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574 professional coding auditor and educator jobs found

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TM
Professional Coding Auditor and Educator - Remote
Tufts Medicine Scranton, PA, USA
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...

Dec 14, 2025
TM
Professional Coding Auditor and Educator - Remote
Tufts Medicine Kansas City, MO, USA
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...

Dec 12, 2025
TM
Professional Coding Auditor and Educator - Remote
Tufts Medicine Fort Worth, TX, USA
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...

Dec 12, 2025
RWJBarnabas Health
Full Time
 
Professional Coding Provider Educator & Reviewer
RWJBarnabas Health Oceanport, NJ, USA
Professional Coding Provider Educator & Reviewer RWJBarnabas Health Oceanport, NJ Full-Time Day Pay Range: $75,597.00 - $106,780.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: The Professional Coding Provider Educator/Reviewer is responsible for preparing educational materials and delivering instruction to Medical Group physicians, Advance Practice Providers, and staff across all RWJBH medical centers, as directed by the System Professional Provider Education Coding Manager and Coding Leadership. Education may be provided in response to compliance reviews, physician onboarding, proactive training, or coding and regulatory updates. This role also conducts...

Nov 07, 2025
UNIVERSITY HEALTH
Full Time
 
Coding Educator & Auditor Revenue Integrity (Remote Opportunity, Texas residents only)
UNIVERSITY HEALTH San Antonio, TX, USA
University Health is one of the largest employers in San Antonio. We are a nationally recognized teaching hospital and consistently recognized as a leader in advanced treatment options, new technologies and clinical research. Our mission is to improve the good health of the community through high quality compassionate patient care, innovation, education and discovery. We are currently looking for a talented health professional to join our team as a Coding Educator & Auditor for our Revenue Integrity department . This is an exciting opportunity to join a company with a reputation for exceptional service and patient care.   The Position : Works under the direct supervision of the Coding Education & Audit Manager. Will perform any or a combination of the following types of coding education and audit: Basic ancillary services, Emergency Room services, Hospital Observation, Ambulatory surgery, Inpatient Admission. Utilizes the ICD-10-CM and CPT coding...

Oct 24, 2025
SS
Coding Auditor/Educator
SPCP/Southeast Medical Group Alpharetta, GA, USA
Job Description Job Description Description: Seeking a detail-oriented and knowledgeable Provider/Coding Auditor Educator to support accurate and compliant coding practices across our provider network. This role will be responsible for performing audits of medical documentation and coding, educating providers on best practices, and ensuring adherence to industry guidelines and payer regulations. The ideal candidate is a certified coding professional with strong communication skills and a passion for education and compliance. This role requires flexibility to travel 50% of the time to various provider locations in the State of Georgia for onsite education and auditing support, as needed Requirements: Key Responsibilities Conduct prospective, concurrent, and retrospective coding audits for professional and/or facility services. Review medical documentation to ensure codes assigned (ICD-10-CM, CPT, HCPCS) are supported and meet regulatory and payer guidelines. Deliver coding...

Dec 14, 2025
DV
Risk Adjustment Coding Auditor
DaVita Kidney Care Denver, CO, USA
Join to apply for the Sr Analyst, Corp Compliance role at DaVita Kidney Care Posting Date: 11/24/2025 Base Pay Range $56,500.00/yr - $84,000.00/yr General Purpose of the Job DaVita IKC is seeking a highly motivated and experienced Medicare Risk Adjustment Auditor and Educator to join our compliance team. This role is crucial for ensuring the accuracy, integrity, and compliance of our risk adjustment coding and clinical documentation related to professional services provided by both internal and external nephrology partners. The ideal candidate will serve as a subject matter expert, performing detailed medical chart audits and providing targeted education to providers and coding teams to support our commitment to high‑quality patient care and adherence to all formal regulatory and coding guidelines. Essential Duties And Responsibilities Auditing, Analysis, and Compliance Ensure that IKC is compliant with industry regulations and published coding guidelines. Conduct...

Dec 14, 2025
NA
Coding Auditor and Provider Educator - Remote (see full posting for eligible states)
Northern Arizona Healthcare NY, USA
Coding Auditor & Provider Educator NAH reserves the right to make hiring decisions based on applicants' state of residence if outside the state of Arizona. NAH currently hires for remote positions in the following states: Alabama Arizona Florida Georgia Idaho Indiana Kansas Michigan Missouri North Carolina Ohio Oklahoma Pennsylvania South Carolina Tennessee Texas Virginia The Coding Auditor & Provider Educator is a critical role responsible for ensuring the accuracy, completeness, and compliance of medical coding (CPT, HCPCS, ICD-10-CM) for professional services. This individual will conduct thorough coding audits, identify areas for improvement in documentation and coding practices, and develop and deliver targeted educational programs to physicians, advanced practice providers (APPs), and clinical staff. The primary goal is to optimize revenue integrity, mitigate compliance risks, and foster a culture of accurate and compliant documentation and...

