Coder auditor jobs | Healthcare Careers

Prime Healthcare Management Inc Ontario, CA, USA

Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team! Responsibilities The Outpatient Coder Auditor Trainee reviews and analyzes documentation present in the medical record for outpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Outpatient Coder Auditor Trainee finalizes the coding and abstracting of the medical record upon ensuring the assignment of...

PH

Coder Auditor

Prime Healthcare Ontario, CA, USA

Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team! Responsibilities The Inpatient Coder Auditor reviews and analyzes documentation present in the medical record for Inpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Inpatient Coder Auditor finalizes the coding and abstracting of the medical record upon ensuring the assignment of International...

PH

Coder Auditor Trainee

Prime Healthcare Management Inc Ontario, CA, USA

Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team! Responsibilities The Inpatient Coder Auditor Trainee reviews and analyzes documentation present in the medical record for inpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Inpatient Coder Auditor Trainee finalizes the coding and abstracting of the medical record upon ensuring the assignment of...

PH

Coder Auditor

Prime Healthcare Management Inc Ontario, CA, USA

Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team! Responsibilities The Inpatient Coder Auditor reviews and analyzes documentation present in the medical record for Inpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Inpatient Coder Auditor finalizes the coding and abstracting of the medical record upon ensuring the assignment of International...

VH

Medical Records Technician (Coder) Auditor

Veterans Health Administration USA

Summary The Dayton Ohio VA Medical Center's Health Information Management Service is recruiting for a well-qualified Medical Records Technician -Coder Auditor. Learn more about this agency Duties Help Total Rewards of a Allied Health Professional Duties include, but may not be limited to: Reviews, analyzes and reports performance monitors for PTF, PCE, VERA and Non-VA Medical Care (purchased care) coding. Audit accurate and complete assignment of ICD-10-CM and ICD-10-PCS codes, MS-DRG, POA status, and discharge disposition values for inpatient health records. Audit accurate and complete assignment of ICD-10-CM, CPT, and HCPCS codes, including appropriate E/M assignment and modifier usage for outpatient health records. Audit function includes evaluation of clinical documentation to support optimal code assignment. Reviews coding and assist coders in improving coding accuracy; provides coding guidance to various levels of staff to promote consistency in...

HH

Professional Coder Auditor and Educator

Health & Hospital Corporation of Marion County Indianapolis, IN, USA

Division: Eskenazi Health Sub-Division: Hospital Req ID: 25405 Schedule : Full Time Shift : Days Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 333-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus including at a network of Eskenazi Health Center sites located throughout Indianapolis. FLSA Status Exempt Job Role Summary This position completes timely and accurate auditing of coder and/or provider charges and clinical documentation and follows up with coder/provider education for Professional services as appropriate to facilitate compliant and optimized reimbursement, research, and PI initiatives. The Professional Coder, Auditor and Educator assists with workflow suggestions to Leadership. Proactively contributes to Eskenazi Health's mission:...

MR

Outpatient Coder Auditor

MedReview New York, NY, USA

Overview At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. We are a leading authority in payment integrity solutions. The Outpatient Payment Integrity Coder Auditor is responsible for reviewing outpatient medical claims to ensure coding accuracy, compliance, and appropriate payment in accordance with CMS and payer-specific guidelines. This role supports the development and implementation of payment integrity initiatives by identifying coding and billing inaccuracies, trends, and potential cost savings opportunities across outpatient facility claims. The ideal candidate has advanced knowledge of outpatient coding, APC and EAPG payment methodologies, and clinical documentation requirements, with strong analytical and auditing skills. Responsibilities Perform detailed coding audits on outpatient facility claims to validate appropriate CPT/HCPCS, revenue codes, modifiers, and ICD-10 coding in accordance with CMS, NCCI, and...

