1359 professional coding auditor educator jobs found

Coding Auditor And Educator (Remote)Employment Type: Full-TimeShift: DaysPosition Highlights:Competitive payAdditional benefits: tuition reimbursement, free parking, employee discountsQuality of life: flexible work schedulesAdvancement: professional growth within the organizationLocation: Holy Cross Health has two hospitals and four healthcare centers all a short driving distance from Washington DC and Baltimore, MD.Description:Monday-FridayThe Professional Coding Auditor Educator performs medical record audits including but not limited to analysis of medical record documentation, validation of primary and secondary diagnoses and procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS).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...

Coding Auditor And Educator (Remote) Employment Type: Full-Time Shift: Days (Summary) Position Highlights: Competitive pay Additional benefits: tuition reimbursement, free parking, employee discounts Quality of life: flexible work schedules Advancement: professional growth within the organization Location: Holy Cross Health has two hospitals and four healthcare centers all a short driving distance from Washington DC and Baltimore, MD. Description: Monday-Friday The Professional Coding Auditor Educator performs medical record audits including but not limited to analysis of medical record documentation, validation of primary and secondary diagnoses and procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS). Responsibilities: Monitors accuracy of centralized coders' charge capture and coding with proper ICD-10, CPTs, as well as proper...

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...

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...

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: Graduate of a Health Information Technology (HIT) or equivalent program AND Five (5) years of coding experience; OR Graduate of a Medical Coding Certification Program AND Five (5) years of coding experience; OR High School Diploma or Equivalent AND Eight (8) years of coding experience. Certification inONEof the following: Registered Health Information Administrator (RHIA) OR...

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...

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...

Four Winds Health seeks a Coding Provider Liaison (Professional Coding Auditor & Educator) to work with physicians, coding staff and other clinicians to ensure the medical record accurately reflects services, enabling proper utilization, severity, outcomes and compliant reimbursement. You will review documentation, educate departments on CMS, state and payer requirements, collaborate with the Coding Supervisor, and audit providers on CPT and ICD-10 codes in a high-volume urgent #J-18808-Ljbffr

Piedmont Urgent Care by Wellstreet is seeking a Professional Coding Auditor & Educator to work with physicians and coding staff to ensure accurate documentation for appropriate reimbursement and outcomes. The role focuses on reviewing charge capture, educating departments on CMS and payer requirements, and collaborating with the Coding Supervisor to maintain high-quality coding in high-volume settings. #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: , Work Experience: Coding Responsibilities Must be able to perform essential job...

Valley Health System in Ridgewood, NJ seeks a Coding Auditor to perform comprehensive coding audits ensuring accuracy, compliance, and consistency across professional services. This role supports service-line transitions, vendor oversight, and quality validation. Aligned to a Coding Educator, you will coordinate education and quality improvement efforts, review physician documentation for coding accuracy, and communicate findings to providers and leadership. #J-18808-Ljbffr

ABOUT THE ROLEWhile professional experience and qualifications are key for this role, make sure to check you have the preferable soft skills before applying if required.The Coding Auditor / Educator is responsible for conducting coding and documentation audits to evaluate compliance with federal and state regulations, payer requirements, and organizational policies. As a member of the Legal & Compliance Department, this individual contributor role supports the effectiveness of the organization's compliance program by identifying coding risks, monitoring documentation accuracy, validating reimbursement integrity, and recommending corrective actions.This role ensures accurate risk adjustment coding, HCC capture, and E/M documentation in a full-risk, value-based care environment. The position supports compliance with CMS-HCC risk adjustment guidelines, OIG audit expectations, and RADV preparedness. Working closely with providers, clinical leadership, revenue cycle, population...

Valley Health System in Ridgewood, NJ, seeks a Coding Auditor to perform comprehensive coding audits ensuring accuracy and consistency across professional services. You will align with a Coding Educator to drive coordinated education and quality improvement efforts. Requires 5+ years of professional coding experience, CPC certification, and strong communication skills. The role supports service-line transitions, vendor oversight, and quality validation with day shifts in Ridgewood. #J-18808-Ljbffr

E&M Coding Auditor/Educator The ideal candidate will have CIRCC Certification as well and experience in interventional coding. E&M Coding Auditor/Educator performs comprehensive audits to determine integrity of coding/billing for physician & clinical fees, detection/correction of documentation, coding/billing errors and/or medical necessity of services billed. Audits consist of evaluation of the accuracy of documentation, including E/M and other payer codes, medical necessity, reimbursement overpayments and underpayments, and compliance with other documentation standards. Researches and applies all federal guidelines & compliance with the overall audit delivery. Develops and executes provider comprehensive educational opportunities/curriculums (coding resources, materials, tools, webinars, campaigns, etc.) based on audit results, noted trends & changes within coding compliance and regulatory guidelines, while supporting organizational compliance models....

