Senior compliance coding auditor jobs

Senior Compliance & Coding Auditor - Remote

BJC Medical Group St. Louis, MO

A multi-specialty healthcare organization in St. Louis seeks a Senior Compliance Coordinator. This role involves ensuring accurate billing through reviewing provider documentation and developing training materials for compliance with regulations. The position requires strong analytical skills, a high school diploma or GED, and preferable CCS/CPC certification. Benefits include comprehensive insurance, tuition assistance, and a retirement plan. A remote opportunity is available. #J-18808-Ljbffr

CU

Senior Compliance Coding Auditor (REMOTE)

CommUnityCare Health Centers Austin, TX

This position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, CDT, HCPCS and ICD-10 codes on an annual basis. Essential Duties Conduct prospective and retrospective chart reviews (baseline, routine periodic, monitoring, and focused) comparing medical and/or dental record notes to reported CDT, CPT, HCPCS, and ICD codes with consideration of applicable FQHC and payer/title/grant coding requirements. Identify coding discrepancies and formulate suggestions for improvement. Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. Work with the Office of the CMO and provider leadership to identify and assist providers with coding. Report findings and recommendations to Compliance Officer or designee,...

CU

Senior Compliance Coding Auditor (REMOTE)

CommUnityCare TX

OverviewThis position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff.This position will support the implementation of changes to the CPT, CDT, HCPCS and ICD-10 codes on an annual basis.ResponsibilitiesEssential Duties :Conduct prospective and retrospective chart reviews (i.e.baseline, routine periodic, monitoring, and focused) comparing medical and / or dental record notes to reported CDT, CPT, HCPCS, and ICD codes with consideration of applicable FQHC and payer / title / grant coding requirements.Identify coding discrepancies and formulate suggestions for improvement.Communicate audit results / findings to providers and / or ancillary staff and share improvement ideas.Work with the Office of the CMO and provider leadership to identify and assist providers with coding.Report findings and recommendations to Compliance...

CU

Senior Compliance Coding Auditor (REMOTE)

CommUnityCare Austin, TX

Overview This position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, CDT, HCPCS and ICD-10 codes on an annual basis. Responsibilities Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical and/or dental record notes to reported CDT, CPT, HCPCS, and ICD codes with consideration of applicable FQHC and payer/title/grant coding requirements. Identify coding discrepancies and formulate suggestions for improvement. Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. Work with the Office of the CMO and provider leadership to identify and assist providers with coding. Report findings and recommendations to Compliance Officer or...

CH

Senior Compliance Coding Auditor

Central Health Granite Heights, WI

Overview This position reports to the Director of Healthcare Compliance. Responsibilities include conducting billing and coding audits, and communicating results and recommendations to providers, management, and executive administration. This role will provide training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, HCPCS and ICD-10 codes on an annual basis. Responsibilities Essential Functions: Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical record notes to reported CPT/HCPCS and ICD codes with consideration of applicable payer coding requirements. Identify coding discrepancies and formulate suggestions for improvement. Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. Work with medical staff department to identify and assist providers with coding. Report findings and...

CH

Senior Compliance Coding Auditor

Central Health Austin, TX

Overview This position reports to the Director of Healthcare Compliance. Responsibilities include conducting billing and coding audits, and communicating results and recommendations to providers, management, and executive administration. This role will provide training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, HCPCS and ICD-10 codes on an annual basis. Responsibilities Essential Functions: Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical record notes to reported CPT/HCPCS and ICD codes with consideration of applicable payer coding requirements. Identify coding discrepancies and formulate suggestions for improvement. Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. Work with medical staff department to identify and assist providers with coding. Report...

CU

Senior Compliance Coding Auditor (REMOTE)

CommUnityCare

Overview This position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, CDT, HCPCS and ICD-10 codes on an annual basis. Responsibilities Essential Duties: • Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical and/or dental record notes to reported CDT, CPT, HCPCS, and ICD codes with consideration of applicable FQHC and payer/title/grant coding requirements. • Identify coding discrepancies and formulate suggestions for improvement. • Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. • Work with the Office of the CMO and provider leadership to identify and assist providers with coding. • Report findings and...

TM

Senior Coding Compliance Auditor and Educator

Tryon Medical Partners Charlotte, NC

Senior Coding Compliance Auditor and Educator Join to apply for the Senior Coding Compliance Auditor and Educator role at Tryon Medical Partners Senior Coding Compliance Auditor and Educator 3 days ago Be among the first 25 applicants Join to apply for the Senior Coding Compliance Auditor and Educator role at Tryon Medical Partners Get AI-powered advice on this job and more exclusive features. General Job Summary : The Senior Coding Compliance Auditor and Educator will be responsible for auditing outpatient professional services documentation ensuring compliance with coding and billing guidelines, identifying areas for improvement, and providing training to clinicians and coders to support accuracy, compliance, and adherence to industry standards. This role involves both auditing medical records and educating coders, providers, and staff on professional coding guidelines and best practices. (this is a full-time position that will support our Compliance team, Monday to Friday 8 am...