Dec 14, 2025
NA
Coding Auditor and Provider Educator - Remote (see full posting for eligible states)
Northern Arizona Healthcare Austin, TX, USA
Coding Auditor & Provider Educator NAH reserves the right to make hiring decisions based on applicants' state of residence if outside the state of Arizona. NAH currently hires for remote positions in the following states: Alabama Arizona Florida Georgia Idaho Indiana Kansas Michigan Missouri North Carolina Ohio Oklahoma Pennsylvania South Carolina Tennessee Texas Virginia The Coding Auditor & Provider Educator is a critical role responsible for ensuring the accuracy, completeness, and compliance of medical coding (CPT, HCPCS, ICD-10-CM) for professional services. This individual will conduct thorough coding audits, identify areas for improvement in documentation and coding practices, and develop and deliver targeted educational programs to physicians, advanced practice providers (APPs), and clinical staff. The primary goal is to optimize revenue integrity, mitigate compliance risks, and foster a culture of accurate and compliant documentation and...

Dec 14, 2025
HM
Physician Billing (PB) Coding Auditor and Educator
Hackensack Meridian Health Teterboro, NJ, USA
Physician Billing (PB) Coding Auditor And Educator Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Physician Billing (PB) Coding Auditor and Educator is responsible for auditing and educating healthcare providers on related applicable clinical documentation. This work supports coding and billing regulations that ensure appropriate reimbursement, public reporting, and various initiatives as directed by the Hackensack Meridian Health (HMH) Network. A day in the life of an Physician Billing (PB) Coding Auditor and...

Dec 13, 2025
NA
Coding Auditor and Provider Educator - Remote (see full posting for eligible states)
Northern Arizona Healthcare Seattle, WA, USA
Coding Auditor & Provider Educator NAH reserves the right to make hiring decisions based on applicants' state of residence if outside the state of Arizona. NAH currently hires for remote positions in the following states: Alabama Arizona Florida Georgia Idaho Indiana Kansas Michigan Missouri North Carolina Ohio Oklahoma Pennsylvania South Carolina Tennessee Texas Virginia The Coding Auditor & Provider Educator is a critical role responsible for ensuring the accuracy, completeness, and compliance of medical coding (CPT, HCPCS, ICD-10-CM) for professional services. This individual will conduct thorough coding audits, identify areas for improvement in documentation and coding practices, and develop and deliver targeted educational programs to physicians, advanced practice providers (APPs), and clinical staff. The primary goal is to optimize revenue integrity, mitigate compliance risks, and foster a culture of accurate and compliant documentation and...

Dec 13, 2025
TM
Senior Coding Compliance Auditor and Educator
Tryon Medical Partners Charlotte, NC, USA
Senior Coding Compliance Auditor and Educator Join to apply for the Senior Coding Compliance Auditor and Educator role at Tryon Medical Partners Senior Coding Compliance Auditor and Educator 3 days ago Be among the first 25 applicants Join to apply for the Senior Coding Compliance Auditor and Educator role at Tryon Medical Partners Get AI-powered advice on this job and more exclusive features. General Job Summary : The Senior Coding Compliance Auditor and Educator will be responsible for auditing outpatient professional services documentation ensuring compliance with coding and billing guidelines, identifying areas for improvement, and providing training to clinicians and coders to support accuracy, compliance, and adherence to industry standards. This role involves both auditing medical records and educating coders, providers, and staff on professional coding guidelines and best practices. (this is a full-time position that will support our Compliance team, Monday to...

Dec 11, 2025
SC
Remote Inpatient Coding Auditor & Educator
Stryker Corporation Cincinnati, OH, USA
A healthcare solutions provider is seeking a facility inpatient Coding Auditor & Educator to work remotely. This position involves performing quality reviews, educating Coders, and identifying training needs to enhance overall coding quality. Candidates should have relevant certifications and a background in inpatient audits. The role offers the benefits of full PTO and a competitive salary while fostering personal and professional growth in a dynamic work environment. #J-18808-Ljbffr

