634 professional fee compliance auditor and educator jobs found

Compliance Auditor Responsible for ensuring that all aspects of documentation, coding, and billing practices are in compliance with applicable laws, regulations, guidelines, and UMMS policies and procedures. Conduct audits to identify areas of non-compliance, assess risks, and collaborate with key stakeholders to monitor corrective measures when indicated. Responsible for validating that data abstracted from the electronic health record (EHR) is coded according to ICD-10-CM, CPT, HCPCS, AMA CPT guidelines, E/M guidelines, and CMS standards. Work is performed under limited supervision. Direct report to the Manager, Coding Compliance Training. Conduct independent compliance audits and review on the adequacy of medical record documentation to support the codes selected by providers and/or coders. Verify compliance with CMS guidelines, CPT, HCPCS, and ICD-10 standardized code sets, and internal coding and billing policies via documentation and coding review audits. Assist with...

Job Requirements Responsible for ensuring that all aspects of documentation, coding, and billing practices are in compliance with applicable laws, regulations, guidelines, and UMMS policies and procedures. Conduct audits to identify areas of non-compliance, assess risks, and collaborate with key stakeholders to monitor corrective measures when indicated. Responsible for validating that data abstracted from the electronic health record (EHR) is coded according to ICD-10-CM, CPT, HCPCS, AMA CPT guidelines, E/M guidelines, and CMS standards. Work is performed under limited supervision. Direct report to the Manager, Coding Compliance Training. Conduct independent compliance audits and review on the adequacy of medical record documentation to support the codes selected by providers and/or coders. Verify compliance with CMS guidelines, CPT, HCPCS, and ICD-10 standardized code sets, and internal coding and billing policies via documentation and coding review audits. Assist with...

Job Description Job Description Company Description More Than Just Care, It’s Community   Imagine doing meaningful work in a place where people vacation. That’s life at Munson Healthcare - northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties.   If you want a career in healthcare and a lifestyle most people only dream about – with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be  Munson Material.  To us, that means teammates who live by our values of  excellence, teamness, positivity, creativity,  and a commitment to creating  exceptional experiences  for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country. Invested in You   Grow:  Tuition reimbursement, in-person and online development, and access to our career hub to...

Where You'll WorkWith more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Job Summary and Responsibilities As our Coding Auditor and Educator Professional Fee, you will utilize ICD-10-CM, HCPCS, and CPT-4 classification systems to support the professional fee coding team. You will serve as a key resource for coding and billing inquiries while facilitating the standardization of coding practices across the organization.Every day, you will perform internal audits and provide necessary follow-up education to...

CommonSpirit is seeking a Coding Auditor and Educator for Professional Fee coding. You will use ICD-10-CM, HCPCS, and CPT-4 to support the professional fee coding team, conduct audits, and educate to ensure compliance. You will onboard staff and develop ongoing education programs while staying aligned with evolving regulatory changes. You will collaborate with leadership on short- and long-term strategic plans to maintain excellence in coding and regulatory billing practices across the #J-18808-Ljbffr

Where You'll WorkWith more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Job Summary and Responsibilities As our Coding Auditor and Educator Professional Fee, you will utilize ICD-10-CM, HCPCS, and CPT-4 classification systems to support the professional fee coding team. You will serve as a key resource for coding and billing inquiries while facilitating the standardization of coding practices across the organization.Every day, you will perform internal audits and provide necessary follow-up education to...

Where You'll WorkWith more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Job Summary and Responsibilities As our Coding Auditor and Educator Professional Fee, you will utilize ICD-10-CM, HCPCS, and CPT-4 classification systems to support the professional fee coding team. You will serve as a key resource for coding and billing inquiries while facilitating the standardization of coding practices across the organization.Every day, you will perform internal audits and provide necessary follow-up education to...

CommonSpirit is seeking a Coding Auditor and Educator Professional Fee to support the professional fee coding team across our health system. You will use ICD-10-CM, HCPCS, and CPT-4 to code, audit, and educate, ensuring accuracy and compliance while guiding standardization. You will onboard new staff, deliver ongoing education on Risk Adjustment and MEAT criteria, and participate in strategic planning to improve documentation quality and regulatory billing practices. #J-18808-Ljbffr

CommonSpirit is seeking a Coding Auditor and Educator Professional Fee to support its professional fee coding teams. You will audit and educate on ICD-10-CM, HCPCS, CPT-4, and related guidelines, ensuring accuracy and regulatory compliance across the organization. You will onboard new staff, develop ongoing education programs, and monitor regulatory changes, coordinating with leadership on short- and long-term strategic coding initiatives. #J-18808-Ljbffr

CommonSpirit is seeking a Coding Auditor and Educator for Professional Fee coding. You will audit ICD-10-CM, CPT-4, and HCPCS, educate the team, and ensure compliance across the organization. You will onboard new staff and develop ongoing education, while monitoring regulatory changes and implementing updates. You will also lead training on Risk Adjustment, HCCs, MEAT criteria, and maintain SME-level knowledge to address complex billing inquiries. #J-18808-Ljbffr

Where You'll WorkWith more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Job Summary and Responsibilities As our Coding Auditor and Educator Professional Fee, you will utilize ICD-10-CM, HCPCS, and CPT-4 classification systems to support the professional fee coding team. You will serve as a key resource for coding and billing inquiries while facilitating the standardization of coding practices across the organization.Every day, you will perform internal audits and provide necessary follow-up education to...