VR

Senior Healthcare Compliance Auditor & Coding Lead

ViziRecruiter,LLC. New York, NY

A healthcare organization in New York seeks an experienced individual to safeguard revenue and reputation through auditing and compliance activities. Responsibilities include conducting medical record audits, developing formal reports for senior management, and coordinating education sessions for over 500 health professionals. The ideal candidate must have a Bachelor's degree, at least 5 years of relevant experience in billing and coding, and excellent communication skills. #J-18808-Ljbffr

CU

Senior Coding Compliance Auditor & Training Lead

CommUnityCare Health Centers Austin, TX

A community health center in Austin is seeking a Coding Auditor to conduct coding audits and provide training to healthcare providers. The ideal candidate will have at least 5 years in healthcare and 4 years in procedural and diagnostic coding. AAPC CPC certification or CCS certification is required. Key duties involve ensuring compliance with coding standards and improving coding practices. Strong attention to detail and excellent communication skills are essential for successfully fulfilling this role. #J-18808-Ljbffr

Bc

Senior Clinical Compliance Auditor – RN, Billing & Coding

Bcbsms Flowood, MS

A leading health insurance provider in Mississippi is seeking a Senior Clinical Compliance Auditor. This role involves reviewing clinical data, coordinating and validating billing practices for healthcare providers, and working closely with various teams. Required qualifications include a Bachelor's degree in Nursing and at least three years of relevant experience. The ideal candidate will possess strong communication, organizational, and analytical skills. Join us to promote health and wellness throughout Mississippi. #J-18808-Ljbffr

CH

Senior Medical Coding Compliance Auditor

Central Health Granite Heights, WI

A healthcare organization in Wisconsin is seeking a coding auditor to conduct billing and coding audits, provide training, and ensure compliance with regulations. The ideal candidate has extensive experience in procedural and diagnostic coding, with relevant certifications. Strong attention to detail and communication skills are essential. This position offers a chance to work within a collaborative environment focused on compliance and accurate reporting. #J-18808-Ljbffr

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Remote Senior Billing & Coding Compliance Auditor

BJC HealthCare (New) St. Louis, MO

A leading healthcare organization in St. Louis is seeking an experienced auditor to ensure compliance and accuracy in coding practices. This role includes responsibilities such as analyzing inquiries on compliance, training specialty providers, and conducting thorough reviews of documentation. Candidates should have 5-10 years of experience, a high school diploma or GED, and CCS/CPC certification. This position offers a remote opportunity and comprehensive benefits from day one, including medical, dental, and retirement contributions. #J-18808-Ljbffr

CU

Senior Coding Compliance Auditor: CPT/ICD-10 Audits

CommUnityCare Austin, TX

A healthcare organization based in Austin, Texas is seeking a Coding Auditor to conduct coding audits, ensure compliance with medical billing guidelines, and provide training for providers and staff. The ideal candidate should have a minimum of 5 years of healthcare experience and 4 years of coding experience. Relevant certifications are required. This position plays a crucial role in supporting the implementation of coding changes and improving accuracy across the organization. #J-18808-Ljbffr

Contract

Experienced Orthopedic Surgical Auditor or Coder

Welter Healthcare Partners Remote

For over 30 years, Welter Healthcare Partners has collaborated with healthcare organizations across the US on the business of healthcare. Healthcare is complicated and ever-changing, and our services, solutions, highly specialized and collaborative teams are focused on helping drive results for the long-term success of our clients! We are looking for new team members that share the same passion for success! We are looking for a 1099 Surgical Coding Expert, primarily Orthopedics, who seeks ownership of their craft, asserts their interpretation of guidelines and rules and who is extremely particular about the highest level of quality of their coding work! Skilled auditor preferred; however, a skilled and detail-oriented coder with the desire to transition to auditing will be highly considered. We offer up to $4,000 flat fee per month and are flexible for more depending on the ability to organize and facilitate volume, but quality over quantity. Opportunity...

RU

Full Time

Healthcare Coding Compliance Auditor

Riverside University Health System Medical Center Hybrid (Riverside, CA)

Riverside University Health System (RUHS) is seeking two skilled Coding Compliance Auditors (Administrative Services Manager I) to support the Health System's Compliance Department. Key responsibilities of this role include conducting thorough reviews of medical records to ensure compliance with coding regulations, while providing feedback and education to coders and physicians to enhance coding accuracy and documentation quality. The position involves performing annual, periodic, and focused audits of physician, inpatient, and outpatient coding as requested. It also requires effective communication with all RAC stakeholders to ensure timely and accurate responses to inquiries. Additionally, the role supports ongoing program development through training initiatives and process improvements, delivers coding presentations to diverse audiences including physicians and other staff. The ideal candidate will have at least five years of progressive experience in an acute care hospital...

