1655 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...

Extended Job Title Documentation & Coding Auditor Position Description 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. Requisition ID 42210BR Travel Required Up to 25% Pay Grade Maximum Compensation is commensurate upon the qualifications of the individual selected. 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...

Position Institutional Compliance Officer – Amarillo Visa Information TTUHSC may initiate new H‑1B I‑129 visa petitions in accordance with the directive issued by Governor Abbott, with approval from the Texas Workforce Commission. On a limited, case‑by‑case basis the institution may also sponsor eligible individuals for change‑of‑status or change‑of‑employer petitions for qualifying positions. TTUHSC will not pay the $100,000 fee, if applicable. Position Description 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. 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....

Englewood Health is seeking a Coding Auditor to advance accurate clinical documentation and coding across its hospital and physician network in Englewood, NJ. The role supports the Coding and Auditing team, analyzes coding and documentation, and provides training to providers and staff. The ideal candidate holds CPC or CCS-P with ICD-10 certification, at least three years of multi-specialty coding/audit experience, and strong communication and MS Office skills. #J-18808-Ljbffr

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...

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...

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. ·...

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...

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

A comprehensive healthcare network in Hartford, Connecticut is seeking an auditor to conduct compliance audits and collaborate with business owners on corrective actions. Candidates should possess a bachelor's degree and a minimum of two years of health care compliance experience, preferably within a large healthcare system. CPC certification is strongly preferred. The position offers opportunities for career growth and features a competitive benefits program ensuring work/life balance. #J-18808-Ljbffr

Overview Certified Medical Coder required (AHIMA, AAPC, or PMI). Hybrid-Sunrise, Florida The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through post payment medical records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines and regulatory and contract requirements. Essential Duties and Responsibilities Performs post payment medical record review audits of claims payments to identify potential fraud, waste, abuse and/or overpayment. Completes and maintains detailed documentation of audits including but not limited to coding guidelines reviewed, medical necessity documentation, decision methodology, and monetary discrepancies identified. Coordinates overpayment recoveries with the Fraud Investigative Unit Manager. Responsible for assisting the Fraud...

SUMMARY The Revenue Compliance Auditor reports to the Director, Revenue Compliance and Education. Under general supervision, assists in executing various portions of the Brown University Health Compliance Plan. Develops and provides compliance training to employee and physician staff. Conducts retrospective audits of LifeChart documentation to assess billing, coding, patient care and compliance with Brown University Health general and specific policies and federal and state regulations. May participate in compliance investigations in those areas of risk identified by federal and state regulators. Provides a written summary of work, where problems are found makes recommendations to correct. Provides functional guidance and direction to less experienced clinical compliance audit staff. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions...

Pride Health is seeking an experienced Coding Compliance Auditor to join a remote healthcare organization. This role focuses on auditing inpatient and outpatient coding, ensuring accuracy and compliance with regulatory standards. Ideal candidates will have strong inpatient auditing experience and advanced knowledge of ICD-10 coding. Principle responsibilities include reviewing coding assignments, providing education, and collaborating with Clinical Documentation teams. Competitive pay rates between $35–$38 per hour are offered, along with opportunities for long-term employment. #J-18808-Ljbffr

Summary The Revenue Compliance Auditor reports to the Director, Revenue Compliance and Education. Under general supervision, assists in executing various portions of the Brown University Health Compliance Plan. Develops and provides compliance training to employee and physician staff. Conducts retrospective audits of LifeChart documentation to assess billing, coding, patient care and compliance with Brown University Health general and specific policies and federal and state regulations. May participate in compliance investigations in those areas of risk identified by federal and state regulators. Provides a written summary of work, where problems are found makes recommendations to correct. Provides functional guidance and direction to less experienced clinical compliance audit staff. Responsibilities Consistently apply corporate values of respect, honesty and fairness while improving the health status of the region. Know and act in accordance with the Brown University Health...

Xtensys is a rapidly growing managed service provider delivering innovative technology solutions to health systems, beginning in New York and expanding nationwide. Owned by two industry leaders with a strong focus on advancing rural and community healthcare, Xtensys is executing several major initiatives and scaling quickly. With a team of more than 500 professionals, we are building a people-centered culture rooted in collaboration, innovation, and strategic thinking. We are seeking an experienced Medical Coding Auditor to support our continued growth and commitment to deliver exceptional client outcomes. Why Join Us? Mission-Driven Work: You are the "bridge" ensuring technology serves health systems and their patients when they need it most. Autonomy & Ownership: We trust you. You’ll lead projects, define success, and manage complexities with total support. A Culture of Innovation: Have a fresh perspective? We want it. We encourage risk-taking and continuous...

Xtensys, located in the Town of Ithaca, is looking for an experienced Medical Coding Auditor. The role involves auditing documentation and coding across several specialties to ensure accuracy with coding systems including CPT, ICD-10-CM, and HCPCS. The ideal candidate will have 3–5 years of experience, attention to detail, and be proficient in communication. A coding certification is required, with additional auditing certification being a plus. Join us to be part of a mission-driven organization committed to improving healthcare. #J-18808-Ljbffr

Compliance Auditor – To $67K – Cherry Hill, NJ – Job # 2929 Who We Are? BritePros Healthcare Staffing is completely committed to sourcing only the best administrative and clinical talent in the healthcare industry. Our pool of candidates within the world of healthcare is unparalleled. We simply want your healthcare organization running smoothly so you can focus on providing the best health services to your patients. Healthcare organizations from across the country rely upon BritePros Staffing to present only the most qualified talent for each specific job. Our unique application of the Behavior-based Interviewing Model allows BritePros Staffing to properly vet and evaluate talent relative to key technical and cultural markers for each unique job opening. The Position We seek to fill a Compliance Auditor role in the Cherry Hill, NJ area. The candidate will be responsible for supporting the corporate compliance program. The position includes a generous salary of up to $67K and...

Audit charts of professional or acute inpatient to insure proper coding is assigned resulting in proper reimbursement for conditions treated, procedures performed, etc. Auditors will perform quality reviews on records coded by hospital coding staff as well as professional coding staff to validate that ICD 10 codes and DRG assignments are accurate and consistent with coding guidelines, insurance regulations and government rules and regulations. Documentation will be reviewed and educated on to insure all needed information is present in the record to support the code assignment. Any discrepancies or findings will be discussed in a collaborative manner and substantiated with coding guidance supported by AHIMA and as published by the American Medical Association. It is imperative for the auditor to be able to decipher rules and regulations and apply them to charts being audited independently and to educate in alliance with their findings. POSITION QUALIFICATIONS Coding certification...

Job Description Job Description Description: Sage Clinical RCM, LLC is seeking an experienced Outpatient Coding Auditor with a strong background in surgical coding. This role is responsible for auditing outpatient surgical encounters to ensure accurate code assignment, compliance with regulatory guidelines, and adherence to payer and client requirements. The ideal candidate has hands-on experience auditing complex outpatient surgical cases and providing clear, constructive feedback to coding staff. 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 Identify trends, risks, and educational opportunities based on audit findings Provide written audit feedback and coding education to support quality improvement Collaborate with coding leadership and...

Outpatient Coding Compliance Auditor Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels (ACEP or client-specific). This role reviews coding for alignment with medical record documentation and established guidelines, ensuring compliance with applicable laws,...