3098 coder auditor jobs found

Job Description Job Description  Medical Coder/ AuditorJob at a Glance Title:  Medical Coder/ Auditor Location:  Columbia, SC Contract:  W2 only Pay:  $ 36/hour + optional medical, dental, vision, 401(k) match Must have inpatient coding experience  Overview Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events for all lines of business. Coordinates rate adjustments with claims areas and provides monthly and quarterly reports outlining trends, outcomes, and savings that directly impact medical costs and contracting rates. Key Responsibilities Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events for all lines of business. Coordinates rate adjustments with claims areas. Provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues. Coordinates HIPAA and legal records requests for all areas of Healthcare Services...

Job Title: Quality Assurance Coder/Auditor Location: Phoenix, AZ (Hybrid, Required to Travel into the office 1 x per week) Duration: 6 Months (possibility of extension or conversion) Department: Medicare/ Medicaid Purpose The Quality Assurance Coder/Auditor will develop a risk mitigation and provider education program. On a regular basis, the Coder/Auditor will educate primary care providers and their staff on their historical diagnoses/coding error trends, accurate completion of medical record documentation, and at‑risk code identification and risk mitigation. This includes the review, analysis, and recommended coding based on medical and clinical diagnoses, procedures, injuries, or illnesses contained in medical records and supporting documentation. The Quality Assurance Coder/Auditor will perform risk mitigation analysis using available vendor tools to identify at‑risk single occurrences of HCCs and OIG targets. Deletions will be submitted for unsupported/invalid...

To support accurate billing practices, the full-time remote Nurse Coder Auditor will review medical records and claims, validate coding accuracy, and conduct hospital bill audits while ensuring compliance with industry standards and guidelines. Key responsibilities Validate the accuracy of CPT, HCPCS, revenue codes, and billed line-item charges on facility claims Review medical records and documentation to ensure billed services are accurately represented Conduct hospital bill audits and itemized bill reviews to identify potential coding and billing issues Required qualifications Active coding certification in good standing, such as CCS, CPC, COC, RHIT, or RHIA Strong knowledge of CPT, HCPCS, ICD-10, revenue codes, and CMS coding guidelines Experience with coding validation, auditing, or claims review Ability to review and interpret complex medical documentation Knowledge of inpatient coding and billing guidelines, including hospital bill audits

Job Title: Quality Assurance Coder/Auditor Location: Phoenix, AZ (Hybrid, Required to Travel into the office 1 x per week) Duration: 6 Months (possibility of extension or conversion) Department : Medicare/ Medicaid Purpose of the job: The Quality Assurance Coder/Auditor will develop a risk mitigation and provider education program. On a regular basis, Coder/Auditor will educate primary care providers and their staff on their historical diagnoses/coding error trends, accurate completion of medical record documentation, and at-risk code identification and risk mitigation, . This includes the review, analysis, and recommended coding based on medical and clinical diagnoses, procedures, injuries, or illnesses contained in medical records and supporting documentation. The Quality Assurance Coder/Auditor will perform risk mitigation analysis using available vendor tools to identify at-risk single occurrence of HCCs and OIG targets. Deletions will be submitted for...

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 3.0 million 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...

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 3.0 million 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...

The University of Vermont Health Network is seeking a qualified RN Clinical Coder/Auditor for a hybrid position based in Colchester, VT. This role involves auditing clinical documentation to ensure compliance with regulatory standards and enhancing clinical outcomes through accurate coding. Candidates must possess a current Vermont RN Licensure and relevant prior experience in home health or hospice. Strong skills in ICD-10 coding, attention to detail, and project management are essential for success in this position. #J-18808-Ljbffr

RN Clinical Coder/Auditor - Hybrid Colchester, VT. Initial onboarding will take place at our offices in Colchester, VT. The position will then be a hybrid work arrangement with 1–2 days per week in our offices located in Colchester, VT. In-person meetings are also required at least quarterly. Job Summary The Clinical RN Auditor is responsible for ensuring clinical documentation meets regulatory standards and procedures. This role involves reviewing potential quality of care issues, understanding workflows, and establishing patient care plans to support technical and clinical requirements. The auditor works to improve clinical outcomes by monitoring documentation accuracy and consistency, reducing risk, evaluating data, and collaborating with the manager of clinical outcomes to provide expertise in coding classifications. Qualifications / Job Requirements Education and Licensure Current unencumbered Vermont RN Licensure Homecare Coding Specialist – Diagnosis, or ability to...

Quality Assurance Coder/Auditor Market leading healthcare organization is looking for a Quality Assurance Coder/Auditor to join our team in Phoenix, AZ. This role is a 6 month contract with a strong perm possibility. Hybrid role, must be able to go into Phoenix office at least once a week, if not more. Pay rate: $25 - $30.22 an hour. The Quality Assurance Coder/Auditor develops risk mitigation and provider education programs while ensuring accurate, compliant coding and documentation.

