77 coding auditor jobs found in Chicago, IL

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 disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2675 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Advanced knowledge...

A company is looking for a Senior Compliance Coding Auditor (REMOTE). Key Responsibilities Conduct coding audits and chart reviews to ensure compliance with coding requirements Identify coding discrepancies and communicate findings and improvement suggestions to providers and staff Provide training and education on coding practices and maintain compliance with government and private payer regulations Required Qualifications High school diploma or equivalent 5 years of healthcare experience 4 years of procedural and diagnostic coding experience AAPC Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification required upon hire

A company is looking for an Outpatient Coding Auditor - Surgical Specialty. Key Responsibilities Perform audits of outpatient surgical encounters, including operative reports and related documentation Validate accurate assignment of CPT, ICD-10-CM, modifiers, and applicable APCs Ensure compliance with CMS, payer, and official coding guidelines Required Qualifications 3+ years of outpatient coding audit experience with a focus on surgical specialties Strong knowledge of CPT (Surgery section), ICD-10-CM, and modifier usage Experience auditing operative reports and post-operative documentation Familiarity with CMS guidelines, NCCI edits, and payer-specific rules Ability to clearly document audit findings and recommendations

A company is looking for a Profee Medical Coding Auditor Remote. Key Responsibilities Conduct clinical coding audits and manage quality performance for assigned clients Provide mentorship and training to internal coders, ensuring adherence to coding guidelines Monitor coding accuracy rates and maintain compliance with regulatory standards Required Qualifications, Training, and Education Minimum of 3 years of experience coding Profee/PB charts Experience using Athena, Cerner, Epic, 3M (TruCode preferred) AHIMA or AAPC coding credential required (RHIA, CPC, RHIT) Broad-based audit experience with professional fee coding Experience working with global/offshore coders

A company is looking for a Coding Auditor to perform audits and improve coding compliance. Key Responsibilities Perform coder audits based on the established system plan Distribute audit findings to the appropriate stakeholders Create corrective actions for coding, billing, and documentation issues Required Qualifications, Training, and Education High school diploma/GED with 2 years of experience, or Associate's degree, or Technical degree required 1 year of experience required Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) preferred Licensure required relevant to state in which work is performed Experience in coding and auditing healthcare preferred

A company is looking for an Inpatient Coding Auditor. Key Responsibilities Perform audits of inpatient medical record documentation to ensure accurate coding and adherence to guidelines Achieve productivity and quality performance standards while cross-training on multiple claim types Assist in training new Coding Auditors through monitoring, mentoring, and providing feedback Required Qualifications Active professional credentials through AHIMA or AAPC (CPC, CCS, COC, RHIA, RHIT) required 2+ years of experience in inpatient medical record coding and/or auditing required Proficiency in medical record auditing and ICD-10 CM, ICD-10-PCS, APC, ASC, HCPCS, and CPT coding methodology Thorough understanding of APR-DRG, AP-DRG, and MS-DRG Proficient in computer skills, including Microsoft Office and virtual meeting tools

Job Description Be a part of a world-class academic healthcare system at UChicago Medicine as a Coding Auditor - DRG/APC Coordinator for the Health Information Management department. This is a remote, work from home opportunity and you may be based outside of the greater Chicagoland area.    In this role, the Coding Auditor - DRG/APC Coordinator is responsible for ensuring accuracy and quality of coding assignments for all records requiring DRG and/or APC coding, and ensures optimal and timely reimbursement.   Essential Job Functions   Performs data quality reviews on inpatient and outpatient records to ensure proper coding guidelines have been followed and appropriate DRG or APC assignments have been made for appropriate reimbursement  Provides DRG/APC and coding quality information and statistical reports to the Coding Manager  Communicates with the Medical Staff and House staff as needed to discuss clinical questions with respect to the...

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 disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

Anticipated End Date: 2026-03-02 Position Title: DRG Coding Auditor Principal Job Description: DRG Coding Auditor Principal 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. 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. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is...

About Us: At Sinai Health System d/b/a Sinai Chicago, we take health care personally. Excellence in health care is about more than just medicine, technology, tests, and treatments, it is about really caring for people with dignity and respect. That is what we do. We are dedicated to providing the best care to meet the needs of people, for our community, for our patients and for you. Position Purpose: The Compliance Coding Auditor will report to the Chief Compliance Officer and will assist in maintaining Compliance with CMS, OIG, and internal coding and billing compliance guidance as dictated by the SMG Coding and Billing Compliance Plan. This individual will be responsible for performing compliance audits on physician charts, provide an accounting of all audits and assess the controls in place to assure that audits are accurate and effective. This individual will also provide education to all new providers and administer yearly education to existing providers. While...

