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479 medical coding auditor jobs found

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University of Colorado Medicine
Full Time
 
Medical Coding Auditor - Pathology
University of Colorado Medicine Remote
University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado. We are seeking a motivated  Medical Coding Auditor (Pathology)  to join our Audit, Compliance & Education team. The Auditor will provide formal and informal coding and regulatory education to all CU Medicine coding/charge capture staff, billing staff, all attending physicians, residents and APP providers involved with the billing for professional services as directed by...

Jul 01, 2025
MV
Medical Coding Auditor
MOUNTAIN VIEW HOSPITAL LLC Idaho Falls, ID, USA
Job Details Job Location Creekside - Idaho Falls, ID Position Type Full Time Education Level CPC-Certified Professional Coder Job Category Health Care Description Mountain View Hospital is looking for a Medical Coding Auditor to join our team! JOB SUMMARY: Medical Record Auditor will be responsible for assisting/ conducting audits of medical records, coding and billing information. The auditor will look at both departments inside the hospital, outside departments and physician records and billing. Auditors will put together informational reports of finding and relay the information to the appropriate source. Reporting will be generated to help track which providers, locations or target areas need to be audited. The medical auditor will assist in putting together appeals/ rebuttals for external auditing sources. Auditor should have audits completed within a timely manner that is set up with the supervisor/ manager. Auditor will be provided as education as...

Jul 10, 2025
HC
Medical Coding Auditor
HarmonyCares Troy, MI, USA
Overview HarmonyCares is one of the nation's largest home-based primary care practices. HarmonyCares is a family of companies all dedicated to providing high-quality, coordinated health care in the home. This includes HarmonyCares, HarmonyCares Medical Group, HarmonyCares Home Health and HarmonyCares Hospice. Our Mission - To bring personalized, quality-based healthcare to the home of patients who have difficult accessing care. Our Shared Vision - Every patient deserves access to quality healthcare. Our Values - The way we care is our legacy. Every interaction counts. Go the extra mile. Empower and support each other. Why You Should Want to Work with Us Health, Dental, Vision, Disability & Life Insurance, and much more 401K Retirement Plan (with company match) Tuition, Professional License and Certification Reimbursement Paid Time Off, Holidays and Volunteer Time Paid Orientation and Training Great Place to Work Certified Established in 11 states Largest...

Jul 10, 2025
AU
Certified Medical Coding Auditor (CPC or CCS-P)
Accelerated Urgent Care Bakersfield, CA, USA
About UsSimply put, our purpose at Accelerated Urgent Care is to get you quality care when you need it. We aim to foster a supportive environment where our team members can develop their careers. To promote this goal, we've built a diverse and driven team of employees who are all eager to learn from one another and reach Accelerated Urgent Care's mission of delivering exceptional healthcare to the patients and communities that we are privileged to serve. We are ... a fast-growing company that doubles in size year after year since 2012! Recognized as Kern County's Top Urgent Care center 6 years in a row! Dedicated to our employees' career growth; 65% of our Administration and Management team members have been internal candidates! 16 clinics strong across 5 regions in California and growing! Our Core Values: Friendliness, Competence, Respect, Teamwork, Compassion, Hard work, Integrity, Humility, Dedication! Job SummaryThe Certified Medical Coding Auditor will provide formal and...

Jul 07, 2025
UM
Medical Coding Auditor
UNM Medical Group, Inc. Albuquerque, NM, USA
Job Description Job Description UNM Medical Group, Inc. is hiring for a Medical Coding Auditor to join our Compliance Team. This opportunity is a REMOTE, full-time, day shift opening located in Albuquerque, New Mexico. *This is a work from home position that requires the selected candidate to have a permanent address and live in New Mexico or be willing to relocate to New Mexico* *$2,000 Sign-on Bonus* Minimum $54,537 - Midpoint $68,172* *Salary is determined based on years of total relevant experience. *Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE. Summary: Under indirect supervision, audits medical charts and records for compliance with federal coding regulations and guidelines. Uses knowledge of UNM Medical group billing systems procedures to provide a review of evaluation and management codes, medical diagnoses and clinical procedures ensuring that accurate...

Jul 07, 2025
EH
Medical Coding Auditor
Exceptional Healthcare Inc. Dallas, TX, USA
Job Description Job Description Job Summary: Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc.   Job Responsibilities/Duties: · Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or...

