511 profee coding auditor jobs found

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 Medical Coding Auditor & Educator.We are a 100% remote team supporting our clients across the United States! See us at.The ideal applicant will be a subject matter expert in both Facility and Profee medical coding auditing.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,...

A woman-owned staffing firm is seeking a Professional Fee Coding Auditor to lead audits of professional fee charts. Responsibilities include auditing approximately 240 charts, analyzing trends, and developing reports. The candidate must have experience with Allscripts EMR and Meditech EHR, as well as skills in conducting educational sessions. This position offers flexible scheduling and competitive benefits, including health insurance and PTO. The role allows for remote work, ensuring work-life balance. #J-18808-Ljbffr

Physician Based Coding Auditor Full Time Remote Company Description: About IKS Health: www.ikshealth.com At IKS Health, we are committed to revolutionizing healthcare through innovative technology that enhances patient communication and clinical efficiency. Our culture is rooted in collaboration, compassion, and innovation, empowering teams to make a tangible impact on the lives of patients and clinicians. Position Description: The Auditor conducts clinical coding audits as defined by client contracts for audit service and internal quality assessment according to operational guidelines. The Audit staff will also contribute to the ongoing development and refinement of proprietary audit tools. The Auditor Position will serve as the primary mentor/trainer to internal coders as required by the deliverables of the contract and will be required to provide educational feedback and instruction to staff for coding guidelines as part of the internal quality review....

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

Overview Coding Auditor/Trainer (Coding Coordinator) US--Remote Requisition ID: 2025-34528 Position Category: Hospital/Clinic Support Job Type: AFSCME union represented Position Type: Regular Full-Time Posting Department: Enterprise Coding Posting Salary Range: $44.02 - $60.45 per hour, with offer based on experience, education and internal equity Posting FTE: 1.00 Posting Schedule: Monday - Friday HR Mission: Central Services Drug Testable: No Department Overview Empower coders. Elevate accuracy. Transform the future of coding excellence. We\'re hiring a Coder Auditor/Trainer to help elevate coding excellence across OHSU. If you\'re an experienced profee coding auditor and trainer who loves diving into complex cases, shaping coder development, and raising the bar for accuracy and compliance, this role puts your expertise exactly where it belongs — at the center of organizational impact. As a Coder Auditor/Trainer at OHSU, you\'ll be the go-to authority for some of the most...

Department Overview Empower coders. Elevate accuracy. Transform the future of coding excellence. We're hiring a Coder Auditor/Trainer to help elevate coding excellence across OHSU. If you're an experienced profee coding auditor and trainer who loves diving into complex cases, shaping coder development, and raising the bar for accuracy and compliance, this role puts your expertise exactly where it belongs - at the center of organizational impact. As a Coder Auditor/Trainer at OHSU, you'll be the go-to authority for some of the most challenging coding scenarios in an academic health system known for cutting edge procedures and specialty care. At OHSU, you'll join a mission driven academic health system where your knowledge directly strengthens documentation integrity, revenue accuracy, and the quality of patient care data. You'll mentor coders, collaborate with passionate professionals, influence system wide best practices, and help coders grow into confident, high...

Virtua Health Coding SpecialistAt 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,...

Professional Fee Coding Auditor Cedar Park Group is hiring a Professional Fee Coding Auditor for a remote, short-term summer assignment based out of Buffalo, NY. If you're looking for flexible hours, competitive pay, and audit work with clear deliverables across multiple specialties, this is a strong opportunity. Assignment runs 36 months with possible extension. Shift / Schedule Remote Flexible schedule Part-time to full-time Minimum 20 hours per week 36 month assignment (possible extension) Position Overview As a Professional Fee Coding Auditor, you will lead annual audits of professional fee (profee) charts, reviewing both professional and technical charges across multiple specialties. You'll identify trends in over/under-documentation, analyze findings and error rates, produce executive-level summaries, and partner with leadership to drive education and improvement. Responsibilities Audit approximately 240 profee charts (including professional and technical...

Shift / Schedule Remote Flexible schedule Part-time to full-time Minimum 20 hours per week 3–6 month assignment (possible extension) Position Overview As a Professional Fee Coding Auditor, you will lead annual audits of professional fee (profee) charts, reviewing both professional and technical charges across multiple specialties. You’ll identify trends in over/under-documentation, analyze findings and error rates, produce executive-level summaries, and partner with leadership to drive education and improvement. Responsibilities Audit approximately 240 profee charts (including professional and technical charges ) Complete end-to-end audits including scoring, rebuttals, and executive summaries Maintain an audit pace of approximately 5–6 charts per hour Identify documentation and coding trends across multiple specialties (over/under-documentation) Analyze findings, trends, and error rates; develop executive-level reports/summaries Meet with leadership to communicate...

Physician Coding Auditor This is a full-time, remote position that offers a flexible schedule. Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder's internal coding/auditing policies and expectations set forth by department management. Physician Coding Auditor must prioritize daily duties, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals. Candidates ideally have recent auditing experience specializing in some of the following profee areas: Ophthalmology, Behavioral Health, Cardiovascular/Cardiothoracic Surgery, Complex ENT Surgery, Dental, Complex Plastic Surgery, Orthopedic Surgery,...

