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46 senior healthcare coding billing compliance specialist jobs found

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senior healthcare coding billing compliance specialist
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SM
Full Time
 
Senior Risk Adjustment Coder (CPC, CRC, and CCDS required) - Remote/CA Resident
Stanford Medicine Partners Remote (CA, USA)
Senior Risk Adjustment Coder (CPC, CRC, and CCDS required) Stanford Medicine Partners Newark, CA (Remote/CA Resident) Stanford Medicine Partners (SMP) is looking for an amazing Senior Risk Adjustment Coder to join our rapidly growing team! SMP prides itself in offering exceptional service and patient care. Stanford Medicine Partners with Stanford Health Care to provide individualized and convenient care with access to Stanford specialists and technology. Join our team and start making a difference today! A Brief Overview The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare Advantage Risk Adjustment. What you will do Risk Adjustment...

Oct 26, 2025
OH
Senior Specialist, Coding Auditor
Oscar Health New York, NY, USA
Job Description Job Description Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture...

Dec 12, 2025
PA
Medical Billing Supervisor
Premier Ambulance Brea, CA, USA
Premier Ambulance has been a trusted leader in ambulance transportation for over 17 years, serving markets in Los Angeles, Orange, San Diego, and Riverside counties. We are dedicated to providing high-quality emergency medical services, including Advanced Life Support, Basic Life Support and Specialty Care Transportation, to a variety of clients including hospitals, nursing homes, and managed care organizations. We are seeking a detailed-oriented and experienced Medical Billing Supervisor to join our team. The Medical Billing Supervisor will be responsible for overseeing the billing operations for our ambulance services, ensuring accurate submission of claims, managing accounts receivable, and maintaining compliance with knowledge of industry standards and insurance regulations. This role requires a candidate with knowledge of ambulance billing practices, insurance requirements, and strong organizational skills. Key Responsibilities and Qualifications Supervise and manage the...

Dec 11, 2025
OH
Senior Specialist, Coding Auditor
Oscar Health Augusta, GA, USA
Siu Coding Auditor Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family. About The Role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our...

Dec 11, 2025
NB
Ambulatory Professional Fee and Hospitalist Coder
NorthBay Health Fairfield, CA, USA
Ambulatory Professional Fee and Hospitalist Coder Apply for the Ambulatory Professional Fee and Hospitalist Coder role at NorthBay Health. Job Description At NorthBay, the Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT, and HCPCS codes in an accurate and timely manner in the hospital setting. The ideal candidate is a dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. The candidate can effectively communicate with providers via email, query, phone call, or in person to educate or discuss coding requirements. The role abstracts demographic and physician data to meet both internal and regulatory requirements for reporting utilizing the hospital’s abstracting system. Work is performed using the approved classification coding systems to include the modifiers. All work is carried out in accordance with the...

Dec 11, 2025
AU
Certified Medical Coding Auditor (CPC or CCS-P)
Accelerated Urgent Care California, MO, USA
Certified Medical Coding Auditor (CPC or CCS-P) Join to apply for the Certified Medical Coding Auditor (CPC or CCS-P) role at Accelerated Urgent Care Certified Medical Coding Auditor (CPC or CCS-P) 2 weeks ago Be among the first 25 applicants Join to apply for the Certified Medical Coding Auditor (CPC or CCS-P) role at Accelerated Urgent Care About Us Simply put, our purpose at Accelerated Urgent Care is to get you quality care when you need it. We aim to foster a supportive environment where our team members can develop their careers. To promote this goal, we’ve built a diverse and driven team of employees who are all eager to learn from one another and reach Accelerated Urgent Care’s mission of delivering exceptional healthcare to the patients and communities that we are privileged to serve. We are ... a fast-growing company that doubles in size year after year since 2012! Recognized as Kern County’s Top Urgent Care center 6 years in a row! Dedicated to our employees’...

Dec 11, 2025
HA
Coding Auditor, Managed Care
Healthcare Ascension Indianapolis, IN, USA
Details Department: Managed Care Schedule: Days, Monday-Friday, 8:00am-5:00pm Hospital: Ascension Medical Group, Clinic Location: Indianapolis, IN Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension. *Please note, benefits and benefits eligibility can vary by position, exclusions may apply for some roles (for example: PRN, Short-Term Option, etc.). Connect with your Talent Advisor today for additional specifics....

Dec 11, 2025
TM
Senior Coding Compliance Auditor and Educator
Tryon Medical Partners Charlotte, NC, USA
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...

