99 inpatient coding auditor data driven excellence jobs found

A leading health data exchange company is seeking an Inpatient Auditing Specialist to perform coding audits and provide education in a fully remote setting. The ideal candidate will have at least 5 years of inpatient coding experience and relevant certifications. Responsibilities include conducting audits, staying updated on regulations, and enhancing coding quality. This role offers a flexible schedule and valuable experience in transforming healthcare through data-driven solutions. #J-18808-Ljbffr

A leading healthcare data firm is seeking an Inpatient Auditing Specialist to perform coding audits and provide education on coding quality. This fully remote role offers flexibility and requires over 5 years of experience in inpatient coding or auditing. Success will depend on maintaining regulatory knowledge and a high accuracy rate. The firm emphasizes a collaborative work culture and provides essential equipment and training for its employees. #J-18808-Ljbffr

A leading health data exchange company is seeking an Inpatient Auditing Specialist to perform coding audits and provide education in a fully remote setting. The ideal candidate will have at least 5 years of inpatient coding experience and relevant certifications. Responsibilities include conducting audits, staying updated on regulations, and enhancing coding quality. This role offers a flexible schedule and valuable experience in transforming healthcare through data-driven solutions. #J-18808-Ljbffr

Job Description Job Description Inpatient Medical Coding Auditor/Trainer- Lead (ON-SITE) Walter Reed National Military Medical Center ABOUT US: Laredo Technical Services, Inc. provides staffing services to federal Government agencies all over the world.   LTSi connects the right opportunities to the right people.  With our experience in placing our Team Members throughout the United States and overseas, we excel at providing experienced, professional personnel for a wide range of Professional and Office Administration as well as Medical Services. Our goal is to provide the highest quality professionals in the industry. LTSi’s culture delivers a strong work ethic while going above and beyond with a sense of urgency.  We are an employee-driven company.  We strive for excellence every day, which is what sets us apart from all the other government contractors. As a Certified Service-Disabled Veteran Owned Small Business (SDVOSB) Minority Business...

Location :RemoteSalary :$85,000depending on experienceSkills :Auditing, Inpatient Coding, DRG Validation, Quality ReviewAbout the Company / Opportunity :Are you passionate about upholding quality standards in health information management and coding practices? Our client, an industry leader in the hospitals and health care sector, provides nationwide revenue cycle services to a vast network of hospitals and physician practices.This remote opportunity allows you to leverage your expertise in coding quality review, ensuring compliance with national guidelines and maintaining data integrity.Join a mission-driven organization focused on supporting patient outcomes and enhancing health care delivery through excellence in coding quality.Responsibilities :Lead, coordinate, and perform all functions of quality review for inpatient and outpatient coding across multiple facilities.Conduct routine, pre-bill, policy-driven, and incentive plan-driven coding quality audits to ensure compliance...

Job Description Job Description Warm Valley Health Care is looking to add to the Billing/Coding department. Job Summary: The Medical Biller/Coder is responsible for translating healthcare services rendered into standardized codes for insurance billing, ensuring accurate reimbursement. This role ensures the efficient processing of patient data, medical records, and insurance claims in compliance with healthcare regulations. Key Responsibilities: Accurately assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses and procedures based on medical documentation. Review patient records for completeness, accuracy, and compliance with regulations. Prepare and submit clean claims to insurance companies electronically or via paper submission. Follow up on unpaid claims within standard billing cycle timeframe. Resolve billing issues with insurance companies, patients, and healthcare providers. Correct rejected or denied claims and resubmit for payment. Post payments and...

Ambulance Billing Coder Join the team that is redefining how EMS and mobile healthcare is delivered in Michigan. Medstar provides 911 service to more communities in Southeast Michigan than any other provider, and our critical care, air medical, and inter-facility partnerships continue to grow throughout the region. We are currently looking to add an experienced ambulance billing coder to the Medstar team! If you are looking for a fast-paced, strategic atmosphere to call home, Medstar may be the place for you. This position can be in office, hybrid or remote for individuals located in Michigan. Job Summary The Biller will input all claim information following the CMS coding guidelines. Provides accurate patient demographic and insurance information and inputs information into patient record. Essential Duties and Responsibilities Review patient care reports thoroughly, utilizing all available documentation in order to establish medical necessity, selection of levels of...

Coding Compliance Auditor Conducts coding compliance audits of inpatient and outpatient encounters to validate code assignment. Follows the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that are integral to appropriate payment methodology. Job Requirements Minimum Education Associates degree in relevant field preferred or combination of equivalent of education and experience Minimum Work Experience Five (5) years coding experience including; but not limited to; hospital inpatient and outpatient encounters Required Licenses/Certifications AHIMA and/or AAPC Coding Credential; CCS preferred Required Skills; Knowledge; and Abilities Ability to consistently and accurately audit coding of inpatient and outpatient encounters Ability to create clear and concise audit reports and maintain productivity standards Must successfully pass pre-hire coding assessment Knowledge of medical...

