Compliance coding auditor jobs | Healthcare Careers

Central Health Austin, TX, USA

Overview This position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, HCPCS and ICD-10 codes on an annual basis. The Senior Compliance Coding Auditor will have dotted line reporting to the Chief Compliance & Risk Officer. Responsibilities Essential Functions: Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical record notes to reported CPT/HCPCS and ICD codes with consideration of applicable payer coding requirements. Identify coding discrepancies and formulate suggestions for improvement. Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. Work with medical staff department to identify and assist providers with coding....

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SINAI CHICAGO COMPLIANCE CODING AUDITOR

Sinai Chicago Chicago, IL, USA

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...

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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...

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Senior Compliance Coding Auditor

Central Health Austin, TX, USA

Overview This position reports to the Director of Healthcare Compliance. Responsibilities include conducting billing and coding audits, and communicating results and recommendations to providers, management, and executive administration. This role will provide training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, HCPCS and ICD-10 codes on an annual basis. Responsibilities Essential Functions: Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical record notes to reported CPT/HCPCS and ICD codes with consideration of applicable payer coding requirements. Identify coding discrepancies and formulate suggestions for improvement. Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. Work with medical staff department to identify and assist providers with coding. Report...

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Senior Compliance Coding Auditor (REMOTE)

CommUnityCare USA

Overview This position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, CDT, HCPCS and ICD-10 codes on an annual basis. Responsibilities Essential Duties: • Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical and/or dental record notes to reported CDT, CPT, HCPCS, and ICD codes with consideration of applicable FQHC and payer/title/grant coding requirements. • Identify coding discrepancies and formulate suggestions for improvement. • Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. • Work with the Office of the CMO and provider leadership to identify and assist providers with coding. • Report findings and...

CU

Senior Compliance Coding Auditor (REMOTE)

CommUnityCare Austin, TX, USA

Overview This position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, CDT, HCPCS and ICD-10 codes on an annual basis. Responsibilities Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical and/or dental record notes to reported CDT, CPT, HCPCS, and ICD codes with consideration of applicable FQHC and payer/title/grant coding requirements. Identify coding discrepancies and formulate suggestions for improvement. Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. Work with the Office of the CMO and provider leadership to identify and assist providers with coding. Report findings and recommendations to Compliance Officer or...

CU

Senior Compliance Coding Auditor (REMOTE)

CommUnityCare TX, USA

OverviewThis position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff.This position will support the implementation of changes to the CPT, CDT, HCPCS and ICD-10 codes on an annual basis.ResponsibilitiesEssential Duties :Conduct prospective and retrospective chart reviews (i.e.baseline, routine periodic, monitoring, and focused) comparing medical and / or dental record notes to reported CDT, CPT, HCPCS, and ICD codes with consideration of applicable FQHC and payer / title / grant coding requirements.Identify coding discrepancies and formulate suggestions for improvement.Communicate audit results / findings to providers and / or ancillary staff and share improvement ideas.Work with the Office of the CMO and provider leadership to identify and assist providers with coding.Report findings and recommendations to Compliance...

CU

Senior Compliance Coding Auditor (REMOTE)

CommUnityCare Austin, TX, USA

Overview This position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, CDT, HCPCS and ICD‐10 codes on an annual basis. Responsibilities Essential Duties: • Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical and/or dental record notes to reported CDT, CPT, HCPCS, and ICD codes with consideration of applicable FQHC and payer/title/grant coding requirements.• Identify coding discrepancies and formulate suggestions for improvement.• Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas.• Work with the Office of the CMO and provider leadership to identify and assist providers with coding.• Report findings and recommendations to...

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Senior Compliance Coding Auditor

Central Health Granite Heights, WI, USA

Overview This position reports to the Director of Healthcare Compliance. Responsibilities include conducting billing and coding audits, and communicating results and recommendations to providers, management, and executive administration. This role will provide training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, HCPCS and ICD-10 codes on an annual basis. Responsibilities Essential Functions: Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical record notes to reported CPT/HCPCS and ICD codes with consideration of applicable payer coding requirements. Identify coding discrepancies and formulate suggestions for improvement. Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. Work with medical staff department to identify and assist providers with coding. Report findings and...

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Senior Coding Compliance Auditor – Audit, Train & Lead

Central Health Austin, TX, USA

A healthcare organization is seeking a Senior Compliance Coding Auditor to perform coding audits and ensure adherence to regulatory standards. The ideal candidate will conduct chart reviews, identify discrepancies, and educate medical staff on coding practices. Preferred qualifications include a CPC or CCS certification, 4 years of experience, and knowledge of the Epic EHR system. This full-time role offers a competitive salary reflecting industry standards for healthcare compliance professionals. #J-18808-Ljbffr

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Healthcare Compliance & Coding Auditor

Duke PF Durham, NC, USA

A prominent health organization in Durham seeks a Compliance Officer to support its revenue cycle and ensure adherence to regulations. The role involves educating providers, conducting audits, and collaborating with clinical faculties. Candidates should have a bachelor’s degree, four years of administrative experience in compliance, and relevant certifications like RHIA or CCS. Join to help the organization enhance its compliance capabilities and reduce risks. #J-18808-Ljbffr

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Medical Coding and Billing Compliance Auditor, Remote

CommuniCare Health Blue Ash, OH, USA

Medical Coding and Billing Compliance Auditor, Remote page is loaded## Medical Coding and Billing Compliance Auditor, Remotelocations: Personalized Health Partnerstime type: Full timeposted on: Posted Yesterdayjob requisition id: R-0000114860**Job Address:**10123 Alliance Road, Suite 320Blue Ash, OH 45242# **Medical Coding and Billing Compliance Auditor****Location:** Remote **Department:** Coding Compliance **Reports To:** Director of Coding **Employment Type:** Full-time Exempt# **About the Role**The Medical Coding Auditor is a detail-oriented position responsible for reviewing medical coding accuracy and documentation integrity and ensuring compliance with federal and state regulations, payer guidelines, and internal policies. The ideal candidate will bring strong analytical skills, extensive coding knowledge, and a passion for maintaining the highest standards of quality and compliance. The candidate will demonstrate a strong background in Microsoft Office...