Dec 11, 2025
HM
Coding Auditor and Educator - Medical Coding
Hoag Memorial Hospital Presbyterian Newport Beach, CA, USA
Coding Auditor and Educator - Medical Coding Department: Business Services Status: Full Time Shift: 1st Location: US Under the Direction of the Coding Manager, performs/facilitates departmental, interdepartmental and external coding audits to ensure quality completeness and accuracy of coding; compliance with Federal and State Regulations; and appropriate reporting. Provides education based on audit findings. Has thorough knowledge of Acute Care Facility Federal and State reporting guidelines, modifiers, sequencing rules, and the NCCI (National Correct Coding Initiative) edits, Official Guidelines for Coding and Reporting for ICD-10-CM, ICD-10-PCS, CPT-4 coding conventions, DRG and APC payment classifications and Medicare Conditions of Participation. Essential Functions Serves as subject matter expert on hospital performance improvement committees Response to coding questions from outside departments and provides coding references and guidelines Performs retrospective and...

Dec 11, 2025
DV
Risk Adjustment Coding Auditor
DaVita Inc. Denver, CO, USA
Sr Analyst, Corp Compliance page is loaded## Sr Analyst, Corp Complianceremote type: Remotelocations: 09567 - Denver HQ Non-CA or CO Remotetime type: Full timeposted on: Posted Yesterdayjob requisition id: R0434559**Posting Date**11/24/20252000 16th St, Denver, Colorado, 80202-5117, United States of America**General Purpose of the Job**DaVita IKC is seeking a highly motivated and experienced Medicare Risk Adjustment Auditor and Educator to join our compliance team. This role is crucial for ensuring the accuracy, integrity, and compliance of our risk adjustment coding and clinical documentation related to professional services provided by both internal and external nephrology partners. The ideal candidate will serve as a subject matter expert, performing detailed medical chart audits and providing targeted education to providers and coding teams to support our commitment to high-quality patient care and adherence to all formal regulatory and coding guidelines.**Essential...

Dec 10, 2025
LP
Director, Coding Auditor & Educator
LifePoint Health Brentwood, TN, USA
Overview Job Description - Director, Coding Auditor & Educator (7410-2297) LifePoint Health Support Center Description The Director, Coding Auditor and Educator is responsible for reviewing and auditing hospital medical records for coding completeness and accuracy. This position identifies potential coding and DRG error and researches appropriate coding guidelines to support recommended changes. This position will communicate these changes in a timely manner. This position will provide coding education and expert coding advice to the coding staff. The Director, Coding Auditor and Educator will develop education/training materials including the development of coding guidelines, policies and procedures. This individual would demonstrate proficiency in auditing principles (including re-auditing). This individual communicates with IRM, Group Leadership, Ethics and Compliance Department members, hospital HIM coding and DI regarding coding audit issues, current coding regulations...

Dec 10, 2025
EH
Coding Auditor and Educator
Endeavor Health Warrenville, IL, USA
Coding Auditor And Educator Hourly Pay Range: $26.61 - $39.92 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Position: Coding Auditor And Educator Location: Warrenville, IL Full Time/Part Time: Full-time Hours: Monday-Friday 8:00am-5:00pm What You Will Do: Conduct coding and billing training to physicians, non-physician practitioners, coders, and other interested personnel, including developing the curriculum and training materials, and assessing competency. Perform audits with appropriate feedback Monitor coding and billing regulations to assure compliance with governmental and payer regulations Act as a resource to provider and staff regarding coding issues. What You Will Need: Education: Bachelor's degree Skills: Strong analytical, problem solving, interpersonal, verbal/written communication, organizational and team development skills are necessary. Knowledge of Microsoft Office Suite -...

Dec 09, 2025
MM
Medical Auditor
MAHEC, Mountain Area Health Education Center Asheville, NC, USA
Are you an experienced Medical Coder seeking a career growth? Are you a Certified Auditor interested in a new work opportunity? If so, then we want to connect with you! MAHEC is now accepting candidates for Medical Auditor. This integral role supports MAHEC's mission of educating the next generation of healthcare professionals by completing internal quality assessment reviews on Care Provider coding and effectively builds relationships with MAHEC Care Providers to educate and foster complete, accurate, timely, and consistent coding. The Auditor/Provider Educator is responsible for documentation to ensure compliance with national coding guidelines and MAHEC policies. We welcome experienced Medical Coders interested in becoming a Certified Professional Medical Auditor, and MAHEC offers an employer-sponsored pathway to CPMA certification if hired for the position! This is a hybrid work opportunity, with roughly 50-60% onsite work to support in-person collaboration and...

