1374 inpatient coding compliance auditor jobs found

The University of Iowa is seeking a Senior Compliance Inpatient Auditor to perform comprehensive inpatient coding and documentation audits, ensuring adherence to CMS, Medicare/Medicaid, and payor requirements. You will review ICD-10-CM/PCS coding, MS-DRG assignments, and POA indicators to identify education and risk mitigation opportunities. You will prepare detailed audit reports, collaborate with HIM, Coding, CDI, and Revenue Integrity teams, and participate in education sessions to improve #J-18808-Ljbffr

Priority One Staffing Services is seeking a Coding Compliance Auditor for a remote/hybrid position in Baltimore, Maryland. The role involves auditing hospital visits for appropriate reimbursement and ensuring compliance with federal and state regulations. Candidates should have a minimum of 2 years in ICD-10-CM and ICD-10-PCS, along with inpatient auditing experience. Relevant certifications such as CCS, RHIT, or CIC are required. This is an excellent opportunity for professionals seeking to leverage their coding expertise. #J-18808-Ljbffr

The University of Iowa is seeking a Senior Compliance Coordinator to lead inpatient coding audits and ensure alignment with CMS regulations and payer requirements. You will review medical records, validate ICD-10-CM/PCS codes, POA indicators, and MS-DRG assignments while ensuring documentation supports coding decisions. Responsibilities include preparing comprehensive audit reports, providing education on findings, and collaborating with HIM, Coding, CDI, and Revenue Integrity teams to mitigate #J-18808-Ljbffr

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs. This position typically reports to the Coding Compliance Manager. Job Description Minimum Qualifications Education : High school diploma or GED,...

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs. This position typically reports to the Coding Compliance Manager. Job Description Minimum Qualifications Education :  High school diploma or GED,...

Job Opportunity At Memorial Hermann At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Description Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs. This position typically reports to the Coding Compliance Manager. Minimum Qualifications Education: High school...

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs. This position typically reports to the Coding Compliance Manager. Minimum Qualifications Education: High school diploma or GED, required....

Frankfort Regional Medical Center is seeking an Inpatient Coding Auditor to perform internal quality assessments on coders. This remote role ensures compliance with national coding guidelines and company policies for accurate medical coding. The ideal candidate should have a high school diploma, preferably an undergraduate degree in HIM/HIT, and significant coding experience. Benefits include comprehensive medical plans, education support, and retirement resources. #J-18808-Ljbffr

Baptist Health System, Inc. in Jacksonville, FL is seeking a Full-time Inpatient Hospital Coding Auditor to join our Coding Department at Metro Square. The role focuses on accurate inpatient coding and compliance with ICD-10-CM/PCS, MS-DRG and APR-DRG guidelines. Responsibilities include performing retrospective and concurrent audits, identifying educational opportunities, and providing feedback to Coding Leadership while handling government and commercial payor audits. #J-18808-Ljbffr

Cognizant is seeking an Inpatient Medical Coding Auditor for a remote US-based role. You will audit consultant inpatient records, verify diagnoses and procedures, and ensure coding accuracy and regulatory compliance. The role involves mentoring clients and performing peer reviews to maintain high quality standards. Candidates should hold CCS/RHIT/RHIA (AHIMA), with APR DRG and facility-based auditing experience, and be comfortable working independently in a fast-paced remote environment. #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...

Las Palmas Del Sol Healthcare is seeking an Inpatient Coding Auditor to perform internal quality assessments on coding practices in a work-from-home setting. The role focuses on enhancing the accuracy and integrity of patient data and ensuring coding compliance with various guidelines. The ideal candidate will have strong experience in medical coding and auditing, preferably with at least 3 years in the healthcare field. The position also offers comprehensive benefits, including medical, dental, retirement plans, and educational support opportunities. #J-18808-Ljbffr

HCA Healthcare is seeking a work-from-home Inpatient Coding Auditor to ensure compliance with national coding guidelines and company policies. Responsibilities include leading quality assessments and coordinating coding reviews. The ideal candidate must have extensive coding experience and support educational initiatives. HCA Healthcare offers comprehensive benefits that include medical, dental, retirement plans, and education support. #J-18808-Ljbffr

