65 senior clinical coding auditor trainer jobs found

Senior Clinical Coding Auditor & Trainer-Remote New York, New York, United States About the Job The Senior Clinical Coding Auditor & Trainer will conduct audits of inpatient coding processes for Fiscal care and assist in development of training and audit tools. Location: The Senior Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation on an annual basis. Candidates must be willing to travel to New York twice a year to be considered for the position. Pay Range: $68,700.00 - $123,700.00 per year Responsibilities: Develop and maintain complex audit processes and audit tools related to inpatient coding Develop and conduct clinical education courses for existing and new employees Audit established guidelines for medical necessity Analyze training needs and identify, select, or develop appropriate training programs including training aids and materials Audit staff in accordance with established auditing...

Job DescriptionJob DescriptionJob Summary / PurposeThe Senior Clinical Coding Auditor & Trainer will conduct audits of inpatient coding processes for Fidelis Care and assist in development of training and audit tools.Location :The Senior Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation on an annual basis.Candidates must be willing to travel to New York twice a year to be considered for the position.Pay Range :$68,700.00 - $123,700.00 per yearResponsibilities :Develop and maintain complex audit processes and audit tools related to inpatient codingDevelop and conduct clinical education courses for existing and new employeesAudit established guidelines for medical necessityAnalyze training needs and identify, select, or develop appropriate training programs including training aids and materialsAudit staff in accordance with established auditing processes, work with staff to identify and resolve errors, and present findings and...

A national managed care organization is expanding its clinical coding quality and education programs and this seniorlevel role sits at the center of that mission.Youll lead inpatient coding audits develop training programs and partner with clinical teams to improve accuracy and compliance across a 28millionmember population.This is a handson highimpact role for an RN who thrives in audit education and continuous improvement.What Youll DoDevelop maintain and execute complex inpatient coding audit processesConduct inpatient coding audits and review medical necessity against guidelinesDesign and deliver clinical coding education and training programsIdentify training gaps and recommend targeted education solutionsPartner with staff to resolve audit findings and improve coding accuracyPresent audit results trends and recommendations to leadershipMaintain training records and documentationSupport updates to policies procedures and workflowsTravel to New York twice per year for onsite...

The Opportunity Are you an experienced Inpatient RN ready to step away from the bedside without losing your clinical edge As part of the Centene/Fidelis Care team you will ensure the clinical accuracy of care for 28 million members.This is a high-level auditing and education role designed for nurses who love the puzzle of clinical documentation and the reward of teaching others.Key OutcomesDrive Accuracy:Develop and lead complex inpatient coding audits to ensure medical necessity and documentation excellence.Educate Teams:Design training programs that translate complex clinical data into actionable knowledge for staff.Remote Flexibility:Work primarily from home with only two scheduled trips to New York per year.Qualifications :Requirements (Strictly Enforced)Active RN License:Must be currently licensed.Acute Care Foundation:You must have direct nursing experience in an Inpatient Hospital setting.(Candidates with only outpatient or clinic experience will not be considered for this...

Auditing And Training Program DeveloperPosition Purpose: Develop and conduct training and quality auditing programs for Diagnosis Related Group (DRG) and Medical Record Audit programs.Location: Primarily remote with biannual travel to New York required, applicant outside of New York can also apply for this role, as long as they are open to NYC few times in year.Travel: Travel to New York twice a yearKey Responsibilities:Audit work performed by staff and present findings and recommendations for improvements to management.Manage auditing projects independently, requiring originality and critical thinking.Assist in revising policies, procedures, and work process development.Analyze training needs for clinical and coding staff.Develop or select appropriate training programs and create training aids.Maintain records of audit and training activities and track employee progress.Review patient letters for accuracy and clarity with strong English grammar skills.Comply with all company...

Inpatient Drg Coding Specialist/Subject Matter Expert (Sme) We are seeking an experienced Inpatient DRG Coding specialist/Subject Matter Expert (SME) to support coding operations. This role combines hands-on inpatient coding, chart auditing, coder training, and oversight of daily workflow to ensure accurate, compliant, and timely coding. The ideal candidate will have strong expertise in ICD-10-CM, CPT, ICD-10-PCS, DRG assignment, and inpatient coding guidelines, along with experience mentoring coders and resolving complex coding questions. Key Responsibilities Manage daily inpatient coding workflows, prioritize work queues, and support timely completion of assigned cases. Review inpatient medical records and assign accurate diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS. Apply current Official Guidelines for Coding and Reporting, UHDDS definitions, and applicable facility and payer requirements. Validate principal diagnosis, secondary diagnoses,...

