98 clinical coding auditor trainer jobs found

Senior Clinical Coding Auditor & Trainer This is a remote position. We are looking for a Senior Clinical Coding Auditor & Trainer. This position is primarily remote with a small travel expectation on an annual basis. Purpose: Responsible for developing, conducting, administering, and analyzing clinical coding training and auditing programs. The Senior Clinical Coding Auditor & Trainer will conduct audits of inpatient coding processes and assist in development of training and audit tools. Responsibilities: Develop and maintain complex audit processes and audit tools related to inpatient coding Develop and conduct clinical education courses for existing and new employees Audit established guidelines for medical necessity Analyze training needs and identify, select, or develop appropriate training programs including training aids and materials Audit staff in accordance with established auditing processes, work with staff to identify and resolve errors, and...

Clinical Coding Auditor & Trainer Location: Remote (U.S.) Must be willing to travel to New York twice annually Position Type: Full Time The Clinical Coding Auditor & Trainer is responsible for conducting clinical documentation and coding audits to ensure compliance with federal regulations, payer requirements, and company policies. This position focuses on DRG validation, inpatient...

About the job Clinical Coding Auditor & Trainer We are looking for a Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation on an annual basis. Candidates must be willing to travel to New York twice a year to be considered for the position. Position Purpose: Responsible for developing and conducting training and quality auditing programs for the Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. Responsibilities: Conducts auditing of work performed by staff and present findings and recommendation for areas of improvement to management Under minimal supervision responsible for all aspects of auditing projects that are broad in nature and require originality and/or ingenuity Assists with revisions to Policy and Procedure and/or work process development Conducts training needed analysis to determine specific training needs for clinical and coding staff Identifies, selects, or...

About the job Senior Clinical Coding Auditor & Trainer-Remote Job Summary/Purpose The Senior Clinical Coding Auditor & Trainer will conduct audits of inpatient coding processes for Fiscal care and assist in development of training and audit tools. Location: ***The Senior Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation on an annual basis. Candidates must be willing to travel to New York twice a year to be considered for the position. *** Pay Range: $68,700.00 - $123,700.00 per year Responsibilities: Develop and maintain complex audit processes and audit tools related to inpatient coding Develop and conduct clinical education courses for existing and new employees Audit established guidelines for medical necessity Analyze training needs and identify, select, or develop appropriate training programs including training aids and materials Audit staff in accordance with established auditing...

Senior Clinical Coding Auditor & Trainer Location: Remote (10% travel - twice yearly to NYC office) Industry: Healthcare / Managed Care Company: Centene - Fidelis Care Type: Permanent Salary: USD $68,700 - $123,700 / year + 8% performance bonus Vendor Fee: $2500 Relocation: None Position Overview Centene is transforming healthcare access and quality for 28 million members nationwide. The Senior Clinical Coding Auditor & Trainer will develop, conduct, and analyze inpatient coding training and audit programs. This role supports compliance, accuracy, and continuous improvement across Fidelis Care's inpatient coding operations. Key Responsibilities Develop, maintain, and execute audit processes and tools for inpatient coding. Design and conduct training sessions for new and existing employees. Evaluate audit results and recommend process improvements. Analyze training needs and create learning materials accordingly. Audit staff...

Job title: Clinical Coding Auditor & Trainer Remote Position Location: New York Permanent Pay Rate: USD $60K/yr - $90K/yr + Benefits Job Description Position Purpose: Responsible for developing and conducting training and quality auditing programs for the Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation on an annual basis. Candidates must be willing to travel to New York twice a year to be considered for the position. Responsibilities: Conducts auditing of work performed by staff and present findings and recommendation for areas of improvement to management Under minimal supervision responsible for all aspects of auditing projects that are broad in nature and require originality and/or ingenuity Assists with revisions to Policy and Procedure and/or work process development Conducts training needed...

