9 quality assurance coder auditor jobs found

Remote Chicago - 550 Van Buren North Carolina Nevada Virginia Texas Florida Maryland Tennessee New York-New York City Wyoming Idaho Massachusetts Michigan-Other West Virginia-Other Nebraska Maine West Virginia-Charleston Washington-Seattle Wisconsin Pennsylvania-Pittsburgh Colorado-Denver California-San Francisco Vermont Delaware-Wilmington Iowa Ohio-Other District of Columbia Georgia Missouri-St. Louis New Hampshire Indiana-Other Mississippi Pennsylvania-Philadelphia Minnesota Arkansas Utah Missouri-Kansas City Kentucky-Other Michigan-Detroit New Jersey Montana California-Los Angeles Alabama-Other New Mexico North Dakota South Carolina Rhode Island Full time JR-0015943 Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives,...

Senior Medical Records Coder Are you an experienced inpatient coder who thrives in fast-paced, academic environments and wants to make a lasting impact beyond the chart? This Senior Medical Records Coder role sits at the heart of two dynamic Family Medicine Residency programsCorewell Health Troy Beaumont and CHMG EastGrosse Pointesupporting highly productive faculty physicians, community preceptors, and more than 24 residents and medical students. In this highly visible and influential position, you'll serve as both coding expert and educator, guiding providers through complex documentation, billing, and compliance requirements while helping shape the next generation of primary care physicians through audits, one-on-one education, resident orientation, and ongoing regulatory review. Under general supervision and according to established procedures, provides technical support to the Inpatient Coding Staff and coordinates daily workflow based on the needs of the department. On a...

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...

Huron Gastro, P.C. is an adult medical gastroenterology practice specializing in the diagnosis, treatment, and management of disorders that affect the esophagus, stomach, small intestine, large intestine (colon), rectum, liver, gallbladder, bile ducts, and pancreas. Our practice includes 25 physicians who are board-certified in gastroenterology by the American Board of Internal Medicine, 9 Advances Practice Providers, and an outstanding staff of clinical and administrative personnel. Huron Gastro has been a leader in the field for over 5 decades, with expertise in every leading-edge technology that is currently available for the practice of gastrointestinal medicine. Huron Gastro is committed to high quality, efficient, compassionate, cost-conscious care. We value our culture which holds high the values of dignity and respect, and we focus much time and effort on continuing education for our health care professionals. We currently have an opportunity for a Certified...

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified 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 goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality...

On-site Sterling Heights, MI Full time R199913 Are you an experienced inpatient coder who thrives in fast‑paced, academic environments and wants to make a lasting impact beyond the chart? This Senior Medical Records Coder role sits at the heart of two dynamic Family Medicine Residency programs—Corewell Health Troy Beaumont and CHMG East–Grosse Pointe—supporting highly productive faculty physicians, community preceptors, and more than 24 residents and medical students. In this highly visible and influential position, you’ll serve as both coding expert and educator, guiding providers through complex documentation, billing, and compliance requirements while helping shape the next generation of primary care physicians through audits, one‑on‑one education, resident orientation, and ongoing regulatory review. Job Description Under general supervision and according to established procedures, provides technical support to the Inpatient Coding Staff and coordinates daily...

The Medical Coding Specialist provides coding expertise to support Utilization Management operations, health plan implementations, prior authorization program development, and clinical policy initiatives. This position is responsible for researching, analyzing, and interpreting HCPCS, CPT, and ICD-10 coding guidance to support accurate prior authorization requirements, coding resources, and client deliverables across Medicare, Medicaid, Commercial, and Marketplace lines of business. The Medical Coding Specialist partners with clinical, operational, compliance, business development, and client teams to ensure coding recommendations are accurate, compliant, and operationally sound. Success in this role requires strong attention to detail, critical thinking, organization, and the ability to produce high quality work while managing multiple priorities. Job Qualifications: Knowledge/Skills/Abilities Coding Support Research, analyze, and interpret HCPCS Level II, CPT, ICD-10-CM, and...

POSITION DESCRIPTION :The Compliance Auditor / Educator serves as the subject matter expert and as a point of contact for IHA offices and Revenue Department for proper coding procedures and workflow for existing medical services.Provides professional expertise and education in CPT, ICD and HCC coding.The Compliance Auditor / Educator is responsible for professional development of educational materials, clinical case studies, guidelines and job aides to provide direction and guidance across IHA departments and offices for coding and documentation regulations.This role is also responsible for responding to compliance-related coding and documentation issues via the event reporting system and managing them to proper resolution.Performs medical record integrity audits and conducts one-on-one meetings with Providers for corrective educational guidance.ESSENTIAL JOB FUNCTIONS :Develops and leads audit projects for medical record integrity, service line or issues-related audits, identifies...

Job DescriptionJob DescriptionMedical Coding Compliance SpecialistCompensation :Up to $85,000 annually, determined by your experience and qualifications.Job Location :Remote (US)Job Highlights :Work-Life Balance :Monday to Friday schedule for a fulfilling personal and professional life.Competitive Compensation :Be rewarded with a generous salary and benefits package.Career Growth Opportunities :Unlock your potential and advance in your career with our support.Supportive Work Environment :Join a team that values and appreciates your contributions.Comprehensive Training :Enhance your skills and knowledge through our extensive training programs.Compliance and Peace of Mind :Work with confidence knowing that we prioritize compliance with employment laws and regulations.Paid Time Off and Holidays :Enjoy well-deserved time off to relax and recharge.Life Insurance Coverage :Protect your loved ones with our employer-paid life insurance policy.Collaborative Team Environment :Thrive in a...