Coding documentation compliance auditor jobs

Coding & Documentation Compliance Auditor

Hartford HealthCare Hartford, CT, USA

Work where every *moment *matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. The Coding & Documentation Compliance Auditor contributes to the success of the Office of Compliance and Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The Coding & Documentation Compliance Auditor performs independent reviews to assess compliance with federal, state and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional,facility (inpatient and outpatient), home health and skilled nursing facilities. Responsibilities include but, are not limited to the following: · Conducts audits in accordance with the approved Revenue Compliance Work Plan or as requested by the Manager or Director. ·...

HH

Coding & Documentation Compliance Auditor

Hartford HealthCare at Home Hartford, CT, USA

Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The Coding & Documentation Compliance Auditor contributes to the success of the Office of Compliance and Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The Coding & Documentation Compliance Auditor performs independent reviews to assess compliance with federal, state and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional , facility (inpatient and outpatient), home health and skilled nursing facilities. Responsibilities include but, are not limited to the following: • Conducts audits in accordance with the approved Revenue Compliance Work Plan or as requested by the Manager or...

HH

Coding & Documentation Compliance Auditor

Hartford HealthCare at Home Enfield, CT, USA

Coding & Documentation Compliance Auditor Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The Coding & Documentation Compliance Auditor contributes to the success of the Office of Compliance and Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The Coding & Documentation Compliance Auditor performs independent reviews to assess compliance with federal, state and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional, facility (inpatient and outpatient), home health and skilled nursing facilities. Responsibilities include but, are not limited to the following: Conducts audits in accordance with the approved Revenue Compliance Work Plan...

HH

Coding & Documentation Compliance Auditor

Hartford HealthCare Enfield, CT, USA

Coding & Documentation Compliance Auditor Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: pride in what we do, knowing every moment matters here. We invite you to become part of Connecticuts most comprehensive healthcare network. The Coding & Documentation Compliance Auditor contributes to the success of the Office of Compliance and Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The Coding & Documentation Compliance Auditor performs independent reviews to assess compliance with federal, state and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional, facility (inpatient and outpatient), home health and skilled nursing facilities. Responsibilities include but, are not limited to the following: Conducts audits in accordance with the approved Revenue Compliance Work Plan...

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Medical Auditor Clinical Documentation Coding Compliance

Greenlife Healthcare Staffing Jericho, NY, USA

Medical Auditor (Clinical Documentation & Coding Compliance) - Jericho, NY (\#R10259) Location: Jericho, New York Employment Type: Full-Time Hourly Rate: $47.00/hour About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: Conduct comprehensive coding and documentation audits to ensure compliance with industry standards, regulations, and payer rules. Why Join Us? Competitive Compensation: $47.00/hour Work Schedule: Full-time, Monday–Friday Comprehensive Benefits: Comprehensive benefits package Professional Growth: Advance in healthcare compliance and auditing Impactful Work: Ensure coding...

GH

Medical Auditor (Clinical Documentation & Coding Compliance)

Greenlife Healthcare Staffing Jericho, NY, USA

About the Job Medical Auditor (Clinical Documentation & Coding Compliance) - Jericho, NY (#R10259) Location: Jericho, New York Employment Type: Full-Time Hourly Rate: $47.00/hour Position Overview: Conduct comprehensive coding and documentation audits to ensure compliance with industry standards, regulations, and payer rules. Why Join Us? Competitive Compensation: $47.00/hour Work Schedule: Full-time, Monday-Friday Comprehensive Benefits: Comprehensive benefits package. Professional Growth: Advance in healthcare compliance and auditing. Impactful Work: Ensure coding accuracy and regulatory compliance. Qualifications: Job qualifications & certifications: CPC, CPMA, CCS, or related credential. 3+ years of coding/auditing experience. Strong understanding of coding compliance and documentation standards. Ideal for individuals with both coding expertise and regulatory audit experience. Skills: Strong...

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Medical Auditor (Clinical Documentation & Coding Compliance)

Greenlife Healthcare Staffing Jericho, NY, USA

Medical Auditor (Clinical Documentation & Coding Compliance) - Jericho, NY Location: Jericho, New York Employment Type: Full-Time Hourly Rate: $47.00/hour About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: Conduct comprehensive coding and documentation audits to ensure compliance with industry standards, regulations, and payer rules. Why Join Us? Competitive Compensation: $47.00/hour Work Schedule: Full-time, MondayFriday Comprehensive Benefits: Comprehensive benefits package Professional Growth: Advance in healthcare compliance and auditing Impactful Work: Ensure coding accuracy and regulatory compliance Key Responsibilities:...

