111 facility compliance auditor trainer jobs found

Acute Inpatient Coding Auditor We are seeking an experienced Acute Inpatient Coding Auditor with recent acute care hospital experience. This role is responsible for auditing facility-based inpatient coding, DRG assignment, ICD-10-CM/PCS coding accuracy, documentation review, and compliance. Candidates must have a strong background in acute inpatient hospital coding and auditing. This position focuses exclusively on facility (hospital) inpatient services and is not a professional fee/physician coding role. Job Summary: Audits medical record documentation and coding to extract data and determine appropriate ICD-10-CM/PCS and HCPCS codes for billing, internal and external reporting, and compliance with the Official Coding Guidelines for Coding and Reporting, payer regulations, and hospital policy. Educates physicians and clinical personnel to ensure complete documentation in the medical record and queries physicians to resolve incomplete or conflicting information to ensure...

Job Summary and Responsibilities As our Revenue Cycle Coder Lead-Inpatient Coding, you will be a cornerstone of our medical coding department, providing essential leadership and strategic direction for our inpatient coding team. You will be instrumental in driving coding accuracy, ensuring regulatory compliance, and optimizing revenue cycle performance for complex medical cases, making a direct impact on our healthcare data integrity and financial health. Every day you will provide expert technical guidance, conduct comprehensive quality oversight, and perform complex coding audits. You will actively collaborate with clinical and revenue cycle teams to enhance documentation and streamline processes. A significant part of your role involves mentoring, training, and fostering the professional growth of coding staff, ensuring adherence to the highest coding standards and best practices. To be successful in this role, you will possess advanced inpatient coding credentials...

Revenue Cycle Coder Lead-Inpatient Coding Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. As our Lead Inpatient Coder, you will be a cornerstone of our medical coding department, providing essential leadership and strategic direction for our inpatient coding team. You will be instrumental in driving coding accuracy, ensuring regulatory compliance, and optimizing revenue cycle performance for complex medical cases, making a direct impact on our healthcare data integrity and financial health. Every day you will provide expert technical guidance, conduct comprehensive...

Job Number: 30780 Location: Remote - Georgia Street Address: Remote Address City, State: Remote, Georgia Zip Code: 31701 Department: PPHS HEALTH INFORMATION MANAGEMENT Shift: First Shift Job Type: Full time Posted Date: 2025-01-21 Job Description Summary: Description: We are seeking an experienced Acute Inpatient Coding Auditor with recent acute care hospital experience. This role is responsible for auditing facility-based inpatient coding, DRG assignment, ICD-10-CM/PCS coding accuracy, documentation review, and compliance. Candidates must have a strong background in acute inpatient hospital coding and auditing. This position focuses exclusively on facility (hospital) inpatient services and is not a professional fee/physician coding role. JOB SUMMARY: Audits medical record documentation and coding to extract data and determine appropriate ICD-10-CM/PCS and HCPCS codes for billing, internal and external reporting, and...

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the "12 Angry Seniors." Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we believe...

Flex-N-Gate LLC. in Ionia, MI is hiring a Fork Truck Industrial Trainer & Safety Auditor to ensure safe material handling operations across the facility. Responsibilities include conducting training, performing safety audits, and supporting operational efficiency. The candidate should have 3–5 years of industrial handling experience, preferably with training background, and knowledge of safety regulations. The position ensures compliance with OSHA standards and involves hands-on equipment operation and training. #J-18808-Ljbffr

Location: California, United StatesSalary: $177,905.00 - $230,230.00Company: Gilead SciencesPosted: 2026-08-05We're here for one reason and one reason only - to cure cancer. Every moment is dedicated to developing treatments and every action moves us one step closer to our goal. We've made incredible scientific breakthroughs and our pioneering personalized CAR T-cell therapies have changed the paradigm. But we're not finished yet.Join Kite, as we make even bigger advances in cancer therapies, and help shape where our business and medical science goes next.We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at Gilead and Kite. As a people leader now or in the future, you are the key driver in evolving our culture and creating an environment where every employee feels included, developed and empowered to fulfil their aspirations. Join Kite and help create more tomorrows.Job DescriptionAt Gilead our pursuit of a healthier...

Coder Reimbursement Specialist - Hospital The Coding and Reimbursement Specialist, CCS is responsible for coding and abstracting thoroughly, clinical data from the medical record. This includes both inpatient, outpatient, commercial, Medicare, Medicaid, and Illinois Public Aid, plus any other payor types. This accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis, grouped to the DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. Manages workload and assigns work to three inpatient and two outpatient coders and oversees the day to day workings of the coding/reimbursement area. Monitors various regulatory sources to keep HIM coding and other staff informed and trained on various coding rules, regulations and related issues. Works closely with patient financial services to resolve any...