Jul 07, 2025
QT
Senior Medical Coding Auditor/Educator - REMOTE
Quadris Team LLC Scottsdale, AZ, USA
Job Description Job Description Quadris Team, LLC - A Revenue Cycle Management Group, is searching for a dynamic person to join us, working with our highly skilled Medical Coding Team to fill the role of Senior Coding Auditor/Educator . We are a 100% remote team supporting our clients across the United States! See us at www.quadristeam.com. Job Focus: The Senior Coding Auditor may be responsible for a variety of duties and obligations, depending on the client and assignment. These responsibilities may include inpatient/outpatient/professional fee facility auditing, denial management, coding, implementation specialist, job aid creation, training, and specialty coding. The position may also be responsible for management of the audit team and project management. All coding and auditing are performed within the scope of regulatory and compliance law expectations. Auditing Responsibilities: May include conducting inpatient, outpatient and pro fee coding audits and...

Jul 07, 2025
AH
Medical Coding Auditor
Atlantic Health System Morris Township, NJ, USA
Responsible for coding quality audits of all records (outpatient, inpatient, procedures, testing) to assure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines and provide ongoing feedback and analysis of the education needs for the providers and staff; also responsible for assisting with coding inquiries from providers, charge posters, billing staff, etc. Principal Accountabilities: 1. Coordinates, schedules, performs the professional services documentation and coding audits of outpatient, inpatient, procedures and testing records for AMG 2. Evaluates the quality of clinical documentation to identify incomplete or inconsistent documentation that could impact the quality of data being reported 3. Audits codes and professional fee services performed by providers from medical records according to ICD-10, CPT, HCPCS, and CMS guidelines 4. Responsible for maintaining up to date knowledge of coding guidelines as they...

Jul 10, 2025
Hu
Senior Inpatient Medical Coding Auditor Professional
Humana Phoenix, AZ, USA
Become a part of our caring community and help us put health first The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, PCS) to patient records. This position works assignments involving moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Responsibilities The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG) assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. +...

Jul 10, 2025
LH
Medical Coding Auditor
LHH Melville, NY, USA
1 week ago Be among the first 25 applicants Executive Recruiter, Non-Clinical Healthcare - LHH Recruitment Solutions LHH Recruitment Solutions is partnering with a top healthcare client to fill an Internal Auditor position within their revenue cycle department. This role is based 100% on-site in Melville, NY. Compensation is experience-dependent, ranging from $60K to $70K, plus comprehensive benefits. Essential Duties and Responsibilities: Collaborate effectively with employees, physicians, and external stakeholders. Identify risk areas, develop audit strategies, analyze reports, and provide actionable recommendations to leadership. Participate actively in workflow optimization initiatives. Work with departments to clarify audit findings and collaborate on solutions. Collect, validate, and analyze project data; interpret findings for reporting purposes. Stay informed on industry best practices, policies, and procedures. Manage time efficiently to meet deadlines. Maintain and...

Jul 11, 2025
EC
Clinical Coding Auditor - FT - Days - HIMS - Medical Records @ MV
El Camino Health Mountain View, CA, USA
El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen. Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for. FTE 1 Scheduled Bi-Weekly Hours 80 Work Shift Day: 8 hours Job Description The Clinical Coding Auditor performs complex reviews/audits of facility (hospital setting) coded data in compliance with Official Coding Guidelines /ICD-10-CM/PCS coding conventions for ancillary outpatient, emergency room, ambulatory /observation records, and inpatient case reviews. Promotes the role of auditor ensuring efficient, high level of coded data quality supports appropriate reimbursement, data collection,...

Jul 11, 2025
FS
Experienced Anesthesia Compliance Auditor- Must have Medical Coding Experience Anesthesia Practice Services
FlexStaff New Hyde Park, NY, USA
Job Description FlexStaff Experienced Compliance Auditor- Full-Time- Hybrid Role- Chappaqua, NY. Exciting Opportunity: Join Our clients as a Compliance Auditor! Are you passionate about healthcare and eager to make a difference in ensuring compliance and excellence in patient care? Our client is seeking a dynamic Compliance Auditor to join this top organization and support their mission of delivering top-tier anesthesia and clinical services. In this pivotal role, you will leverage your healthcare experience-whether as a healthcare coder or in a similar capacity-to conduct comprehensive audits of clinical records, with a special focus on anesthesia documentation and billing accuracy. Your expertise in medical terminology, combined with proficiency in Microsoft Office tools like Word, Excel, PowerPoint, and Outlook, will enable you to analyze data, prepare reports, and communicate findings effectively. As a key member of our compliance team, you will support ongoing...