RU

Full Time

Healthcare Coding Compliance Auditor

Riverside University Health System Medical Center Hybrid (Riverside, CA, USA)

Riverside University Health System (RUHS) is seeking two skilled Coding Compliance Auditors (Administrative Services Manager I) to support the Health System's Compliance Department. Key responsibilities of this role include conducting thorough reviews of medical records to ensure compliance with coding regulations, while providing feedback and education to coders and physicians to enhance coding accuracy and documentation quality. The position involves performing annual, periodic, and focused audits of physician, inpatient, and outpatient coding as requested. It also requires effective communication with all RAC stakeholders to ensure timely and accurate responses to inquiries. Additionally, the role supports ongoing program development through training initiatives and process improvements, delivers coding presentations to diverse audiences including physicians and other staff. The ideal candidate will have at least five years of progressive experience in an acute care hospital...

Full Time

Quality Analyst / Coding Auditor I

Physicians Choice LLC Remote

Physicians' Choice is currently seeking a highly proficient and seasoned Medical Coding Auditor specializing in Evaluation and Management (E/M) services, with a comprehensive understanding of Emergency Medicine, to join our esteemed team. If you possess extensive expertise in current E/M coding guidelines and have a strong background in auditing, we invite you to apply for this exceptional opportunity. Job Description: As a Medical Coding Auditor you will play a vital role in ensuring accurate and compliant coding practices within our organization. You will be responsible for conducting detailed audits of medical records, coding documentation, and related billing processes to verify compliance with established coding guidelines, regulatory requirements, and internal policies. Responsibilities: Perform comprehensive audits of medical records, coding documentation, and billing processes. Evaluate the accuracy, completeness, and appropriateness of medical...

US

Full Time

Healthcare Compliance Audit Analyst (Must have CPC, CCS-P, or CPMA)

U.S. Urology Partners Remote

General Summary: U.S. Urology Partners, LLC (USUP) and its physician groups are committed to promoting conduct that is responsible, ethically sound, and compliance with applicable law. USUP’s Compliance Department (CD) fosters a corporate culture of ethical behavior and integrity in all matters related to compliance with the laws and regulations that govern the delivery and reimbursement of health care. An integral function of USUP’s compliance program is auditing and monitoring compliance with billing, coding, and documentation requirements of its providers. An CPC, CCS-P, or CPMA is required for this position. Compliance Audit Services: Compliance audit initiatives include physician, other providers, and facility documentation audits as well as preparation of guidance documents and tools to assist physicians and staff in appropriate billing, coding, and documentation. The audit program looks at professional fee billing,...

AC

Full Time

System Professional Coding Provider Review and Education Manager

Anonymous Company Hybrid

Job Title: Manager Location: System Business Office Department Name: HIM - Professional Req #: 0000207266 Status: Salaried Shift: Day Pay Range: $110,681.00 - $156,337.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: The System Professional Coding Provider Review and Education Manager is responsible for onboarding, educating, and reviewing medical record documentation and coding processes of the Medical Group physicians, APNs and other billing providers across all medical centers within the RWJBH enterprise. This includes onboarding education, medical record reviews, targeted education to physician groups and individual physicians, annual and quarterly...

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Certified Professional Coder (CPC)

A-Line Staffing Solutions Leipsic, DE, USA

Job Title: Professional Coding Auditor (CPC Required) Location: Dover, DE 19901 (Onsite) Salary Range: $53,000 – $81,000 (Facility Salary Range) Employment Type: Full-Time If interested, please email your resume to LKOPASZ@ALINESTAFFING.com Certified Professional Coder (CPC) Position Overview Seeking a Certified Professional Coder (CPC) with strong physician (professional) coding experience in a medical office setting. This role focuses on coding audits, documentation quality reviews, and provider education. The ideal candidate has experience coding across multiple specialties and regularly collaborates with physicians to provide documentation feedback and compliance education. Auditing experience is preferred. Certified Professional Coder (CPC) General Summary Performs data quality reviews on provider documentation to validate ICD-10-CM and CPT coding accuracy and clinical documentation integrity. Audits physician and midlevel provider records to...

Coding Compliance Auditor

Moffitt Cancer Center Temple Terrace, FL, USA

About the Job Position Highlights: Compliance Auditors conduct Compliance Department audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including detection and correction of documentation, coding, and billing errors. The Compliance Auditor evaluates the adequacy and effectiveness of controls designed to ensure that processes and practices lead to appropriate execution of regulatory requirements and guidelines related to professional or hospital documentation, coding and billing, and federal and state regulations and guidelines. The Compliance Auditor communicates audit results to physicians, physician leadership, senior management, management, and staff and provides physician and coder education. The Compliance Auditor will act as a liaison with assigned faculty members, developing relationships and functioning as a resource to all providers and their staffs and will serve as an...