Inpatient Drg Coding Specialist/Subject Matter Expert (Sme)We are seeking an experienced Inpatient DRG Coding specialist/Subject Matter Expert (SME) to support coding operations. This role combines hands-on inpatient coding, chart auditing, coder training, and oversight of daily workflow to ensure accurate, compliant, and timely coding.The ideal candidate will have strong expertise in ICD-10-CM, CPT, ICD-10-PCS, DRG assignment, and inpatient coding guidelines, along with experience mentoring coders and resolving complex coding questions.Key ResponsibilitiesManage daily inpatient coding workflows, prioritize work queues, and support timely completion of assigned cases.Review inpatient medical records and assign accurate diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS.Apply current Official Guidelines for Coding and Reporting, UHDDS definitions, and applicable facility and payer requirements.Validate principal diagnosis, secondary diagnoses, principal procedures, and...

Position: Senior Certified Coding Auditor and Trainer Location: Columbia Main Columbia, SC Job Id: 8707 # of Openings: 1 Title: Senior Certified Coding Auditor and Trainer Location: Columbia, SC Status: Full-Time Who Are We? Part of the Novant Health family based in North Carolina, Novant Health Urgent Care (formerly Doctors Care) provides exceptional healthcare through our network of more than 50 urgent care centers and 20 physical therapy facilities across South Carolina. Our Columbia-based headquarters delivers non-medical management and administrative services to support these locations. For decades, we have been committed to delivering exceptional, convenient, and affordable healthcare experiences to families and communities throughout the Palmetto State. What Do We Offer? Competitive wages Generous PTO that increases with tenure 403B Flexible Spending Account Short term and Long term Disability Whole and Term Life Insurance What Are We Looking For? Novant...

6 days ago Be among the first 25 applicants This range is provided by TalentPlug LLC. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $55,100.00/yr - $99,000.00/yr Direct message the job poster from TalentPlug LLC Job Title Clinical Coding Auditor & Trainer Job Location Remote (Candidates must be residents of New York) Summary The Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation on an annual basis. Candidates must be willing to travel to New York twice a year to be considered for the position. Position Purpose Responsible for developing and conducting training and quality auditing programs for the Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. Applicants must be willing to travel to New York twice a year. Responsibilities Conducts auditing of work performed by staff and present findings and...

1 day ago Be among the first 25 applicants This range is provided by TalentPlug LLC. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $55,100.00/yr - $99,000.00/yr Direct message the job poster from TalentPlug LLC The Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation on an annual basis. Candidates must be willing to travel to New York twice a year to be considered for the position. Position Purpose: Responsible for developing and conducting training and quality auditing programs for the Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation on an annual basis. Candidates must be willing to travel to New York twice a year to be considered for the position. Responsibilities: Conducts auditing of work performed by staff and present...

Select how often (in days) to receive an alert: Date: Sep 3, 2026 Location: Any city, MS, US, 99999 Work Mode: Virtual (Exception only) It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary We are seeking a talented individual for an Inpatient Coding Auditor, Senior Associate who is responsible for performing coding reviews of medical records and/or other documentation to determine correct coding as defined by review methodologies specific to the contract for which review...

Department/Unit:Health Information Management Work Shift: Day (United States of America) Salary Range: $64,972.00 - $97,458.00 The Remote Senior Professional Coder will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding/charging/denials follow-up. Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines. Provide education, instruction and training to providers and coding staff. Act as an expert for the HCC/Risk adjustment coding. This position is remote but does require onsite education to providers as needed. Essential Duties and Responsibilities Review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by...

Medical Coder Specialist Work Arrangement: 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington. At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. Join us and discover how we can advance health together. Occ Summary: The Medical Coder Specialist will have frequent and daily interactions with internal and external clients, including but not limited to physician and non-physician surgical providers. Responsibilities include primary diagnosis and procedural coding for the designated major surgical specialty areas and other major procedural areas, including capture of applicable Physician...

Department/Unit: Health Information Management Work Shift: Day (United States of America) Salary Range: $64,972.00 - $97,458.00 The Remote Senior Professional Coder will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding/charging/denials follow-up. Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines. Provide education, instruction and training to providers and coding staff. Act as an expert for the HCC/Risk adjustment coding. This position is remote but does require onsite education to providers as needed. Essential Duties and Responsibilities Review, analyze, and validate CPT and ICD-10 diagnosis codes and charges...

Select how often (in days) to receive an alert: Date: Sep 9, 2026 Location: Any city, TN, US, 99999 Work Mode: Virtual (Exception only) It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary We are seeking a talented individual for aSenior Coding Auditor, Itemized Bill Reviewer who is responsible for performing itemized bill review, chart review, and coding validation to ensure that billed services were ordered, allowable, and accurately documented in the patient record....

Description: Make an Impact on Coding Accuracy, AI Innovation & Revenue Cycle Performance We’re looking for an experienced and highly motivated Independent Medical Coding Consultant to help strengthen our clinical coding, billing, and revenue cycle operations. This is an exciting opportunity for a coding subject matter expert who enjoys solving complex problems, improving processes, mentoring teams, and helping shape the future of AI-assisted medical coding. In this role, you’ll work at the intersection of medical coding, revenue cycle operations, technology, and artificial intelligence , partnering with internal billing teams and the XpertDox technology team to improve accuracy, efficiency, and claim performance. The ideal consultant is detail-oriented, collaborative, and energized by the opportunity to turn coding insights into measurable operational improvements. About the Role The Independent Medical Coding Consultant will provide subject matter...

