27 medical coding auditor jobs found in Branford, CT

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...

North American Partners in Anesthesia in Melville, NY seeks a medical coder to review clinical documentation and code anesthesia services, retrieve data from hospital EMR, and resolve coding questions to support offshore vendors. The role requires at least 2 years of professional medical coding, CPC or CCS-P certification, and proficient computer skills; you will handle daily billing tasks and ensure compliance with payor guidelines. #J-18808-Ljbffr

CVS Health is seeking a skilled Medical Coding Auditor to ensure accuracy of CPT/HCPCS, ICD-10 and related data in behavioral health audits. You will review cases, discuss findings with Medical Directors, and research CMS guidelines to support investigations. The role requires CPC certification, 3+ years in behavioral health coding or auditing, and travel readiness. A strong mentoring mindset and proficiency with Excel/Word are essential. #J-18808-Ljbffr

CVS Health is seeking a detail-oriented Medical Coding Auditor to conduct comprehensive reviews of behavioral health records and ensure CPT/HCPCS accuracy. You will audit complex cases, articulate findings to investigators and leadership, and mentor junior coders in a fast-paced environment at our Hartford area location. Required CPC certification and 3+ years of behavioral health coding or audits; strong knowledge of CPT/HCPCS/ICD-10, CMS 1500/UB04, and MS Office. Travel may be required. #J-18808-Ljbffr

Overview Coordinate and conduct medical billing audits for the Yale Medicine Administration. Evaluate medical billing, coding and documentation for 18 clinical departments under the direction of the Compliance Officer. Provide training and feedback to physicians and departmental personnel who have responsibilities with billing activities. This opportunity is currently remote (work from home, in or outside CT) for a position located in CT. CPC required. If the candidate does not currently hold a CPC certification, it is expected to be obtained within 6 months to 1 year after hire. Required Skills and Abilities Demonstrated knowledge of ICD-10 and CPT-4 coding and billing practices. Ability to interpret operative and procedural reports. Well-developed oral and written communication skills. Strong attention to detail with the ability to analyze data. Proficient in Microsoft Word, Excel, and Access. Preferred Skills and Abilities CPC credentials preferred. Computer skills...

Yale Cancer Center seeks a Medical Billing Auditor to coordinate audits for Yale Medicine Administration. This remote position requires expertise in ICD-10 and CPT-4 coding, strong communication skills, and data analysis capabilities. A Bachelor’s degree and 5 years’ experience in a relevant field are mandatory. Responsibilities include conducting audits, evaluating billing compliance, and training staff in accurate coding. CPC certification is required or must be obtained within the first year. #J-18808-Ljbffr

job summary: We're specifically looking for people with a history of medical coding and auditing for family practice. location: Telecommute job type: Contract salary: $22 - 27 per hour work hours: 9am to 5pm education: No Degree Required responsibilities: Recent experience in the outpatient setting of Family Practice. qualifications: Candidates must have CPC certification MUST HAVE strong expertise in EM leveling. Must be proficient with coding 2021 E/M guidelines skills: coding experience,electronic medical records,excel reports,AAPC,auditing,Certified Professional Medical Auditor,Evaluation Management,leveling,medical coding,Clinical Documentation,family practice Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. At Randstad Digital, we welcome people of all abilities and want to ensure...

About the role As a Medical Coding Quality Auditor, you will play a critical role in ensuring coding accuracy, compliance, and quality across healthcare records. You will collaborate with coding professionals and physicians to support accurate clinical documentation, regulatory compliance, and operational excellence while maintaining high quality and productivity standards in a remote work environment. In this role, you will: Review medical documentation to accurately assign diagnosis and procedure codes. Communicate with physicians and other healthcare providers to obtain or clarify diagnoses and procedures through the coding query process. Assign accurate codes using electronic encoder applications in accordance with company policies, coding guidelines, and regulatory requirements. Perform peer reviews and quality audits of Health Information Management coding auditors and coders. Prepare and complete reports, audit findings, and other deliverables as requested. Monitor...

Northwellis the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State’s largest private employer with over 104,000 employees -including members ofNorthwell Health Physician Partners- who are working to change health care for the better. Purpose: Provides clinician practice coding, billing, and documentation auditing for professional coding at Nuvance Health. Conducts routine quality assurance (QA) audits on Professional Coding team and compiles reports on their accuracy for leadership.Makes recommendations based on audit findings for educational programs for both coding personnel and clinical staff ....

Nuvance Health is seeking a professional coder auditor to perform clinical documentation and coding audits of physician practice records. The role emphasizes accuracy in E/M leveling, surgical coding, and compliance with state and federal guidelines. Responsibilities include conducting high-volume audits, delivering education sessions for coders and practices, collaborating with Compliance, and staying current with CMS/Medicare regulations to support compliant revenue integrity. #J-18808-Ljbffr

Northwell Health is seeking a clinician coder auditor to conduct high-volume audits of physician practice records for documentation and coding accuracy, and to educate coders and practices on audit findings. The role requires CPC/CPC-H/CCS-P and CPMA or CDEO certifications, with competitive benefits including PTO, medical/dental/vision, a 401(k) plan, and wellness programs to support compliance and regulatory alignment. #J-18808-Ljbffr

North American Partners in Anesthesia is seeking a Certified Coding Auditor (Remote) to review clinical documentation and code anesthesia services accurately. You will retrieve and verify documentation from hospital EMR systems, resolve coding inquiries, and support offshore vendors, in a fully remote capacity from Melville, NY area. The role requires CPC or CCS-P certification and at least 2 years of medical coding experience, with strong computer and Excel skills. #J-18808-Ljbffr

Medical Coding And Billing Assistant 2Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community, eligible for opportunities through the New Haven Hiring Initiative, or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale!The Medical Coding And Billing Assistant 2 is responsible for accurate charge submission for patient clinical services based on coding, documentation review, quality assurance, and compliance guidelines. This role requires comprehensive knowledge of coding systems, documentation guidelines, and compliance with Federal payer regulations and HIPAA guidelines. The position involves maintaining effective workflow processes, ensuring timely billing, and optimizing reimbursements. The assistant must exercise independent judgment and decision-making while ensuring compliance with established protocols and maintaining...