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Remote Medical Coding & Billing Compliance Auditor

CommuniCare Health Blue Ash, OH, USA

A leading health service provider seeks a Medical Coding and Billing Compliance Auditor to ensure compliance with coding standards. This remote full-time position requires strong analytical skills, knowledge in various coding types like ICD-10-CM and CPT, and 3+ years of outpatient coding experience. The ideal candidate will perform audits, provide education for coders and providers, and contribute to quality assurance efforts. This role offers growth opportunities and the chance to work with a collaborative team. #J-18808-Ljbffr

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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...

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Medical Coding and Billing Compliance Auditor, Remote

CommuniCare Corporate Cincinnati, OH, USA

Medical Coding and Billing Compliance Auditor The Medical Coding Auditor is a detail-oriented position responsible for reviewing medical coding accuracy and documentation integrity and ensuring compliance with federal and state regulations, payer guidelines, and internal policies. The ideal candidate will bring strong analytical skills, extensive coding knowledge, and a passion for maintaining the highest standards of quality and compliance. The candidate will demonstrate a strong background in Microsoft Office applications including PowerPoint, Word, Excel, Outlook, TEAMS, and SharePoint. The Medical Coding Auditor will have a background in Physician feedback and education on documentation integrity and coding accuracy. The ideal candidate will have an extensive background and knowledge of CPT coding, ICD10CM coding, E&M coding, HCC methodologies, modifiers, telehealth, and HCPCS coding. The candidate will understand and know where to access Medicare Physician Fee Schedule...

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HIM CODING COMPLIANCE AUDITOR

LifeBridge Health Baltimore, MD, USA

HIM Coding Compliance Auditor 100% remote work opportunity. Eligible remote locations: Alaska, Arizona, Arkansas, District of Columbia, Florida, Georgia, Idaho, Illinois, Louisiana, Maryland, Mississippi, Montana, Nebraska, Nevada, New Mexico, North Carolina, North Dakota, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. Who We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. The Health Information Management Department supports the mission and goals of Sinai Hospital, Northwest Hospital, Carroll Hospital, Levindale and Grace Medical Center by providing appropriate and timely access to health...

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Coding Compliance Auditor Team Lead

University of Maryland Medical Center Baltimore, MD, USA

Auditing Team Lead Under 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...

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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:...

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Medical Auditor (Clinical Documentation & Coding Compliance)

Greenlife Healthcare Staffing Jericho, NY, USA

Job Description Job Description 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...

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Coding Compliance Auditor 2, Health Information Management, Full Time, Days

Jackson Health System Miami, FL, USA

Job Title Department: Health Information Management Address: 1611 NW 12 Ave, Miami, FL 33163 Shift Details: Monday to Friday, Days. This is a remote position and is only open to candidates in Florida. Summary The Him Coding/Compliance Auditor 2 analyzes abstracted, coded data for the purpose of ensuring coding accuracy. Serves as a resource for expert knowledge in coding and documentation requirements. Performs coding audits on inpatient and outpatient coders, reviews SMART edits, external coding audits, claim denials and audits from insurance companies, as well as, any other coding audits. Works very closely with the CDI Department. Must be an expert on ICD-9 and CPT Coding systems. Must have ICD-10 knowledge. Responsibilities Performs Internal Coding Audits on inpatient and outpatient coders providing feedback and re-training as required. Reviews findings from External Coding Audits for validity of DRG assignment and provide responses if there is a disagreement....

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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Physician & Professional Coding and Compliance Auditor

Baptist Health Little Rock, AR, USA

Baptist Health is the largest not-for-profit healthcare system in Arkansas, offering comprehensive health services through twelve hospitals, a rehabilitation institute, a nursing and allied health school, a physician management company, a retirement community, and over 200 access points including clinics and therapy centers. With a mission to provide quality service with Christian compassion , Baptist Health prioritizes its community and employees. The organization is one of the largest employers in the state, supporting over 11,000 dedicated professionals. Join a trusted and innovative leader in healthcare in Arkansas, committed to improving lives. Role Description The Professional and Physician Coding Compliance Auditor conducts and completes audits for medical necessity and/or documentation accuracy, ensuring compliance with federal regulations and guidelines. The Compliance Auditor also conducts and completes audits related to professional coding. Qualifications Certified...

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Day-Shift Physician Coding & Compliance Auditor

Baptist Health Little Rock, AR, USA

A leading healthcare system in Arkansas is seeking a Professional and Physician Coding Compliance Auditor. This role involves conducting audits for medical necessity and ensuring compliance with regulations. The ideal candidate will have a Certified Professional Coding certificate and at least 3 years of experience in chart auditing. Strong communication, interpersonal skills, and attention to detail are essential. Shift is Monday to Friday, 8am to 5pm. Join a trusted organization dedicated to improving lives. #J-18808-Ljbffr

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Medical Auditor (Clinical Documentation & Coding Compliance)

Greenlife Healthcare Staffing USA

Medical Auditor (Clinical Documentation & Coding Compliance) - Jericho, NY (#R10259) Location: Remote Employment Type: Full-Time Hourly Rate: $52.00/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: $52.00/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...

1092 compliance coding auditor jobs found