1327 inpatient coding compliance auditor jobs found

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 If you are located outside of the state of Texas -- you must be located in KANSAS, OKLAHOMA, TENNESSEE, LOUISIANA, GEORGIA, SOUTH CAROLINA, NORTH CAROLINA, or be willing to relocate to one of the eligible states (including Texas). Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and...

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 **If you are located outside of the state of Texas -- you must be located in KANSAS, OKLAHOMA, TENNESSEE, LOUISIANA, GEORGIA, SOUTH CAROLINA, NORTH CAROLINA, or be willing to relocate to one of the eligible states (including Texas). ** Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data...

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 **If you are located outside of the state of Texas -- you must be located in KANSAS, OKLAHOMA, TENNESSEE, LOUISIANA, GEORGIA, SOUTH CAROLINA, NORTH CAROLINA, or be willing to relocate to one of the eligible states (including Texas). ** Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data...

Memorial Hermann Health System in Houston, TX seeks an experienced clinical coder to ensure accuracy and completeness of coding for reimbursement and data integrity. Reports to Coding Compliance Manager. Requires four years of hospital coding/auditing, ICD-10-CM/CPT expertise, and AHIMA/AAPC certifications. You will design audits, educate staff, and stay current with guidelines to support safe, efficient care. #J-18808-Ljbffr

Coding AuditorGood learners. Accurate reviewers. Our Coding Auditors are an important part of the health information team. Ensuring development and implementation of coding strategies across the system is a big part of the job. The other part? Being able to follow state and federal compliance regulations. Policy and procedure development, standardization of coding operations, analyzing coding quality and performing chart reviews. This job has it all.Who We AreWith 11 ministries and access points across Indiana and, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.What You Can ExpectReview, research, and respond to coding inquiries from other Franciscan departments.Integrate current industry changes into a clinical audit practice setting.Act as a subject matter expert regarding payer reimbursement...

About Ensemble 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...

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. 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. Customer Obsession: Bonus Incentives Tuition Reimbursement By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. The Senior Coding Compliance Auditor will assist with the development and execution of the Annual Compliance Workplan including the Auditing and Monitoring Workplans. They will lead & complete detailed Coding compliance audits including complex audits, implement Management Action Plans, prepare high quality audit reports, establish and maintains...

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...

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...

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...

Medical Coding Auditor Position Salary Range: $80,000 - $100,000 By adhering to Connecticut State Law, pay ranges are posted. The pay rate will vary based on various factors including but not limited to experience, skills, knowledge of position and comparison to others who are already in this role within the company. Flu Vaccine Considerations Proof of annual flu vaccination is required for all employees. PACT MSO, LLC is a management service organization that supports a large multi-specialty practice of providers. We are currently looking for an experienced Medical Coding Auditor who will be working in Branford Monday through Friday from 8:30am to 5:00pm. This is not a remote position. Summary The Medical Auditor is responsible for coordinating and conducting medical billing, coding, and documentation audits to ensure compliance with federal, state, and commercial payer regulations, organizational policies, and industry standards. This role evaluates provider...

Billing Auditor As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA The position audits and reports on the accuracy of procedural billing, payment consideration and accuracy in reimbursement based on the correct interpretation and application of codes, modifiers and payment rules. The incumbent reviews and audits physician and institutional billing from multiple departments and entities across the organization, and assists in training departmental personnel in correct coding and documentation. This position is not responsible for providing patient care. Corporate Overview: The...

AdventHealth in Orlando, FL is hiring a Coding Auditor to perform post-bill coding audits across inpatient and/or outpatient services. You will validate DRG assignments, MCC/CC integrity, modifiers, and APCs while ensuring compliance with coding guidelines. The role requires 5+ years of acute care coding, CCS/RHIA/RHIT/CPC/CIRCC credentials, and strong analytical skills. Excellent communication and time management are essential. #J-18808-Ljbffr