Op Senior CoderTo be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.Reporting to the Supervisor of Outpatient Coding, the OP Senior Coder is a vital multifaceted role within the Outpatient Coding Department. This position provides support to the Outpatient Coding Department as a OP coding subject matter expert, educator, QA reviewer, and also focuses daily efforts on A/R management and oversight. Additionally, this person works with partner departments to problem solve issues and streamline processes. The OP Senior Coder is also required to mentor other team members and also prepare them for the role of OP Senior Coder. The OP Senior Coder possesses a strong level of OP clinical coding expertise, and has the ability to handle multiple priorities....

Professional Senior CoderTo be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.The Professional Senior Coder is a vital multifaceted role within the Coding Department. This position provides support as Professional coding subject matter expert, educator, QA reviewer, and also focuses daily efforts on Pre-A/R management and oversight. Additionally, this person works with partner departments to problem solve issues and streamline processes. The Professional Senior Coder is also required to mentor other team members and also prepare them for the role of Senior Coder. This individual possesses a strong level of Professional clinical coding expertise, expansive knowledge of professional coding guidelines, and has the ability to handle multiple...

GeBBS Healthcare Solutions is a leading provider of Revenue Cycle Management (RCM) and Risk Adjustment services, helping healthcare organizations optimize operations, improve financial performance, maintain compliance, and enhance the patient experience. Recognized as a KLAS® Top Performer, GeBBS combines innovative technology, industry expertise, and a commitment to excellence to deliver measurable results for clients across the healthcare industry. We are dedicated to being a trusted healthcare partner by upholding the highest standards of quality, information security, and compliance. At GeBBS, we foster a collaborative and growth-oriented culture where employees are empowered to develop their skills, advance their careers, and make a meaningful impact in transforming healthcare. GeBBS Healthcare Solutions is seeking a detail-oriented, Full and part-time , remote Primary Care Validation Coder to support coding quality and compliance initiatives. In this role, you will...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina Alabama Arizona Connecticut District of Columbia Florida Georgia Illinois Iowa Kentucky Louisiana Maine Michigan Missouri Montana New Hampshire Ohio Oregon Pennsylvania South Carolina Tennessee Texas Virginia Washington Now...

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Activities...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Inpatient Coder (CCS Certified) – Remote Location: Remote (work from home office) Experience: 3+ years of facility-based inpatient coding Job Summary The Inpatient Coder is a key role supporting one or more Cognizant clients, responsible for reviewing medical documentation and accurately assigning ICD-10-CM diagnosis and ICD-10-PCS procedure codes. This role works independently and as part of a team, queries physicians to clarify documentation, and supports coding quality through peer review, while meeting accuracy and productivity standards in a fast-paced remote environment. Key Responsibilities Review documentation to code diagnoses (ICD-10-CM) and procedures (ICD-10-PCS). Communicate with physicians to obtain or clarify diagnoses and/or procedures through the query process. Assign accurate codes using an electronic encoder application in accordance with practice policy and regulatory guidelines. Perform peer reviews of company Health Information Management coding...

CVS Health in Hartford, CT is seeking a Senior Certified Professional Coder (CPC) to conduct medical claim reviews for the SIU, ensuring coding accuracy and compliant documentation across medical, behavioral health, and related services. The role requires CPC certification, 3+ years in behavioral health coding or audits, knowledge of CPT/HCPCS/ICD-10, and the ability to communicate findings to investigators and leadership. #J-18808-Ljbffr

CVS Health is seeking a qualified Behavioral Health Medical Coder to conduct comprehensive medical record audits ensuring CPT/HCPCS and ICD-10 alignment with documentation. You will produce detailed written findings and articulate them to investigators, plan leadership, and regulators as needed. Responsibilities include reviewing cases with Medical Directors, mentoring junior coders, and collaborating with data analytics to identify prepayment savings and ensure compliant coding practices. #J-18808-Ljbffr

At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between – we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care...

About the role As a Emergency Deparment Coder, you will make an impact by ensuring the accuracy, quality, and compliance of medical coding practices across multiple healthcare settings. You will be a valued member of the Health Information Management team and work collaboratively with coding professionals, physicians, and operational stakeholders to support regulatory compliance and revenue cycle excellence. In this role, you will: Review clinical documentation and accurately assign diagnosis and procedure codes for outpatient surgery, observation, emergency department, and outpatient diagnostic encounters. Communicate with physicians and clinical staff to obtain clarification on diagnoses and procedures through the coding query process. Utilize electronic encoder applications and coding tools to assign accurate codes in accordance with company policies and regulatory guidelines. Perform peer reviews and quality audits of coding professionals to ensure coding accuracy,...