200 coding compliance auditor team lead educator jobs found

Auditing Team LeadUnder direct supervision, the Auditing Team Lead provides day to day supervision and instruction of the auditors. The Auditing Team Lead oversees the internal and external auditing function and assists Director Inpatient Coding, Coding Audits, and Education in developing reports specific to audit findings and assists with implementing action plans. The Auditing Team Lead ensures internal audits are accurate, complete and reported on a timely basis and serves in an advisory and educator role for Coding Specialists.The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.1. Provides for day to day supervision and instruction for the auditors which includes audit assignments, problem solving, monitoring productivity and scheduling. Manages time and attendance approvals.a....

Auditing Team LeadUnder direct supervision, the Auditing Team Lead provides day to day supervision and instruction of the auditors. The Auditing Team Lead oversees the internal and external auditing function and assists Director Inpatient Coding, Coding Audits, and Education in developing reports specific to audit findings and assists with implementing action plans. The Auditing Team Lead ensures internal audits are accurate, complete and reported on a timely basis and serves in an advisory and educator role for Coding Specialists.The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.1. Provides for day to day supervision and instruction for the auditors which includes audit assignments, problem solving, monitoring productivity and scheduling. Manages time and attendance approvals.a....

Job Requirements General SummaryUnder direct supervision, the Auditing Team Lead provides day to day supervision and instruction of the auditors. The Auditing Team Lead oversees the internal and external auditing function and assist Director Inpatient Coding, Coding Audits, and Education in developing reports specific to audit findings and assists with implementing action plans. The Auditing Team Lead ensures internal audits are accurate, complete and reported on a timely basis and serves in an advisory and educator role for Coding Specialists. Principal Responsibilities and Tasks 1. Provides for day to day supervision and instruction for the auditors which includes audit assignments, problem solving, monitoring productivity and scheduling. Manages time and attendance approvals.a. Monitor auditors assigned work on a daily basis in order to facilitate completion of all audits on a timely basis.b. Maintains appropriate coverage for associated workload.c. Monitors auditing...

About this position OnPoint Medical Group is searching for an outstanding Certified Professional Coder to join our team! This is a full-time position, and after the training period, the role may be remote for candidates who reside in Colorado, must be able to complete training onsite in Highlands Ranch, CO prior to working remotely. Come join a great group of medical professionals as our network continues to grow! OnPoint Medical Group is a physician-led network of skilled Primary and Urgent care providers who are committed to expanding access to quality healthcare in the most effective and affordable manner possible. Our "Circle of Care" has one primary goal – to ensure the health and wellness of members and their families. We do this by providing access to a comprehensive menu of medical services from one unified physician group in their neighborhoods. With doctors, nurses, specialists, labs and medical records all interlinked and coordinated, patient care has never been in...

CoderJob Summary The Coder's primary job function is to certify accurate billing for professional services and hospital procedures. This is accomplished through review of clinical encounters, confirming correct use of diagnosis and procedural codes and application of appropriate modifiers and CCI edits. The Coder provides education to providers to ensure proper completion of the medical record.Job Specific Competencies 1. Reviews clinical encounters presented via electronic lists to ensure proper submission of services prior to billing. a. Edits and corrects diagnosis and procedural codes and applies modifiers and CCI edits as required according to coding guidelines and department policy. b. Effectively utilizes coding software and/or books to confirm coding accuracy. c. Verifies referring provider, rendering provider, department and other critical data elements are accurate prior to submission of completed coding. 2. Receives and reviews paper fee slips for hospital services and...

Position: Medical Billing Specialist - Medicaid Location: Lima, OH Job Id: 3271 # of Openings: 1 About Us Health Partners of Western Ohio is an independent, non-profit and community-directed organization. We serve low-income areas and places without access to care. We’re led by a volunteer Board of Directors. Most of our board members are also patients. Our Mission is to eliminate gaps in health outcomes for all members of our community by providing access to quality, affordable, preventive and primary health care. Summary With knowledge of FQHC billing requirements, the Accounts Receivable Specialist prepares, submits, and follows up on insurance claims to the state Medicaid program to support an efficient and effective revenue cycle. Essential Functions and Basic Duties Review insurance coverage and patient demographic information to ensure accuracy and completeness prior to billing Prepare, review, submit, and track insurance claims to Medicaid payers in accordance with FQHC,...

Medical Coding Specialist Key Responsibilities: Analyze patient charts, physician notes and discharge summaries Ensure documentation is complete and accurate before coding Translate diagnoses and procedures into standardized codes using: ICD-10-CM (diagnoses) CPT (procedures) HCPCS (supplies/services) Make sure codes correctly represent services provided Follow healthcare laws and regulations (HIPAA, Medicare/Medicaid guidelines) Company Policies Prevent coding errors that could lead to claim denials or audits Stay updated on coding changes and updates Work with billing teams to submit coded claims to insurance companies Verify claim accuracy to ensure proper reimbursement Fix rejected or denied claims by reviewing and correcting codes Communicate with healthcare providers and insurance companies Protect sensitive patient information Follow strict privacy and data security standards Clarify documentation with physicians when needed Collaborate with billing...