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Medical Biller

Experis/Manpower Group Maplewood, MN, USA

DRG auditor Location: Maplewood Mn Pay Rate: Negotiable Duration: 12 months potential for extension Summary: We are seeking two experienced inpatient DRG Auditors for an asneeded role offering flexible hours (8-40 hours per week). Candidates may already have fulltime jobs, and the position is open to applicants on either the East or West Coast. The role will likely include two interviews . Ideal candidates will have: 5-7+ years of inpatient hospital coding/auditing experience Experience working in acute care hospitals, large hospital systems, or academic medical centers Strong expertise with ICD10CM/PCS , MSDRG and APRDRG methodologies Understanding of Elixhauser scoring , HACs , PSIs , and clinical validation Prior exposure to Clinical Documentation Improvement (CDI) preferred Ability to independently perform DRG audits with high accuracy Strong analytical, communication, and documentation skills Role Responsibilities: Perform...

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Head Surgical Coding Manager & Compliance Auditor

FlexStaff Careers New Hyde Park, NY, USA

Job Description FlexStaff - Head Surgical Coding Manager & Compliance Auditor Are you a seasoned coding professional with a passion for accuracy, compliance, and team leadership? Do you thrive in a fast-paced healthcare environment and want to make a real impact? FlexStaff wants you to lead our client's anesthesia and procedural coding efforts! The Head Surgical Coding Manager & Compliance Auditor play a pivotal role in ensuring the organization's coding excellence, compliance, and revenue integrity. Ready to lead the charge in healthcare coding excellence? Don't miss this incredible opportunity to make a difference! Responsibilities: Must have Leadership & Surgical Coding Experience. Lead and inspire a team of Coding Team Leads, fostering a culture of accuracy and continuous improvement Oversee all anesthesia and procedural coding, ensuring compliance with the latest regulations and payer guidelines Conduct meticulous audits, identify...

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Lead Compliance Auditor - Heavy Anesthesia & Healthcare Expertise Needed.

FlexStaff Careers New Hyde Park, NY, USA

Job Description Lead Compliance Auditor - Heavy Anesthesia & Healthcare Expertise Needed. This is a HYBRID position- MUST be in the office located in Chappaqua, NY 3 days a week. Are you a seasoned compliance professional with a passion for anesthesia and healthcare auditing? Do you thrive in fast-paced environments where your expertise can make a real impact? FlexStaff is seeking a dynamic, detail-oriented Lead Compliance Auditor to join our client's team and lead the charge in safeguarding healthcare integrity and regulatory excellence! Position Summary: As a Lead Compliance Auditor, you will leverage your extensive anesthesia auditing experience to oversee comprehensive compliance reviews, develop training programs, and collaborate with senior leadership to enhance our compliance framework. Your expertise will ensure the organization remains at the forefront of regulatory adherence, risk mitigation, and quality improvement. Ready to make a difference in...

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Certified Professional Coder, PAM

Duncan Regional Hospital Duncan, OK, USA

JOB SUMMARY: This position is responsible for reviewing a patient's medical records after a Clinic visit and translating the information into codes that insurers use to process claims for patients. Duties include confirming treatments with medical staff, identifying missing information, and submitting information to insurers for reimbursement. RESPONSIBILITIES (ESSENTIAL FUNCTIONS): Accurately assigns and sequences codes (ICD-10-CM, CPT, HCPCS/modifiers as necessary) for each patient encounter, following proper coding guidelines and legal requirements to ensure compliance with federal and state regulations. Ensures professional/physician billing CPT codes/ICD-10 codes are assigned correctly and sequenced appropriately as per government and insurance regulations. Queries providers or other Clinic team members when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Assigns and enters...

OH

Coding Auditor/Trainer (Coding Coordinator)

Oregon Health & Science University Elmira, NY, USA

Department Overview Empower coders. Elevate accuracy. Transform the future of coding excellence. We're hiring a Coder Auditor/Trainer to help elevate coding excellence across OHSU. If you're an experienced profee coding auditor and trainer who loves diving into complex cases, shaping coder development, and raising the bar for accuracy and compliance, this role puts your expertise exactly where it belongs - at the center of organizational impact. As a Coder Auditor/Trainer at OHSU, you'll be the go-to authority for some of the most challenging coding scenarios in an academic health system known for cutting edge procedures and specialty care. At OHSU, you'll join a mission driven academic health system where your knowledge directly strengthens documentation integrity, revenue accuracy, and the quality of patient care data. You'll mentor coders, collaborate with passionate professionals, influence system wide best practices, and help coders grow into confident, high...

