121 lead auditor compliance supervisor jobs found

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...

Department / Unit :Health Information ManagementWork Shift :Day (United States of America)Salary Range :$60,367.47 - $90,551.20This position is Fully RemoteProfessional Coding Auditor will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding / charging / denials follow-up.Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes.Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines.Provide education, instruction and training to providers and coding staff.Act as an expert for the HCC / Risk adjustment coding.This position is remote but does require onsite education to providers as needed.Essential Duties and ResponsibilitiesReview, analyze, and validate CPT and ICD-10 diagnosis codes and...

Description Come grow with us. Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding. Yeo & Yeo Medical Billing & Consulting maintains a highly trained staff with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes. Our billing specialists receive ongoing training specific to medical specialty. We continually train our staff by updating and maintaining their knowledge of insurance carrier trends and changes in billing rules and policies. Our people are our future - we provide the venue for individuals who...

Department/Unit: Health Information Management Work Shift: Day (United States of America) Salary Range: $60,367.47 - $90,551.20 We are seeking a skilled Professional Coding Auditor to join our Health Information Management team. In this role, you will leverage your advanced coding expertise to lead a service line coding team. Collaborate with others to ensure comprehensive and timely professional coding processes, including coding, charging, and managing denials follow-up. You will audit CPT and ICD-10 diagnosis coding performed by providers and coding staff, ensuring compliance with federal and state laws as well as insurance carrier guidelines. This remote position also requires onsite educational support for providers when necessary. Key Responsibilities: Review, analyze, and validate CPT and ICD-10 diagnosis codes ensuring adherence to various regulations and guidelines. Assist in daily operations and act as a Team Lead, guiding staff to meet quality and...

Department / Unit :Health Information ManagementWork Shift :Day (United States of America)Salary Range :$60,367.47 - $90,551.20Professional Coding Auditor will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding / charging / denials follow-up.Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes.Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines.Provide education, instruction and training to providers and coding staff.This position is remote but does require onsite education to providers as needed.This position has remote opportunityThis position requires a CPC Certification - Upon HireTwo years or more prior experience in professional fee coding - requiredEssential Duties and...

Primary Job Title: Financial Compliance Auditor III, Claims Location : CA (Hybrid Shift/Work Schedule: Date Posted: 7/10/2025 Employment Type: 3-month Contract Salary Range: $50.53 - $55.53/Hr Job Summary The Financial Compliance Auditor III, Claims is responsible for various tasks within the Financial Compliance Unit, including the audit of claims processed by medical groups and health plans contracted with Client. This role works closely with the Supervisor and/or Lead Auditor on the identification and resolution of issues in a timely and efficient manner. For Claims Emphasis: This position is responsible for all aspects of assigned claim audits, including audit testing and completion of the audit report. This position is responsible for a variety of complex areas of the Medi-Cal, Medicare, Covered California, and PASC-SEIU benefits and processes. This position focuses on audits of contractual and regulatory compliance with timeliness and...

Department/Unit: Health Information Management Work Shift: Day (United States of America) Salary Range: $60,367.47 - $90,551.20 Professional Coding Auditor will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding/charging/denials follow-up. Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines. Provide education, instruction and training to providers and coding staff. This position is remote but does require onsite education to providers as needed. This position has remote opportunity This position requires a CPC Certification - Upon Hire Two years or more prior experience in professional fee coding - required...

Professional Coding Auditor - Remote page is loaded## Professional Coding Auditor - Remotelocations: DNU 1275 Broadway Albany, NY 12204: 100 Park Street Glens Falls, NY 12801: DNU 211 Church St Saratoga Springs, NY 12866: DNU 71 Prospect Avenue Hudson, NY 12534time type: Full timeposted on: Posted Todayjob requisition id: 65977Department/Unit:Health Information ManagementWork Shift:Day (United States of America)Salary Range:$60,367.47 - $90,551.20Professional Coding Auditor will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding/charging/denials follow-up. Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines. Provide...

