33 provider coding auditor educator jobs found

Marana Health is seeking a Medical Assistant Supervisor to join our Medical team at the Marana Main Health Center, located in the heart of Marana, AZ. The Medical Assistant Supervisor provides leadership, supervision, guidance, mentorship, and operational oversight to Medical Assistant (MA) staff while supporting high-quality patient care across primary care, specialty, clinical, and behavioral health services. This position partners with clinicians and staff to support efficient workflows, staff development, and a positive patient experience. Marana Health is a Federally Qualified Community Health Center (FQHC), with 11 sites in Tucson and Pima County.Our mission is to improve our community by providing exceptional, whole-person healthcare. Required Qualifications: High School diploma or equivalent 2 years’ experience as a Medical Assistant Graduate of a Medical Assistant program accredited by ABHES (Accrediting Bureau of Health Education Schools) OR CAAHEP...

Health Information Management Sr CoderInspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.The posted compensation range of $29.44 - $43.79/hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.As a Senior Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed...

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

Southwest Network is hiring a Medical Coding Auditor to review charts and clinical records, ensuring all diagnostic and procedural codes and modifiers are strictly accurate and compliant. You will identify trends in improper coding that could lead to denials or audits and collaborate with rendering providers to clarify ambiguities. In this role you will provide targeted education and direct coaching, translate audit findings into actionable training, and work with IT/EHR teams to improve charge #J-18808-Ljbffr

Outpatient Coding AuditorThis is a remote based position. Applicants can be located nationwide.Work Schedule: 8 hours daily between 6:00a - 6:00p Eastern Time Monday - FridayCompensation Range: $28.00 - $30.00/HourPosition Type: Full TimeAbout You: You are a person who enjoys ensuring coding accuracy and solving documentation and compliance challenges. We need someone who demonstrates skills in organization, prioritization, professionalism, and coaching others. In the role of Outpatient Coding Auditor, you will be responsible for quality reviews and audits and coordinating with department managers to ensure standards are met in accordance with department and organization policies. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Title: Medical Coding/ Education Specialist Location: Remote, preferably in Texas Compensation: $65,000 - $75,000 per year Must have Post Acute Care Experience We are seeking an accomplished Medical Coding and Education Specialist to join our healthcare team, focusing on enhancing coding accuracy and compliance within our post-acute care facilities. This role involves reviewing medical records, assessing for accurate provider cpt and ICD-10 codes, and developing educational materials. Additionally, the specialist will collaborate closely with our technology and revenue cycle teams to optimize EMR processes, streamline documentation, and reduce coding denials. Responsibilities: Conduct regular coding audits and reviews to ensure compliance with coding guidelines, regulatory requirements, and reimbursement policies. Develop and deliver educational materials, training modules, and resources on coding guidelines, regulatory updates, and documentation requirements specific...

Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle A rewarding career that fits your life. As an employer of the future, we are proud to offer our team members many career and lifestyle choices including remote work options. If you’re looking to leverage your abilities – you belong at Banner Health. In this Physician Coder Quality Associate position, you bring your 5 years of Ambulatory Physician coding experience to a team who resolves complex denials, identifies trends, and provides solutions to help support mid-revenue cycle. This is a Quality position, not a day-to-day coding production role, but does require coding proficiency and recent Physician Ambulatory/Professional Coding experience. This position is task-solution-oriented ensuring quality in the Ambulatory Coding department and allows opportunity for coaching fellow coders through different aspects of Ambulatory Coding and denial prevention. Requirements 5 years current experience in...

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy.AZ Blue offersa variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions. At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements: Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims...

Inpatient Coding AuditorBeacon Hill was founded to set a new standard in search, career placement and flexible staffing.Are you passionate about coding accuracy, compliance, and helping others succeed? We're seeking an Inpatient Coding Auditor to join a leading healthcare organization in a remote capacity. In this role, you'll play a key part in strengthening coding quality, supporting professional development within coding teams, and ensuring documentation and reimbursement practices align with industry standards. This is an excellent opportunity for an experienced inpatient coding professional who enjoys a blend of auditing, education, collaboration, and continuous improvement.Join a highly respected healthcare organization that is committed to delivering quality patient care through operational excellence and regulatory integrity. As part of a collaborative coding and revenue cycle environment, you will have the opportunity to influence coding quality initiatives, support coder...

Required Skills & Experience Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) Strong ICD-10-CM coding experience and medical record review background Knowledge of Risk Adjustment and HCC coding methodologies Experience reviewing physician documentation and assigning accurate diagnosis codes Strong understanding of medical terminology, anatomy, physiology, and disease processes Ability to interpret complex clinical documentation with high accuracy and productivity Familiarity with CMS guidelines and Medicare Advantage requirements Nice to Have Skills & Experience Medicare Advantage Risk Adjustment experience Experience working with CMS-HCC models CRC (Certified Risk Adjustment Coder) certification Experience with EMRs and coding software platforms Background in a health plan, physician practice, hospital, or revenue cycle environment Audit and quality assurance experience Job Description Insight Global is seeking Medical Coders specializing in Risk...

Department: 10407 Enterprise Revenue Cycle - Coding Production Operations: Inpatient Coding Operations Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Will support : A mix of inpatient community and academic coding. Includes service lines such as cardiology, neurology, and oncology. Schedule : Full-time, Monday-Friday 40hrs with a standard schedule of Monday through Friday, 8 hours per day, totaling 40 hours each week. Certification required : Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). Remote opportunity: Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, 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 Pay Range: $33.05 - $49.60 Major...