SB

Coder Auditor-Professional

Sarah Bush Lincoln USA

Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. Coder Auditor-Professional Job Description Coder Auditor-Professionals are responsible for auditing of coding assignment with providers and coders, training of coding professional staff, pro-fee based coding includes the assignment of Assigns ICD-CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations. Department: Physician coding Hours: Full-Time; 40 hours required Required: High School Diploma; CPC and CPMA and/or CEMA Pay: based on experience, starting at $23.87 At this time, we are only able to consider applicants who reside in the following states: Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma,...

Sa

Coder Auditor-Professional: Hybrid Remote Quality & Training

Sarahbush Lincoln, NE, USA

A healthcare provider is seeking a Coder Auditor-Professional to audit coding assignments and train staff. The ideal candidate will hold a high school diploma and relevant certifications, with a focus on coding accuracy and quality audits. Responsibilities include conducting audits, assisting coders, and ensuring compliance with coding standards. This full-time hybrid position offers compensation between $23.87 and $37.00 based on experience, along with opportunities for career development and education support. #J-18808-Ljbffr

VH

MEDICAL RECORDS TECH (CODER) Auditor (Outpatient)

Veterans Health Administration Fredericksburg, VA, USA

Summary This position is located in the Health Information Management (HIM) Section at the Central Virginia VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure. Learn more about this agency Duties Help Basic Functions: Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Reviews assigned codes from the current version of several coding systems to include current versions of the International...

CF

Outpatient Medical Coder & Auditor — Flexible Schedule

CNY Family Care, LLP Village Green, NY, USA

A healthcare organization in East Syracuse, NY is seeking a Medical Coder and Auditor. This full-time role involves coding outpatient records and conducting audits while maintaining a flexible schedule. Candidates should have significant experience in outpatient coding, and relevant certifications are required. Excellent benefits include health coverage and paid time off. This position is critical for ensuring accurate coding and billing practices, contributing to the organization's commitment to excellence in patient care. #J-18808-Ljbffr

Pe

Medical Coder Auditor/Educator

Pediatrix USA

Overview We have a Medical Coding Auditor/Educator Career opportunity for an experienced professional to join our team at Pediatrix Medical Group. We are a national organization, and one of the nation's largest providers of prenatal, neonatal and pediatric services. Talented business professionals from diverse backgrounds choose Pediatrix because we are an exciting and innovative company that focuses on a team approach to improve the lives of patients everywhere. We are confident that you'll love being a part of the Pediatrix team. Responsibilities The Medical Coding Auditor/Educator will evaluate, prepare, and present audit results and educational instruction to physicians, coders, and other staff using corporate approved audit and education tools and materials. They will be responsibile for accurate and compliant coding and documentation review of pertinent medical records and physician services to identify need for coding education; coding education to...

PS

Lead Medical Coder & Auditor — Federal Health Coding

ProSidian Consulting, LLC Hinesville, GA, USA

A consulting firm based in Hinesville, GA, seeks a Lead Medical Coder and Auditor to support U.S. Armed Forces health facilities. The successful candidate will ensure accurate coding of medical records and perform quality checks to comply with federal regulations. This full-time position demands a minimum of 2 years of coding experience and relevant certifications. The role offers competitive compensation, comprehensive benefits, and opportunities for professional development. #J-18808-Ljbffr

Contract

Experienced Orthopedic Surgical Auditor or Coder

Welter Healthcare Partners Remote

For over 30 years, Welter Healthcare Partners has collaborated with healthcare organizations across the US on the business of healthcare. Healthcare is complicated and ever-changing, and our services, solutions, highly specialized and collaborative teams are focused on helping drive results for the long-term success of our clients! We are looking for new team members that share the same passion for success! We are looking for a 1099 Surgical Coding Expert, primarily Orthopedics, who seeks ownership of their craft, asserts their interpretation of guidelines and rules and who is extremely particular about the highest level of quality of their coding work! Skilled auditor preferred; however, a skilled and detail-oriented coder with the desire to transition to auditing will be highly considered. We offer up to $4,000 flat fee per month and are flexible for more depending on the ability to organize and facilitate volume, but quality over quantity. Opportunity...