Job Description Job Description SSM Health Dermatology's mission is to strive as a team for excellence by providing the most comprehensive, patient-centered care every day. We are looking for a Patient Scheduling Representative to contribute in their own unique way to our Company’s exceptional services and performance for our patients Objective: Under the general guidance of leadership, the Medical Billing Supervisor is responsible for the daily oversight of billing and revenue cycle operations, ensuring timely and accurate submission of claims, resolution of denials, and compliance with all payer requirements. This role directly supervises billing team members, provides performance management, conducts routine employee development meetings, and monitors key performance metrics to support organizational efficiency and financial objectives. The Medical Billing Supervisor serves as an advanced resource to staff, providers, and internal departments, while maintaining a high...

Experienced Medical Biller (RCM2) Full-TimeRevenue Cycle Management DepartmentLocations: Carrollton, Newnan, or Peachtree City, GAWork Setting: In-Office) About Our PracticeWest Georgia Dermatology, Newnan Dermatology, and Peachtree City Dermatology are physician-led, fast-growing dermatology practices serving communities across West Georgia. We provide comprehensive medical, surgical, and cosmetic dermatology services, including in-house Mohs surgery and dermatopathology. Our Revenue Cycle Management (RCM) team plays a vital role in the financial health of the practice and in supporting high-quality patient care. We value accountability, efficiency, teamwork, and continuous improvement. We are seeking an experienced Medical Biller who is confident working independently and ready to take ownership of assigned revenue cycle responsibilities. Position OverviewThe Experienced Medical Biller (RCM2) is responsible for managing assigned billing workqueues, resolving claims efficiently,...

Job Title: Medical Biller II Salary: $25hr-$28hr DOE Location: Tustin, CA Openings: 1 Position Purpose: The Medical Billing Specialist II supports the revenue cycle team by independently performing a broad range of billing functions with moderate complexity. This role is responsible for accurate insurance verification, charge entry, claim submission, payment posting, and resolution of routine denials to ensure compliance with payer requirements and timely reimbursement. Core Duties and responsibilities, include but are not limited to: Insurance & Eligibility Verification Verify complex insurance coverage (Medi-Cal, Medicare, Managed Care, Commercial, PPO/HMO). Research and resolve discrepancies in patient coverage or eligibility. Document eligibility outcomes in the EHR/PM system. Charge Entry & Coding Support Perform charge entry and apply CPT, ICD-10, and HCPCS codes. Review encounter forms for accuracy; flag missing or incorrect...

Job Description Job Description Salary: $15-$17/hour Education, Experience, and Licensing Requirements: High school diploma, GED, or equivalent University/college degree, or experience medical records, claims or billing areas is an asset. CCA (AHIMA) CCS (AAPC) or greater Expectations of Role: Manages the Insurance billing and collections processes. Excellent organizational skills and attention to detail. . Processes, tracks claims, and ensures accuracy and timeliness in the billing process. Provides excellent customer service to our clients. Inputs patient information into the practices billing software. Submits claims to insurance companies and follows up on unpaid claims. Posts ERA payments, Resolves any issues that arise with claims or payments. Maintains accurate records of billing and collection activities Generates monthly reports to track billing and collection performance. Accounts for coding and abstracting of patient encounters, including...

Job Description Job Description Hybrid-Sunrise, Florida Position Summary: 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...

Certified Coder If you believe healthcare is a right, that everyone deserves high quality care so they can enjoy their highest level of health and wellbeing, and you value each person's individual story consider joining us at Neighborhood! As a coder, you'll play an important role in the success of the organization by using your attention to detail, coding knowledge, communication and collaboration skills. You'll use your teamwork skills and training as you review patient medical records, including physician notes, lab results, and procedure details and translate that information into standardized medical codes used for billing insurance companies and maintaining accurate medical records. Responsibilities include: Assigns appropriate medical codes using coding guidelines and reference manuals for diagnoses and procedures Verifies accuracy of coded data by checking for consistency and compliance with coding regulations and insurance standards Communicates with healthcare...

Summary This position is located in the Health Information Management (HIM) section at the Southern Arizona VA Health Care System (SAVAHS). MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Duties Help Duties include, but are not limited to: Outpatient MRTs (Coder) at this level perform the full scope of outpatient coding including ambulatory surgical cases, diagnostic studies and procedures, outpatient encounters, and/or inpatient professional services. Outpatient duties consist of the performance of a comprehensive review of documentation within the health record to accurately assign ICD-10-CM codes for diagnoses, CPT/HCPCS codes for surgeries, procedures and evaluation and management services. They independently review and abstract clinical data from the record for documentation of...