Job Details Job Location: Burlingame, CA 94010 Salary Range: $42.79 - $48.75 Hourly ESSENTIAL JOB FUNCTIONS HCC Coding and Risk Adjustment (RA) Program Support Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with HCC and risk adjustment guidelines. Ensure all coding adheres to CMS and ICD-10 guidelines, focusing on accuracy, completeness, and compliance. Conduct prospective and retrospective chart audits to assess risk adjustment coding accuracy. Provider Training and Clinical Documentation Improvement (CDI) Develop and deliver provider education sessions and materials on best practices for clinical documentation and HCC/RA coding. Provide one‑on‑one and group training to providers and clinical staff to improve documentation quality and accuracy. Serve as a resource and subject matter expert on HCC, risk adjustment, and related coding standards. Data Analysis and Reporting Analyze coding data to identify trends,...

Job Description Job Description Description:  At Sage Clinical RCM, you'll code high-acuity inpatient encounters across a national portfolio of health systems, from academic medical centers to community hospitals. No two client environments are identical, and that's the point. You'll sharpen your skills across specialties, payers, and documentation styles instead of coding the same census for years.    What You'll Do   Review inpatient encounters and assign accurate ICD-10-CM/PCS codes and DRGs that hold up to audit.  Read documentation critically. When it doesn't support the coded services, flag it and escalate the gap.  Code in full compliance with CMS requirements, payer-specific rules, and official coding guidelines.  Move confidently between client workflows, systems, and audit expectations.  Hold the line on quality (95% accuracy or better) while meeting realistic productivity standards.  Requirements:   What You Bring   Active RHIA, RHIT, and/or CCS...

Position: Medical Billing Specialist - Medicaid Location: Lima, OH Job Id: 3271 # of Openings: 1 About Us Health Partners of Western Ohio is an independent, non-profit and community-directed organization. We serve low-income areas and places without access to care. We’re led by a volunteer Board of Directors. Most of our board members are also patients. Our Mission is to eliminate gaps in health outcomes for all members of our community by providing access to quality, affordable, preventive and primary health care. Summary With knowledge of FQHC billing requirements, the Accounts Receivable Specialist prepares, submits, and follows up on insurance claims to the state Medicaid program to support an efficient and effective revenue cycle. Essential Functions and Basic Duties Review insurance coverage and patient demographic information to ensure accuracy and completeness prior to billing Prepare, review, submit, and track insurance claims to Medicaid payers in accordance with...

Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths. Supervise and provide leadership to the Claims Audit team, ensuring adherence to company policies, procedures, and workflows across lines of business. Manage claims production and quality to meet or...

Job Details Job Location: Bismarck North Clinic - Bismarck, ND 58503 Position Type: Full Time Job Shift: Day Join our team as a Revenue Cycle Supervisor and help lead the daily success of our Patient Accounts and Medical Records teams. Dakota Eye Institute is seeking a detail-oriented Revenue Cycle Supervisor to support day-to-day revenue cycle operations, staffing oversight, workflow efficiency, and high-quality patient service. This leadership role is ideal for someone with strong healthcare revenue cycle experience who enjoys coaching teams, solving complex account and workflow issues, and helping lead processes across Patient Accounts and Medical Records. What You’ll Do Lead the daily operations of the Patient Accounts and Medical Records teams, including staffing, workload, workflow priorities, coverage needs, and timely issue resolution. Monitor accounts receivable activity and departmental queues and reports, including denials, credits, patient balances, aging work,...

Location: Boston, Massachusetts, United StatesCompany: TakedaPosted: 2026-09-13Location: Boston, Massachusetts, United StatesCompany: TakedaPosted: 2026-09-12Location: Boston, Massachusetts, United StatesCompany: TakedaPosted: 2026-09-09Location: Boston, Massachusetts, United StatesCompany: TakedaPosted: 2026-09-07Location: Boston, Massachusetts, United StatesCompany: TakedaPosted: 2026-09-03Location: Boston, Massachusetts, United StatesCompany: TakedaPosted: 2026-08-25Location: Boston, Massachusetts, United StatesCompany: TakedaPosted: 2026-08-19LocationsZurich, Switzerland; Boston, MAJob DescriptionOBJECTIVES / PURPOSEProvides enterprise-level governance, portfolio and operational leadership for medical grants, medical education grants and sponsorships within Global Medical.Ensures that funding decisions are transparent, objective, well documented, aligned with enterprise Medical priorities, Therapeutic Area strategies, unmet scientific or educational need, patient-centric...