Jul 11, 2025
GH
Compliance Auditor (medical coding and billing)
Geisinger Health Danville, PA, USA
Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Job Summary: The Compliance Auditor position is responsible for supporting the organization's Revenue Management Compliance department in developing, implementing, and administering an effective compliance program. Accurately audits and provides compliance research support to physicians, non-physician practitioners, leadership, and administrative staff on documentation and coding requirements. Determines the adequacy of medical record documentation, coding, and billing, using established compliance auditing and research guidelines for hospital and professional services. Job Duties: Performs compliance audits to determine the adequacy of medical record documentation, billing, and coding, utilizing policies, procedures, Federal and State, laws, regulations, and standard coding guidelines. Evaluates whether...

Jul 10, 2025
JU
Clinical Coding Auditor - FT - Days - HIMS - Medical Records @ MV
Jobleads-US Mountain View, CA, USA
Clinical Coding Auditor - FT - Days - HIMS - Medical Records @ MV Clinical Coding Auditor - FT - Days - HIMS - Medical Records @ MV Apply locations Mountain View, CA | time type Full time | posted on Posted Yesterday | job requisition id R00015024 El Camino Health is committed to hiring, retaining, and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: built on compassion, innovation, collaboration, and delivering high-quality care. Join our team that makes this happen. Applicants MUST submit a separate application for each job posting number they are interested in. FTE 1 Scheduled Bi-Weekly Hours 80 Work Shift Day: 8 hours Job Description The Clinical Coding Auditor performs complex reviews and audits of facility (hospital setting) coded data, ensuring compliance with Official Coding Guidelines, ICD-10-CM/PCS, and CPT conventions across outpatient, emergency, observation, and...

Jul 07, 2025
EC
Professional Coding Auditor - FT - Days - HIMS - Medical Records @ MV
El Camino Health Mountain View, CA, USA
El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen. Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for. FTE 1 Scheduled Bi-Weekly Hours 80 Work Shift Day: 8 hours Job Description The Professional Coding Auditor performs reviews for professional/clinic based clinic visits and hospital setting claims reviewing provider’s diagnosis and procedural coded claims in ensuring coded data is in compliance with Official Coding Guidelines and American Medical Association CPT/HCPCS procedural coding conventions. The role of the auditor is to educate providers performing services in clinic base and hospital setting in...

Jul 07, 2025
Sa
Medical Coding Specialist
Skin and Cancer Institute Los Angeles, CA, USA
Join Our Team at Skin and Cancer Institute! Are you passionate about dermatology and skin health? Do you thrive in a dynamic, patient-focused environment? Skin and Cancer Institute is looking for dedicated professionals to join our team! Why Join Us? At Skin and Cancer Institute, we are committed to excellence in dermatology, skin cancer treatment, and cosmetic procedures. We offer a supportive and collaborative work culture where your skills and dedication make a real impact. What You’ll Do: The Medical Coding Auditor is responsible for reviewing medical records to ensure accurate coding and compliance with regulatory requirements. This role ensures continuous quality improvement in coding practices while maintaining compliance with healthcare laws and organizational policies. The Medical Coding Auditor partners with practices, providers, and other departmental leaders to provide education regarding medical coding and documentation as required by current CMS regulations. The...

Jul 11, 2025
MS
Full Time
 
Medical Billing and Claims Associate
Morgan State University Baltimore, MD, USA
The Medical Billing and Claims Associate is responsible for accurately and timely analysis medical records and assigning standardized codes to diagnoses, procedures, and services for billing and record-keeping. The Medical Billing and Claims Associate accurately translates patient information into alphanumeric codes using systems like  ICD ,  CPT , and  HCPCS , ensuring proper reimbursement and maintaining data integrity, and processing patient health insurance enrollment/waiver verification, in-office and third-party billing, and claims while providing outstanding customer service.  The Medical Billing and Claims Associate reviews billing reports and insurance claims for accuracy, updating and editing Electronic Medical Records software. This position processes billing functions in the  POS  and  EMR  systems, Student Health Insurance submission and verification, and claims. Under the direction of the Assistant Director of Health Insurance, Billing, and Claims, the...

Jul 03, 2025
Carson Valley Health
Full Time
 
Coding Educator
Carson Valley Health Hybrid (Gardnerville, NV, USA)
POSITION SUMMARY: This position provides education to providers to ensure compliance with coding and regulatory guidelines.   Develops and provides onboarding training, as well an on-going training based on audit findings, noted trends and/or changes in coding/documentation updates.  Establishes positive working relationships as the subject matter expert with all parties. Assists Coding Team to complete charging/coding for HOPD clinics. Ensures accurate submission of all coding data for reimbursement purposes. Ensures regulatory compliance and follows all Federal regulations for all payment systems. POSITION REQUIREMENTS: Minimum Education High School Diploma or equivalent. Certificate Required: One of the following Coding Certifications: CCS-Certified Coding Specialist CPC-Certified Professional Coder and  CPMA-Certified Professional Medical Auditor or ability to obtain within first year of employment. Minimum Work...