Market leading healthcare organization is looking for a Quality Assurance Coder/ Auditor to join our team in Phoenix, AZ. This role is a 6 month contract with a strong perm possibility. Hybrid role, must be able to go into Phoenix office at least once a week, if not more. Pay rate: $25 - $30.22 an hour The Quality Assurance Coder/Auditor develops risk mitigation and provider education programs while ensuring accurate, compliant coding and documentation practices. This role reviews and analyzes medical records, performs risk adjustment and QA audits, identifies unsupported diagnoses, abstracts codes to the highest level of specificity, and provides education and feedback to providers, vendors, and stakeholders. Findings from audits, claims errors, and risk analyses are used to drive provider education, improve documentation quality, and support risk adjustment initiatives. Essential Job Functions and Responsibilities: -Comprehensive understanding of HCC coding rules,...

Posting Details Posting Summary Working Title Health Careers- Workforce Development Non-Credit Instructor- Adjunct (Medical Coder/Auditor) Role Title Role Code FLSA Exempt Pay Band UG Position Number 295A0003 Agency Tidewater Community College Division Tidewater Community College (Div) Work Location Suffolk - 800 Hiring Range $30-$100 per hour, commensurate with qualifications and experience. Emergency/Essential Personnel No EEO Category I-Faculty Full Time or Part Time Part Time Does this position have telework options? -Telework options are subject to change based on business needs- No Does this position have a bilingual or multilingual skill requirement or preference? Work Schedule Varies Sensitive Position No Job Description Tidewater Community College has served South Hampton Roads - both students and employers - for 50 years. It has grown from 1 campus into a regional educational and...

Overview At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, 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. Salary Range: $100,000 - $102,500 Responsibilities Perform detailed coding audits on outpatient facility claims to validate appropriate CPT/HCPCS, revenue codes, modifiers, and ICD-10 coding...

Location 1240 39th Street,Brooklyn, NY, 11218,United States Base Pay $83,000.00 - $90,000.00 / Year Employee Type Full Time Required Degree 4 Year Degree We are seeking a detail-oriented and experienced Coder Auditor to join our dynamic team. The ideal candidate will be responsible for ensuring the accuracy and completeness of clinical data used to support risk adjustment coding for our Medicare plan. You will work closely with healthcare providers and clinical teams to identify and mitigate documentation gaps, ultimately supporting our mission to provide exceptional care to our members. Responsibilities Audit and QC the coding team’s output for accuracy and compliance with HCC/ICD-10-CM guidelines Speak directly with providers — writing and following up on provider queries for insufficient or ambiguous documentation Educate providers on documentation practices that support accurate risk adjustment coding Serve as the escalation point for complex charts and coding...

Prime Healthcare, headquartered in Ontario, CA, seeks an Inpatient Coder Auditor to verify inpatient documentation and assign ICD-10/PCS, CPT, and HCPCS codes accurately. The senior role leads DRG validation and supports CDS and medical staff to enhance clinical documentation. Candidates should have CCS and at least 1 year of acute care experience, with encoder software proficiency. Full-time, day shift, with competitive compensation and benefits. #J-18808-Ljbffr

Coder Auditor-Professional page is loaded## Coder Auditor-Professionalremote type: Hybridlocations: Remote Office - ILtime type: Full timeposted on: Posted Todayjob requisition id: JR104062**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 codingHours: Full-Time; 40 hours requiredRequired: High School Diploma; CPC and CPMA and/or CEMAPay: based on experience, starting at $23.87**At this time, we are only able to consider applicants who reside in the following...

Health Careers- Workforce Development Non-Credit Instructor- Adjunct (Medical Coder/Auditor) Tidewater Community College has served South Hampton Roads for 50 years, growing from one campus into a regional educational and economic force. The college provides higher education and workforce services through four campuses, seven regional centers, and cultural institutions, enrolling nearly 25,000 students in 2024‑25. Founded in 1968 as part of the Virginia Community College System, TCC’s institutional accreditation is affirmed through 2027 by the Southern Association of Colleges and Schools Commission on Colleges. The adjunct faculty member is responsible for teaching courses in which he or she has specific training or competence. Plans, organizes, teaches, and provides feedback to students to promote and direct student learning in either a classroom, remote via Zoom, or online environment for students with a wide variety of academic backgrounds and experiences. Engages students...

