1781 certified medical coding auditor jobs found

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’ career...

Join to apply for the Certified Coding Auditor (2506830) role at Community Health Network Your role The Certified Coding Auditor aims to enhance documentation, specificity, and coding precision to ensure continuity of care and clean claims for appropriate reimbursement. What you’ll do Review coding accuracy Apply coding updates Adhere to coding guidelines Documentation requirements for both facility and professional coding Draft audit findings to communicate audit scope, methodologies, results, and identified trends to Coding Leadership Remember that individuals may perform additional related duties not listed here. What we’re looking for High School Diploma or GED (Required) Vocational / Technical Degree (Preferred) Associate Degree (Preferred), Bachelor’s Degree (Preferred) Certifications: Certified Coding Specialist (CCS) OR Certified Procedural Coder (CPC) (Required) AAPC CPMA certification is preferred 3+ years medical coding experience with knowledge of...

Dane Street is seeking an experienced CPC-certified medical coder to perform coding audits, utilization reviews, and related tasks in Florida. The role emphasizes Florida-based coding expertise, understanding of medical necessity and payer policies, and readiness to support depositions and testimony as required. The candidate should have strong documentation skills, prior audit experience, and the ability to work independently to meet deadlines. #J-18808-Ljbffr

Dane Street is seeking an experienced CPC-certified medical coder to perform coding audits, utilization reviews, and related tasks in Florida. The role emphasizes Florida-based coding expertise, understanding of medical necessity and payer policies, and readiness to support depositions and testimony as required. The candidate should have strong documentation skills, prior audit experience, and the ability to work independently to meet deadlines. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). You will audit medical records to ensure proper CPT/HCPCS coding, document findings, and communicate across investigators, regulators, and providers. 40 hours per week, full-time, with a comprehensive benefits package. Applicants must hold CPC certification and have 3+ years of medical coding or documentation auditing experience, plus familiarity with CPT, HCPCS, #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) for its Special Investigations Unit to conduct medical claim reviews, ensure coding accuracy, and uphold state, federal, and company guidelines across medical, behavioral, transportation and other services. You will present findings to investigators and leadership, audit records for CPT/HCPCS codes, identify billing errors and fraud, and help drive savings while maintaining up-to-date coding knowledge. #J-18808-Ljbffr

Inpatient Medical Coding AuditorWork Model: REMOTEAbout the roleAs an Inpatient Medical Coding Auditor, you will make an impact by auditing consultant inpatient records. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and teams.In this role, you will:+ Review inpatient records for diagnostic and procedural coding accuracy and compliance+ Review physician documentation to verify diagnoses and procedures+ Identify accurate ICD-10-CM and ICD-10-PCS codes utilizing an electronic encoder application, Solventum (3M), in accordance with practice policy and regulatory guidelines+ Complete reports as requested+ Provide ICD-10-CM and ICD-10-PCS education and mentoring to Company's clients in coding, billing and compliance+ Perform Peer Reviews of Company Health Information Management coding auditors and coders+ Assure that services provided to Clients of Company are current and up to date with industry standards+ Conduct other reviews, audits and...

DaMar Staffing is seeking a Certified Professional Medical Auditor to review medical records, charts, and notes to ensure accuracy, regulatory compliance, and data integrity. You will verify ICD-10/CPT coding, assess HIPAA and payer requirements, and identify opportunities to improve documentation and billing processes. This role requires CPMA certification and at least 3 years in healthcare, with strong attention to detail and communication skills. #J-18808-Ljbffr

Certified Medical Coding AuditorIntegrative Emergency Services, LLC ("IES") is seeking a Certified Medical Coding Auditor with emphasis on auditing surgical services. Although a CPMA is preferred, a related certification from AAPC or AHIMA is acceptable. The Coding Auditor is responsible for accurate professional fee coding and documentation review for assigned surgical service lines (URSA/NTCC/TSN). This role evaluates medical records to ensure proper CPT, HCPCS Level II, and ICD-10-CM code assignment in accordance with payer guidelines and regulatory standards. This role supports documentation integrity, identifies coding compliance risks (including undercoding, overcoding, and unbundling), and contributes to clean claim submission and optimal reimbursement through coding analysis, audits, and special projects. Candidates can work in either a hybrid or remote setting. If remote, must reside in a state IES operates in: AZ, CO, TX, OK, IN, MO, AL, SC, FLIES is dedicated to...