Job DescriptionJob Description PYA is seeking an experienced Inpatient/Outpatient Facility Coding Auditor to join our nationally recognizedRevenue 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 DOPerform inpatient and outpatient facility coding audits and reimbursement reviews, including: ICD-10-CM/PCS, CPT, and HCPCS coding validationMS-DRG and APC validationCharge capture and revenue integrity reviewsClinical documentation improvement (CDI) assessmentsThird-party payer compliance evaluationsDeliver high-quality client reports, recommendations, and presentationsManage multiple engagements while maintaining exceptional quality and compliance standardsCollaborate with PYA's consulting, compliance, and executive teams to deliver comprehensive client solutionsWHAT WE'RE LOOKING FORCCS, RHIA,...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Coder III Full Time Clerical Remote Puerto Rico, PR, PR 30+ days ago Requisition ID: 1026 Citizenship Requirement: U.S. Citizen Language Requirement: Fluent in English (reading, writing, and verbal communication) Work Location: 100% Remote – Open to candidates residing in Puerto Rico or the continental United States Clearance: Must be able to obtain and maintain a favorable background investigation under the Department of Defense Position Summary We are seeking experienced Medical Coders III specializing in Outpatient and Emergency Department (ED) coding to support the Defense Health Agency (DHA) . The selected candidates will accurately assign CPT, HCPCS, ICD-10-CM, and modifiers for outpatient encounters, same-day surgeries, and emergency room visits. Additional inpatient coding assignments may be required as...

ROI Healthcare Solutions, LLC is seeking a Remote Full-Time Inpatient/Outpatient Auditor with 5+ years of acute care auditing experience. The role involves auditing hospital claims, ensuring coding compliance, and presenting findings to clinicians and staff. Candidate must possess at least two active coding credentials (CCS, CCS-P, CPC, CDIP, RHIT, RHIA) and strong medical terminology knowledge. AA degree or equivalent preferred. Proficiency in MS Office is required. #J-18808-Ljbffr

Coding Compliance Auditor Riverside University Health System (RUHS) is seeking two skilled Coding Compliance Auditors (Administrative Services Manager I) to support the Health System's Compliance Department. Key responsibilities of this role include conducting thorough reviews of medical records to ensure compliance with coding regulations, while providing feedback and education to coders and physicians to enhance coding accuracy and documentation quality. The position involves performing annual, periodic, and focused audits of physician, inpatient, and outpatient coding as requested. It also requires effective communication with all RAC stakeholders to ensure timely and accurate responses to inquiries. Additionally, the role supports ongoing program development through training initiatives and process improvements, delivers coding presentations to diverse audiences including physicians and other staff. The ideal candidate will have at least five years of progressive experience...

Job Description Job Description Registered Nurse PACU Medical Coding Auditor - Ambulatory Job Description: About Company: Since 1984, Professional Performance Development Group (PPDG) has been proudly Serving Heroes by connecting exceptional healthcare professionals with rewarding opportunities across military, federal, and commercial healthcare facilities. Guided by our core principles of excellence, integrity, and collaboration, we are dedicated to delivering high-quality staffing solutions that strengthen the delivery of patient care nationwide. Rooted in a culture of Linked Prosperity, PPDG values the success of our clients, employees, and partners alike—offering competitive compensation, comprehensive benefits, professional growth, and a cooperative workplace built on trust, respect, and service. As a proud Department of Defense Partner Employer and participant in the Military Spouse Employment Partnership (MSEP), PPDG remains committed to supporting our...

Cook Children's Health Care System is seeking an HIM Coding Auditor-Educator to lead coding quality reviews and education programs. This role focuses on ICD-10-CM/PCS and CPT coding accuracy, DRG assignment, and adherence to official guidelines within inpatient and outpatient settings. You will develop training based on audit findings, regulatory updates, and identified knowledge gaps, guiding staff to improved accuracy and compliance across the organization. #J-18808-Ljbffr

Title: Risk Adjustment Coding Auditor Location: Remote Job Type: Contract (6 months) Compensation: $35.00 – $38.00 per hour Industry: Health Insurance About the Role Our firm is partnering with a leading nonprofit health insurance organization that serves members across commercial, Medicare, and Medicaid health plans. We are seeking an experienced Risk Adjustment Coding Auditor to help ensure the accuracy, integrity, and compliance of clinical coding and documentation used in risk adjustment programs. In this role, you will support accurate reimbursement and regulatory compliance by conducting detailed coding audits, identifying documentation gaps, and providing expert guidance on risk adjustment coding practices. This position is ideal for a coding professional with strong HCC auditing experience who is passionate about data accuracy, compliance, and continuous improvement. Job Description As a Risk Adjustment Coding Auditor, you will evaluate coded clinical data to ensure...

Become a part of our caring community 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. Where you Come In 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 of...

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...

Cook Children’s is seeking an HIM Coding Auditor-Educator to lead coding quality reviews and to develop education programs. The role focuses on ICD-10-CM/PCS and CPT coding accuracy, aligning with official guidelines and organizational policies. The ideal candidate brings 3+ years of inpatient/outpatient coding with auditing experience, a relevant bachelor’s degree, and RHIA/RHIT/CCS credentials. This remote TX-friendly position emphasizes training and regulatory compliance. #J-18808-Ljbffr