629 auditor coding specialist jobs found

A healthcare organization is seeking a Clinical Revenue Auditor based in New York. The role involves reviewing and verifying that billable services and procedures are accurately documented and submitted for payment. The ideal candidate will have a solid clinical background and must have 3-5 years of experience in a healthcare setting, alongside expertise in medical coding and auditing processes. This position plays a key role in ensuring compliance and financial health within the organization, and offers an annual salary range of $96,000 to $140,000. #J-18808-Ljbffr

Dormont Manufacturing Co is seeking a Compliance Auditor to enhance the quality of clinical and financial documentation. This role involves auditing clinical documentation, ensuring compliance with billing codes, and collaborating with personnel to recommend process improvements. The ideal candidate should have a Bachelor’s degree in Health Information Management, relevant certifications, and a minimum of three years of experience in coding and compliance audits. A comprehensive benefits package is offered. #J-18808-Ljbffr

Employment Type:Full timeShift:Day ShiftDescription:Full-Time (80 hours biweekly) 100% Remote Coding Certification requiredMinimum of two years current experience with ICDM 9, CPT coding, and health insurance provider rules and regulations required.Essential Functions:Responsible for coding and abstracting patients' records for professional billing.Reviews patient medical records retrospectively and concurrently for the coding and sequencing of diagnoses and procedures for reimbursement purposes.Interacts and assists with coding requests and questions from billers.Serves as a resource for difficult coding questions and assists with insurance denials for correction and re-filing.Makes process improvement recommendations to management as identified, specifically related to registration and charge posting.Performs in compliance with federal, state, insurance industry regulations.Follows established hospital policies concerning corporate compliance.Keeps abreast of insurance carrier...

A healthcare institution in Valdosta, GA is seeking a Professional Coding Auditor/Education Specialist. The ideal candidate will be a Certified Professional Coder (CPC) with expertise in medical coding including ICD-10, HCPCS, and CPT. Strong analytical skills and proficiency in Microsoft Office are essential for this full-time on-site role. Responsibilities include conducting audits, educating healthcare providers, and developing training materials to improve coding compliance and efficiency. Competitive benefits include 401(k), healthcare options, and tuition reimbursement. #J-18808-Ljbffr

WHAT IT'S LIKE AT SGMC HEALTH Purpose . No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place. Excellence . We strive to do the right thing the right way, are accountable in all we do, require competence of our people, and are compassionate in our service. Team Spirit . We encourage team effort, support personal and professional development, acknowledge individual talents and skills, and support innovation and empowerment. Award Winning Performance . We are committed to providing the best care possible and we are proud to be recognized locally, statewide, and nationally for the exceptional care that our staff provides. WHY YOU WILL LOVE SGMC HEALTH SGMC has great benefit options, depending on the role that you are going into – including healthcare, supplementary benefits, ways to save for the future, opportunities for career advancement, and opportunities to expand your skill set. Some...

Professional Coding Auditor/Education Specialist Job Location: SGMC Patient Financial Services Department: Revenue Cycle Medical Group Schedule: Full Time, 8 HR Day Shift, 8-5 on site Position Summary This position requires on-site presence at SGMC Health Main Campus. Remote work is not available for this role. The ideal candidate for the Professional Coding Auditor/Education Specialist role will be a Certified Professional Coder (CPC), with preference given to those holding a Certified Professional Medical Auditor (CPMA) or Certified Documentation Expert Outpatient (CDEO) certifications, although relevant experience may substitute for these credentials. The candidate must have a strong foundation in medical coding, including extensive knowledge of ICD-10, HCPCS, and CPT, along with expertise in multispecialty and complex coding, and experience in abstracting E/M and CPT codes. Proficiency in anatomy and physiology, medical terminology, and regulatory compliance related to...