Job Title Position Purpose: Develop and conduct training and quality auditing programs for Diagnosis Related Group (DRG) and Medical Record Audit programs. Location: Primarily remote with biannual travel to New York required. Travel: Travel to New York twice a year Key Responsibilities: Audit work performed by staff and present findings...

Position Purpose: Develop and conduct training and quality auditing programs for Diagnosis Related Group (DRG) and Medical Record Audit programs. Location: Primarily remote with biannual travel to New York required, applicant outside of New York can also apply for this role, as long as they are open to NYC few times in year. Travel: Travel to New York twice a year Key Responsibilities: udit work performed by staff and present findings and recommendations for improvements to management. Manage auditing projects independently, requiring originality and critical thinking. ssist in revising policies, procedures, and work process development. nalyze training needs for clinical and coding staff. Develop or select appropriate training programs and create training aids. Maintain records of audit and training activities and track employee progress. Review patient letters for accuracy and clarity with strong English grammar skills....

Role: Clinical Coding Auditor & Trainer Location: Remote, NY, US (The Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation on an annual basis Candidates must be willing to travel to New York twice a year to be considered for the position.) Permanent/Full Time Salary: USD $55,100 - $99,000 / yr Must-haves Willingness to travel to New York twice a year RN, PA, MD, APRN, DO, or MBBS license Valid/Current CPC or CIC Certification, through APPC desired or CCS through AHIMA Inpatient coding experience 1 year of experience in clinical environment - hospital Required Skills RN, PA, MD, APRN, DO, or MBBS license Associate's degree in Nursing or equivalent experience 4+ years of DRG and/or Medical Record Audit experience 1 year of clinical experience in a hospital setting Strong written communication skills Preferred or Nice-to-have Skills Inpatient coding experience Valid/Current CPC or CIC Certification, or...

Job Description Job Description Inpatient Medical Coding Auditor/Trainer- Lead (ON-SITE) Walter Reed National Military Medical Center ABOUT US: Laredo Technical Services, Inc. provides staffing services to federal Government agencies all over the world.   LTSi connects the right opportunities to the right people.  With our experience in placing our Team Members throughout the United States and overseas, we excel at providing experienced, professional personnel for a wide range of Professional and Office Administration as well as Medical Services. Our goal is to provide the highest quality professionals in the industry. LTSi’s culture delivers a strong work ethic while going above and beyond with a sense of urgency.  We are an employee-driven company.  We strive for excellence every day, which is what sets us apart from all the other government contractors. As a Certified Service-Disabled Veteran Owned Small Business (SDVOSB) Minority Business...

Coder Reimbursement Specialist - Hospital The Coding and Reimbursement Specialist, CCS is responsible for coding and abstracting thoroughly, clinical data from the medical record. This includes both inpatient, outpatient, commercial, Medicare, Medicaid, and Illinois Public Aid, plus any other payor types. This accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis, grouped to the DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. Manages workload and assigns work to three inpatient and two outpatient coders and oversees the day to day workings of the coding/reimbursement area. Monitors various regulatory sources to keep HIM coding and other staff informed and trained on various coding rules, regulations and related issues. Works closely with patient financial services to resolve any...

Lead Medical Coder - FT - Days - HPG Administration Hybrid HAMILTON PHYSICIAN GROUP - DALTON, GA 30722 Description Hours: 8AM - 5PM, Weekdays Job Summary Works under direct supervision of the Coding and Documentation Manager and follows written policies and procedures to perform the job duties. The coding lead will remain an active coder for the department when needed. The associate will complete required daily activity reporting as needed. The individual will maintain positive business relationships internally and externally to ensure effective and efficient coordination of services to promote individual and departmental goals. The associate ensures the accuracy and timeliness of all encounters coded, and provides support to team members on a regular basis. The individual resolves and advises medical coders on answers to routine questions and problems and refers more complex issues to higher levels. The associate assists the Coding and Documentation Manager in routine...