Medical Coding Auditor/Educator Remote Granger Medical Clinic has an immediate opening for a remote Full Time Medical Auditor/Educator. We are seeking candidates with relevant professional experience who can contribute quickly and effectively in this role. Candidates must reside in one of these states to be eligible for this position: UT, AZ, TX, KY, WY, ID, GA, AR. To perform this role successfully, an individual must be able to satisfactorily carry out each essential duty. The qualifications listed below represent the knowledge, skills, and abilities required for the position. Essential Functions and Duties: Supports and implements the organization's vision, mission, and values. Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies as necessary or required. Effectively communicates with providers/Coders to clarify diagnoses, procedure...

Resident Finance Coordinator A Great Place to Work. A Great Place to Receive Care! Our Nursing Home Facility located in Rome, NY is seeking an experienced full-time Resident Finance Coordinator. Betsy Ross Nursing & Rehab Center is a 120-bed facility offering excellence in rehabilitation and skilled nursing care in a lovely homelike environment undergoing an exciting large-scale renovation under new management and administration! With a focus on rehabilitation and recovery, our skilled team of therapists and healthcare professionals assist residents in achieving optimal health and well-being. Our mission is to provide high quality care to all with respect and compassion through a team approach that focuses on personalized goals. We offer excellent Aetna Health benefits 1st of the month after hire date, along with other key benefits to those who qualify! Medical Biller Job Summary: You play a key role in managing NYS Medicaid applications, insurance verifications, and...

Certified Professional Coder - Manning - Coding Manning House I, 450 W. Paseo Redondo, Tucson, Arizona, United States of America Job Description Posted Thursday, June 11, 2026 at 9:00 AM Salary: $21.26-$29.23 Depending on experience Schedule: Monday-Friday JOB PURPOSE : The Certified Professional Coder coordinates and performs the implementation of concurrent coding and querying processes, as well as performing administrative and fiscal duties, tasks, and assignments in support of the Business Office Department and its varied operations. A Certified Professional Coder is responsible for the translation of healthcare providers’ diagnostic and procedural phrases into coded form, as well as the review and interpretation of health record documentation to ensure accurate coding services are rendered and submitted. A Certified Professional Coder ensures that all technical aspects of the assignment of diagnostic and procedural coding are carried out in accordance with established...

Overview Ankura is a team of excellence founded on innovation and growth. Ankura’s Health Care team is a recognized leader in health care disputes, compliance, and investigations. We combine unparalleled clinical, technical, and operational expertise with financial, economic, analytic skills. Our clients and their legal counsel rely upon us to successfully resolve complex matters. Ankura’s health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice leaders each have over 25 years of health care and consulting experience. The Ankura team has a mastery of the data and information systems used by providers, payers, and CMS. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic skills enabling us to help our clients and their legal counsel assess and quantify the potential impact of a dispute. Our clients include the largest and most...

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy...

Job Description Job Description Description: About e4health At e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do: Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth. Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day. WE GROW: We believe in win/win outcomes—when our customers win, we win. GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions. Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. Our...

Job Description Job Description Description: About e4health At e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do: Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth. Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day. WE GROW: We believe in win/win outcomes—when our customers win, we win. GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions. Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. Our...

Facility Inpatient Coder The Facility Inpatient Coder is responsible for accurately assigning all reportable diagnoses and procedures for complete and accurate coding of a medical record, per Official Coding and Reporting Guidelines. The Inpatient Clinical Coder’s primary responsibilities are related to accurately and completely coding all inpatient accounts assigned by the company's clients. Essential Functions: • Promotes a partnership between clinical documentation and financial outcomes, by accurately and completely coding the medical record for all appropriate ICD-10 CM and ICD-10 PCS codes. • Ensures all diagnoses and Present on Admission indicators are captured per Official Coding and Reporting Guidelines to ensure accurate DRG assignment (MSDRG and/or APRDRG) on accounts coded, while also capturing any additional, secondary diagnoses that impact quality outcomes (ex: Risk of Mortality, Severity of Illness, Social Determinants of Health, HCC, etc.) to ensure accurate...