Company Description : Job Summary : We are seeking a knowledgeable and detail?oriented Certified Ambulance Biller / Coding Specialist to join our billing team. This role is responsible for reviewing patient care reports, applying proper ambulance billing codes, ensuring compliance with federal and state regulations, and submitting clean claims for timely reimbursement. The ideal candidate understands EMS industry billing practices and has experience with accurate documentation review and denial prevention. #osmcareers Responsibilities : Review Patient Care Reports (PCRs), run sheets, and supporting documentation for accuracy and completeness. Apply correct ambulance billing codes, including HCPCS, CPT, and ICD?10, according to documentation and payer requirements. Determine appropriate levels of service (BLS, ALS1, ALS2, SCT, mileage, etc.) based on medical necessity and documentation. Enter and validate charges in the billing system prior to claim...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $60,367.47 - $90,551.20 The Senior Hospital Coder is responsible for performing detailed coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are highly skilled and considered experts in medical coding. Essential Duties and...

Medical Records Technician (Coder Outpatient) This position is located in the Health Information Management (HIM) section at the Southern Arizona VA Health Care System (SAVAHS). MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Duties include, but are not limited to: Outpatient MRTs (Coder) at this level perform the full scope of outpatient coding including ambulatory surgical cases, diagnostic studies and procedures, outpatient encounters, and/or inpatient professional services. Outpatient duties consist of the performance of a comprehensive review of documentation within the health record to accurately assign ICD-10-CM codes for diagnoses, CPT/HCPCS codes for surgeries, procedures and evaluation and management services. They independently review and abstract clinical data from the record for...

Summary This position is located in the Health Information Management (HIM) section of the Business Office at the Orlando VA Healthcare System. MRTs (Coders) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multispecialty clinics, and specialty centers. Please read the duties section of this announcement for further information on remote work status. Duties Help PLEASE NOTE: This position is designated as remote. Remote work is defined as full-time employment conducted outside of a VA facility or in VA-leased spaces. The option for remote work will be assessed continuously, and the selected individual may need to return to a VA office if required. The VA will categorically exempt military spouses authorized to engage in remote work and spouses of U.S. Foreign Service members from Agency plans to return all eligible employees to in-person work...

Experienced Medical Biller (RCM2) Full-TimeRevenue Cycle Management DepartmentLocations: Carrollton, Newnan, or Peachtree City, GAWork Setting: In-Office) About Our PracticeWest Georgia Dermatology, Newnan Dermatology, and Peachtree City Dermatology are physician-led, fast-growing dermatology practices serving communities across West Georgia. We provide comprehensive medical, surgical, and cosmetic dermatology services, including in-house Mohs surgery and dermatopathology. Our Revenue Cycle Management (RCM) team plays a vital role in the financial health of the practice and in supporting high-quality patient care. We value accountability, efficiency, teamwork, and continuous improvement. We are seeking an experienced Medical Biller who is confident working independently and ready to take ownership of assigned revenue cycle responsibilities. Position OverviewThe Experienced Medical Biller (RCM2) is responsible for managing assigned billing workqueues, resolving claims efficiently,...

Auditing Team Lead Under direct supervision, the Auditing Team Lead provides day to day supervision and instruction of the auditors. The Auditing Team Lead oversees the internal and external auditing function and assists Director Inpatient Coding, Coding Audits, and Education in developing reports specific to audit findings and assists with implementing action plans. The Auditing Team Lead ensures internal audits are accurate, complete and reported on a timely basis and serves in an advisory and educator role for Coding Specialists. The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. 1. Provides for day to day supervision and instruction for the auditors which includes audit assignments, problem solving, monitoring productivity and scheduling. Manages time and attendance...

Professional Coding Auditor And Educator - Remote This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following Health Information Management duties: Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a "hands on" environment. The majority of time is spent in the delivery of support services or activities, typically under supervision. An experienced level role that requires basic knowledge of job procedures and tools obtained through work experience and may require vocational or technical education. Works under moderate supervision, problems are typically of a routine nature, but may at times require interpretation...