Overview $125K Bonus! Monthly and Quarterly Bonus Incentives! Through our evidenced based medicine approach, Concentra's goal is to provide quality patient care while treating everyone with friendliness, skill, and respect. We strive daily to promote a diverse environment of acceptance and compassion for our colleagues and cultivate a welcoming atmosphere where our patients can heal. As we've grown, we've expanded into urgent care, wellness services, administration, onsite health and wellness centers, and telemedicine. All these services together make achieving health easier and more accessible for our patients, clients, colleagues, and all provide you with unmatched support, education, career advancement opportunities, and benefits. The Associate Director of Medical Operations position involves providing direct patient care and leading by example to ensure an exceptional patient experience. The role includes identifying and communicating opportunities for clinical...

Internal Reference Number: R1049162 Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we've been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina ... and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! This open position is within one of our subsidiary companies called CGS Administrators. CGS has been a proven provider of administrative and business services for state Medicaid agencies, managed care organizations, commercial...

Job Description Job Description Hybrid-Sunrise, Florida Position Summary: The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through post payment medical records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines and regulatory and contract requirements. Essential Duties and Responsibilities: Performs post payment medical record review audits of claims payments to identify potential fraud, waste, abuse and/or overpayment. Completes and maintains detailed documentation of audits including but not limited to coding guidelines reviewed, medical necessity documentation, decision methodology, and monetary discrepancies identified. Coordinates overpayment recoveries with the Fraud Investigative Unit Manager. Responsible for assisting the Fraud...

Overview Are you ready to take the next step in your professional journey? At Minnesota Oncology, we believe that our people are our greatest asset, and we are committed to fostering a diverse and inclusive workplace where everyone can thrive. We are constantly on the lookout for talented individuals who are passionate, driven, and eager to make a difference. Come join this dynamic team who is passionate about providing exceptional care to our patients. Why Work for Us? Medical Dental Vision Free Life Insurance Generous Paid Time Off (PTO) Plan Free Short-term and Long-term Disability Coverage 401k plan with company contribution Wellness program that rewards your healthy lifestyle Tuition Reimbursement Employee Assistance Program and Discount Program to some of your favorite retailers Free Parking Career Growth and Development Supportive Team and Resources Responsibilities SCOPE Under general supervision, performs complete medical record...

Associate Medical Director Opportunity! Fresno County is the heart of California! Fresno offers outdoor adventures, family-friendly activities, and farm to table dining. The sun shines for more than 300 days of the year, creating the perfect environment to enjoy Concentra's work life Balance. We look forward to speaking with you. Through our evidenced based medicine approach, Concentra's goal is to provide quality patient care while treating everyone with friendliness, skill, and respect. We strive daily to promote a diverse environment of acceptance and compassion for our colleagues and cultivate a welcoming atmosphere where our patients can heal. As we've grown, we've expanded into urgent care, wellness services, administration, onsite health and wellness centers, and telemedicine. All these services together make achieving health easier and more accessible for our patients, clients, colleagues, and all provide you with unmatched support, education, career advancement...

Medical Reviewer Team Lead Why should you join the BlueCross BlueShield of South Carolina family of companies? For more than seven decades we've been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina... and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! This open position is within one of our subsidiary companies called CGS Administrators. CGS has been a proven provider of administrative and business services for state Medicaid agencies, managed care organizations, commercial health plans, Medicaid members, Medicare beneficiaries,...

UNM Medical Group, Inc. is hiring for a Medical Coding Auditor to join our Compliance Team. This opportunity is a REMOTE, full-time, day shift opening located in Albuquerque, New Mexico. *This is a work from home position that requires the selected candidate to have a permanent address and live in New Mexico or be willing to relocate to New Mexico* *This position requires extensive knowledge and experience with E/M coding. *$4,000 Sign-on Bonus* Minimum $56,173 - Midpoint $70,217* *Salary is determined based on years of total relevant experience. *Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE. Summary: Under indirect supervision, audits medical charts and records for compliance with federal coding regulations and guidelines. Uses knowledge of UNM Medical group billing systems procedures to provide a review of evaluation and management codes, medical...