A company is looking for a SIU Coding Auditor. Key Responsibilities Perform quality checks of coding audit reviews to ensure accuracy and compliance Review performance data and recommend actions to meet production goals Document findings clearly and participate in educational communications regarding audits Required Qualifications Bachelor's degree or equivalent experience Certified Professional Coder (CPC) designation or similar 3+ years of coding or auditing experience across multiple specialties Knowledge of applicable fraud statutes and regulations Experience in health insurance related to claims processing or billing

A company is looking for a HIM Coding Auditor. Key Responsibilities Conducts monthly and quarterly coding quality audits and provides education to address deficiencies Collaborates with clinical staff and Patient Financial Services to ensure accurate coding and documentation Participates in training, in-services, and supports departmental efficiency and compliance with coding standards Required Qualifications, Training, and Education 5 years of coding experience in an acute care setting, with expertise in outpatient and inpatient coding 2 years of internal auditing and/or coding education experience preferred One of the following certifications is required: RHIT, RHIA, CCS, CPC, COC, or CPMA Graduate of a coding certificate program or an associate/bachelor's degree in health information technology or related field Courses in anatomy, medical terminology, physiology, and/or pharmacology preferred

A company is looking for an Outpatient Coding Auditor. Key Responsibilities Perform audits of medical record documentation to ensure accuracy of diagnosis and procedure codes, adhering to coding guidelines and regulations Cross-train to review multiple claim types, providing flexibility to meet client needs Assist management in training new Coding Auditors through monitoring, mentoring, and education Required Qualifications Active professional credentials through AHIMA or AAPC (CPC, COC, CCS, RHIA, RHIT) required 2+ years of experience in outpatient medical record coding and/or auditing required Proficiency in medical record auditing and various coding methodologies (ICD-10 CM, ICD-10-PCS, APC, ASC, HCPCS, CPT) Strong computer skills, including proficiency in Microsoft Office and virtual meeting tools

DRG Coding Auditor Principal 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. 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. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case...

Coding Auditor And Educator Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: PB Revenue Integrity Work Type: Full Time (Total FTE between 0.9 and 1.0) Shift: Shift 1 Work Schedule: 8 Hr (7:00:00 AM - 3:00:00 PM) Rush offers exceptional rewards and benefits. Learn more at our Rush benefits page. Pay Range: $32.00 - $52.08 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary As a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of EMR documentation of patient encounters to ensure coding accuracy and documentation adequacy. The...

Coding Integrity Specialist - Professional Fee page is loaded## Coding Integrity Specialist - Professional Feeremote type: Remotelocations: Chicago - 550 Van Burentime type: Full timeposted on: Posted Todayjob requisition id: JR-0013443Huron 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 disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower...

Billing Coding Auditor Location: Chicago, Illinois Work Type: Full Time (Total FTE between 0.9 and 1.0) Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM) Pay Range: $29.36 - $47.79 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary: The Billing Coding Auditor uses advanced knowledge of billing, coding, auditing, documentation requirements, and charge capture to solve complex charging scenarios, provide education and assistance to operational departments, support fellow team members, and develop processes/procedures to ensure accurate and timely capture of all chargeable procedures. The Billing Coding Auditor also monitors interfaces...

A leading healthcare provider is seeking a Coding Auditor – DRG/APC Coordinator. This role involves ensuring the accuracy of coding for hospital records and provides a remote work opportunity. Candidates should have a degree or equivalent experience and relevant certifications such as RHIT, RHIA, and CCS. Four years of coding experience including inpatient facility coding is required. Join a team dedicated to providing superior healthcare with compassion and explore a fulfilling career. #J-18808-Ljbffr

A leading healthcare company is seeking an Inpatient Medical Coding Auditor to ensure accuracy in coding assignments. This remote role requires RHIA, RHIT or CCS certification and at least 3 years experience in inpatient coding audits. Responsibilities include collaborating with coding teams, managing disputes, and adhering to coding guidelines. Competitive benefits like health, 401(k), and tuition assistance are offered, with a pay range from $71,100 to $97,800 annually. #J-18808-Ljbffr

Coding Auditor Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: PB Revenue Integrity Work Type: Full Time (Total FTE 1.0) Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM) Rush offers exceptional rewards and benefits. Learn more at our Rush benefits page. Pay Range: $32.00 - $52.08 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary: As a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of EMR documentation of patient encounters to ensure coding accuracy and documentation adequacy. The professional will work...

Inpatient Medical Coding Auditor page is loaded## Inpatient Medical Coding Auditorlocations: Remote Nationwidetime type: Full timeposted on: Posted Todayjob requisition id: R-402753# **Become a part of our caring community and help us put health first**The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical records.The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality.* Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG)* Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes...

A leading healthcare company is seeking an experienced Inpatient Medical Coding Auditor to work remotely. This role involves extracting clinical information from medical records, assigning appropriate coding, and ensuring proper reimbursement for inpatient hospital claims. Candidates should have RHIA, RHIT, or CCS certifications and coding experience. The position offers flexibility, competitive pay, and a comprehensive benefits package supporting personal wellness and smart healthcare decisions. #J-18808-Ljbffr

Inpatient Medical Coding Auditor page is loaded## Inpatient Medical Coding Auditorlocations: Remote Nationwidetime type: Full timeposted on: Posted Todayjob requisition id: R-397765# **Become a part of our caring community and help us put health first**The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and...