Job Type Full-time Description Job Summary The Medical Coding Auditor is responsible for performing coding audits and coding review activities to ensure accurate code assignment, documentation integrity, and compliance with regulatory and payer requirements. This role has a primary focus on professional fee (ProFee) coding and auditing, with facility coding/auditing experience preferred. The position supports continuous quality improvement through audit findings, education, feedback, and collaboration with internal teams. Occasional travel may be required for audits or meetings. Responsibilities Conduct audits and reviews of medical records for coding accuracy, documentation compliance, and reimbursement integrity, with a primary focus on ProFee coding (ICD-10-CM, CPT, HCPCS, modifiers). Perform or support hands-on coding as needed, including ProFee coding assignments and related coding quality reviews. Review coding for appropriate code selection, diagnosis...

About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding for health systems, providers, and payers. MedKoder delivers accurate, efficient, and ethical coding, aiming to ensure accurate payment and financial peace for clients. With a team of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote-work flexibility, and a positive workplace culture, earning high employee satisfaction ratings and awards with Best Places to Work in Modern Healthcare and City Business Best Places to Work. Position Location: 100% Remote Position Classification: Full-time, 40 hour work week  that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable...

Overview Job Description Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Remote position Responsibilities Leverages clinical expertise to identify and validate DRG code assignment. Full review of CDI suggested code changes Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. Applies coding rules and regulations to the validation review process. Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. Communicates DRG changes and rationale to the coding and CDI staff. Identifies appropriate coding changes necessary to provide the most valid documentation in compliance with Federal and State regulations. Operates under general...

Description Exam Works is looking for a Medical Coding Specialist to join our team remotely! *Must possess current coding certification in CPC. CPMA certification preferred. The Medical Coding Specialist (Internally called a Coding Specialist) is responsible to create and write reports based on medical records and appropriate guideline criteria. This position utilizes the system database to determine usual and customary and/or state fee schedule allowances and this position is responsible for analyzing provider billing for proper coding and billing guidelines across all provider types and ensures reviews are completed with highest quality and integrity and that all work is in full compliance with client contractual agreements, regulatory agency standards and/or federal and state mandates. Schedule for this role is: Monday - Friday 8am-5pm EST ESSENTIAL JOB FUNCTIONS Receive and input client and examinee data in the system database. Sort and verify each...

Lead Medical Coder and Auditor [PR0001D] Full‑time ProSidian is looking for “Great People Who Lead” at all levels in the organization. Are you a talented professional ready to deliver real value to clients in a fast‑paced, challenging environment? ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. Linking strategy to execution, ProSidian assists client leaders in maximizing company return on investment capital through design and execution of operations core to delivering value to customers. Visit www.ProSidian.com or follow the company on Twitter at www.twitter.com/prosidian for more information. ProSidian Seeks a Lead...

Job Description FlexStaff - Head Surgical Coding Manager & Compliance Auditor Are you a seasoned coding professional with a passion for accuracy, compliance, and team leadership? Do you thrive in a fast-paced healthcare environment and want to make a real impact? FlexStaff wants you to lead our client's anesthesia and procedural coding efforts! The Head Surgical Coding Manager & Compliance Auditor play a pivotal role in ensuring the organization's coding excellence, compliance, and revenue integrity. Ready to lead the charge in healthcare coding excellence? Don't miss this incredible opportunity to make a difference! Responsibilities: Must have Leadership & Surgical Coding Experience. Lead and inspire a team of Coding Team Leads, fostering a culture of accuracy and continuous improvement Oversee all anesthesia and procedural coding, ensuring compliance with the latest regulations and payer guidelines Conduct meticulous audits, identify...

Description: Join the Team at PedIM Healthcare! Delivering exceptional care, together. Who We Are PedIM Healthcare is the first private medical office of its kind in Citrus County offering top-quality care for children, adults, and seniors all under one roof. We provide pediatric, adult internal medicine, family practice, geriatrics, womens care, medical weight-loss, sleep-medicine services and more. Our dedicated, community-focused team is committed to excellence, pride in service, and making a real difference for patients and families across Citrus County. Why Work With Us? A broad, multi-discipline practice where you can grow: pediatrics, internal medicine, weight-loss & sleep medicine specialties. A values-driven environment: we listen, we help, we understandand we care. Community-oriented and recognized: voted best of the best in the region. Opportunity to make a meaningful impact by supporting patients over their full life spanfrom...

Allegheny Health Network Coding Auditor General Overview: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in accordance with...

Allegheny Health Network Coding Auditor General Overview: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in accordance with...

Job Posting Overview: FTE: .20 Shift Hours: Monday Friday - VARIABLE Work Location: Remote - Authorized remote work states - FL, GA, MO, PA, NC, SC, TN and TX Position Summary: Under general supervision, the Coder reviews, analyzes, and assigns final diagnoses and procedures based on provider documentation, adhering to all compliance policies and guidelines. The Coder accurately codes office and hospital procedures to ensure proper reimbursement. This position also provides physician education to ensure proper completion of Electronic Health Records and accurate assignment of ICD-10, CDM, HCPCS, and CPT codes , delivered verbally, physically, and in written form. Responsibilities: Review clinical documentation and code to the highest level of specificity for accurate charge capture. Interact with providers to provide feedback and education using verbal, written, and in-person communication. Assign and sequence appropriate codes and modifiers using current...