Facility Inpatient Coder The Facility Inpatient Coder is responsible for accurately assigning all reportable diagnoses and procedures for complete and accurate coding of a medical record, per Official Coding and Reporting Guidelines. The Inpatient Clinical Coder’s primary responsibilities are related to accurately and completely coding all inpatient accounts assigned by the company's clients. Essential Functions: • Promotes a partnership between clinical documentation and financial outcomes, by accurately and completely coding the medical record for all appropriate ICD-10 CM and ICD-10 PCS codes. • Ensures all diagnoses and Present on Admission indicators are captured per Official Coding and Reporting Guidelines to ensure accurate DRG assignment (MSDRG and/or APRDRG) on accounts coded, while also capturing any additional, secondary diagnoses that impact quality outcomes (ex: Risk of Mortality, Severity of Illness, Social Determinants of Health, HCC, etc.) to ensure accurate...

Facility Inpatient Coder The Facility Inpatient Coder is responsible for accurately assigning all reportable diagnoses and procedures for complete and accurate coding of a medical record, per Official Coding and Reporting Guidelines. The Inpatient Clinical Coder’s primary responsibilities are related to accurately and completely coding all inpatient accounts assigned by the company's clients. Essential Functions: • Promotes a partnership between clinical documentation and financial outcomes, by accurately and completely coding the medical record for all appropriate ICD-10 CM and ICD-10 PCS codes. • Ensures all diagnoses and Present on Admission indicators are captured per Official Coding and Reporting Guidelines to ensure accurate DRG assignment (MSDRG and/or APRDRG) on accounts coded, while also capturing any additional, secondary diagnoses that impact quality outcomes (ex: Risk of Mortality, Severity of Illness, Social Determinants of Health, HCC, etc.) to ensure accurate...

Facility Inpatient Coder The Facility Inpatient Coder is responsible for accurately assigning all reportable diagnoses and procedures for complete and accurate coding of a medical record, per Official Coding and Reporting Guidelines. The Inpatient Clinical Coder’s primary responsibilities are related to accurately and completely coding all inpatient accounts assigned by the company's clients. Essential Functions: • Promotes a partnership between clinical documentation and financial outcomes, by accurately and completely coding the medical record for all appropriate ICD-10 CM and ICD-10 PCS codes. • Ensures all diagnoses and Present on Admission indicators are captured per Official Coding and Reporting Guidelines to ensure accurate DRG assignment (MSDRG and/or APRDRG) on accounts coded, while also capturing any additional, secondary diagnoses that impact quality outcomes (ex: Risk of Mortality, Severity of Illness, Social Determinants of Health, HCC, etc.) to ensure accurate...

Overview Bonus Potential! Monthly and Quarterly Bonus Incentives! Through our evidence based medicine approach, Concentra’s goal is to provide quality patient care while treating everyone with friendliness, skill, and respect. We strive daily to promote a diverse environment of acceptance and compassion for our colleagues and cultivate a welcoming atmosphere where our patients can heal. As we’ve grown, we’ve expanded into urgent care, wellness services, administration, onsite health and wellness centers, and telemedicine. All these services together make achieving health easier and more accessible for our patients, clients, colleagues, and all provide you with unmatched support, education, career advancement opportunities, and benefits. The Associate Director of Medical Operations position involves providing direct patient care and leading by example to ensure an exceptional patient experience. The role includes identifying and communicating opportunities for clinical quality...

Job Duties At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment Coding Auditor Location: Remote Career Area: Customer Service/Operations About Blue Cross and Blue Shield of Minnesota At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding...

Senior Medical Biller M&D Capital is a leading third-party Medical Billing and Revenue Cycle Management company serving clients across the United States. We operate offices across multiple states, along with a growing international team. We specialize in out-of-network surgical claims, and partner directly with our clients to ensure the maximum reimbursement for their services. Our rapidly growing organization provides employees with generous opportunities for professional growth and advancement. We're looking for talented, dedicated employees who are eager to grow and contribute to our success. If you meet the qualifications below, we encourage you to apply. We are seeking an experienced and detail-oriented Senior Medical Biller to join our dynamic billing department. The ideal candidate will possess deep knowledge of the full claims lifecycle, surgical billing, and current coding guidelines, including CMS CPT, ICD-10, NDC, and LCD regulations. Strong communication skills...

M&D Capital is a leading third-party Medical Billing and Revenue Cycle Management company serving clients across the United States. We operate offices across multiple states, along with a growing international team. We specialize in out-of-network surgical claims, and partner directly with our clients to ensure the maximum reimbursement for their services. Our rapidly growing organization provides employees with generous opportunities for professional growth and advancement. We're looking for talented, dedicated employees who are eager to grow and contribute to our success. If you meet the qualifications below, we encourage you to apply. Job Description We are seeking an experienced and detail-oriented Senior Medical Biller to join our dynamic billing department. The ideal candidate will possess deep knowledge of the full claims lifecycle, surgical billing, and current coding guidelines, including CMS CPT, ICD-10, NDC, and LCD regulations. Strong communication skills and...