4 regulatory analyst coder jobs found

We are seeking an experienced Remote Inpatient Facility Medical Coder to join our team and ensure accurate and compliant coding of inpatient facility records. The ideal candidate will have recent hands‑on experience in inpatient facility coding. This role requires precision, attention to detail, and familiarity with industry‑standard coding tools and guidelines. Responsibilities Review and analyze inpatient medical records to assign accurate ICD‑10‑CM/PCS codes. Ensure compliance with official coding guidelines and payer‑specific requirements. Maintain a high level of accuracy and consistency in coding to support proper billing and reimbursement. Communicate effectively with team members and leadership regarding documentation clarification and coding issues. Stay current with coding updates, regulatory changes, and organizational policies. Qualifications Minimum 3 years of recent inpatient facility coding experience (within the last 6 months). Extensive knowledge...

Hourly Compensation: $21.00 - $27.00 per hour (based on experience) + Bonus Plan Eligibility FLSA Classification: Nonexempt, Full-Time, Benefit Eligible Location: Remote. SC Upstate area candidates strongly preferred. The Opportunity: The Certified Coder is responsible for the data abstraction, evaluation and auditing of Provider assigned CPT, HCPC codes, ICD-10 CM for obstetrics. Key Responsibilities: Assigns and sequences diagnoses and procedures in accordance with ICD-10 CM Official Coding Guidelines, CPT Assistant, Physician at Teaching Hospital Rules and Evaluation and Management Documentation Guidelines Experience with billing, collections from insurance companies and patients, insurance follow up, charge entry Analyze and resolve charge entry coding errors Familiar with revenue cycle management processes Ability to work with eBridge, Putty and Lyra software Report and analyze errors, trends, and findings Compose reports using Microsoft Excel and Word Ability to...

***To be considered for the role, you must permanently reside in one of the following states: Alabama, Arkansas, Florida, Georgia, Kentucky, Kansas, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, South Carolina, Tennessee, Texas, Virginia, or West Virginia*** The Senior Compliance Auditor reviews complex audits, performs quality assurance reviews, acts as a peer mentor, and assists management with onboarding process of new auditors. The Senior Compliance Auditor supports the audit supervisor with the development and maintenance of the quarterly audit work plan and audit workflow processes. The Senior Compliance Auditor recommends changes to improve business operations by using professional judgement and knowledge of best practices. This position contributes to special projects, as applicable. The Senior Compliance Auditor performs documentation/chart audits on inpatient and outpatient records, and to provide analysis of the records (provider and facility)...

Medical Billing Specialist Position: Medical Billing Specialist Location: Remote / On-site Department: Revenue Cycle Management Overview: CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management, and contribute valuable insights to develop AI-powered tools that enhance medical billing workflows. The ideal candidate will have expertise in medical coding, claims submission, payer interactions, and denial management, ensuring optimized billing practices for maximum reimbursement and minimal claim rejections. Why Join CMCI? Opportunity to work with cutting-edge AI-driven billing solutions that optimize RCM efficiency. Work in a collaborative environment with healthcare and AI professionals. Competitive salary, benefits, and professional development opportunities. Key Responsibilities: Claims Processing & Submission: Accurately process, review, and submit medical claims. Verify CPT, ICD-10, and HCPCS codes...