72 professional fee coding auditor jobs found

DaMar Staffing seeks an experienced Professional Fee Coding Auditor & Educator to partner with physicians and APPs on coding accuracy, documentation improvement, compliance, and provider education. Must hold CPC and CPMA and have deep knowledge of E/M coding and ICD-10-CM/CPT guidelines. Responsibilities include chart reviews, provider education, auditing for denials, and collaboration with billing to maximize compliant revenue. Remote position in the US, Eastern time zone preferred. #J-18808-Ljbffr

Regulatory Affairs Associate ENT and Allergy Associates, LLP and Hümi is seeking a self-motivated, people-friendly full time Regulatory Affairs Associate for our Tarrytown Corporate office location. Salary: $80,000-$85,000/year The Compliance Auditor and Coder supports the organization's Compliance Program by conducting risk-based medical record, coding, billing, and documentation audits for professional services. This role evaluates the accuracy and completeness of CPT, ICD-10-CM, HCPCS Level II, and modifier assignment; assesses compliance with applicable federal and state requirements, payer guidance, internal policies, and documentation standards; and identifies opportunities to reduce coding risk, prevent fraud, waste, and abuse, and strengthen revenue integrity. The position also serves as a coding and documentation resource to providers, staff, and management and supports education, corrective action, and follow-up monitoring. Audit priorities may be driven by...

Thank you for considering a career at Ensemble! 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! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for...

Sentara Health Plans in Norfolk, VA, is seeking a Compliance Coding Auditor to perform internal coding audits, physician education, and AR query management. The role requires expertise in CCI, NCD, and HCC guidelines, and mastery of MPFS impact on RVU for NPP services. Remote work is favored for VA/NC candidates. Ideal candidates have CPC/CCS certification and 4+ years of multi-specialty coding experience, including acute care outpatient coding and professional fee coding. #J-18808-Ljbffr

We are sharing a specialised consulting opportunity for experienced Medical Auditors with strong expertise in outpatient professional fee coding, coding audits, academic medical center workflows, audit-program management, and coding quality assurance to contribute to an advanced AI training and medical-coding evaluation project. Selected professionals will audit outpatient professional fee coding, review other coders' work, resolve complex coding cases, identify recurring quality issues, and provide structured feedback grounded in professional coding standards. No prior experience in AI is required. Key Responsibilities Coding Audit & Complex Case Review Audit outpatient professional fee coding for accuracy, compliance, and documentation support Review other coders' work and identify incorrect, incomplete, or inconsistent coding Evaluate complex or ambiguous cases and document well-supported determinations Apply coding guidance consistently across varied clinical...

Job DescriptionDepartment / 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...

24-MAG LLC is seeking experienced Medical Auditors for a fully remote independent contractor role. You will audit outpatient professional fee coding, review peers’ work, and resolve complex cases with defensible determinations, grounded in coding standards. Ideal candidates have 10+ years in outpatient coding or audit program management, CPC (CPMA preferred), and deep E/M, -25, MDM, and NCCI knowledge. Remote collaboration and QA-driven improvement are key components of the project. #J-18808-Ljbffr

The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for a Certified Coding Auditor to work in its New York office or remotely. Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payers. Researching state and payer...

YO AI Labs is seeking a Medical Auditor contractor to contribute expertise to an innovative healthcare AI project. You will review outpatient professional fee coding and audit content to improve AI training and outcomes. Ideal candidates have 10+ years of outpatient coding and auditing, with experience in academic medical centers and strong documentation and communication skills. Remote work options available for collaborative cross-team work. #J-18808-Ljbffr

Job Title: Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Auditors to contribute their specialized expertise to an innovative healthcare AI project. In this role, you will help improve next-generation AI systems by reviewing, evaluating, and refining medical coding and audit-related content. This opportunity is ideal for professionals with strong experience in outpatient professional fee coding, auditing, and academic medical center environments. No prior AI experience is required—your healthcare expertise is what matters most. Key Responsibilities Conduct detailed reviews and audits of outpatient professional fee coding records for accuracy, compliance, and quality. Identify coding trends, gaps, risks, and opportunities for improvement. Evaluate audit findings using knowledge of academic medical center protocols and industry best practices. Document audit results and provide clear written explanations to support AI...

