2105 certified medical coding auditor jobs found

Detail-oriented and committed to excellence, the full-time Certified Medical Coding Auditor will conduct internal and external coding audits, develop and implement audit plans, and provide education programs for Health Information Management coding staff in a remote work environment. Key responsibilities Conduct internal and coordinate external coding audits to ensure accuracy and compliance with coding guidelines Develop and implement detailed audit plans and programs in response to changes in coding guidelines and new code implementations Analyze audit findings and provide corrective action plans while planning education programs for coding staff based on these findings Required qualifications Associate's degree in health information management or a related field, or equivalent experience Three years of experience in coding, audit, or denials coordination Certification such as RHIA, RHIT, CCS, COC, or CIC; new hires with CCA or CPC must obtain one of these certifications within...

Shift Monday - Friday, Flexible Day Shift Work Arrangement Remote Department Medical Coding & Data Management - Inpatient Coding Compensation Base Pay Range: $23.66 - $37.36 per hour, based on experience ABOUT THE JOB MU Health Care is looking for a detail-oriented Certified Medical Coding Auditor to join our Inpatient Coding Team. We seek a candidate with a passion for ensuring accuracy and compliance in medical coding, embodying a commitment to excellence in healthcare. The ideal candidate will possess a keen eye for detail, conducting thorough internal and external coding audits to guarantee precision in code assignment, in alignment with evolving guidelines and policies. As a key member of our team, you'll play a vital role in developing and implementing audit plans, providing insightful analysis of findings, and delivering engaging education programs for our Health Information Management coding staff. Your commitment to continuous improvement and adherence to corporate...

Detail-oriented and committed to excellence, the full-time Certified Medical Coding Auditor will conduct internal and external coding audits, develop and implement audit plans, and provide education programs for Health Information Management coding staff in a remote work environment. Key responsibilities Conduct internal and coordinate external coding audits to ensure accuracy and compliance with coding guidelines Develop and implement detailed audit plans and programs in response to changes in coding guidelines and new code implementations Analyze audit findings and provide corrective action plans while planning education programs for coding staff based on these findings Required qualifications Associate's degree in health information management or a related field, or equivalent experience Three years of experience in coding, audit, or denials coordination Certification such as RHIA, RHIT, CCS, COC, or CIC; new hires with CCA or CPC must obtain one of these certifications...

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...

A healthcare services organization is seeking a Medical Record Audit / Coding Auditor to oversee the development of a clinical coding audit program. The role involves conducting compliance reviews, training coding associates, and ensuring adherence to coding regulations. Candidates must have at least five years of experience in physician coding and be a certified professional coder. This job offers an opportunity to impact billing accuracy and training processes within the organization. #J-18808-Ljbffr

University of Missouri Health Care is seeking a Certified Medical Coding Auditor to support inpatient coding audits and education for Health Information Management staff. The role emphasizes accuracy, compliance with coding guidelines, and development of audit plans to improve coding quality. The candidate will conduct internal and external audits, analyze findings, and provide corrective actions while supporting pre-billing reviews and ongoing staff training within MU Health Care's inpatient #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to conduct medical claim reviews for the Special Investigations Unit. The role involves ensuring CPT/HCPCS/Revenue code accuracy, preparing detailed summaries, and communicating findings to investigators and leadership. Travel may be required. Applicants should hold an AAPC CPC certification with 3+ years of medical/behavioral health coding experience, including record review/d documentation auditing, and familiarity with CMS guidelines. #J-18808-Ljbffr

Compliance Auditor Responsible for ensuring that all aspects of documentation, coding, and billing practices are in compliance with applicable laws, regulations, guidelines, and UMMS policies and procedures. Conduct audits to identify areas of non-compliance, assess risks, and collaborate with key stakeholders to monitor corrective measures when indicated. Responsible for validating that data abstracted from the electronic health record (EHR) is coded according to ICD-10-CM, CPT, HCPCS, AMA CPT guidelines, E/M guidelines, and CMS standards. Work is performed under limited supervision. Direct report to the Manager, Coding Compliance Training. Conduct independent compliance audits and review on the adequacy of medical record documentation to support the codes selected by providers and/or coders. Verify compliance with CMS guidelines, CPT, HCPCS, and ICD-10 standardized code sets, and internal coding and billing policies via documentation and coding review audits. Assist with...

Thank you for considering a career at Ensemble!Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!O.N.E Purpose:Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.Striving for...

DRG Coding Auditor - MS-DRG and APR-DRGSign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service.Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients....