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Professional Coding Auditor/Consultant

PYA P C Leawood, KS, USA

Job Description Job Description PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity team in a professional coding auditor role . RESPONSIBILITIES: Responsible for the accurate review of PYA clients’professional fee coding per industry coding audit standards, support of the management team with project management tasks, support of the verbal and written reporting to the client, and conducting provider coding and documentation education ( generally, conducted remotely ). Coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including...

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Professional Coding Auditor - Remote

Albany Medical Center VT, USA

Department / Unit :Health Information ManagementWork Shift :Day (United States of America)Salary Range :$60,367.47 - $90,551.20This position is Fully RemoteProfessional Coding Auditor will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding / charging / denials follow-up.Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes.Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines.Provide education, instruction and training to providers and coding staff.Act as an expert for the HCC / Risk adjustment coding.This position is remote but does require onsite education to providers as needed.Essential Duties and ResponsibilitiesReview, analyze, and validate CPT and ICD-10 diagnosis codes and...

HM

Coding Auditor

Health Ministries Clinic Newton, KS, USA

Health Ministries Clinic (HMC) is seeking a Coding Auditor (with PCP auditing experience) as a trusted expert to join our integrated care team in Newton, Kansas. This is a full-time, on-site position offering the opportunity to support patient care in a collaborative, mission-driven environment. At Health Ministries Clinic, we offer more than just primary care with a full spectrum of services including behavioral health, lab, diagnostic, pharmaceutical and dental. We are seeking an experienced Coding Auditor with a multi-speciality coding background. The Coding Quality Auditor is responsible to ensure Health Ministries Clinic's compliance with national coding guidelines, FQHC coding guidelines and regulations. The Coding Auditor plays a crucial role in minimizing coding errors and preventing fraudulent activities. The Coding Auditor is responsible to ensure accurate and consistent coding which results in appropriate reimbursement and data integrity. This role requires...

AF

Certified Medical Coder - Critical Care Specialist

AFS Brockton, MA, USA

Department Overview: Join our dynamic team within the Department of Anesthesia, Critical Care, and Pain Medicine as a Certified Medical Coder. This is a fantastic opportunity to work remotely after an initial onsite training period. While you will primarily be working from home, occasional attendance at onsite staff meetings and consultations with physicians will be required. About the Position: As a Medical Coder, you will perform professional certified coding and provide valuable administrative and project support within the department. Your role will involve analyzing surgical and medical documentation to accurately apply ICD-10/CPT/HCPCS codes along with appropriate modifiers, ensuring compliance and facilitating smooth reimbursement processes. Key Responsibilities: Analyze evaluation and management documentation, particularly focusing on critical care services and procedures. Utilize expertise in professional coding to apply the correct ICD-10/CPT/HCPCS codes...

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PB CODING AUDITOR

Forrest General Hospital Hattiesburg, MS, USA

Job Summary The PB Coding Auditor is responsible for reviewing and auditing professional fee claims to ensure accurate code assignment, documentation compliance, and adherence to federal, state, payer, and organizational guidelines. This role supports revenue integrity, compliance, and provider education through routine and targeted audits. Key Responsibilities Conduct retrospective and prospective audits of professional billing claims, including E/M services, procedures, modifiers, and diagnosis coding Validate coding accuracy against provider documentation , CPT®, HCPCS, ICD-10-CM, and payer-specific rules Identify coding errors, trends, and compliance risks, including undercoding, overcoding, and unbundling Ensure compliance with CMS guidelines, NCCI edits, LCDs/NCDs , and commercial payer policies Provide written audit findings , including clear rationale and corrective action recommendations Communicate audit results to providers, coders, and...

AF

Certified Medical Coder - Critical Care Specialist

AFS Lowell, MA, USA

Department Overview: Join our dynamic team within the Department of Anesthesia, Critical Care, and Pain Medicine as a Certified Medical Coder. This is a fantastic opportunity to work remotely after an initial onsite training period. While you will primarily be working from home, occasional attendance at onsite staff meetings and consultations with physicians will be required. About the Position: As a Medical Coder, you will perform professional certified coding and provide valuable administrative and project support within the department. Your role will involve analyzing surgical and medical documentation to accurately apply ICD-10/CPT/HCPCS codes along with appropriate modifiers, ensuring compliance and facilitating smooth reimbursement processes. Key Responsibilities: Analyze evaluation and management documentation, particularly focusing on critical care services and procedures. Utilize expertise in professional coding to apply the correct ICD-10/CPT/HCPCS codes...

805 coding documentation compliance auditor jobs found