Revenue Cycle Coder Lead-Inpatient Coding Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. As our Lead Inpatient Coder, you will be a cornerstone of our medical coding department, providing essential leadership and strategic direction for our inpatient coding team. You will be instrumental in driving coding accuracy, ensuring regulatory compliance, and optimizing revenue cycle performance for complex medical cases, making a direct impact on our healthcare data integrity and financial health. Every day you will provide expert technical guidance, conduct comprehensive...

Remote Senior Professional Coder The Remote Senior Professional Coder will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding/charging/denials follow-up. Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines. Provide education, instruction and training to providers and coding staff. Act as an expert for the HCC/Risk adjustment coding. This position is remote but does require onsite education to providers as needed. Essential Duties and Responsibilities Review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliance with federal and state regulations and insurance carrier...

Coding Education Specialist The Coding Education Specialist is responsible for assisting with design, development, and delivery of all Coding Quality and Education components for all areas supported by Professional Billing. This individual is a member of a cross functional team, which includes practice leadership, business owners, IT, the professional billing office, revenue cycle teams and others as needed. This individual will work closely with these various groups to develop, implement and manage medical record review, communication, and education strategies that are needed to achieve desired results. As a highly strategic department representative, this individual consistently demonstrates solid project management skills and behaviors, in addition to continually striving to meet and exceed customer expectations. Boston Medical Center (BMC) is more than a hospital. Its a network of support and care that touches the lives of hundreds of thousands of people in need each year....

Medical Coder III The Medical Coder III is a senior-level position responsible for ensuring precise coding of diagnoses and procedures in compliance with established coding guidelines and regulations. This role is integral to maintaining financial accuracy and regulatory compliance within our institution. Position Highlights: Position: Medical Coder III Location: Skokie, IL (hybrid) Full Time/Part Time: Full-time (40 hours per week) Hours: Monday-Friday, 8:00am-4:30pm What you will do: Assign accurate diagnostic (ICD-10-CM) and procedural (CPT) codes to medical records, demonstrating advanced proficiency in complex coding scenarios. Lead and conduct internal audits of medical records and coding work to ensure the accuracy and consistency of code assignments, providing guidance and feedback to junior coders. Analyze clinical documentation in medical records and collaborate with physicians and clinical staff to clarify and enhance documentation for accurate...

Job Description Job Description About the Role Our multi-site primary care medical group is seeking an experienced Senior HCC Coder to lead risk adjustment coding education and training across our West Palm Beach–area clinics. This role is central to ensuring accurate, complete, and compliant HCC/risk adjustment documentation and coding practices among our primary care providers and clinical staff. The ideal candidate is both a coding subject matter expert and a skilled communicator and presenter — someone who can translate complex risk adjustment concepts into clear, actionable training that resonates with busy physicians and site-level management, while building strong, trust-based relationships across the organization. Key Responsibilities Design, develop, and deliver engaging risk adjustment (HCC) coding education and training programs for primary care providers (PCPs), APPs, and clinical documentation staff across multiple sites, tailoring content to each...

Job Description Job Description Position Summary: The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through pre and post payment medical records review and appeal records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines, coverage policies and regulatory and contract requirements. Qualifications:  Medical Coder certification from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) required. Prior experience in Medicaid claims role and/or post payment medical coding auditor role preferred. Knowledge of Medicaid rules, claims processing, medical terminology and coding principles and practices. Knowledge of auditing, investigation, and research. Knowledge of...

Op Senior CoderTo be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.Reporting to the Supervisor of Outpatient Coding, the OP Senior Coder is a vital multifaceted role within the Outpatient Coding Department. This position provides support to the Outpatient Coding Department as a OP coding subject matter expert, educator, QA reviewer, and also focuses daily efforts on A/R management and oversight. Additionally, this person works with partner departments to problem solve issues and streamline processes. The OP Senior Coder is also required to mentor other team members and also prepare them for the role of OP Senior Coder. The OP Senior Coder possesses a strong level of OP clinical coding expertise, and has the ability to handle multiple priorities....

Medical Assistant Supervisor The Medical Assistant Supervisor is responsible for overseeing medical assistants, ensuring efficient workflow, and maintaining high-quality patient care. The Medical Assistant Supervisor trains and mentors medical assistants, manages daily operations, and collaborates with providers to optimize patient services. KC CARE follows a culture code in all we do. Our code determines how we work, treat each other, and move health equity forward. As an employee of KC CARE, you will: Put patients first, always Treat all people with dignity, respect, and kindness Create safe places for others to share their voice; encourage creativity Always strive for improvement; keep learning Own your work, action, and mistakes – no one is perfect Have fun – work should be fun and we want you to have fun at KC CARE Essential Duties and Responsibilities Patient Care Call patients back to rooms and obtain medical history, history of present illness and/or chief complaint,...