Job Summary The Coding Supervisor is responsible for overseeing the daily operations of the coding team, ensuring accurate and compliant coding practices across all clinical departments. This role provides leadership, training, and quality assurance for coding staff, supports provider education, and collaborates with Revenue Cycle and Compliance teams to optimize reimbursement and maintain regulatory compliance. Position eligible for Telecommuting with consideration for a fully remote arrangement within Washington State, depending on experience (DOE) Job Specific Competencies Team Leadership & Oversight Supervises coding staff including Coder I and Coder II. b. Monitors productivity and quality metrics, ensuring standards are met or exceeded. c. Conducts regular team meetings and one-on-one check-ins to support performance and development. Quality Assurance & Compliance Oversees internal/external audits and reviews coding accuracy, documentation, and billing compliance. b....

About Us You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet Recognition consecutively since 2006. And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine! You can make a difference here. Your Benefits We provide a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan,...

## Medical Coding AuditorApplyremote type: Remote USlocations: Remote - USAtime type: Full timeposted on: Posted Yesterdayjob requisition id: R4766**Join the Team Modernizing Medicine**At **ModMed**, we’re not just building software—we’re reimagining the healthcare experience. Founded in 2010 by a practicing physician and a successful tech entrepreneur, we took a radically different approach: **we hired doctors and taught them how to code.** This "for doctors, by doctors" philosophy has allowed us to create an AI-enabled, specialty-specific cloud platform that places patients at the center of care.**A Culture of Excellence**When you join ModMed, you’re joining an award-winning team recognized for innovation and employee satisfaction. From our global headquarters in Boca Raton Florida, and extensive employee base in Hyderabad India, we are a team of 4,500+ passionate problem-solvers on a mission to increase medical practice success and improve patient outcomes:* **Consistently...

Welcome! We’re excited you’re considering an opportunity with us! The Enterprise Compliance Auditor/Educator will assist with the implementation and facilitation of ongoing compliance auditing, monitoring, and educations associated with all provider services across WVUHS and its affiliates. The duties of this position will help ensure that all healthcare provider (MD/DO, APP, and other non-physician practitioners) organizations remains in compliance with all federal healthcare program rules, regulations, administrative requirements and guidance. Minimum Qualifications High School Diploma or Equivalent AND Seven (7) Years of experience in multi-specialty coding, E&M coding, procedural/surgical coding OR; Associate’s Degree AND Five (5) years experience in multi-specialty coding, E&M coding, procedural/surgical coding. Current certification in one of the following: Certified Professional Coder (CPC) through the American Academy of Professional Coders (AAPC) Registered Health...

Medical Billing and Coding Specialist II - Digitech - Remote United States Job Description Posted Tuesday, September 1, 2026 at 4:00 AM The Sarnova Family of companies includes Digitech Computer, Bound Tree Medical, Tri-anim Health Services and Cardio Partners. Digitech is a leading provider of advanced billing and technology services to the EMS transport industry. Since its founding in 1984, Digitech has refined its software platform to create a cloud-based billing and business intelligence solution that monitors and automates the entire EMS revenue lifecycle. Digitech leverages its proprietary technology to offer fully outsourced services that maximize collections, protect compliance, and deliver results for clients. Summary: The Billing Specialist II (BSII) plays an important and fundamental role in Digitech's RCM process by ensuring claims are coded and billed accurately and on time. The BSII must maintain a strong working knowledge of billing rules and regulations for all...

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Responsible for providing accurate, reliable and effective education to physicians and extenders regarding outpatient procedural and diagnosis coding. This position performs individual and group documentation reviews, identifies opportunities for improvement, assists with implementation of physician lead CME documentation and coding courses and coordinates with physician...

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Inpatient Coding Auditor with Parallon you can be a part of an organization that is devoted to giving back! Job Summary and Qualifications As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. What you will do in this role: Leads,...

Seeking an experienced Coding & Charge Capture Supervisor to lead and coordinate team activities while ensuring accuracy, compliance, and timely claim submission. The ideal candidate will have strong knowledge of governmental regulations and payer guidelines, along with the ability to collaborate effectively across Revenue Cycle departments to optimize workflows and support financial performance. Schedule: 40 hours per week Shift: Day Shift Hours ESSENTIAL DUTIES AND RESPONSIBILITIES Oversees the daily operations by monitoring workload and productivity of partners to achieve weekly and monthly goals while ensuring accuracy of work. Assists in the development of guidelines, policies, and procedures for areas of responsibility, retain compliant with governmental regulations or other reporting obligations as required by contract. Coordinates coding and quality audits to ensure compliance with governmental regulations and/or third party requirements. Report any infractions to...