1293 certified coding auditor jobs found

Focused on Coding & Clinical Chart Validation, the full-time Certified Coding Auditor will conduct audits of outpatient and specialty claims, ensuring coding accuracy and compliance with medical necessity and treatment appropriateness. Key responsibilities Audits outpatient and specialty claims using medical chart coding principles and client-specific guidelines Utilizes advanced audit tools and maintains productivity and quality standards in auditing processes Identifies new claim types and recommends improvements to enhance audit production and client satisfaction Required qualifications Associate or bachelor's degree in Health Information Management (RHIA or RHIT) or equivalent experience Coding certification (e.g., CPC, CIC, CCS, CCS-P, RHIA, or RHIT) required and maintained 5 to 7 years of experience in clinical medical record coding or auditing, with knowledge of HIPAA and CMS requirements Expert knowledge of coding guidelines, including DRG, ICD-10, CPT, and...

Title: Senior Certified Coding Auditor and Trainer Location: Columbia, SC Status: Full-Time Who Are We? Part of the Novant Health family based in North Carolina, Novant Health Urgent Care (formerly Doctors Care) provides exceptional healthcare through our network of more than 50 urgent care centers and 20 physical therapy facilities across South Carolina. Our Columbia-based headquarters delivers non-medical management and administrative services to support these locations. For decades, we have been committed to delivering exceptional, convenient, and affordable healthcare experiences to families and communities throughout the Palmetto State. What Do We Offer? Competitive wages Generous PTO that increases with tenure 403B Health, dental, vision insurance Flexible Spending Account Short term and Long term Disability Whole and Term Life Insurance Rewarding Careers What Are We Looking For? Novant Health Urgent Cares is currently seeking a...

Certified Coding Auditor page is loaded## Certified Coding Auditorlocations: Melville Corporatetime type: Full timeposted on: Posted Todayjob requisition id: JR11503Melville,NY - USA**Position Requirements**Use coding skills to review clinical documentation to accurately code for anesthesia services. Retrieve information from hospital EMR systems to resolve coding questions to support offshore vendors. To work daily tasks/edits in billing system.PRIMARY RESPONSIBILITIES* Review medical record documentation to identify correct coding based on billing and payor guidelines.* Research, analyze and respond to inquiries regarding compliance and inappropriate coding denials.* Retrieve missing patient documentation required for accurate billing.* Work task queues within various systems.* Support offshore vendor coding questions.* Recommend vendor education based on tasks reviewed.REQUIRED QUALIFICATIONS* Minimum of 2 years’ professional medical coding experience.* CPC or CCS-P...

Certified Professional Coder The Certified Professional Coder (CPC) serves as the primary liaison between the medical group and the external coding vendor. This role ensures consistent communication, accurate and compliant coding practices, timely issue resolution, and alignment with organizational policies and payer requirements. The Coding Liaison supports documentation integrity, monitors vendor performance, and acts as a subject matter expert for coding-related inquiries. This role works closely with providers, clinical staff, and revenue cycle teams to review medical records, validate documentation completeness, apply correct CPT®, ICD-10-CM, and HCPCS codes, and educate providers on documentation best practices. Key Responsibilities Coding and Documentation Accuracy Serve as the primary point of contact between the medical group and the outsourced coding vendor Review, monitor, and validate coding accuracy and consistency between internal standards and vendor...

A healthcare services provider based in Melville, NY is seeking a Certified Coding Auditor to review clinical documentation and ensure accurate coding for anesthesia services. The ideal candidate has a minimum of 2 years' medical coding experience and holds a CPC or CCS-P certification. This position offers competitive hourly pay, health benefits, paid time off, and opportunities for professional development. The role supports offshore vendor coding inquiries and improves documentation accuracy. #J-18808-Ljbffr

Melville, NY - USA Position Requirements Use coding skills to review clinical documentation to accurately code for anesthesia services. Retrieve information from hospital EMR systems to resolve coding questions to support offshore vendors. To work daily tasks/edits in billing system. Primary Responsibilities Review medical record documentation to identify correct coding based on billing and payor guidelines. Research, analyze and respond to inquiries regarding compliance and inappropriate coding denials. Retrieve missing patient documentation required for accurate billing. Work task queues within various systems. Support offshore vendor coding questions. Recommend vendor education based on tasks reviewed. Required Qualifications Minimum of 2 years' professional medical coding experience. CPC or CCS-P certification. Proficient computer skills. Desired / Preferred Qualifications Insurance billing knowledge. Excel. Knowledge of CMS guidelines. Benefits Salary: $27.35 - $37.61 Hourly....

Job Posting Melville,NY - USA Position Requirements Use coding skills to review clinical documentation to accurately code for anesthesia services. Retrieve information from hospital EMR systems to resolve coding questions to support offshore vendors. To work daily tasks/edits in billing system. Primary Responsibilities Review medical record documentation to identify correct coding based on billing and payor guidelines. Research, analyze and respond to inquiries regarding compliance and inappropriate coding denials. Retrieve missing patient documentation required for accurate billing. Work task queues within various systems. Support offshore vendor coding questions. Recommend vendor education based on tasks reviewed. Required Qualifications Minimum of 2 years' professional medical coding experience. CPC or CCS-P certification. Proficient computer skills Desired/Preferred Qualifications Insurance billing knowledge Excel Knowledge of CMS guidelines Total...

