! All HCA employees will apply an equity lens to their work, which may include but is not limited to all analyses of core...

Salary: $26.62 - $41.66 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Benefits Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Up to $500 in Bonuses! $250 Sign On Bonus and $250 Retention bonus after successful Probationary completion. ***Applies to external candidates only. This position has the option to work virtually. Must...

Overview Sound Physicians is a nationally respected, physician-led medical group practicing in 400+ hospitals across 45 states. Our team of 4,000+ clinicians and 1,000+ business professionals across the country is united by one mission: to build exceptional clinical partnerships that unlock quality, affordable, dignified care for everyone – no matter who they are or where they live . With physician-led clinical teams and more than two decades of operational expertise, we’ve refined what it takes to consistently deliver exceptional care in hospital medicine, emergency medicine, critical care, anesthesia, and telemedicine. remote-first culture that values flexibility and collaboration Opportunities to grow your career while making a real impact A team that champions inclusivity, innovation, and excellence Whether working virtually or onsite at one of our practices, you’ll be part of a purpose-driven organization shaping the future of healthcare. Sound Physicians offers a competitive...

Inpatient Medical Coder Company Overview Health Partners Management Group, Inc (HPMG) is a government contracting company in Poplar Bluff, Missouri. HPMG is bidding on a federal contract for coding positions. You will be a W-2 employee for HPMG, not a government employee. Summary Responsible for assignment of accurate ICD codes for diagnoses and procedures. Medical Severity - Diagnostic Related Group (MS-DRG) is automatically assigned by the grouper software for inpatient stays. Inpatient coders may also be responsible for the assignment of accurate ICD diagnoses, Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities from medical record documentation (paper or electronic) for inpatient professional services (rounds or IBWA encounters). Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities. Knowledge and Skills Excellent computer and communication skills for...

Department: Business Office SRH Exempt: No Schedule: DAYS Position Type: Full Time 0.6 FTE or More FTE: 1.000000 Base Wage $37.72 to $50.59 Location: SRH Business Center Sign-On Bonus: $1,000.00 The information described in this job description has been designed to indicate the general nature of the work performed. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. Other information: Job Summary Responsible for the accurate coding and abstracting of inpatient and outpatient diagnoses and procedures into codes using an international classification of diseases. The Certified Coder will ensure that records are coded in an accurate and timely manner as well as work closely with physicians and documentation nurses or specialists to consistently and accurately translate clinical documentation and medical records into ICD-10, HCPCS, CPT, Modifiers and...

Description Coding Specialist is a nationally certified professional coder who educates and supports Providers, Division Directors/Managers and clinical staff by providing ongoing coding training to ensure adherence to agency regulations. Coders conduct random chart audits and provide direct feedback to providers, investigate and answer provider coding questions, review data/reports and give additional feedback, routinely visit Providence Medical Groups clinics and attend clinical meetings, and stay current with annual updates to CPT, ICD‑10 and HCPCS codes. Required Qualifications Certification from American Academy of Professional Coders (upon hire) Certification from American Health Information Management Association (upon hire) 2 years experience in medical insurance reimbursement, medical billing and coding related to charge review and work RVUs. Experience reviewing patient account information, insurance explanation of benefits, computer screens, and financial records....

Inpatient Facility Medical Coder To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), and Kaiser Permanente organization/institutional coding...

Job Summary and Responsibilities As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate patients’ medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. Abstracts, assigns and sequences ICD-10-CM/CPT/HCPCS codes to diagnoses and procedures as supported by documentation. Assures the final diagnoses and operative procedures as stated by the physician are valid and coded to the highest level of specificity. Abstracts all...