1167 professional coding auditor educator jobs found

Professional Coding Auditor & EducatorThe Professional Coding Auditor & Educator works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to all patients, as well as ensuring compliant reimbursement of patient care services.Responsibilities:Responsible for reviewing and analyzing all aspects of the department clinical documentation and care to ensure timely, accurate, and compliant charge capture and submissionWorks as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these chargesCollaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and completeIdentifies inconsistencies in...

The Professional Coding Auditor & Educator works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to all patients, as well as ensuring compliant reimbursement of patient care services. Responsibilities Responsible for reviewing and analyzing all aspects of the department clinical documentation and care to ensure timely, accurate, and compliant charge capture and submission Works as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these charges Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete Identifies inconsistencies in medical reports and works with...

Professional Coding Auditor & Educator The Professional Coding Auditor & Educator works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to all patients, as well as ensuring compliant reimbursement of patient care services. Responsibilities: Responsible for reviewing and analyzing all aspects of the department clinical documentation and care to ensure timely, accurate, and compliant charge capture and submission Works as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these charges Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete Identifies...

Overview Job Title: Coding Auditor and Educator (Remote) Employment Type: Full-Time Shift: Day Shift Responsibilities Monitors accuracy of centralized coders’ charge capture and coding with proper ICD-10, CPTs, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. Partners with leadership to improve HCC, high risk scoring, with provider and coder education. Conducts ongoing reviews of patient medical record documentation and procedural and diagnosis coding by each practitioner. Responsible for practitioner education in areas related to coding, documentation, and compliance. Works closely with leadership and the department to establish and modify the charge description master (CDM) methodology and pricing models to ensure accuracy and regulatory compliance. Reports to the Manager, Provider Revenue Operations. What You Will Need High school diploma or equivalent combination of education and experience Certified Professional Coder or...

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers. Will also oversee or perform the overall auditing and education plans for the Coding staff. Responsible for the overall auditing and education plans for the Coding staff. This position will perform coding quality audits, provide ongoing feedback and education. This position utilizes various coding classifications; ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Graduate of a Health Information Technology (HIT) or equivalent program AND Five (5) years of coding...

Coding Auditor And Educator At Anne Arundel Dermatology we give exceptional care - to our patients and to eachother. Patient First | Caring | Accountability | Trust | One Team | Growth The Coding Auditor and Educator 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...

Coding Auditor And EducatorAt Anne Arundel Dermatology we give exceptional care - to our patients and to eachother.Patient First | Caring | Accountability | Trust | One Team | GrowthThe Coding Auditor and Educator 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...

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 or...

Employment Type: Full time Shift: Description: Purpose Uses specialized knowledge to support key areas of the organization related to an area of expertise. Uses data, research analysis, critical thinking & problem-solving skills to support colleagues & leadership in achieving organization's strategic objectives. Serves as a peer influencer & may direct a project or project team by applying industry experience & specialized knowledge. Note: "patients" refers to patients, clients, residents, participants, customers, members Essential Functions Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions. Work Focus: Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution. Collaborates on performance improvement activities as indicated by...

Employment Type: Full time Shift: Description: Purpose Uses specialized knowledge to support key areas of the organization related to an area of expertise. Uses data, research analysis, critical thinking & problem-solving skills to support colleagues & leadership in achieving organization’s strategic objectives. Serves as a peer influencer & may direct a project or project team by applying industry experience & specialized knowledge. Note: “patients” refers to patients, clients, residents, participants, customers, members Essential Functions Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions. Work Focus: Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution. Collaborates on performance improvement activities as indicated by outcomes in program efficiency &...

Datavant is seeking a Profee Auditing & Education Specialist to address coding quality, compliance assessments and education needs. The role is fully remote with a flexible schedule and involves audits, education program development, and expert guidance to healthcare stakeholders. You will leverage ICD-10-CM, CPT, HCPCS, and modifiers to audit professional fees, deliver webinars and training, and collaborate with leadership to improve coding accuracy and compliance across diverse clients and #J-18808-Ljbffr

Overview Baptist Health is the region’s largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families...