YO AI Labs is seeking an experienced Medical Auditor to contribute expertise to a healthcare AI project. You will review outpatient professional fee coding, ensure accuracy, and support AI training with audit insights. The role emphasizes collaboration with project teams in remote contractor capacity, focusing on documentation, compliance, and quality assurance in academic medical center settings. #J-18808-Ljbffr

Coding Compliance Auditor, Revenue Cycle Management, Amazon One Medical Stellen-ID: 10452620 | Amazon.com Services LLC Application deadline: Aug 17, 2026 As a key member of the Amazon One Medical Revenue Cycle team the Coding Compliance Auditor will be responsible for supporting Amazon One Medical Clinical and Revenue Cycle teams in managing and optimizing compliant healthcare revenue cycle operations. Demonstrating increased autonomy and strategic thinking and problem-solving skills, this role will perform detailed reviews of medical coding practices to ensure accuracy, compliance with regulatory requirements and adherence to organizational policies and procedures. This role reports into the Coding Compliance Auditing Manager, Revenue Cycle. As someone who naturally enjoys finding ways to improve the status quo, you adeptly identify and create processes necessary to get work done. You comfortably interact with your team members as well as other teams and easily tailor your...

Medical Biller The Bedford-Stuyvesant Family Health Center (BSFHC) is a Federally Qualified Health Center (FQHC) that serves all of the primary health care needs of families in the heart of North and Central Brooklyn. Our mission is to provide the most professional, courteous and highest quality health care, with dignity, to those we serve, especially the undeserved population, without regard for ability to pay. The Medical Biller is responsible for accurate and timely billing, claims submission, payment posting, and follow-up for services provided by a Federally Qualified Health Center (FQHC). This role requires strong knowledge of FQHC billing rules, Medicare, Medicaid, Managed Care Plans, and NYS specific regulations to ensure maximum reimbursement and compliance with federal, state, and payer requirements. Essential Duties and Responsibilities Prepare, review, and submit claims to Medicaid, Medicare, commercial insurance, and other third-party payers in accordance...

Medical BillerThe Bedford-Stuyvesant Family Health Center (BSFHC) is a Federally Qualified Health Center (FQHC) that serves all of the primary health care needs of families in the heart of North and Central Brooklyn. Our mission is to provide the most professional, courteous and highest quality health care, with dignity, to those we serve, especially the undeserved population, without regard for ability to pay.The Medical Biller is responsible for accurate and timely billing, claims submission, payment posting, and follow-up for services provided by a Federally Qualified Health Center (FQHC). This role requires strong knowledge of FQHC billing rules, Medicare, Medicaid, Managed Care Plans, and NYS specific regulations to ensure maximum reimbursement and compliance with federal, state, and payer requirements.Essential Duties and ResponsibilitiesPrepare, review, and submit claims to Medicaid, Medicare, commercial insurance, and other third-party payers in accordance with FQHC billing...

Company Description Job Description Only those permanent in the title of Principal Administrative Associate need apply. The New York City Department of Correction (DOC) is an integral part of the City's evolving criminal justice system, participating in reform initiatives and strategies aimed to move the City towards a smaller jail system without compromising public safety. The DOC is responsible for maintaining a safe and secure environment for our employees, visitors, volunteers, and people in our custody. Importantly, safe jails enable DOC to provide people in custody with the tools and opportunities they need to successfully re-enter their communities. The DOC operates facilities and court commands across the five boroughs with more than 7,500 diverse professionals and knowledgeable experts. The Fiscal Compliance Auditor serves as an independent auditing and compliance function within the Division of Budget and Finance, operating separately from the day-to-day...

About Sprinter Health At Sprinter Health, our mission is reimagining how people access care by bringing it directly into their homes. Nearly 30% of patients in the U.S. skip preventive or chronic care simply because they can’t get to a doctor’s office. For many, the ER becomes their first touchpoint with the healthcare system - driving over $300B in avoidable costs every year. By using the same technologies that power leading marketplace and last-mile platforms, we deliver care where people are, especially those who need it most. So far, we’ve supported more than 2 million patients across 22 states, completed over 130,000 in-home visits, and maintained a 92 NPS. Our team of clinicians, technologists, and operators have raised over $125M to date from investors like a16z, General Catalyst, GV, and Accel and enjoy multi-year runway. About the Role As a Medical Coder, you will be responsible for reviewing and abstracting professional medical records to ensure accurate code...