BC

Senior Clinical Compliance Auditor

Blue Cross and Blue Shield of Mississippi Flowood, MS

Healthy Careers Start Here At Blue Cross & Blue Shield of Mississippi, we encourage professional growth in a challenging and fast-paced atmosphere. Our 'be healthy' culture promotes health and wellness at all levels of the Company, and we provide our employees with the time, tools and resources to commit to a healthy lifestyle. Job Summary The Senior Clinical Compliance Auditor serves as the primary clinical reviewer of data analysis findings, referrals, appeals and complaints related to Network Hospitals, Providers, Pharmacies, and other entities or programs suspected of inappropriate billing of claims to Blue Cross & Blue Shield of Mississippi. The incumbent is responsible for selecting, obtaining, coordinating, monitoring, and reviewing medical records and other relevant information for clinical and coding assessment and validation of related billing of services provided to Blue Cross Blue Shield Customers. The Senior Clinical Compliance Auditor collaborates with...

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Certified Interventional Radiology Cardiovascular Coder (CIRCC) Project Lead, Auditor

Savista Sparta, NC

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Company Overview Savista partners with healthcare providers to improve their financial strength by implementing integrated revenue cycle solutions that help control cost, improve margins and cash flow, increase regulatory compliance, and optimize operational efficiency. Job Purpose The Audit Project Lead oversees a designated client’s audit, which is ongoing in nature and spans several hospital and/or clinic sites. This colleague coordinates project managing a designated client’s audit with a designated colleague(s) from the Audit...

Sa

Certified Interventional Radiology Cardiovascular Coder (CIRCC) Project Lead, Auditor

Savista, LLC Houston, TX

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).**Company Overview:****Savista partners with healthcare providers to improve their financial strength by implementing integrated revenue cycle solutions that help control cost, improve margins and cash flow, increase regulatory compliance, and optimize operational efficiency.****Job Purpose:****The Audit Project Lead oversees a designated client’s audit, which is ongoing in nature and spans several hospital and/or clinic sites. This colleague coordinates project managing a designated client’s audit with a designated colleague(s) from the...

Sa

Certified Interventional Radiology Cardiovascular Coder (CIRCC) Project Lead, Auditor

Savista Huntley, IL

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Company Overview Savista partners with healthcare providers to improve their financial strength by implementing integrated revenue cycle solutions that help control cost, improve margins and cash flow, increase regulatory compliance, and optimize operational efficiency. Job Purpose The Audit Project Lead oversees a designated client’s audit, which is ongoing in nature and spans several hospital and/or clinic sites. This colleague coordinates project managing a designated client’s audit with a designated colleague(s) from the Audit...

NS

Senior Medical Billing Compliance Auditor

NorthShore University HealthSystem Evanston, IL

A healthcare organization is seeking a Senior Billing Compliance Auditor in Evanston, IL. This full-time position involves conducting thorough coding and billing audits, analyzing documentation for accuracy, and leading compliance investigations. Candidates must have a Bachelor's degree and relevant certifications, along with three or more years in billing compliance. The role offers competitive hourly pay and benefits, including tuition reimbursement and retirement options. #J-18808-Ljbffr

EE

Senior Billing Compliance Auditor

Edward-Elmhurst Health Evanston, IL

A healthcare organization is seeking a Senior Auditor to support the Corporate Compliance Program. This role involves conducting audits, analyzing coding and billing processes, and ensuring compliance with federal and state regulations. The ideal candidate should have a Bachelor's degree, relevant certification, and 3+ years of experience in regulatory billing compliance. Benefits include opportunities for professional growth, tuition reimbursement, and various medical options. #J-18808-Ljbffr

Sa

Certified Interventional Radiology Cardiovascular Coder (CIRCC) Project Lead, Auditor

Savista Burr Ridge, IL

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Company Overview Savista partners with healthcare providers to improve their financial strength by implementing integrated revenue cycle solutions that help control cost, improve margins and cash flow, increase regulatory compliance, and optimize operational efficiency. Job Purpose The Audit Project Lead oversees a designated client’s audit, which is ongoing in nature and spans several hospital and/or clinic sites. This colleague coordinates project managing a designated client’s audit with a designated colleague(s) from the Audit...

SC

Compliance Auditor - RN/PT/OT

St. Croix Hospice Mendota Heights, MN

Work Where You Matter! At St. Croix Hospice we guide patients and families through the end‑of‑life journey. Through compassionate care, we focus on our patient’s quality of life, empowering them to make the most of their time with dignity, comfort and respect. If you are ready to be part of an extraordinary team of caregivers, then come work where you matter. Compliance Auditor (Clinical) Position Overview The Compliance Auditor is responsible for assisting with the development and implementation of the compliance audit program to ensure regulatory adherence, risk mitigation and operational integrity. This role ensures that St. Croix Hospice complies with federal and state laws and regulations and internal policies by identifying potential risks and working cross‑functionally to implement corrective actions. The Compliance Auditor will lead risk assessments, internal audits and compliance investigations while collaborating with leadership to mitigate risks and strengthen internal...

234 senior compliance coding auditor jobs found