Melville,NY - USA Position Requirements Use coding skills to review clinical documentation to accurately code for anesthesia services. Retrieve information from hospital EMR systems to resolve coding questions to support offshore vendors. To work daily tasks/edits in billing system. PRIMARY RESPONSIBILITIES Review medical record documentation to identify correct coding based on billing and payor guidelines. Research, analyze and respond to inquiries regarding compliance and inappropriate coding denials. Retrieve missing patient documentation required for accurate billing. Work task queues within various systems. Support offshore vendor coding questions. Recommend vendor education based on tasks reviewed. REQUIRED QUALIFICATIONS Minimum of 2 years' professional medical coding experience. CPC or CCS-P certification. Proficient computer skills DESIRED/PREFERRED QUALIFICATIONS Insurance billing knowledge Excel Knowledge of CMS guidelines...

Vālenz® Health is the platform to simplify healthcare - the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey - from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. About This Opportunity: As a Certified Medical Coding Auditor (Clinical Bill Review Analyst), you'll review claims upfront and take a deeper dive to catch billing discrepancies, unbundled charges, and other errors based on standard billing practices and coding guidelines....

To support the Revenue Cycle team, the part-time Certified Coding Compliance Auditor will conduct audits of medical coding practices, ensuring accuracy and compliance with regulatory requirements while collaborating with clinical and revenue cycle teams in a remote setting. Key responsibilities Conduct regular audits to verify accuracy of ICD-10-CM, CPT, HCPCS, and modifier medical codes Review documentation to ensure appropriate code assignment and adherence to medical necessity requirements Track and report coding errors, maintaining detailed records of audit findings Required qualifications Associate's degree in a related field 3+ years of coding/auditing experience in professional fee and/or risk adjustment settings Knowledge of industry standard code sets and guidelines (ICD-10-CM, CPT, HCPCS) CPC certification through AAPC and/or CCS certification through AHIMA required CPMA and CRC certification through AAPC required

To ensure the accuracy of HCC coded records, the full-time remote HCC Coding Quality Specialist (Auditor) will review coding compliance with Medicare and ICD-10-CM guidelines, support coder education on findings, and maintain a quality score of 95% or higher. Key responsibilities: Review HCC coded records for compliance with Medicare and ICD-10-CM guidelines Support coders by clearly identifying errors and providing educational feedback Assist in creating training materials and presentations for the HCC coding team Required qualifications: Certification through AAPC or AHIMA (CPC, CRC, CCS, or CCS-P) is mandatory At least 3 years of HCC coding experience and 2 years of auditing experience Global experience in HCC auditing is preferred Working knowledge of EMRs, billing systems, and abstraction platforms Ability to maintain compliance with privacy and security regulations

Certified Medical Coding Auditor (Clinical Bill Review Analyst) Vālenz ® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. About This Opportunity: As a Certified Medical Coding Auditor (Clinical Bill Review Analyst), you'll review claims upfront and take a deeper dive to catch billing discrepancies, unbundled charges, and other...

Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. About This Opportunity As a Certified Medical Coding Auditor (Clinical Bill Review Analyst), you’ll review claims upfront and take a deeper dive to catch billing discrepancies, unbundled charges, and other errors based on standard billing practices and coding guidelines. You’ll...

Valenz is seeking a Certified Medical Coding Auditor (Clinical Bill Review Analyst) to identify billing discrepancies and provide actionable insights to internal teams. The role requires 3+ years of experience and certification (CPC/CIC). Responsibilities include reviewing medical bills, analyzing claims, and collaborating with the Negotiation team. This fully remote position offers extensive benefits and an inclusive work environment, emphasizing growth and support for all associates. #J-18808-Ljbffr

A healthcare organization based in Columbia, SC is seeking a Senior Certified Coding Auditor and Trainer. This role involves educating staff on medical coding and documentation, overseeing coding vendor performance, and conducting chart audits to ensure accuracy. Candidates should have relevant degrees and licensure in medical coding, along with a deep knowledge of ICD10-CM and medical terminology. The position offers competitive wages, generous PTO, and benefits including health insurance and a 403B plan. #J-18808-Ljbffr

Datavant is seeking a Profee Auditing Specialist to conduct coding audits and ensure compliance within the healthcare sector. This fully remote position requires 5+ years of experience in Professional Fee coding, with a strong emphasis on customer service and leadership skills. The ideal candidate will have a CPC certification and experience with software such as Epic and Cerner, contributing to healthcare data solutions that improve health outcomes. #J-18808-Ljbffr

Datavant is seeking a Profee Auditing Specialist in Jefferson City, Missouri. This role involves conducting professional fee coding audits, providing education on coding standards, and ensuring compliance. Candidates must have over 5 years of experience in fee coding and be a Certified Professional Coder (CPC). Benefits include comprehensive training, healthcare, a 401(k), and paid time off. Join Datavant to contribute to transformative change in healthcare through accurate data solutions. #J-18808-Ljbffr

Performing independent external coding audits, the full-time Medical Coding Auditor will ensure compliance with VHA Coding Guidelines and deliver evidence-based reports and education plans while working remotely. Key responsibilities Audit 80 outpatient encounters and 10 inpatient admissions monthly using VA EHR and national encoder Validate coding accuracy for ICD-10-CM/PCS, CPT, HCPCS, and E/M levels, along with DRG assignment and POA indicators Identify documentation deficiencies and provide remediation recommendations while maintaining inter-reviewer reliability through standardized audit methodology Required qualifications Minimum of 3-5 years of medical coding experience, with 2+ years in coding audit or compliance Active certification such as RHIA, RHIT, CCS, CCS-P, CPC, or equivalent Trained on VHA Coding Guidelines and applicable VHA Directives/Handbooks Prior VA/VHA coding or audit experience is strongly preferred Proficient in Microsoft Office Suite, including...