Coding AuditorThe Coding Auditor is responsible for performing comprehensive coding audits to ensure accuracy, compliance, and consistency across all professional services at VMG. This role supports service-line transitions, vendor oversight, and quality validation.Each Coding Auditor will be aligned to a Coding Educator to ensure coordinated education and quality improvement efforts.EducationHigh school diploma or equivalent required.ExperienceMinimum of 5 years of professional coding experienceCertified Professional Coder (CPC) – AAPC required or equivalentMulti-specialty experience in professional codingStrong presentation and communication skillsCPC-H (Hospital Outpatient) preferredCPMA (Certified Professional Medical Auditor) preferredSkillsAdvanced knowledge of coding guidelines.Strong understanding of professional fee coding, reimbursement methodologies, and revenue cycle operations.Demonstrated expertise in conducting audits and evaluating physician documentation for coding...

Coding Educator/Auditor Insight Global is seeking a Coding Educator/Auditor for a healthcare system in Virginia. The educator will provide consulting services to physicians, residents, allied health professionals and billing staff to support patient care documentation, coding and billing practices according to federal, state and local regulatory compliance standards. Creates and delivers presentations to clinical faculty and billing staff. Develops training programs and delivers training and education sessions for physicians, allied health professionals, residents, and coding and billing staff to support compliance with third party documentation and billing regulatory standards, including but not limited to classroom training, web-based training and one-on-one provider observation and training sessions. Participates on clinical department Billing Quality Councils as a member of the respective councils and acts as the primary resource providing technical and regulatory expertise to...

Coding Educator/Auditor Insight Global is seeking a Coding Educator/Auditor for a healthcare system in Virginia. The educator will provide consulting services to physicians, residents, allied health professionals and billing staff to support patient care documentation, coding and billing practices according to federal, state and local regulatory compliance standards. • Creates and delivers presentations to clinical faculty and billing staff. • Develops training programs and delivers training and education sessions for physicians, allied health professionals, residents, and coding and billing staff to support compliance with third party documentation and billing regulatory standards, including but not limited to classroom training, web-based training and one-on-one provider observation and training sessions. • Participates on clinical department Billing Quality Councils as a member of the respective councils and acts as the primary resource providing technical and regulatory...

CH and Trinity, P.C. in Buffalo, NY seeks a Professional Medical Coding Educator Auditor HCS for a full-time role. You will work with CH coding staff, clinicians, and management to ensure accurate, compliant coding and data integrity for billing and outcomes. Responsibilities include audits, education on quarterly coding updates, mentoring for staff, and supporting coding standardization across Epic and other EHR systems. Travel to multiple sites is possible. #J-18808-Ljbffr

Employment Type Full time Shift Day Shift Description Trinity Health IHA Medical Group is looking for a customer-focused Compliance Coding Auditor-Educator to join our team. In this role, you will serve 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. What You'll Do Develops and leads audit projects for medical record integrity. Repots audit results utilizing a standard reporting process. Identifies new errors while performing audits, investigates and assesses root cause. Performs one-on-one Audit meetings and providers for corrective educational guidance. Maintains complete knowledge and complies with all relevant insurance, CPT coding and diagnosis guidelines Provides training for IHA staff and providers on CPT, ICD10 and HCC coding standards and procedures. General Requirements EDUCATION:...

Coding Auditor The Coding Auditor is responsible for performing comprehensive coding audits to ensure accuracy, compliance, and consistency across all professional services at VMG. This role supports service-line transitions, vendor oversight, and quality validation. Each Coding Auditor will be aligned to a Coding Educator to ensure coordinated education and quality improvement efforts. Education High school diploma or equivalent required. Experience Minimum of 5 years of professional coding experience Certified Professional Coder (CPC) – AAPC required or equivalent Multi-specialty experience in professional coding Strong presentation and communication skills CPC-H (Hospital Outpatient) preferred CPMA (Certified Professional Medical Auditor) preferred Skills Advanced knowledge of coding guidelines. Strong understanding of professional fee coding, reimbursement methodologies, and revenue cycle operations. Demonstrated expertise in conducting...

Job Description Join our team as a day shift, full time, Coding Auditor and Educator at INTEGRIS Health in Oklahoma City, OK. Get to Know Your Team INTEGRIS Health, Oklahoma's largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives. Benefits of being an INTEGRIS Health caregiver include front-loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more. Take the first step toward growing your career by joining us. Responsibilities The Coding Auditor and Educator leads coding quality assurance and education efforts to drive coding accuracy, regulatory compliance, and continuous improvement across coding operations. Performs comprehensive coding audits to assess accuracy, compliance, and performance trends. Analyzes audit findings to identify root causes and develops targeted...

We are an independent, Florida-focused organization with a long-standing commitment to delivering high-quality care to seniors and the communities we serve. Our work centers on improving health outcomes, enhancing the patient experience, and supporting value-based care models. As part of WellMed Optum Florida, team members collaborate across clinical and operational functions to support older adults with compassionate, coordinated care. We foster a culture of integrity, continuous improvement, and respect, offering opportunities for professional growth while making a meaningful impact. Our focus on seniors’ health drives innovation in care delivery, risk adjustment, and provider support across the Greater Tampa Bay Area and beyond. LOCATION The Risk Adjustment Coding Auditor & Provider Educator is a full-time hybrid role based in the Greater Tampa Bay Area, with a mix of onsite visits and some work-from-home flexibility. ABOUT THE ROLE The Coding Auditor / Educator is...