Full Time

Medical Coder and Auditor

CNY Family Care, LLP Hybrid (Initial training onsite. Hybrid schedule once/week in offce.)

CNY Family Care's commitment to excellence sets us apart and guides us as we provide care for our community. The Medical Coder and Auditor will be responsible to conduct prospective audits of coding and billing; analyze physician and provider documentation in outpatient office health records; correct evaluation and management (E/M) service levels, appropriate procedure codes, and any necessary modifiers. Medical Coder and Auditor Responsibilities: Navigate the patient health record, office visit notes, and procedure reports in the determination of diagnoses, reason for visit, procedures, and modifiers to be coded. Code outpatient records utilizing coding books, online tools, and references, in the assignment of ICD, CPT, and HCPCS codes and modifiers. Document individual encounter audit findings and communicates results to providers. Access charge work queues to validate and assign charges. Perform all required EMR functions as efficiently as possible and according...

UH

Coder/Auditor - Physician's Group-HCM Practice Support-USA Health Office Park (Airport/Azalea)

USA Health Mobile, AL, USA

Overview USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community. USA Health is changing how medical care, education and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists and researchers provide the region's most advanced medicine at multiple facilities, campuses, clinics and classrooms. We offer patients convenient access to innovative treatments and advancements that improve the health and overall wellbeing of our community. Responsibilities Performs correct coding (CPT4/ICD10) for provider services; audits services billed without prior coding review to ensure accuracy; provides education, payer coding updates and documentation to leaders and providers to ensure coding is being performed based on current guidelines; performs periodic reviews and ongoing audits of claims to ensure accuracy of coding/billing and sufficiency of...

FH

Physician Coder/Auditor

FROEDTERT HEALTH Kenosha, WI, USA

POSITION PURPOSE Areas of emphasis will include inpatient and outpatient coding of provider charges as well as documentation reviews and audits. Secondary responsibilities will include assisting Physicians Billing staff and clinic staff with coding questions. SITE(S) Kenosha Campus Urgent Care Physicians Billing Service MINIMUM EDUCATION REQUIRED High School or Equivalent (GED) MINIMUM EXPERIENCE REQUIRED 1-3 years Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician (CCS-P) MINIMUM EXPERIENCE PREFERRED LICENSES / CERTIFICATIONS REQUIRED Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician (CCS-P). SUPERVISES N/A KNOWLEDGE, SKILLS & ABILITIES REQUIRED Knowledge of CPT and ICD-10 codes Ability to accurately audit provider documentation to ensure all CPT codes and ICD-10 codes are accurately assigned...

DS

Texas CPC Coder & Auditor | Expert Witness

Dane Street West Palm Beach, FL, USA

A leading medical services company is seeking a CPC certified medical coder to perform audits and utilization reviews. This role requires strong Texas-based coding experience and the ability to support legal cases through expert testimony. Candidates should have at least 5 years of coding experience, excellent documentation skills, and familiarity with Texas Medicaid policies. This position may be part-time based on qualifications and is open to Texas residents only. #J-18808-Ljbffr

CW

HIM Coder/Auditor

CareWell Health East Orange, NJ, USA

Job Summary At Carewell Health, we rely on powerfully insightful data to ensure the delivery of excellent healthcare services, and we're seeking an experienced medical coder to deliver this insight daily. The ideal candidate will have thorough knowledge of anatomical and medical terminology, as well as natural curiosity and an analytical mindset. As the coder mines and interprets patient medical records, transcriptions, test results, and other documentation, we'll rely on them to ask questions, connect the dots, and uncover information that may be difficult to find - all to ensure a smooth billing process. The medical coder will abide by standard protocols of the profession while using their own methods to compile the most accurate information and promote organizational growth. Essential Functions Manage high-quality, timely coding of diagnoses and procedures for inpatient and outpatient accounts, using ICD-10, CPT-4, and HCPCS classification systems Work closely with...