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2972 United States Apply X Facebook LinkedIn Email Copy Work Schedule 8 hours daily between 6:00a - 6:00p Eastern Time Monday - Friday Compensation Range $28.00 - $30.00/Hour Position Type Full Time Description About You You are a person who enjoys ensuring coding accuracy and solving documentation and compliance challenges. We need someone who demonstrates skills in organization, prioritization, professionalism, and coaching others. In the role of Outpatient Coding Auditor, you will be responsible for quality reviews and audits and coordinating with department managers to ensure standards are met in accordance with department and organization policies. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you...

At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between – we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care...

Department 10407 Enterprise Revenue Cycle - Coding Production Operations: Inpatient Coding Operations Status Full time Benefits Eligible Yes Hours per Week 40 Schedule Details / Additional Information Will support :A mix of inpatient community and academic coding. Includes service lines such as cardiology, neurology, and oncology.Schedule :Full-time, Monday-Friday 40hrs with a standard schedule of Monday through Friday, 8 hours per day, totaling 40 hours each week. Certification Required Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). Remote Opportunity Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, 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 Pay Range $33.05 - $49.60 Major Responsibilities reviews...

Midwestern University in Glendale, AZ seeks a Medical Coding and Billing Specialist to ensure compliance with ICD-10, CPT, HCPCS, and Medicare guidelines. You will review EHR data for coding suitability, support provider education on documentation and charge capture, and assist in audits with internal and external vendors. This role collaborates with the Assistant Manager and Manager of Patient Accounts to reach revenue goals and maintain the revenue cycle. #J-18808-Ljbffr

Datavant is seeking a Profee Auditing Specialist to perform professional fee coding audits of medical records using ICD-10-CM, CPT, HCPCS, and modifiers, and to provide concise rationale for changes. This role is fully remote with a flexible schedule, offering the chance to influence payer reviews and coding education from your own workspace. Requirements: 5+ years in professional fee coding/auditing, CPC certification (CPMA preferred), 95% accuracy, and experience with Epic, Cerner, and other #J-18808-Ljbffr

CLOSING DATE: Thursday, October 22, 2026, at 4:00 PM (DST) Salary Range: $26.13/hr. - $32.14/hr. **APPLICANT MUST HAVE A VALID, UNRESTRICTED INSURABLE DRIVER’S LICENSE** **RESUMES AND REFERENCES ARE REQUIRED** **ESSENTIAL DUTIES, FUNCTIONS AND RESPONSIBILITIES** Retrieves information from the RPMS in identifying the patients; and reviews medical records to insure FDIHB providers assign the correct diagnosis and procedural codes. Assigns and categorizes codes using the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), International Classification of Diseases, Tenth Revision, Procedural Coding System (ICD-10-PCS), Current Procedure Terminology (CPT), Health Common Procedure Coding System (HCPCS) Code, coding guidelines and other policies set by FDIHB, Centers for Medicare and Medicaid Services (CMS) or other regulatory organizations as related. Uses the 3M Grouper System to assist in classifying diagnoses and verifying the accuracy of...

Company Intro At American Vision Partners (AVP) , we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nation's largest and most comprehensive eye care practices and currently operate more than 120 eye care centers in Arizona, New Mexico, Nevada, California and Texas - including 25 ambulatory surgical centers. At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing...

Medical Billing SpecialistThis position aids in properly capturing charges and correctly billing for services performed. The Medical Billing Specialist minimizes department rework, reprocessing of multiple claims from misaligned coding, and tracks and trends repeated missed opportunities for compliant charging and proactively finds and/or provides input regarding tools to streamline and/or improve charging processes.ResponsibilitiesMAIN:Analyze daily financial exceptions from the charge capture audit reports to determine areas of leakage and partner with information technology and clinical service lines to rectify charge capture issues by assisting service lines to improve their ability to capture compliant charges.Performs assigned audits by researching documentation, analyzing information, and makes recommendations to improve flow of claim and enters all corrections into the systems.Perform root cause analyses, when warranted by continuous trends, to pinpoint areas, process gaps...

Marana Health is seeking a Medical Assistant Supervisor to join our Medical team at the Marana Main Health Center, located in the heart of Marana, AZ. The Medical Assistant Supervisor provides leadership, supervision, guidance, mentorship, and operational oversight to Medical Assistant (MA) staff while supporting high-quality patient care across primary care, specialty, clinical, and behavioral health services. This position partners with clinicians and staff to support efficient workflows, staff development, and a positive patient experience. Marana Health is a Federally Qualified Community Health Center (FQHC), with 11 sites in Tucson and Pima County. Our mission is to improve our community by providing exceptional, whole-person healthcare. Required Qualifications: High School diploma or equivalent 2 years' experience as a Medical Assistant Graduate of a Medical Assistant program accredited by ABHES (Accrediting Bureau of Health Education Schools) OR CAAHEP...

Your Daily Mission The Coding Quality Specialist conducts coding quality reviews on internal and external coders to ensure diagnoses are appropriately and accurately assigned based upon clinical documentation, ICD-10-CM Official Guidelines for Coding and Reporting, AHA Coding Clinic Guidance, CMS program guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The Coding Quality Specialist will apply guidance provided for the medical record code abstraction primarily for Medicaid lines of business (Complete Code Capture), but may also include Medicare Advantage Risk Adjustment or Commercial Risk Adjustment. Who You Are Minimum of 5 years certified with a core coding credential from AHIMA or AAPAHIMA - CCS, CCS-P, AAPC - CPC, CRC. Minimum of 3 recent years of production coding experience in Retrospective Risk Adjustment coding (must be within last 6 months) Minimum of 2 years experience conducting coder...

Inpatient CoderDatavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem – including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule,...

Become a part of our caring community The Inpatient 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 Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...