Sgmc-Health-1 is seeking a Professional Coding Auditor/Education Specialist to join their Revenue Cycle Medical Group. The ideal candidate will possess a Certified Professional Coder (CPC) certification, with preferred qualifications including knowledge of ICD-10, HCPCS, and CPT coding. This role requires on-site presence in Valdosta and is focused on enhancing coding practices and compliance. The selected individual will perform detailed audits, educate healthcare providers, and assist in developing training materials to promote efficiency and accuracy in coding. Strong communication, analytical, and time management skills are essential for success. #J-18808-Ljbffr

Position Summary The Inpatient Coding Auditor will be responsible for the auditing of inpatient coders and auditing of offshore inpatient coding auditors to ensure coding accuracy standards are met. This role requires frequent and effective communication via phone, email, and instant messaging with various client teams and payers. The Inpatient Coding Auditor will report to the Huron Managed Services Domestic Coding team. Key Responsibilities Perform a variety of activities involving the coding of medical records, resolving coding related denials, and auditing of coders to ensure coding accuracy standards are met. Demonstrate Huron’s Vision and Values in behaviors, practices, and decisions. Utilize encoder software applications and all applicable online tools to assign ICD-CM diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments. Apply coding guidelines established by CDC, CMS, AHA, AMA, AHIMA, and client procedures. Conduct quality checks/audits on...

South Georgia Medical Center seeks a Professional Coding Auditor/Education Specialist to conduct audits, educate healthcare providers, and manage coding compliance. Ideal candidates should hold a Certified Professional Coder (CPC) certification, with a strong foundation in medical coding, including knowledge of ICD-10, HCPCS, and CPT. The position is full-time, requiring on-site presence in Valdosta, Georgia, and offers benefits such as healthcare insurance, 401(k) with match, and tuition reimbursement. #J-18808-Ljbffr

Hi, we're Oscar. We're hiring a Senior Specialist, Coding Auditor to join our Payment Integrity. Oscar is the first health insurance company built around a full stack technology platform and a relentless 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 You will support issue resolution in the Oscar claim environment. You will be responsible for the end-to-end claims repayment quality, process improvement and supporting root cause analysis. You will report into the VP, Payment Integrity. Work Location This is a remote position, open to candidates who reside in: Tempe, Arizona; Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; New York City, New York; Philadelphia, Pennsylvania; Salt Lake City, Utah. While your daily work will be completed from your home office, occasional travel may be...

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, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

Job Description Job Description Hi, we're Oscar. We're hiring a Senior Specialist, Coding Auditor to join our Payment Integrity. Oscar is the first health insurance company built around a full stack technology platform and a relentless 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: You will support issue resolution in the Oscar claim environment. You will be responsible for the end-to-end claims repayment quality, process improvement and supporting root cause analysis . You will report into the VP, Payment Integrity. Work Location: This is a remote position, open to candidates who reside in: Tempe, Arizona; Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; New York City, New York; Philadelphia, Pennsylvania; Salt Lake City, Utah. While your daily work will be completed from your...

Key Responsibilities Perform activity related to coding of medical records, resolve coding‑related denials, and audit coders to ensure coding accuracy standards are met. Demonstrate Huron’s Vision and Values in all behaviors, practices, and decisions. Act as Inpatient Coding Auditor, ensuring a minimum 95% accuracy for coding and DRGs. Conduct quality checks/audits on visits coded according to client SOPs. Perform calibration audits and schedule calibration sessions with offshore team counterparts and leaders. Assist in preparing audit reports, providing direct feedback to coders and auditors, and participate in client interactions and internal stakeholder meetings. Possess a firm understanding of clinical documentation guidelines. Identify and rectify coding guideline violations during audits before claims are rebilled. Analyze and present audit findings to leadership in a clear, concise, actionable format. Use encoder software applications and all available online tools for...