A leading healthcare provider is seeking a Certified Medical Coding Auditor (CPC or CCS-P) in Bakersfield. This full-time role involves conducting audits, providing regulatory education, and ensuring compliance with billing standards. The ideal candidate will have an active certification, strong communication skills, and at least 3 years of experience. Benefits include medical, dental, vision insurance, and PTO, supporting professional growth within the organization. #J-18808-Ljbffr

Location: Miami, FL (On-site preferred; Hybrid/Remote may be considered) Employment Type: Part-Time (25-35 hours per week) About the Position We are seeking an experienced Senior Medical Coding Auditor (CPC) to join our growing multi-specialty medical practice specializing in Primary Care and Gynecology. The ideal candidate will be responsible for reviewing clinical documentation before claims are submitted to ensure accurate coding, appropriate E/M level selection, documentation compliance, and optimal reimbursement while maintaining full regulatory compliance. This position works closely with providers, clinical staff, and the billing department to improve documentation quality, reduce claim denials, maximize appropriate reimbursement, and ensure coding accuracy. Primary Responsibilities Review approximately 300 provider notes per week for coding accuracy and documentation compliance prior to claim submission. Validate appropriate Evaluation & Management (E/M) level...

Remote Chicago - 550 Van Buren North Carolina Nevada Virginia Texas Florida Maryland Tennessee New York-New York City Wyoming Idaho Massachusetts Michigan-Other West Virginia-Other Nebraska Maine West Virginia-Charleston Washington-Seattle Wisconsin Pennsylvania-Pittsburgh Colorado-Denver California-San Francisco Vermont Delaware-Wilmington Iowa Ohio-Other District of Columbia Georgia Missouri-St.Louis New Hampshire Indiana-Other Mississippi Pennsylvania-Philadelphia Minnesota Arkansas Utah Missouri-Kansas City Kentucky-Other Michigan-Detroit New Jersey Montana California-Los Angeles Alabama-Other New Mexico North Dakota South Carolina Rhode Island Full time JR-0015943 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...

Medical Coder II, CertifiedRemoteRemote working after on-site training (2-4 weeks). Flexible hours -- any 8 hours between 6:00 AM and 6:00 PM.This is an experienced coding position focused on review of documentation and coding. This position will ensure accurate coding and claim submission and conformity to applicable guidelines and regulations.Essential Responsibilities:· Perform documentation and coding reviews within work queues across various specialties as assigned. Utilize available coding tools and knowledge to assist in appropriate assignment of coding.· Maintain current knowledge to ensure that KPNW coding and documentation meets regulatory guidelines and audit standards. Escalate trends and identified issues through appropriate department channels. Continued development of coding knowledge and regulatory guidelines with maintenance of certification.· Performs other duties as requested to include complex coding issues and project work as assignedQualifications:Basic...

Physician Billing (PB) Coding Auditor And EducatorOur team members are the heart of what makes us better.At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community.Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.The Physician Billing (PB) Coding Auditor and Educator is responsible for auditing and educating healthcare providers on related applicable clinical documentation. This work supports coding and billing regulations that ensure appropriate reimbursement, public reporting, and various initiatives as directed by the Hackensack Meridian Health (HMH) Network.ResponsibilitiesComply with established corporate and departmental policies,...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together. The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able to exercise...

Professional Coding AuditorWellStreet Urgent Care is redefining the urgent care experience through patient-focused service, high-quality care, and strong partnerships with health systems. As a rapidly growing healthcare organization, we are building a national network of urgent care facilities and creating opportunities for talented professionals to make a meaningful impact.If you're an experienced medical coder who enjoys digging into documentation, identifying coding opportunities, and helping providers and coding teams improve accuracy, this could be a great opportunity to join our team.The Professional Coding Auditor reviews clinical documentation and coding to ensure accuracy, completeness, compliance, appropriate charge capture, and alignment between documentation and assigned CPT and ICD-10 codes. This role goes beyond identifying errors—you'll help educate providers and coders, identify trends, and partner with leadership to improve coding quality and reimbursement.Perform...

Coding Auditor The Coding Auditor reviews/audits patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment, as applicable, according to established guidelines. This position issues the coding "report card" quarterly to all coders. This position provides coding training and education. This position may audit accounts for ER Charging accuracy and perform RAC and other third party audit appeals. Responsibilities Reviews patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment according to established guidelines and scores appropriately, if applicable. Works with CDIS on DRG assignment and educates on missed Query opportunities. Works with staff on coding guidelines and correct code assignment Informs manager of any activities which do not meet federal or state coding and billing requirements Appeals RAC DRG review charts. Receives requests from business office on issues relating to coding and responds...

UnitedHealth Group in San Juan, Puerto Rico, is seeking a skilled Clinical Auditor to review professional and facility claims, compare with medical records, and determine claim viability for further processing. The role emphasizes data accuracy, compliance, and clear clinical reasoning for providers. The position requires a Coding Certificate or Nursing Licensure, proficiency with Microsoft Office, and fluency in English and Spanish. #J-18808-Ljbffr

Outpatient Coding Compliance Auditor Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels (ACEP or client-specific). This role reviews coding for alignment with medical record documentation and established guidelines, ensuring compliance with applicable laws,...