Jun 10, 2025
Sierra7, Inc.
Full Time
 
Medical Coding Site Manager - Inpatient
Sierra7, Inc. Remote
The Medical Coding Site Manager-Inpatient is responsible for overseeing the daily operations of the medical coding department, ensuring accurate and timely coding of Inpatient medical records. Communicate effectively and professionally with site staff. Oversee and work with auditors to maintain accuracy and provide education to coders. This role involves assigning work, managing the coding team, and addressing client needs, to ensure high-quality service delivery. Assign work daily from site assignments. The Medical Coding Site Manager-Inpatient is a team player who supports peers, meets goals and deadlines, handles multiple tasks, works well under pressure, and adapts to changing projects and deadlines. Position Responsibilities: Lead, mentor, and manage a team of medical coders Conduct regular team meetings to discuss performance, updates, and any issues.  Provide training and development opportunities to team members.  Monitor and evaluate team...

May 13, 2025
AAPC
Contract
 
Multi-Specialty Professional Coder - Contractor
AAPC Remote
AAPC is seeking a highly motivated and dedicated coding professional to join our team as a Contract Coder. This position is a fully remote contract role. The ideal candidate must have at least 5 years of coding experience for physician practices, with various surgical specialties as well as E/M. The position requires one to be resourceful, organized, and extremely driven. The ideal candidate will possess the following: Minimum 5 years of coding experience Extensive coding in multiple specialties including: all primary care specialties, anesthesia, general surgery, dermatology, and orthopedics. Excellent written and verbal communication skills Detail oriented and deadline driven attitude Sound knowledge of medical terminology Strong computer skills (Excel, Word, and internet) Ability to multitask and keep a sense of urgency Excellent customer service skills Strong time management, organization skills, and work ethic Job Duties:...

Oct 09, 2023
LT
MEDICAL CODER III
Laredo Technical Services, Inc. Portsmouth, VA, USA
Job Description Job Description MEDICAL CODER III 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 Enterprise (MBE) that provides a broad range of administrative, project management, and medical staffing support...

Jul 04, 2025
MH
Virtual Coder Hiring Event - Remote Eligible - 7/10/2025 - 2 - 5pm
Memorial Healthcare System Miramar, FL, USA
Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities May assign and sequence basic CPT (Current Procedural Terminology) procedure codes (non-complex), and modifiers based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP) guidance in encoder software and/or department coding policies and procedures. Using encoder, reviews Ambulatory Payment Classifications (APC) and Enhanced Ambulatory Patient Groups (EAPG)...

Jul 11, 2025
PE
Compliance Auditor
Pinnacle Enterprise Risk Consulting Services, LLC Yuma, AZ, USA
Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks Shift: Days Pay Rate Type: Annual Salary Location: Remote Listed is the base hiring salary range offered for this position. Actual salaries may vary depending on factors, including but not limited to skills and experience. The salary range listed is just one component of the total rewards/compensation package offered to candidates. Min = $68,875.27 Mid = $86,094.08 Max = $103,312.90 Summary: The Compliance Auditor performs proactive and reactive internal and external audits and investigations related to documentation, coding and billing, and regulatory guidelines for hospital and outpatient services. Responsibilities: Performs proactive and reactive internal and external audits and investigations for hospital and outpatient services rendered to ensure proper documentation, medical necessity, accurate coding and billing are supported. Continually monitors regulations, standards and regulatory guidelines in...

Jul 11, 2025
TC
Remote Coding Auditor - Risk Adjustment
The CSI Companies Los Angeles, CA, USA
. Remote Coding Auditor - Risk Adjustment Are you a risk adjustment coder that is wanting to expand into an auditing role?Do you have 3 years or more of risk adjustment coding experience? Perks: Flexible, full time schedule Stable and ongoing consulting position $30-40 an hour! Equipment provided World-class training and technology Job Description The Risk Adjustment Coding Auditor will be responsible for conducting documentation reviews to assess the accuracy, completeness, and highest ICD-10 specificity related to risk adjustment and HCC coding guidelines, and assist educating in medical necessity coverage of diagnostic studies.Responsible for performing quality review audits of medical records coded by Risk Adjustment coding team to ensure the ICD-10 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance...

Jul 11, 2025
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