Overview Are you ready to take the next step in your professional journey? At Minnesota Oncology, we believe that our people are our greatest asset, and we are committed to fostering a diverse and inclusive workplace where everyone can thrive. We are constantly on the lookout for talented individuals who are passionate, driven, and eager to make a difference. Come join this dynamic team who is passionate about providing exceptional care to our patients. Why Work for Us? We offer a competitive benefits package that includes - Medical Dental Vision Free Life Insurance Generous Paid Time Off (PTO) Plan Free Short-term and Long-term Disability Coverage 401k plan with company contribution Wellness program that rewards your healthy lifestyle Tution Reimbursement Employee Assistance Program and Discount Program to some of your favorite retailers Free Parking Career Growth and Development Supportive Team and Resources Responsibilities Scope:...

Coding Trainer Position The Coding Trainer is responsible for constructing and implementing coding training programs for coding specialists. Creates presentations, develops learning material, handbooks, and other training materials as needed. Conducts regular audits to ensure understanding and retention of basic and advanced coding concepts. Represents Enterprise Coding as a coding expert in specialty projects. Function/Duties of Position Primary Responsibilities: Trains and instructs coders on CPT, Diagnosis, modifiers, CCI edits and documentation requirements as appropriate regarding all industry standards for each clinical department across OHSU Reviews, develops, modifies, and/or adapts relevant training materials, presentations and curriculum Audits medical record documentation to identify under-coded and up-coded services; prepares reports of findings and meets with coders and leadership to provide education and training on accurate coding practices and compliance...

Currently recruiting an REMOTE Medical Coder - Inpatient to provide support to Active Duty heroes, their families, and retirees. The full-time position is Monday-Friday, 8 hours shifts between 7: 30am and 4: 30pm. DUTIES OF THE MEDICAL CODER - INPATIENT: Accurately assigns diagnosis and procedure codes for inpatient facility and professional services to include but not limited to;inpatient stays, surgical procedures, dental surgical procedures, anesthesia services, ancillary services, and inpatient external resource sharing agreement (ERSA) encounters IAW DHA accuracy, completeness, productivity, and timeliness standards IAW DoDI 6040.42. Work may involve areas such as Laboratory, Radiology, and Dental services. Reviews encounter and/or record documentation to identify and resolve inconsistencies, ambiguities, or discrepancies that may cause inaccurate coding, medico-legal repercussions or impacts quality patient care. Identifies any problems with legibility,...

Currently recruiting an REMOTE Medical Coding Auditor to provide support to Active Duty heroes, their families, and retirees. The full-time position is Monday-Friday, 8 hours shifts between 7: 30am and 4: 30pm. DUTIES OF THE MEDICAL CODING AUDITOR: Verifies the accuracy of the diagnosis, procedure, supply codes, modifiers, and sequencing for the professional and institutional (facility) components of inpatient, ambulatory, and outpatient encounters. Provides second-level review of coding assignment to ensure compliance with legal and procedural policies to ensure optimal reimbursements while adhering to regulation prohibiting unbundling and other questionable practices. Examines records for proper sequence of documents, presence of authorized signatures, and sufficient data is documented that supports diagnosis, treatment administered, and results obtained. When assigned to perform Data Quality Management Control (DQMC) audits, provides each assigned MTF with coding...

Currently recruiting an REMOTE Medical Coder - Outpatient to provide support to Active Duty heroes, their families, and retirees. The full-time position is Monday-Friday, 8 hours shifts between 7: 30am and 4: 30pm. DUTIES OF THE MEDICAL CODER - OUTPATIENT: Accurately assigns Evaluation and Management (E&M) codes, International Classification of Diseases, Clinical Modification (ICD-CM) diagnoses, Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for the professional and institutional (facility) components of outpatient primary care encounters. Reviews encounter and/or record documentation to identify and resolve inconsistencies, ambiguities, or discrepancies that may cause inaccurate coding, medico-legal repercussions or impacts quality patient care. Identifies any problems with legibility, abbreviations, etc., and brings to the provider...