PS

Lead Medical Coder and Auditor [PR0001D]

ProSidian Consulting Fort Stewart, GA, USA

Lead Medical Coder and Auditor ProSidian Consulting is looking for a Lead Medical Coder and Auditor (Full-Time) in CONUS - Fort Stewart, GA to support an engagement for a branch of the United States Armed Forces' Regional Health Command who's mission is to provide a proactive and patient-centered system of health with the focus on the medical readiness of all Soldiers and for those entrusted to the care for a medically-ready force. The Armed Forces' overall mission is "to fight and win our Nation's wars, by providing prompt, sustained, land dominance, across the full range of military operations and the spectrum of conflict, in support of combatant commanders". The Regional Health Command's Readiness Mission includes dental care of active duty Soldiers, public health services, veterinary services, and providing management and support to wounded, ill and injured Soldiers assigned to its seven warrior transition units. The ProSidian Engagement Team Members work to provide health...

BC

Remote Risk Adjustment Auditor & Coder (ICD-10 Expert)

Blue Cross and Blue Shield of Massachusetts, Inc. Hingham, MA, USA

A healthcare services provider is seeking a Risk Adjustment Auditor/Coder to code, abstract, and analyze medical records using ICD-10 guidelines. This role enables remote medical record reviews ensuring proper diagnoses coding. Ideal candidates will have a CPC or CCS certification, 2-4 years of relevant experience, and strong communication skills. An Associate's degree is preferred. The position offers a salary range of $34.85 - $42.59 per hour with comprehensive benefits and potential for variable pay. #J-18808-Ljbffr

BC

Risk Adjustment Auditor/Coder

Blue Cross and Blue Shield of Massachusetts, Inc. Hingham, MA, USA

Ready to help us transform healthcare? Bring your true colors to blue. What we need The Risk Adjustment Auditor/Coder will code, abstract and analyze inpatient, outpatient and professional medical records using ICD-10 coding guidelines. The coder will perform these medical record reviews remotely to ensure proper medical diagnoses are coded appropriately and that the members' medical records reflect them accurately in accordance with Official Coding Guidelines. This role is eligible for the following personas: E-Worker, Mobile and Resident. Your Day to Day Perform medical record reviews which include coding, abstracting and analyzing inpatient, outpatient and/or professional medical records using ICD-10 coding guidelines. Follows the Official ICD-10 guidelines for Coding and Reporting and has a complete understanding of these guidelines, as well as other official guidance such as CMS guidelines and AMA Coding Clinics. Ensure that all ICD-10 diagnoses are reported in...

GT

Remote RN DRG Quality Auditor - Senior Nurse Coder

Gainwell Technologies Granite Heights, WI, USA

A healthcare solutions provider is seeking a DRG Quality Auditor to perform quality assurance audits for clinical and coding staff. Responsibilities include reviewing medical records, validating DRG assignments, and ensuring compliance with coding guidelines. The ideal candidate should have an active RN license, coding certification, and extensive clinical experience. This remote position offers flexible hours and requires a strong knowledge of DRG reimbursement methodologies. #J-18808-Ljbffr

BC

Risk Adjustment Auditor/Coder

Blue Cross Blue Shield of Massachusetts Hingham, MA, USA

Ready to help us transform healthcare? Bring your true colors to blue. What we need The Risk Adjustment Auditor/Coder will code, abstract and analyze inpatient, outpatient and professional medical records using ICD-10 coding guidelines. The coder will perform these medical record reviews remotely to ensure proper medical diagnoses are coded appropriately and that the members' medical records reflect them accurately in accordance with Official Coding Guidelines. This role is eligible for the following personas: E-Worker, Mobile and Resident. Your Day to Day Perform medical record reviews which include coding, abstracting and analyzing inpatient, outpatient and/or professional medical records using ICD-10 coding guidelines. Follows the Official ICD-10 guidelines for Coding and Reporting and has a complete understanding of these guidelines, as well as other official guidance such as CMS guidelines and AMA Coding Clinics. Ensure that all ICD-10 diagnoses are reported...

1241 coder auditor jobs found