Select how often (in days) to receive an alert: At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. Coding for Interventional radiology Occ Summary The Medical Coder Specialist will have frequent and daily interactions with internal and external clients including but not limited to Physician and Non-physician Surgical Providers. Responsibilities include primary diagnosis and procedural coding for the designated major surgical specialty areas and other major procedural...

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 7am to 3:30 pm CST, Monday - Friday. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities Receive assigned provider inquiries and perform a code review on both professional and facility claims Make determinations on cases after a coding review is complete Review various edits on cases and complete audit of medical records received to ensure proper editing is applied Review medical charts electronically Abstract and code diagnosis and procedures from the medical record Review and supply procedure and diagnosis codes for benefit coding requests Document requested information from the medical record Perform ongoing analysis of medical...

Careers With Purpose Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. Facility: Remote ND (Central Time) Location: Remote, ND Address: Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $20.50 - $33.00 Department Details Remote work. Flexible schedule. Excellent team work. Job Summary Serve as a resource for providers in understanding covered indications and the supporting documentation. Supports both technical and professional services in provider clinic as well as Ambulatory Surgery Centers (ASC) and in addition hospital professional services. Maintains a thorough understanding of National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role. Understands and supports the Medicare and Commercial Carrier workflows related to daily coding and denial review and...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As an Evaluation & Management Medical Coder, you will provide coding and coding auditing services directly to providers. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes. The ideal candidate will possess prior experience of any kind talking to physicians, non - physician providers and / or their staff....

## Medical Coding Specialist - Outpatient (full-time)Applyremote type: Fully Remotelocations: Remote WI - Reside in WI: Remote IL - Reside in ILtime type: Full timeposted on: Posted Todayjob requisition id: JR100604Looking to be part of a team that provides extraordinary healthcare from the heart? You Belong Here.100% Remote position with option to work onsite. **Wisconsin or Illinois residency required****POSITION SPECIFICS****Title:** Medical Coding Specialist – Outpatient**FTE:** 1.0 (40 hours per week)**Schedule:** Monday to Friday, five (5) 8-hour shifts between hours of 6am and 5pm**Holiday Rotation:** None**Weekend Rotation:** None**On Call Requirements:** None**POSITION SUMMARY**Reviews medical reports and physician documentation for clinic and hospital outpatient services in order to apply diagnostic and procedural codes to individual patient health information for claims processing, data retrieval and analysis.This role will primarily focus on Emergency Department and...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Medical Coder performs concurrent review of FFS coding rules, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. This position will support coding functions within charge review, claim edits, and denials and play a critical role in maintaining coding accuracy and supporting revenue cycle integrity. Schedule: Monday to Friday, 8am -...

Looking for an opportunity to make an impact? At Leidos, we deliver innovative solutions through the efforts of our diverse and talented people who are dedicated to our customers’ success. We empower our teams, contribute to our communities, and operate sustainable. Everything we do is built on a commitment to do the right thing for our customers, our people, and our community. Our Mission, Vision, and Values guide the way we do business. Your greatest work is ahead! Leidos’ Defense Sector Mission Assurance is seeking a Lead Compliance Auditor to join our team and serve as the senior technical authority for audit execution across our manufacturing and production operations. The Lead Compliance Auditor plans, leads, and reports internal quality and compliance audits, owns the Layered Process Audit (LPA) program on the production floor, and verifies conformance to customer, contractual, governmental, and industry standards including ISO 9001, AS9100, CMMC, DFARS, ITAR, FAR, and...

Medical Billing Supervisor Location: 12490 Ulmerton Rd., Largo, FL Schedule: Monday - Friday 8am to 5pm This position performs complex, technical, analytical, and financial work specializing in supervising a variety of functions associated with the execution of an ambulance billing revenue cycle. Competences and functions include: Execution of the Emergency Medical Services (EMS) medical billing system with emphasis on ensuring funds due to the County are received from public and private insurance companies, including The Center for Medicare and Medicaid Services (CMS); Monitoring the quantity and accuracy of activities performed by subordinate staff; Development of work plans; Developing and maintaining performance standard associated with various functions; Appropriately apply Pinellas County Human Resource Rules and Departmental policies and procedures; Resolving elevated complaints from the public and professional partners; Coordination with the County Attorney’s Office as...