Dec 08, 2025
Me
Remote Lead Profee Coding Auditor & Educator (CV/CT)
Medasource Broomfield, CO, USA
A leading healthcare staffing firm is hiring a Lead Profee Auditor/Provider Educator for a remote role. This position focuses on auditing coding accuracy and providing education to clinicians on documentation requirements. The ideal candidate has over 5 years’ experience in professional fee coding, extensive knowledge in coding guidelines, and strong leadership skills. This contract-to-hire role offers a collaborative culture with opportunities for professional development and work-life balance. #J-18808-Ljbffr

Nov 27, 2025
CC
Compliance Auditor/Educator - Compliance Quality
Christie Clinic Champaign, IL, USA
Job Details Job Location Clark St House (CMC) - Champaign, IL Position Type Full Time Education Level High School Salary Range $26.69 - $36.69 Hourly Job Shift 1st Shift Job Category Coding/Compliance General Summary of Duties Christie Clinic's department of Compliance Quality is seeking a full-time Compliance Auditor/Educator at our Clark Street location in Champaign from Monday-Friday 8:00am-5:00pm, with no night or weekend requirements. Duties include performing ongoing functions related to quality of care and compliance including government and clinic regulations and policies in support of the Christie Clinic Compliance System. Job Qualifications and Expectations JOB DUTIES: (This list may not include all of the duties assigned.) Screen, review, identify and document potential quality and compliance issues. Perform billing and coding audits with both random samples as well as provider and department specific samples; and as...

Nov 25, 2025
PAC GROUP LLC
Full Time Contract
 
Position: Mid-Level Manager/Lead Senior Coder
PAC GROUP LLC Remote
Position: Mid-Level Manager/Lead Senior Coder Location: Remote Contract Type: Full-Time  Clearance: No Secret Clearance Required Starting Salary: $58.00/Hour “Candidates must hold valid credentials from either AAPC or AHIMA to be eligible to apply.” Please indicate the position(s) you’re applying for on our website application when you apply online. This will help our team track your application process. Include your full mailing address (for equipment shipment), desired start date, and AAPC and/or AHIMA certification number(s) (with expiration date). https://gopacgroup.com/mid-level-manager-lead-senior-coder/ If you have already applied for this position and taken the Assessment, please do not apply again. The Assessment is the same for all the positions. If you have your score and you are getting updates, please do not apply again.  Assessment Protocol The assessment is   strictly timed   and must be completed within   1 hour ....

Dec 09, 2025
Phoenix Behavioral Healthcare, LLC
Full Time Xtern Program
 
Inpatient and/or Outpatient Certified Professional Medical Auditor (CPMA)
Phoenix Behavioral Healthcare, LLC Hybrid (Jupiter, FL, USA)
The Certified Professional Medical Auditor is responsible for performing comprehensive audits of medical records, coding, and billing to ensure accuracy, compliance with federal and state regulations, and alignment with payer policies. This role helps protect the organization from financial risk, supports accurate reimbursement, and promotes high standards of documentation and clinical integrity. Key Responsibilities Perform prospective and retrospective audits of medical records, coding, and billing across assigned service lines (e.g., outpatient, inpatient, behavioral health, SUD/MH, lab). Verify that documentation supports ICD‑10‑CM, CPT, and HCPCS coding; identify under‑coding, over‑coding, unbundling, and other compliance risks. Review claims for adherence to Medicare/Medicaid, commercial payer, and regulatory guidelines; ensure compliance with NCCI edits and payer‑specific policies. Prepare clear, detailed audit reports summarizing findings,...

Nov 23, 2025
SGMC Health
Full Time
 
CODING AUDITOR/EDUCATION SPECIALIST
SGMC Health Valdosta, GA, USA
WHAT IT'S LIKE AT SGMC HEALTH Purpose . No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place. Excellence . We strive to do the right thing the right way, are accountable in all we do, require competence of our people, and are compassionate in our service. Team Spirit.  We encourage team effort, support personal and professional development, acknowledge individual talents and skills, and support innovation and empowerment. Award Winning Performance.  We are committed to providing the best care possible and we are proud to be recognized locally, statewide, and nationally for the exceptional care that our staff provides.   WHY YOU WILL LOVE SGMC HEALTH SGMC has great benefit options, depending on the role that you are going into– including healthcare, supplementary benefits, ways to save for the future, opportunities for career advancement, and opportunities to expand...

Nov 20, 2025
EH
Full Time
 
Medical Coding Appeals Analyst
Elevance Health Indianapolis, IN, USA
Medical Coding Appeals Analyst Anticipated End Date: 2025-12-31 Position Title: Medical Coding Appeals Analyst Job Description: Sign On Bonus: $1,000 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law This position is not eligible for employment based sponsorship. Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria....

Nov 19, 2025
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