Concentra, Inc is seeking a Coding and Compliance Specialist for a hybrid position in Santa Clarita, CA. The role includes performing compliance audits, analyzing findings to ensure coding accuracy, and providing training to clinicians on documentation standards. Ideal candidates must have at least three years of coding experience, relevant certifications, and exceptional communication skills. Benefits include a comprehensive health plan, 401(k) retirement plan, and tuition reimbursement. #J-18808-Ljbffr

Brown University Health is seeking a dedicated professional for coding audits and education at its headquarters in Town of Providence. The role involves auditing medical records, ensuring compliance with coding guidelines while recommending improvements to minimize risk. The ideal candidate should have a coding certification (CPC) and at least five years of experience. Knowledge of ICD-10 and CPT coding is critical as well as strong communication skills. #J-18808-Ljbffr

United Cerebral Palsy of Georgia is searching for a skilled Inpatient Medical Coding Auditor to work from home. In this role, you'll review and code inpatient hospital claims to ensure precise reimbursement. The ideal candidate will have a robust background in medical coding, certifications like RHIA or CCS, and the ability to work independently with high standards of accuracy. Enjoy a competitive salary, a rewarding bonus incentive plan, and comprehensive benefits aimed at your growth. #J-18808-Ljbffr

A healthcare consulting firm in Chicago seeks an Inpatient Coding Auditor to perform coding audits and ensure compliance with accuracy standards. Applicants should have 2+ years as a coding auditor, current U.S. work authorization, and experience with various coding guidelines. This role requires strong analytical and communication skills, alongside proficiency in Microsoft Office. The position offers a salary range of $26.44 – $36.06 per hour. #J-18808-Ljbffr

Adventist HealthCare in Gaithersburg, Maryland, is hiring a Coding Auditor for its Revenue Integrity department. The role encompasses leading discussions, analyzing billing edits, and managing work queues to enhance departmental efficiencies. The ideal candidate will possess extensive coding knowledge, attention to detail, and at least three years of relevant experience in a hospital or medical practice setting. A hybrid schedule is offered with a full-time employment contract. #J-18808-Ljbffr

A leading healthcare intelligence company is seeking a DRG Reviewer to conduct thorough audits of medical records for payment validation. This role requires expertise in coding, clinical guidelines, and compliance with payment standards. The ideal candidate should have at least two years of inpatient auditing experience, strong analytical skills, and attention to detail. This position offers competitive compensation ranging from $90,000 to $115,000, along with additional benefits and a flexible work-from-home option. #J-18808-Ljbffr

A healthcare technology firm is seeking a Nurse Coder DRG Auditor to validate coding accuracy and medical necessity of inpatient claims. The role involves applying industry standards and guidelines to perform DRG validations while collaborating within a team. Successful candidates will have an active RN license, relevant coding certifications, and experience in clinical practice. A competitive salary of $85,000 to $90,000 is offered, along with a comprehensive benefits package. #J-18808-Ljbffr

A leading healthcare provider is seeking a Specialty Coder II to work remotely, requiring residency in Florida, Georgia, North Carolina, or South Carolina. This role involves assigning diagnosis and procedural codes, auditing documentation, and mentoring other coders. Candidates should have a Certified Professional Coder certification and at least two years of coding experience. BayCare offers competitive benefits including medical, dental, and education assistance. #J-18808-Ljbffr

Stryker Corporation is seeking an inpatient coding auditor in Plymouth, Minnesota. This role involves participating in a well-established inpatient coding training program and performing retrospective coding reviews for DRG validation and compliance. The ideal candidate will have at least three years of inpatient coding experience in a high complexity facility and possess CCS, RHIT, or RHIA certification. This is a great opportunity for career advancement in coding. #J-18808-Ljbffr

AdventHealth is seeking a full-time coding expert in Orlando to perform quality reviews, educate coders, and ensure compliance with coding guidelines. You will maintain high standards of coding accuracy and collaborate with health professionals to resolve discrepancies. The ideal candidate will have 5+ years of coding experience, strong analytical skills, and proficiency in relevant software tools. Join our team to contribute to the healing ministry, while enjoying comprehensive benefits and career development opportunities. #J-18808-Ljbffr