Dec 11, 2025
LH
Senior Ambulatory Surgery Facility Coder - Remote
LCMC Health New Orleans, LA, USA
Overview Senior Ambulatory Surgery Facility Coder - Remote Join to apply for the Senior Ambulatory Surgery Facility Coder - Remote role at LCMC Health Your job is more than a job The Intern HIM Coding pursues a career in medical coding for hospital inpatient/emergency/outpatient services and professional/provider services. Assists the team with assigning appropriate codes, reviews coding claim and edits or performs any other duties as assigned. Responsible for applying the appropriate ICD-10-CM/PCS and CPT (including charging) diagnostic and procedural codes for emergency, outpatient and/or inpatient encounters and ancillary encounters ambulatory/provider-based clinics. Utilizes knowledge and experience gained with a goal to serve as a coding specialist. Your Everyday GENERAL DUTIES Coding And Computer Related Knowledge Gains/Implements basic knowledge of ICD-10-CM and PCS, IPPS and DRG payment methodology, CPT and HCPCS coding principles in the work. Assigns ICD-10, CPT and...

Dec 11, 2025
EH
Professional Coding Compliance Auditor
Emory Healthcare Atlanta, GA, USA
Join to apply for the Professional Coding Compliance Auditor role at Emory Healthcare Join to apply for the Professional Coding Compliance Auditor role at Emory Healthcare Get AI-powered advice on this job and more exclusive features. Overview Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare w e fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career Overview Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare w e fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career And Be What You Want To Be. We Provide Comprehensive health benefits that start day 1 Student Loan Repayment Assistance &...

Dec 11, 2025
UH
Compliance Auditor, Billing and Coding Compliance
UT Health San Antonio San Antonio, TX, USA
Compliance Auditor, Billing and Coding Compliance Join to apply for the Compliance Auditor, Billing and Coding Compliance role at UT Health San Antonio Compliance Auditor, Billing and Coding Compliance 2 weeks ago Be among the first 25 applicants Join to apply for the Compliance Auditor, Billing and Coding Compliance role at UT Health San Antonio Job Description The Compliance Auditor, Billing and Coding Compliance is responsible for the oversight and management of auditing and monitoring billing and coding compliance activities, assist with internal compliance policies and procedures, completing compliance risk assessments, and developing risk-based educational materials to ensure compliance with federal/state laws and regulations, and UT Health San Antonio policies. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc. Job Description The Compliance Auditor, Billing and Coding...

Dec 11, 2025
PH
Certified Medical Coder
PRIDE Health Houston, TX, USA
4 days ago Be among the first 25 applicants This range is provided by Pride Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $28.00/hr - $30.00/hr Direct message the job poster from Pride Health Pride Health is hiring a Certified Coder for one of its clients in Texas. This is a 3-month contract with the possibility of expansion with competitive pay and benefits. Location – Houston, Texas (77024) Pay range – $28- $30 per hour on W2. (based on your experience) Length of assignment – 3-month contract (possibility to extend) Shift – Mon‑Fr – 8 am to 5 pm. Job Summary Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-9-CM /CPT codes for billing, internal and external reporting, research, and regulatory compliance. Accurately code conditions and procedures as documented in the ICD-9-CM Official Guidelines for Coding and Reporting....

Dec 11, 2025
CU
Senior Compliance Coding Auditor (REMOTE)
CommUnityCare Health Centers Austin, TX, USA
Senior Compliance Coding Auditor (REMOTE) Join to apply for the Senior Compliance Coding Auditor (REMOTE) role at CommUnityCare Health Centers Senior Compliance Coding Auditor (REMOTE) 5 days ago Be among the first 25 applicants Join to apply for the Senior Compliance Coding Auditor (REMOTE) role at CommUnityCare Health Centers 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 (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...

Dec 11, 2025
UH
Medical Billing Coder
UCSF Health Emeryville, CA, USA
Join to apply for the Medical Billing Coder role at UCSF Health Continue with Google Continue with Google 1 day ago Be among the first 25 applicants Join to apply for the Medical Billing Coder role at UCSF Health Job Summary Under the direction of the Associate Director/Revenue Manager, the Medical Billing Coder aka Professional Fee Coder - Revenue Cycle Analyst will be responsible for front-end billing functions from procedural & diagnosis coding and charge entry to contacting physicians for documentation tracking and updating. Working under direct supervision the incumbent acquires knowledge of revenue cycle coding practices and concepts. Developing proficiency to manage 500 - 1000 code combinations to include Evaluation and Management Services as well as simple to moderately complex testing and procedural code services. FPO - Revenue Management Full Time 85300BR Job Summary Under the direction of the Associate Director/Revenue Manager, the Medical Billing Coder...

Dec 11, 2025
IH
Coder lll -Inpatient Coder
Insight Health Systems Chicago, IL, USA
Join to apply for the Coder lll -Inpatient Coder role at Insight Health Systems 1 month ago Be among the first 25 applicants Join to apply for the Coder lll -Inpatient Coder role at Insight Health Systems Get AI-powered advice on this job and more exclusive features. Insight Health Systems provided pay range This range is provided by Insight Health Systems. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $31.00/hr - $36.00/hr We Are Insight At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world-class service to everyone we...

Dec 11, 2025
OH
Senior Specialist, Coding Auditor
Oscar Health Madison, WI, USA
Siu Coding Auditor Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family. About The Role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our...

Dec 10, 2025
iL
Senior Medical Billing Specialist
iHealth Labs Inc. Sunnyvale, CA, USA
Senior Medical Billing Specialist Full Time Sunnyvale, CA, US 5 days ago Requisition ID: 1363 Salary Range: $70,000.00 To $100,000.00 Annually Work Location: Sunnyvale, CA - Onsite, 5 days per week Pay Range: $70,000 - $100,000 Our Company: Founded in 2010, iHealth is dedicated to empowering people to live healthier lives. The company is a leader in designing and manufacturing consumer-friendly, mobile personal healthcare products connected through the cloud that allows consumers to easily measure, track, and share vital health information with their doctors. With a focus on delivering high-quality and accessible products, iHealth is at the forefront of the digital health revolution. In 2018, iHealth established the Unified Care program to address the issue of managing chronic diseases. iHealth Care specialists support patients beyond the doctor’s office with chronic conditions via Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) to achieve better health...

Dec 10, 2025
BH
Job Posting Physician Coder (I, II, & Sr)
Bayfront Health St. Petersburg Detroit, MI, USA
Position Summary MUST LIVE IN APPROVED STATE TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, MA< MI, NV, NM, NC, PA, SC, TX, VA, and WA. Position Summary: This job posting encompasses all available Physician coding roles, including Physician Coder I, Physician Coder II, and Physician Senior Coder positions. Applicants will be considered for the appropriate role based on current organizational needs, manager discretion, years of relevant experience, passing a coding assessment and how well they meet the qualifications outlined for each position. Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. MUST LIVE IN APPROVED STATE TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, MA< MI, NV, NM, NC, PA, SC, TX, VA, and WA. At Orlando Health, we are ordinary people with extraordinary...

Dec 10, 2025
WH
Coder III - Per Diem
Washington Hospital Healthcare System Fremont, CA, USA
Salary Range: $54.72 - $74.94 + applicable differentials Division Revenue Cycle Job Title Coder III – Per Diem Job Code 562 Job Summary Coder III – Per Diem is a senior‑level coding professional responsible for accurately assigning ICD‑10‑CM, ICD‑10‑PCS, and CPT/HCPCS codes for complex inpatient and outpatient encounters. The role ensures precise DRG assignment, optimal reimbursement, and compliance with federal, state, and commercial payor regulations. The Coder III serves as a subject‑matter expert and provides guidance to clinical documentation, coding staff, and revenue cycle leadership to support accurate charge capture and reduce denials. In addition to performing the essential functions listed below, the role may also be assigned other duties as required. Statement of Accountability Reports to: Director of Health Information Management Qualifications 1. Education Associate of Arts (AA) or Associate of Science (AS) degree in Health Information Technology 2....

Dec 10, 2025
BH
Job Posting Physician Coder (I, II, & Sr)
Bayfront Health St. Petersburg Winston-Salem, NC, USA
Position Summary MUST LIVE IN APPROVED STATE TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, MA< MI, NV, NM, NC, PA, SC, TX, VA, and WA. Position Summary: This job posting encompasses all available Physician coding roles, including Physician Coder I, Physician Coder II, and Physician Senior Coder positions. Applicants will be considered for the appropriate role based on current organizational needs, manager discretion, years of relevant experience, passing a coding assessment and how well they meet the qualifications outlined for each position. Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. MUST LIVE IN APPROVED STATE TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, MA< MI, NV, NM, NC, PA, SC, TX, VA, and WA. At Orlando Health, we are ordinary people with extraordinary...

Dec 09, 2025
BH
Job Posting Physician Coder (I, II, & Sr)
Bayfront Health St. Petersburg Orlando, FL, USA
Position Summary MUST LIVE IN APPROVED STATE TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, MA< MI, NV, NM, NC, PA, SC, TX, VA, and WA. Position Summary: This job posting encompasses all available Physician coding roles, including Physician Coder I, Physician Coder II, and Physician Senior Coder positions. Applicants will be considered for the appropriate role based on current organizational needs, manager discretion, years of relevant experience, passing a coding assessment and how well they meet the qualifications outlined for each position. Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. MUST LIVE IN APPROVED STATE TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, MA< MI, NV, NM, NC, PA, SC, TX, VA, and WA. At Orlando Health, we are ordinary people with extraordinary...

Dec 09, 2025
OH
Senior Specialist, Coding Auditor
Oscar Health Virginia Beach, VA, USA
Siu Coding Auditor Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family. About The Role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our...

Dec 09, 2025
OH
Senior Specialist, Coding Auditor
Oscar Health Raleigh, NC, USA
Siu Coding Auditor Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family. About The Role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our...

Dec 09, 2025
OH
Senior Specialist, Coding Auditor
Oscar Health Tampa, FL, USA
Siu Coding Auditor Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family. About The Role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our...

Dec 09, 2025
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