742 professional fee coding auditor jobs found

Job Description Fully Remote | Professional Fee Coding Auditor | 3-Month Contract with Strong Extension Potential Openings: 6 The Patient Records Abstractor 4 fulfills a role as a Medical Coder for UCSF's physician practices. This position reviews patient records, discharge summaries, operative reports, and other clinical documentation to assign standardized codes for diagnoses, procedures, and services. The role applies national and international coding classifications to ensure records accurately reflect the care delivered, supporting compliant reimbursement and reliable clinical data. This position also serves as a Coding Educator responsible for providing education and training for physicians, staff, and other providers on professional fee coding and clinical documentation standards. Responsibilities include conducting coding quality reviews, analyzing findings, and providing follow-up education to coding staff and providers. The incumbent outlines and annotates...

Datavant is seeking a Professional Auditing Specialist to perform coding audits and ensure compliance in healthcare. This fully remote position requires over 5 years of coding experience, strong organizational skills, and CPC certification. The role involves educating coders and maintaining a high accuracy rate. Benefits include medical, dental, and vision plans, along with paid time off and professional development stipends. #J-18808-Ljbffr

Anne Arundel Dermatology is looking for an experienced Professional Fee Coding Auditor & Educator to collaborate with physicians on coding accuracy and compliance. This full-time role includes auditing medical records, providing coding education, and ensuring regulatory compliance. Qualified individuals must possess both CPC and CPMA certifications, with a minimum of four years of coding experience, two years in surgical abstraction. The remote position requires residence in the Eastern time zone. #J-18808-Ljbffr

Overview We are seeking an experienced Professional Fee Coding Auditor & Educator to partner with physicians and APPs on coding accuracy, documentation improvement, compliance, and provider education. Must currently posses both the CPC and CPMA certifications in order to be considered for the role.  The Coding Auditor and Educator 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...

Professional Fee Coding Auditor & Educator We are seeking an experienced Professional Fee Coding Auditor & Educator to partner with physicians and APPs on coding accuracy, documentation improvement, compliance, and provider education. Must currently possess both the CPC and CPMA certifications in order to be considered for the role. The Coding Auditor and Educator 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...

Professional Fee Coding Auditor & Educator We are seeking an experienced Professional Fee Coding Auditor & Educator to partner with physicians and APPs on coding accuracy, documentation improvement, compliance, and provider education. Must currently possess both the CPC and CPMA certifications in order to be considered for the role. The Coding Auditor and Educator 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...

Dormont Manufacturing Co is looking for an RCS Medical Coding Auditor to ensure the accuracy and compliance of professional fee coding. This includes performing daily quality assurance, conducting medical audits, and providing targeted feedback and education to enhance coding accuracy. The perfect candidate possesses a CPC certification, has over 2 years of ProFee auditing experience, and exhibits strong analytical and communication skills. Compensation ranges from $57,728 to $80,243 based on various factors including experience and market conditions. #J-18808-Ljbffr

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and or level. Job...

Become a part of our caring community The Medical Coding Auditor 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. The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

Position Summary The RCS Medical Coding Auditor is responsible for auditing professional (ProFee) medical coding to ensure accuracy, compliance, and alignment with AMA CPT, CMS, NCCI and payer guidelines. This role supports coding integrity, mitigates compliance risk, and drives continuous quality improvement through targeted education and audit-based feedback. The ideal candidate brings strong hands-on experience with professional fee coding , deep knowledge of E/M, surgical, and modifier use , and the ability to translate audit findings into actionable insights. Key Responsibilities Perform daily QA to ensure accuracy of completed coding and provide targeted coding education and feedback Validate ICD‑10‑CM, CPT®, HCPCS, and modifier assignment against clinical documentation to ensure accuracy and compliance with AMA CPT, ICD-10, CMS, NCCI, and payer-specific guidelines Conduct medical chart audits of professional services across multiple specialties Identify coding...

Physician Coding Auditor Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! The Opportunity: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and...

Physician Coding Auditor Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! The Opportunity: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and...

Description Job Summary The Sr Billing Compliance Auditor serves as the liaison responsible for monitoring and auditing NCPS coding and documentation functions for professional fee services. Conducts independent ongoing reviews of vendor and provider-coded professional fee services to ensure practices meet federal requirements. Works closely with NCPS to communicate monitoring / auditing results and provide feedback to support necessary actions taken accordingly. Functions as the subject matter expert for professional fee coding and documentation, and partners with NCPS administrators to ensure consistent, compliant, and accurate coding practices. Job Specific Duties Conducts audits of NCPS professional fee encounters to validate accuracy of CPT, HCPCS, ICD‑10‑CM, and modifier assignment. Serves as the coding, documentation, and billing expert for NCPS, ensuring focused expertise on pediatric, Fl AHCA / Medicaid, and CMS regulatory requirements. Monitors professional fee...

Yeo & Yeo Medical Billing & Consulting Come grow with us. Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding. Yeo & Yeo Medical Billing & Consulting maintains a highly trained staff with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes. Our billing specialists receive ongoing training specific to medical specialty. We continually train our staff by updating and maintaining their knowledge of insurance carrier trends and changes in billing rules and policies. Our people are our future we provide...