Job Summary and Responsibilities As our Coding Auditor & Educator, you will utilize advanced ICD-10-CM, ICD-10-PCS, and CPT-4 coding systems to support the facility and Coding Service Center, answer coding questions, and promote standardized, compliant coding practices. Every day you will onboard and train new staff, perform coding audits, develop and deploy coding education, monitor and communicate regulatory coding/billing changes, and participate in strategic planning. You will work closely with the Coding Service Center leadership team to perform internal audits and deliver follow-up education across the system. To be successful in this role, you will possess expert-level coding proficiency, strong analytical skills for auditing, exceptional educational and communication abilities, and a proven capacity to standardize practices, ensure compliance, and strategically contribute to coding and regulatory billing. This role is open to remote candidates in approved...

Basic Function HF Sinclair Midstream is seeking a Compliance Auditor Lead. The position is open to Dallas, TX; Tulsa, OK; Artesia, NM or Salt Lake City, UT. The Compliance Auditor Lead ensures compliance with regulations and conducts moderate to complex regulatory compliance and auditing assignments for assigned areas under general supervision. Job Duties Reviews, interprets, and ensures compliance with applicable federal, state, and local regulatory requirements for all assigned locations. Plans, conducts, and leads regulatory compliance and operational risk‑based audits, including evaluations and review of internal policies and procedures of the company operations. Serves as the primary liaison to regulatory agencies and as the Company's point of contact for general inquiries, audits, and on‑site evaluations. Leads and coordinates follow‑up activities associated with regulatory inspections, audits, and enforcement actions by tracking corrective actions, conducting gap...

Location: Atlanta, Georgia, United StatesCompany: Grady Health SystemPosted: 2026-08-10Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you.Job SummaryResponsible for coding and abstracting procedural (CPT) and diagnosis codes (ICD-10) for physician services, reviewing physician documentation in the electronic medical record for completeness and accuracy to ensure proper code assignment, providing physician feedback of discrepancies/trends, resolving edits and denials, and releasing encounters for billing. Utilizes intermediate problem‑solving skills to address coding related tasks of detailed, medium complexity. Duties include procedural (CPT) and diagnosis (ICD-10) coding for all places of service, including, but not limited to ER, observation, inpatient, outpatient, ambulatory surgery, and other...

Join Our Team as a Coding Specialist III - HB Facility Coder Are you an experienced medical coding professional with a strong eye for detail, sound judgment, and a passion for accuracy and compliance? We're looking for a compassionate, dedicated, and knowledgeable Coding Specialist III - HB Facility Coder to join our team and serve as a trusted resource for professional coding and billing. In this role, you'll be responsible for accurately and timely coding professional charges by abstracting information from the electronic medical record. You'll also provide educational feedback to providers, support billing teams with outstanding claims and charge issues, identify opportunities for process improvement, and help promote coding and billing compliance across the organization. As a senior member of the team, you'll also mentor and train appropriate staff, support a collaborative team environment, and serve as a role model through strong analytical skills, attention to...

Tanner Clinic is seeking a part-time coder for our Kaysville location. You will ensure coding compliance for a multi-specialty clinic, audit diagnostic codes, and maintain up-to-date ICD-9/ICD-10 and CPT skills. Proficiency with common office software and the ability to apply payer edits are essential. The role requires a CPC certification and a high school diploma, with prior coding experience preferred. Schedule and hours will be determined at hire, with work primarily in our Kaysville #J-18808-Ljbffr

Description Tanner Clinic has an immediate opening for a Coder. Location: Kaysville Business Office Hours: Part-time, Monday–Friday. Schedule will be determined at the time of hire. Essential Job Responsibilities: Responsible for maintaining coding compliance for multi-specialty clinic. Audit procedure and diagnostic codes for accuracy, detail and comprehensive description of clinical procedures Responsible for maintaining current ICD-9, ICD-10, CPT and coding skills Use word processing, spreadsheet, database, and e-mail Ability to interpret and apply Medicare (CCI) and payer edits Other duties as assigned Requirements Education High School diploma required Certified Professional Coder is required Experience Coding experience preferred Other Requirements Demonstrates knowledge of medical terminology Must have strong knowledge of computer and other office equipment Performance Requirements Knowledge Knowledge of billing practices and clinic policies and...