Summary The Medical Record Technician (Coder) Auditor position is located in the Health Information Management (HIM) section at the Thomas H. Corey VA Medical Center. Medical Record Technician (Coder) Auditors hold a mastery level certification, able to perform all duties of a MRT (Coder), and serve as experts of medical coding conventions and guidelines related to professional and facility coding. Responsibilities PLEASE NOTE: This Medical Records Technician (Coder) Auditor position is not remote and requires physical presence on-site. The Medical Records Technician (Coder) Auditor is responsible for abstracting medical record data and assigning codes using current clinical classification systems appropriate for the type of care provided. Auditors serve as experts of current coding conventions and regulations related to professional and facility coding; perform audits of encounters to identify areas of non-compliance in coding; provide recommendation son appropriate coding; and...

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...

Medical Records Technician (Coder) Auditor The Medical Records Technician (Coder) Auditor is responsible for abstracting medical record data and assigning codes using current clinical classification systems appropriate for the type of care provided. Auditors serve as experts of current coding conventions and regulations related to professional and facility coding; perform audits of encounters to identify areas of non-compliance in coding; provide recommendations on appropriate coding; and are responsible for maintaining current knowledge of the various regulatory guidelines and requirements. Auditors work with staff to ensure that regulations are met or areas of weakness are identified and reported to appropriate supervisor for corrective action; perform prospective coding audits and utilize results to identify processing inadequacies and re-educate coding staff where necessary; and coordinate retrospective reviews to ensure adequate auditing of coding activities. Auditors act...

Medical Record Technician (Coder) Auditor The Medical Record Technician (Coder) Auditor position is located in the Health Information Management (HIM) section at the Thomas H. Corey VA Medical Center. Medical Record Technician (Coder) Auditors hold a mastery level certification, able to perform all duties of a MRT (Coder), and serve as experts of medical coding conventions and guidelines related to professional and facility coding.

Quality Assurance Coder/Auditor Phoenix, AZ (1 day onsite) long term contract Pay range - $25-28/Hour on W2 PURPOSE OF THE JOB The Quality Assurance Coder/Auditor will develop a risk mitigation and provider education program. On a regular basis, Coder/Auditor will educate primary care providers and their staff on their historical diagnoses/coding error trends, accurate completion of medical record documentation, and at-risk code identification and risk mitigation, . This includes the review, analysis, and recommended coding based on medical and clinical diagnoses, procedures, injuries, or illnesses contained in medical records and supporting documentation. The Quality Assurance Coder/Auditor will perform risk mitigation analysis using available vendor tools to identify at-risk single occurrence of HCCs and OIG targets. Deletions will be submitted for unsupported/invalid diagnoses. This analysis combined with QA findings and EDPS claims errors will drive the content and...

The Fountain Group is a national staffing firm and are currently seeking a Quality Assurance Coder/Auditor for a prominent client of ours. This position is HYBRID located in Phoenix, AZ. Details of the position are as follows: Job Description: Pay: $28.97/hour Assignment Length: 6 Months with possibility to extend or convert Schedule: Full-Time ONSITE ONCE A WEEK Overview: The Quality Assurance Coder/Auditor will support risk adjustment initiatives through medical record review, coding audits, provider education, and quality assurance activities. This individual will ensure accurate diagnosis coding, HCC capture, and compliance with CMS and Medicare Advantage requirements while helping improve documentation practices and coding accuracy. Responsibilities: • Review medical records and supporting documentation to determine coding accuracy, completeness, and compliance with CMS guidelines. • Perform HCC coding reviews and abstract diagnosis codes to the...

Quality Assurance Coder/Auditor Phoenix, AZ (1 day onsite) long term contract Pay range - $25-28/Hour on W2 Purpose Of The Job The Quality Assurance Coder/Auditor will develop a risk mitigation and provider education program. On a regular basis, Coder/Auditor will educate primary care providers and their staff on their historical diagnoses/coding error trends, accurate completion of medical record documentation, and at-risk code identification and risk mitigation. This includes the review, analysis, and recommended coding based on medical and clinical diagnoses, procedures, injuries, or illnesses contained in medical records and supporting documentation. The Quality Assurance Coder/Auditor will perform risk mitigation analysis using available vendor tools to identify at-risk single occurrence of HCCs and OIG targets. Deletions will be submitted for unsupported/invalid diagnoses. This analysis combined with QA findings and EDPS claims errors will drive the content and audience...

Coder Auditor-Professionals are responsible for auditing coding assignments with providers and coders, training coding professional staff, and pro‑fee based coding which includes the assignment of ICD‑CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. They interact with medical staff, nursing, ancillary departments, provider offices, and outside organizations. 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, South Carolina, Tennessee, Texas. Responsibilities Assists coders with coding questions. Conducts the collection and reporting of provider and coder audit results and education. Works with coders and providers to ensure appropriate documentation for clinic services. Reports results to Coding Supervisor - Professional. Demonstrates ability to code all...