Job Description - Sr Compliance Auditor (301657) Job Description Sr Compliance Auditor - 301657 Description Job Summary The Sr Billing Compliance Auditor serves as the liaison responsible for monitoring and auditing NCPS coding and documentation functions for professional fee services. Conducts independent ongoing reviews of vendor and provider‑coded professional fee services to ensure practices meet federal requirements. Works closely with NCPS to communicate monitoring / auditing results and provide feedback to support necessary actions taken accordingly. Functions as the subject matter expert for professional fee coding and documentation, and partners with NCPS administrators to ensure consistent, compliant, and accurate coding practices. Job Specific Duties Conduct audits of NCPS professional fee encounters to validate accuracy of CPT, HCPCS, ICD‑10‑CM, and modifier assignment. Serves as the coding, documentation, and billing expert for NCPS, ensuring focused expertise...

Job Summary The Sr Billing Compliance Auditor serves as the liaison responsible for monitoring and auditing NCPS coding and documentation functions for professional fee services. Conducts independent ongoing reviews of vendor and provider-coded professional fee services to ensure practices meet federal requirements. Works closely with NCPS to communicate monitoring / auditing results and provide feedback to support necessary actions taken accordingly. Functions as the subject matter expert for professional fee coding and documentation, and partners with NCPS administrators to ensure consistent, compliant, and accurate coding practices. Job Specific Duties Conducts audits of NCPS professional fee encounters to validate accuracy of CPT, HCPCS, ICD‑10‑CM, and modifier assignment. Serves as the coding, documentation, and billing expert for NCPS, ensuring focused expertise on pediatric, Fl AHCA / Medicaid, and CMS regulatory requirements. Monitors professional fee vendor-coding...

Become a part of our caring community The Medical Coding Auditor 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. The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

To support a growing pediatric practice, the remote Coding Compliance Auditor will ensure accurate and compliant coding by reviewing medical records, conducting audits, and collaborating with clinical and compliance teams in a high-growth environment. Key responsibilities Review medical records and clinical documentation to ensure compliance with coding standards and regulations Conduct routine and focused coding audits to identify discrepancies and compliance risks Communicate audit findings and provide education to providers and coding staff to enhance documentation practices Required qualifications 5+ years of experience in professional fee coding and auditing, with a focus on E/M and outpatient coding Knowledge of medical terminology and coding systems such as CPT, HCPC, ICD-10, and DRG Prior coding or auditing experience in a Medicaid environment Bachelor's degree in healthcare management or related field preferred CPC, CCS, and CPMA certifications required

To support the Amazon One Medical Revenue Cycle team, the full-time Certified Coding Compliance Auditor will conduct detailed audits of medical coding practices, ensuring compliance with regulatory requirements and organizational policies while working remotely. Key responsibilities Conduct regular audits to verify the accuracy of ICD-10-CM, CPT, HCPCS, and modifier medical codes Review documentation to ensure appropriate code assignment and adherence to medical necessity requirements Track and report coding errors and findings, maintaining detailed records of audit results Required qualifications Associate's degree in a related field 3+ years of coding/auditing experience in professional fee and/or risk adjustment settings Knowledge of industry standard code sets and guidelines (ICD-10-CM, CPT, HCPCS) CPC certification through AAPC and/or CCS certification through AHIMA required CPMA and CRC certification through AAPC required

Become a part of our caring community The Medical Coding Auditor 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. The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

Become a part of our caring community The Medical Coding Auditor 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. The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

To support the Amazon One Medical Revenue Cycle team, the full-time Certified Coding Compliance Auditor will conduct detailed audits of medical coding practices, ensuring compliance with regulatory requirements and organizational policies while working remotely. Key responsibilities Conduct regular audits to verify the accuracy of ICD-10-CM, CPT, HCPCS, and modifier medical codes Review documentation to ensure appropriate code assignment and adherence to medical necessity requirements Track and report coding errors and findings, maintaining detailed records of audit results Required qualifications Associate's degree in a related field 3+ years of coding/auditing experience in professional fee and/or risk adjustment settings Knowledge of industry standard code sets and guidelines (ICD-10-CM, CPT, HCPCS) CPC certification through AAPC and/or CCS certification through AHIMA required CPMA and CRC certification through AAPC required

To support a growing pediatric practice, the remote Coding Compliance Auditor will ensure accurate and compliant coding by reviewing medical records, conducting audits, and collaborating with clinical and compliance teams in a high-growth environment. Key responsibilities Review medical records and clinical documentation to ensure compliance with coding standards and regulations Conduct routine and focused coding audits to identify discrepancies and compliance risks Communicate audit findings and provide education to providers and coding staff to enhance documentation practices Required qualifications 5+ years of experience in professional fee coding and auditing, with a focus on E/M and outpatient coding Knowledge of medical terminology and coding systems such as CPT, HCPC, ICD-10, and DRG Prior coding or auditing experience in a Medicaid environment Bachelor's degree in healthcare management or related field preferred CPC, CCS, and CPMA certifications required

To support coding integrity and compliance, the full-time remote North Carolina Licensed Medical Coding Auditor will audit professional medical coding, ensuring accuracy and adherence to guidelines while providing targeted education and feedback. Key Responsibilities Perform daily quality assurance on completed coding and deliver targeted education and feedback Validate coding assignments against clinical documentation to ensure compliance with relevant guidelines Conduct medical chart audits across multiple specialties, identifying discrepancies and providing actionable recommendations Required Qualifications CPC certification (Required) and CPMA certification (Required/In Process) 2+ years of professional fee auditing experience Strong knowledge of E/M documentation guidelines and modifier rules Proficiency with EHRs and coding/auditing tools High attention to detail with strong analytical skills