North American Partners in Anesthesia is seeking a Certified Coding Auditor (Remote) to review clinical documentation and code anesthesia services accurately. You will retrieve and verify documentation from hospital EMR systems, resolve coding inquiries, and support offshore vendors, in a fully remote capacity from Melville, NY area. The role requires CPC or CCS-P certification and at least 2 years of medical coding experience, with strong computer and Excel skills. #J-18808-Ljbffr

Where You’ll Work With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Job Summary and Responsibilities As our Coding Auditor and Educator Professional Fee, you will utilize ICD-10-CM, HCPCS, and CPT-4 classification systems to support the professional fee coding team. You will serve as a key resource for coding and billing inquiries while facilitating the standardization of coding practices across the organization. Every day, you will perform internal audits and provide necessary follow-up education...

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.What...

Physician Coding Education SpecialistPerforms, develops, and implements coding related efficiency processes to monitor professional coding to ensure optimal efficiency and follow the controlling compliance guidelines with governmental and private payers. The Physician Coding Education Specialist is responsible for analyzing physician coding trends and providing educations that will contribute to effective productivities.Responsibilities Essential Functions:Responsible for internal auditing and analyzing professional coding for all service lines.Guide and educate coding team members by addressing errors, performance issues, and trends identified through reporting.Takes an active role in developing and presenting educational programs to physicians, physician extenders, and physician offices.Effectively communicates best practice physician coding related feedback with physicians, non-physician providers, physician office staff, administration, practice managers, and team members of...

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 within 5 working...

Overview The Laboratory Coding Auditor/Educator assists with oversight of coding audits and delivers targeted education for the Laboratory Billing & Coding Representatives, Pathologists, and applicable departments. This role works closely with and supports Laboratory leadership to ensure regulatory and compliance requirements are met for appropriate code assignment, while serving as a senior coding resource for the department. The Auditor/Educator conducts billing workflow and charge integrity audits to ensure laboratory orders and charges accurately transmit to EPIC. The Auditor/Educator adheres to all duties of the Laboratory Billing & Coding Representative. Qualifications Certifications: Registered Health Information Technician (RHIT) - American Health Information Management Association(AHIMA); Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Education: , Work Experience: Coding Responsibilities Must be able to perform essential job...

Where You’ll Work With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Job Summary and Responsibilities As our Coding Auditor and Educator Professional Fee, you will utilize ICD-10-CM, HCPCS, and CPT-4 classification systems to support the professional fee coding team. You will serve as a key resource for coding and billing inquiries while facilitating the standardization of coding practices across the organization. Every day, you will perform internal audits and provide necessary follow-up education to...

DRG Coding Auditor - MS-DRG and APR-DRGSign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service.Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients....

Medical Coding Supervisor Introduction TTUHSC provides so much more than just a job! Enjoy excellent benefits , including paid leave, retirement plans, wellness programs, health insurance and so much more. Ready to start building a rewarding career in a positive environment where you can develop and thrive? Join us as we change the future of health care. About TTUHSC Texas Tech University Health Sciences Center is enriching the lives of others by educating students, providing excellent patient care, and advancing knowledge through innovative research. TTUHSC graduates more health care professionals than any other health care institution in the state, conferring 24.2% of all degrees and certificates awarded from health-related institutions in Texas. By providing comprehensive clinical services to more than 10 million individuals across 121 counties, TTUHSC is dedicated to advancing the health of people throughout Texas and beyond. This is where world-class education meets...

Medical Coding SupervisorCentralized Coding LbkLubbockNationally recognized as a Great College to Work For, TTUHSC provides much more than just a job! Enjoy excellent benefits, including paid leave, retirement plans, wellness programs, health insurance and so much more. Ready to start building a rewarding career in a positive environment where you can develop and thrive? Join us as we change the future of health care.Texas Tech University Health Sciences Center is enriching the lives of others by educating students, providing excellent patient care, and advancing knowledge through innovative research. TTUHSC graduates more health care professionals than any other health care institution in the state, conferring 24.2% of all degrees and certificates awarded from health-related institutions in Texas. By providing comprehensive clinical services to more than 10 million individuals across 121 counties, TTUHSC is dedicated to advancing the health of people throughout Texas and beyond....

Position Description Provides day-to-day supervision and support to the coding team responsible for outpatient, in-patient, and clinic-based services across Texas Tech Physician clinics. This role ensures coding accuracy, compliance with regulatory requirements, and timely encounter completion to support revenue cycle integrity and organizational goals. The supervisor serves as a working leader who performs coding and/or auditing functions while supervising team members, monitoring productivity and their quality performance. This position works collaboratively with the Coding Manager, Compliance, and Revenue Cycle teams to implement policies, resolve coding-related issues, and promote consistent application of coding standards across multiple specialties and oversees staff. Major/Essential Functions Supervise daily operations of the centralized ambulatory coding team, ensuring timely and accurate coding of outpatient encounters. Monitor staff productivity and quality, providing...