Audit Integrity - Medical Coding Auditor Mountain View Hospital is looking for a Medical Coding Auditor to join our team! 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 directed by the Auditing Integrity Department manager. Works collaboratively with the unit-specific educators, department manager, department supervisor, the...

Trinity Health in Silver Spring, Maryland is seeking a Coding Auditor and Educator for a full-time remote role. The successful candidate will be responsible for ensuring accuracy in coding practices, conducting education for practitioners, and monitoring compliance with healthcare regulations. Qualified applicants should have a relevant certification and a minimum of 2-5 years of professional coding experience. The position offers flexibility in work schedules and a supportive work environment aimed at professional growth. #J-18808-Ljbffr

Experience Champaign Urbana is seeking a Compliance Auditor/Educator in Champaign, IL. This full-time role involves auditing quality compliance and providing education to healthcare providers. Applicants should possess a Certified Professional Coder (CPC) certification and have at least one year of experience in coding or auditing. A comprehensive benefits package and sign-on bonus are available. #J-18808-Ljbffr

Overview The Laboratory Coding Auditor/Educator assists with oversight of coding audits and delivers targeted education for the Laboratory Billing & Coding Representatives, Pathologists, and applicable departments. This role works closely with and supports Laboratory leadership to ensure regulatory and compliance requirements are met for appropriate code assignment, while serving as a senior coding resource for the department. The Auditor/Educator conducts billing workflow and charge integrity audits to ensure laboratory orders and charges accurately transmit to EPIC. The Auditor/Educator adheres to all duties of the Laboratory Billing & Coding Representative. Qualifications Certifications: Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Education: Highschool Diploma or G.E.D , Work Experience: Coding Responsibilities Must...

Compliance Auditor/EducatorThe Compliance Auditor/Educator serves as the subject matter expert and as a point of contact for IHA offices and Revenue Department for proper coding procedures and workflow for existing medical services. Provides professional expertise and education in CPT, ICD and HCC coding. The Compliance Auditor/Educator is responsible for professional development of educational materials, clinical case studies, guidelines and job aides to provide direction and guidance across IHA departments and offices for coding and documentation regulations. This role is also responsible for responding to compliance-related coding and documentation issues via the event reporting system and managing them to proper resolution. Performs medical record integrity audits and conducts one-on-one meetings with Providers for corrective educational guidance.Develops and leads audit projects for medical record integrity, service line or issues-related audits, identifies problems and uses...

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. Responsibilities Comply with established corporate and...

Providing high-level technical expertise, the full-time remote Certified Coding Auditor and Educator will conduct comprehensive audits, analyze coding patterns, and develop targeted education programs to ensure compliance and improve documentation quality within professional services. Key responsibilities: Conduct comprehensive audits of professional coders and providers to ensure accuracy and compliance with coding guidelines Analyze documentation and coding patterns to identify compliance risks and provide actionable feedback Develop and deliver training programs based on audit findings and regulatory updates Required qualifications: Associate degree in Health Information Management or a related field, or equivalent education and experience Comprehensive knowledge of ICD-10, HCPCS, CPT, and HCC guidelines Three to five years of professional coding or auditing experience Required certifications: RHIT, RHIA, CCS, or CPC

To support laboratory operations, the full-time Laboratory Coding Auditor/Educator will conduct coding audits, provide targeted education for billing representatives and pathologists, and ensure compliance with coding regulations while working remotely. Key responsibilities Conducts coding audits and provides education on CPT, HCPCS, modifier, and place of service coding Performs billing workflow and charge integrity audits to ensure accurate transmission of laboratory orders to EPIC Tracks audit statistics and trends coding-related denials to advise leadership on resolution opportunities Required qualifications Registered Health Information Technician (RHIT) certification Certified Professional Coder (CPC) certification High school diploma or G.E.D Experience in coding and billing practices Ability to provide one-on-one and group education to team members

Shell Lubricants Hub Hamburg is seeking a Physician Coding Auditor and Educator for a remote, full-time position. The ideal candidate will have certification through AHIMA or AAPC and a minimum of three years’ experience in coding and auditing. Responsibilities include auditing multi-specialty professional fee charts, providing education to physicians and coders, and compiling data for presentations. The role offers a flexible schedule along with comprehensive benefit programs. #J-18808-Ljbffr