HCA Healthcare is seeking an Inpatient Coding Auditor to perform internal quality assessment reviews and ensure compliance with national coding guidelines. This role requires managing coding quality for appropriate reimbursement and data integrity. The ideal candidate should have a minimum of three years in coding experience and demonstrate expert-level knowledge of coding practices. Comprehensive benefits including medical, dental, and tuition assistance are offered. #J-18808-Ljbffr

HCA Healthcare is seeking a work-from-home Inpatient Coding Auditor to perform internal quality assessments on Health Information Management Service Center coders, ensuring compliance with national coding guidelines and company policies for accurate coding and reimbursement. The role supports data integrity, coding practice improvement, and accurate physician documentation, aiming for high productivity and accuracy while meeting all education requirements outlined by the company. #J-18808-Ljbffr

HCA Healthcare is looking for a work-from-home Inpatient Coding Auditor to ensure compliance with national coding guidelines and company policies. You will lead quality reviews for inpatient and outpatient coding across multiple service centers, demonstrating expert knowledge in medical coding practices. The ideal candidate will have at least three years of coding experience and auditing background. We offer comprehensive benefits, including healthcare, retirement plans, and extensive educational support. #J-18808-Ljbffr

HCA Healthcare is seeking a work-from-home Inpatient Coding Auditor responsible for performing internal quality assessments on coding compliance. Essential duties include leading quality reviews, ensuring adherence to coding standards, and applying expert knowledge in medical coding. The ideal candidate will have a preferred undergraduate degree in health information management or technology, along with substantial coding experience. Benefits include comprehensive health coverage, retirement plans, and educational support. #J-18808-Ljbffr

HCA Healthcare is seeking a work-from-home Inpatient Coding Auditor responsible for performing internal quality assessments of coding staff to ensure compliance with national coding guidelines and company policies. The role requires strong coding knowledge and a commitment to maintain high productivity and accuracy standards. HCA Healthcare offers a comprehensive benefits package that includes medical, dental, vision, and education support, ensuring a well-rounded employee experience. #J-18808-Ljbffr

Cognizant is seeking an Inpatient Medical Coding Auditor to audit consultant inpatient records remotely across the United States. You will review records for diagnostic and procedural coding accuracy, verify physician documentation, and apply ICD-10-CM/PCS coding using Solventum (3M). The role includes peer reviews, client education, and maintaining >98% accuracy while meeting project productivity. Required are CCS/RHIT/RHIA credentials, APR DRG experience, and at least five years of #J-18808-Ljbffr

Cognizant is seeking an Inpatient Medical Coding Auditor to audit consultant inpatient records and collaborate with stakeholders. You will validate diagnoses and procedures using ICD-10-CM/PCS codes with Solventum (3M) and contribute to client education and quality reviews. The role emphasizes remote work flexibility in the United States, strong regulatory knowledge, and a disciplined approach to accuracy and productivity. Training and mentoring are part of the duties. #J-18808-Ljbffr

Licking Memorial Health Systems is seeking a Compliance Auditor responsible for auditing and monitoring adherence to state and federal documentation and billing requirements across LMHS. This position reports to the VP of Financial Services and emphasizes collaboration with clinicians and administrators to improve processes. The role focuses on home care, patient-level care, and internal audits, ensuring compliance with CMS, OIG, ODH, ODM, and RAC standards. #J-18808-Ljbffr

Job Description Summary The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders. The Coding & Compliance Auditor monitors external regulatory and internal process changes and provides support to colleagues in adhering to Federal, State and local requirements. This is a hybrid position: 2 days onsite; 3 days remote option. Job Description Job Responsibilities: Establishes, implements, and maintains a formalized review process for coding compliance, including a formal review (audit) process. Responsible for conducting both routine and targeted audits to ensure clinical documentation supports accurate CPT, HCPC’s, PCS and ICD-10-CM codes. Perform prospective and retrospective audits to validate medical necessity and documentation supportive of code selection. Analyzes data to...

Job Description Summary The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders. The Coding & Compliance Auditor monitors external regulatory and internal process changes and provides support to colleagues in adhering to Federal, State and local requirements. This is a hybrid position: 2 days onsite; 3 days remote option. Job Description Job Responsibilities: Establishes, implements, and maintains a formalized review process for coding compliance, including a formal review (audit) process. Responsible for conducting both routine and targeted audits to ensure clinical documentation supports accurate CPT, HCPC’s, PCS and ICD-10-CM codes. Perform prospective and retrospective audits to validate medical necessity and documentation supportive of code selection. Analyzes data to...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures. Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting...