13 senior coding auditor jobs found

Gainwell Technologies is seeking an Outpatient Coding Auditor, Senior Associate to perform coding reviews of medical records and documentation to determine correct coding per contract-specific methodologies. The role requires extensive outpatient coding knowledge and proficiency with EAPG, ASC and APC reimbursement systems. You will audit records for accuracy of diagnosis and procedure codes, train peers, and stay current with guidelines. #J-18808-Ljbffr

Gainwell Technologies is seeking a Senior Associate for the Outpatient Coding Auditor position, responsible for conducting coding reviews of medical records to ensure compliance with guidelines. The ideal candidate will have at least 2 years of experience in coding or auditing, as well as the necessary professional credentials. This position offers a remote work environment with benefits starting on the first day. The pay range is between $70,000 to $80,000 annually, with multiple additional perks including flexible vacation, a 401(k) match, and various development opportunities. #J-18808-Ljbffr

Gainwell Technologies is seeking an Outpatient Coding Auditor, Senior Associate to perform coding reviews of medical records and documentation to determine correct coding per contract-specific methodologies. The role requires extensive outpatient coding knowledge and proficiency with EAPG, ASC and APC reimbursement systems. You will audit records for accuracy of diagnosis and procedure codes, train peers, and stay current with guidelines. #J-18808-Ljbffr

Gainwell Technologies is seeking a Senior Associate for the Outpatient Coding Auditor position, responsible for conducting coding reviews of medical records to ensure compliance with guidelines. The ideal candidate will have at least 2 years of experience in coding or auditing, as well as the necessary professional credentials. This position offers a remote work environment with benefits starting on the first day. The pay range is between $70,000 to $80,000 annually, with multiple additional perks including flexible vacation, a 401(k) match, and various development opportunities. #J-18808-Ljbffr

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

Overview Providence requires a Compliance Auditor – Remote. The Revenue Cycle Compliance Hospital Auditor evaluates compliance with federal and state laws, regulatory rules, and Providence policies and procedures across a variety of audit focus areas, including clinical and nonclinical services related to revenue cycle operations. The auditor works collaboratively with Case Management, Utilization Review, Revenue Integrity, the Professional Revenue Cycle Compliance Team, Clinical Risk, Internal Legal Affairs, and Finance under the supervision of the Rev Cycle Compliance Senior Manager. The role involves navigating and analyzing data across clinical EMR and Epic billing systems, reviewing line-item charges, revenue codes, CPT descriptions, status, orders, supporting documentation, and reimbursement. Audit findings are presented verbally and visually to reduce risk within the Providence system. Overpayments received in error are refunded following the CMS Voluntary Self Disclosure...

Overview Providence requires a Compliance Auditor – Remote. The Revenue Cycle Compliance Hospital Auditor evaluates compliance with federal and state laws, regulatory rules, and Providence policies and procedures across a variety of audit focus areas, including clinical and nonclinical services related to revenue cycle operations. The auditor works collaboratively with Case Management, Utilization Review, Revenue Integrity, the Professional Revenue Cycle Compliance Team, Clinical Risk, Internal Legal Affairs, and Finance under the supervision of the Rev Cycle Compliance Senior Manager. The role involves navigating and analyzing data across clinical EMR and Epic billing systems, reviewing line-item charges, revenue codes, CPT descriptions, status, orders, supporting documentation, and reimbursement. Audit findings are presented verbally and visually to reduce risk within the Providence system. Overpayments received in error are refunded following the CMS Voluntary Self Disclosure...

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs. This position typically reports to the Coding Compliance Manager. Minimum Qualifications Education: High school diploma or GED, required....

Humana Inc. seeks a Senior Medical Coding Professional, Inpatient, to support payment integrity by reviewing inpatient claims for coding accuracy, DRG assignment, and compliance with guidelines. You will report to the Manager, Payment Integrity. You will apply ICD-10-CM/PCS coding guidelines, assess reimbursement impact, conduct retrospective audits, and collaborate with clinical reviewers and data analysts to drive accurate DRG coding and financial outcomes. #J-18808-Ljbffr

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. Work Shift: 8 Hours - Day Shifts (United States of America) Scheduled Weekly Hours: 40 Compensation: Salary Range: $20.50 - $33.00 Union Position: No Department Details Our Coders review medical documentation, assign appropriate codes (ICD-10, HCPCS, CPT), and ensure compliance with coding standards, regulations, and company procedures. The position requires strong problem-solving skills, effective communication with medical professionals to improve documentation accuracy and the ability to work independently. We offer flexible hours and the ability to work remotely. Summary Serve as a resource for providers in understanding covered indications and the supporting documentation. Supports both technical and professional services in provider clinic as well as Ambulatory Surgery Centers...

At Suvida Healthcare, we are not just caregivers; we’re compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well‑being of an underserved community and their families. Our multi‑disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare‑eligible Hispanic seniors. Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service‑centered, and more compassionate healthcare family and Employer of Choice! Will you join us Suvidanos , to help achieve our Higher Purpose? What Makes Us Unique We are an empowered...

At Suvida Healthcare, we are not just caregivers; we’re compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well‑being of an underserved community and their families. Our multi‑disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare‑eligible Hispanic seniors. Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service‑centered, and more compassionate healthcare family and Employer of Choice! Will you join us Suvidanos , to help achieve our Higher Purpose? What Makes Us Unique We are an empowered...

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs. This position typically reports to the Coding Compliance Manager. Minimum Qualifications Education: High school diploma or GED, required....