Where You'll WorkWith more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Job Summary and Responsibilities As our Coding Auditor and Educator Professional Fee, you will utilize ICD-10-CM, HCPCS, and CPT-4 classification systems to support the professional fee coding team. You will serve as a key resource for coding and billing inquiries while facilitating the standardization of coding practices across the organization.Every day, you will perform internal audits and provide necessary follow-up education to...

CommonSpirit Health is seeking a Coding Auditor and Educator for the professional fee coding team. You will audit ICD-10-CM, HCPCS, and CPT-4 processes, educate staff, and standardize coding practices across the organization. You will lead onboarding, monitor regulatory changes, and implement training programs to enhance accuracy and compliance. You will collaborate with leadership to plan short- and long-term strategies, improve documentation quality, and ensure timely adoption of new #J-18808-Ljbffr

CommonSpirit is seeking a Coding Auditor and Educator for Professional Fee to support the coding team across ICD-10-CM, HCPCS and CPT-4 classifications. You will conduct internal audits, provide education, and ensure accuracy and regulatory compliance in coding and billing practices. You will onboard and train new staff, develop ongoing educational programs, and collaborate with leadership on short- and long-term strategic planning to maintain excellence in compliant coding and regulatory #J-18808-Ljbffr

Where You'll WorkWith more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.Job Summary and ResponsibilitiesAs our Coding Auditor and Educator Professional Fee, you will utilize ICD-10-CM, HCPCS, and CPT-4 classification systems to support the professional fee coding team. You will serve as a key resource for coding and billing inquiries while facilitating the standardization of coding practices across the organization.Every day, you will perform internal audits and provide necessary follow-up education to ensure...

CommonSpirit is seeking a Coding Auditor and Educator Professional Fee to strengthen our professional fee coding team. Use ICD-10-CM, HCPCS, CPT-4 to ensure accurate coding and compliance across the organization. In this role you will conduct internal audits, provide education to staff, monitor regulatory changes, and coordinate onboarding and ongoing training. You will collaborate with leadership on strategic planning to maintain coding excellence. #J-18808-Ljbffr

CommonSpirit is seeking a Coding Auditor and Educator for Professional Fee to support the coding team across ICD-10-CM, HCPCS and CPT-4 classifications. You will conduct internal audits, provide education, and ensure accuracy and regulatory compliance in coding and billing practices. You will onboard and train new staff, develop ongoing educational programs, and collaborate with leadership on short- and long-term strategic planning to maintain excellence in compliant coding and regulatory #J-18808-Ljbffr

Where You’ll Work With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Job Summary and Responsibilities As our Coding Auditor and Educator Professional Fee, you will utilize ICD-10-CM, HCPCS, and CPT-4 classification systems to support the professional fee coding team. You will serve as a key resource for coding and billing inquiries while facilitating the standardization of coding practices across the organization. Every day, you will perform internal audits and provide necessary follow-up education...

Where You’ll Work With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Job Summary and Responsibilities As our Coding Auditor and Educator Professional Fee, you will utilize ICD-10-CM, HCPCS, and CPT-4 classification systems to support the professional fee coding team. You will serve as a key resource for coding and billing inquiries while facilitating the standardization of coding practices across the organization. Every day, you will perform internal audits and provide necessary follow-up education...

Where You’ll Work With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Job Summary and Responsibilities As our Coding Auditor and Educator Professional Fee, you will utilize ICD-10-CM, HCPCS, and CPT-4 classification systems to support the professional fee coding team. You will serve as a key resource for coding and billing inquiries while facilitating the standardization of coding practices across the organization. Every day, you will perform internal audits and provide necessary follow-up education...

CommonSpirit Health is seeking a Coding Auditor and Educator for Professional Fee to support the coding team across our network. You will apply ICD-10-CM, CPT-4, HCPCS classifications and lead audits and education to improve accuracy and compliance. You will onboard and train staff, develop ongoing educational programs, monitor regulatory changes, and partner with leadership on short- and long-term strategic planning to maintain excellence in compliant coding and billing practices. #J-18808-Ljbffr

Where You’ll Work With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Job Summary and Responsibilities As our Coding Auditor and Educator Professional Fee, you will utilize ICD-10-CM, HCPCS, and CPT-4 classification systems to support the professional fee coding team. You will serve as a key resource for coding and billing inquiries while facilitating the standardization of coding practices across the organization. Every day, you will perform internal audits and provide necessary follow-up education to...

CommonSpirit is seeking a Coding Auditor and Educator for Professional Fee work. You will audit coding practices, educate staff, and ensure compliance with ICD-10-CM, CPT-4, HCPCS, and regulatory guidelines. This role includes onboarding, training program development, and cross-department collaboration. You will stay current on Medicare rules, CHI/NCCI requirements, and lead initiatives to standardize coding across the organization while communicating changes to PB coding teams. #J-18808-Ljbffr

CommonSpirit Health seeks a Coding Auditor and Educator for Professional Fee coding. You will audit, educate, and train staff on ICD-10-CM, CPT, and HCPCS, ensuring compliance and timely updates across teams. Lead onboarding and ongoing education while aligning with leadership on strategy to maintain high-quality billing practices. The role requires extensive experience in professional fee coding, Epic proficiency, and strong analytical abilities to improve documentation quality and regulatory #J-18808-Ljbffr