1771 documentation coding auditor jobs found

Documentation & Coding Auditor Performs medical billing coding and documentation quality audits; provides feedback to coding and reimbursement specialists, coders, and educates them. This job has no supervisory responsibilities. Travel Required: Up to 25% Pay Basis: Hourly Location: Amarillo Shift: Day Major/Essential Functions Current and active professional medical billing coding certification required from an accredited organization. Billing and coding experience in a multi‑specialty group practice and/or academic practice setting is preferred. Five or more years of health care items/services. Managerial/supervisory and program management implementation experience strongly preferred. Ability to initiate administrative activities as necessary. Excellent oral and written communication skills. Ability to write and present ideas and information in a concise manner. Ability to work collaboratively with all individuals. Professional bearing, sound business judgment...

Coding And Documentation Quality Auditor Performs coding and documentation quality audits, provides feedback to coding and reimbursement specialists, coders, and educates them. This job has no supervisory responsibilities.

Required Experience High School graduate or equivalency and five years of coding and reimbursement experience of which 1 year may be as a coding auditor. Additional job-specific education may substitute for the experience. Active professional coding certification from an accredited organization, e.g., American Association of Professional Coders (AAPC), American Health Information Management Association (AHIMA). Certification to remain current during term of employment. Knowledge of CPT, ICD-CM, ICD-10, and HCPCS nomenclature. Additional Qualifications/Responsibilities Responsibilities: Plan and perform proactive compliance activities, including risk-based audits, pre-bill or concurrent reviews, data monitoring, targeted education, policy or template reviews, and department consultations. Identify and address billing compliance risks before issues escalate by using audit trends, payer updates, denial patterns, regulatory changes, stakeholder feedback, and risk...

Introduction Nationally recognized as a Great College to Work For , TTUHSC provides much more than just a job! Enjoy excellent benefits , including paid leave, retirement plans, wellness programs, health insurance and so much more. Ready to start building a rewarding career in a positive environment where you can develop and thrive? Join us as we change the future of health care. About TTUHSC Texas Tech University Health Sciences Center is enriching the lives of others by educating students, providing excellent patient care, and advancing knowledge through innovative research. TTUHSC graduates more health care professionals than any other health care institution in the state, conferring 24.2% of all degrees and certificates awarded from health-related institutions in Texas. By providing comprehensive clinical services to more than 10 million individuals across 121 counties, TTUHSC is dedicated to advancing the health of people throughout Texas and beyond. This is where...

Introduction Nationally recognized as a Great College to Work For ,TTUHSC provides much more than just a job! Enjoy excellent benefits , including paid leave,retirement plans, wellness programs, health insurance and so muchmore. Ready to start building a rewarding career in a positiveenvironment where you can develop and thrive? Join us as wechange the future of health care. About TTUHSC Texas Tech University Health Sciences Center is enriching the livesof others by educating students, providing excellent patient care,and advancing knowledge through innovative research. TTUHSCgraduates more health care professionals than any other health careinstitution in the state, conferring 24.2% of all degrees andcertificates awarded from health-related institutions in Texas. Byproviding comprehensive clinical services to more than 10 millionindividuals across 121 counties, TTUHSC is dedicated to advancingthe health of people throughout Texas and beyond. This is whereworld-class...

St.-Joseph is seeking a documentation and coding auditor to review internal records for compliance with coding regulations and guidelines. The role supports rebuttals to CMS/payor denials and helps improve physician documentation education and correct coding practices. The position involves assisting with EMR template creation to enhance capture of accurate documentation for E&M levels and responding to government and payer records requests. #J-18808-Ljbffr

WellStreet Urgent Care is seeking a Professional Coding Auditor to review clinical documentation and coding for accuracy, compliance, and proper charge capture. You’ll educate providers and coders, identify trends, and partner with leadership to improve reimbursement. Responsibilities include auditing CPT/ICD-10 codes, ensuring documentation supports diagnoses, and addressing charge-capture issues while staying current with regulations and quality standards. #J-18808-Ljbffr

WellStreet Urgent Care is seeking a Professional Coding Auditor to review clinical documentation and coding for accuracy, compliance, and proper charge capture. You will educate providers and coders, analyze trends, and partner with leadership to improve coding quality and reimbursement. Responsibilities include auditing provider documentation, ensuring alignment with CPT/ICD-10, and delivering constructive feedback. #J-18808-Ljbffr

St. Charles Health System is seeking an Ambulatory Services Auditor and Clinical Documentation Specialist I to audit outpatient, inpatient and ambulatory medical records for ICD-10-CM and CPT-4 compliance. The role provides education, feedback and guidance to physicians, clinicians and staff, ensuring accurate coding and documentation. This position supports system-wide coding quality, collaborates with the HIM team, develops procedures, tracks trends, and helps improve denials and efficiency #J-18808-Ljbffr

WellStreet Urgent Care is seeking a Professional Coding Auditor to ensure accuracy in documentation and CPT/ICD-10 coding across our expanding urgent care network. You will audit provider documentation, evaluate support for diagnoses and procedures, identify coding errors, and provide constructive feedback while educating providers and coders. Collaborate with leadership to drive improvements in documentation quality, charge capture, and reimbursement, staying current with CMS/state regulations #J-18808-Ljbffr