Coder Boone Memorial Health is seeking a detail-oriented and motivated Coder (HIM Coder) to join our Health Information Management team. In this role, you will play a critical part in ensuring accurate coding, regulatory compliance, and timely reimbursement for outpatient services. If you have a passion for medical coding, enjoy working independently, and take pride in accuracy and attention to detail, we encourage you to apply. Essential Functions Review medical record documentation and accurately assign diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS guidelines. Abstract patient information into electronic medical record systems while ensuring data accuracy and integrity. Apply CMS regulations, payer-specific guidelines, and coding compliance standards to support ethical and accurate reimbursement. Resolve coding-related claim edits and assist with denial management. Collaborate with providers, billing staff, and ancillary departments to answer...

Job Details Job Location: BMH Forester Building - Revenue Cycle - Madison, WV 25130 Position Type: Per Diem Overview Boone Memorial Hospital is seeking a detail-oriented and motivated Coder (HIM Coder) to join our Health Information Management team. In this role, you will play a critical part in ensuring accurate coding, regulatory compliance, and timely reimbursement for outpatient services. Essential Functions Review medical record documentation and accurately assign diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS guidelines. Abstract patient information into electronic medical record systems while ensuring data accuracy and integrity. Apply CMS regulations, payer-specific guidelines, and coding compliance standards to support ethical and accurate reimbursement. Resolve coding-related claim edits and assist with denial management. Collaborate with providers, billing staff, and ancillary departments to answer coding questions and improve documentation quality....

Overview Compliance Auditor Sr. Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region’s top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area’s largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times. Position Summary: Performs complex-level professional internal auditing. Work involves leading or conducting compliance audit projects for Covenant Health entities as they relate to charging, coding, documentation and billing compliance....

Coding Auditor Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world. At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you're interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a...

ThedaCare Coder (Clinic - III) The Coder (Clinic - III) performs coding review for surgical specialties for ThedaCare Physician Services to accurately reflect services rendered. Reviews and processes charges using industry standard methodologies (CPT, ICD-10-CM, HCPCS), abides by Standards of Ethical Coding (AAPC/AHIMA), and complies with official coding guidelines and other regulatory requirements. Audits medical record documentation and educates providers on documentation improvement opportunities and risks. Educates and trains new team members to department standards. Mentors and observes team members in department responsibilities. Upholds and demonstrates department expectations and accuracy in regards to coding responsibilities including payer denials and claim edits. Job Description: Schedule: Full time, benefit eligible 40 hrs/week Business hours (i.e 8:00am-5:00pm) Remote Position Preferred skill set and experience strong in surgical coding; Urology primarily to...

Our Billing Co. is seeking a Medical Coding Supervisor to join our team! The Medical Coding Supervisor will lead and manage the medical coding team, ensuring that all medical records are accurately, efficiently, and compliantly coded. This role is responsible for overseeing the team’s performance, ensuring adherence to coding standards, training staff, and collaborating with various departments to resolve coding issues. The ideal candidate will have strong leadership and technical skills, a deep understanding of coding regulations, and a commitment to continuous improvement in coding practices. Essential Functions: Leadership Team Functions: Acts as staff resource and role model for ethical, professional conduct. Supervises and provides leadership to the medical coding team, ensuring accurate, compliant, and timely coding of medical records. Reviews and audits coded data to ensure accuracy and compliance with ICD-10, CPT, and HCPCS standards. Trains and mentors new and existing...

Compliance Auditor Irvine, California Avanath is proud to be named one of the top property management companies to provide affordable housing for the workforce. Cultivating the American Dream is the purpose that binds the Avanath team. At Avanath, every day is an opportunity to make a difference in someone's life. Whether it is helping residents call one of our communities' home, providing excellence in customer service, or championing our workforce, we are committed to creating an unforgettable experience as a great place to live, work, and be. The Role: We are seeking a meticulous, detail-oriented Compliance Auditor to join our Compliance Team. The Compliance Auditor, specializing in hard-file review, will play a crucial role in ensuring our files comply with all relevant laws, Affordable Care Act regulations, and internal policies. This role involves carefully examining resident files, documentation, and records to identify non-compliance issues and recommend corrective...

Position Summary: Analyzes, investigates, and resolves claims/billing information and/or errors associated with the more complex inpatient/outpatient medical insurance claims. Ensures compliance with managed care guidelines and MMC organizational policies. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values. USD $18.34/Hr. Max USD $28.42/Hr. Overview Position Summary: Analyzes, investigates, and resolves claims/billing information and/or errors associated with the more complex inpatient/outpatient medical insurance claims. Ensures compliance with managed care guidelines and MMC organizational policies. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values. Qualifications Education: Education equivalent to graduation from high school or GED is required. Experience...