Ardent Health seeks a Hospital Auditor to review inpatient and outpatient records for accuracy, completeness, and regulatory compliance. The role identifies documentation gaps, validates coding accuracy, and strengthens billing integrity to support reimbursement and patient care quality. The candidate should have 3+ years MS DRG/APR DRG experience, Epic proficiency, and coding certifications (RHIA, RHIT, CCS, CIC, CCDS, CDIP or CPC). Strong communication and analytical skills are essential. #J-18808-Ljbffr

St. Charles Health System is seeking an Ambulatory Services Auditor and Clinical Documentation Specialist I to audit outpatient, inpatient and ambulatory medical records for ICD-10-CM and CPT-4 compliance. The role provides education, feedback and guidance to physicians, clinicians and staff, ensuring accurate coding and documentation. This position supports system-wide coding quality, collaborates with the HIM team, develops procedures, tracks trends, and helps improve denials and efficiency #J-18808-Ljbffr

The Texas Tech University Health Sciences Center is seeking a Documentation & Coding Auditor to conduct medical billing coding and documentation quality audits. In this role, you will provide essential feedback to coding specialists and work collaboratively within the team. This position requires strong problem-solving skills and an active professional coding certification. An ideal candidate will have at least five years of experience in medical billing coding and reimbursement, along with knowledge in CPT, ICD-CM, and related coding systems. You will also be responsible for participating in compliance symposiums and conducting annual risk assessments. #J-18808-Ljbffr

DEPARTMENT: Physician Practice Management FACILITY: Medical Office Building WORK TYPE: Full Time SHIFT: Daytime SUMMARY: Assess the educational needs of coding specialists and providers regarding coding and documentation and direct development of effective regularly scheduled educational programs that meet the needs of the health system. Serve as the primary resource to physicians for documentation and coding issues. Conduct ongoing coding and billing training programs for billing and coding specialists and providers. Creates presentations, develops learning material, handbook, and other training materials. Conducts coding and data quality reviews and prepares complex reports as required. Ensures all education activities comply with clinical billing standards and government regulation with concentration on hospital inpatient procedures, ambulatory, and specialty physician services. RESPONSIBILITIES: * Keeps abreast of pertinent federal, and state regulations...

Montefiore Medical Center in Tarrytown, NY is seeking a Senior Coding Auditor to perform detailed audits of medical cases, ensuring accuracy of codes, charges, and documentation and to support the revenue integrity engagement team. The role involves reviewing current and retro accounts, reporting audit outcomes, and collaborating with leadership to identify process improvements. A 75% focus on chart and coding review and 25% on other duties. #J-18808-Ljbffr

Thank you for considering a career at Ensemble!Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!O.N.E Purpose:Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.Striving for...

Job Description Job Description   PYA is seeking an experienced Inpatient/Outpatient Facility Coding Auditor to join our nationally recognized  Revenue and Compliance Advisory team. As a trusted advisor to leading healthcare organizations, you will apply your expertise in coding, reimbursement, compliance, and documentation to help clients improve revenue integrity and reduce risk. WHAT YOU'LL DO Perform inpatient and outpatient facility coding audits and reimbursement reviews, including:  ICD-10-CM/PCS, CPT, and HCPCS coding validation MS-DRG and APC validation Charge capture and revenue integrity reviews Clinical documentation improvement (CDI) assessments Third-party payer compliance evaluations Deliver high-quality client reports, recommendations, and presentations  Manage multiple engagements while maintaining exceptional quality and compliance standards  Collaborate with PYA's consulting, compliance, and executive teams to deliver comprehensive...

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...

All inclusive preventive care in Miami, FL, is seeking a Senior Medical Coding Auditor (CPC) to join our multi-specialty practice focusing on Primary Care and Gynecology. The role reviews provider notes before submission to ensure accurate coding, proper E/M levels, and compliance while supporting optimal reimbursement. You will work with providers and the billing team to reduce denials, improve documentation quality, and maintain regulatory compliance. #J-18808-Ljbffr

Coding Auditor AllCare Health | Quality Department | Grants Pass, Oregon We Are Seeking Qualified Candidates to Join Our Team! AllCare Health offers competitive wages and an excellent benefits package, including affordable healthcare, 401(k) retirement, wellness programs, and flexible scheduling options. Summary of the Position The Coding Auditor is responsible for developing, implementing, and maintaining auditing practices related to medical record coding and documentation to support accurate and complete risk adjustment outcomes for Medicare members. This position reviews medical records and coding for accuracy and compliance with Centers for Medicare & Medicaid Services (CMS) Risk Adjustment Data Validation (RADV) requirements, identifies coding and documentation trends, and works collaboratively with providers and internal teams to improve documentation, coding accuracy, and risk adjustment outcomes. Essential Duties Ensures the accuracy and...

Lead Medical Coder and Auditor [PR0001D] Full‑time ProSidian is looking for “Great People Who Lead” at all levels in the organization. Are you a talented professional ready to deliver real value to clients in a fast‑paced, challenging environment? ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. Linking strategy to execution, ProSidian assists client leaders in maximizing company return on investment capital through design and execution of operations core to delivering value to customers. Visit www.ProSidian.com or follow the company on Twitter at www.twitter.com/prosidian for more information. ProSidian Seeks a Lead...