290 senior coding compliance auditor jobs found

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 Friday 8 am...

A leading health care provider in the United States is seeking a Coding Compliance Auditor to ensure the accuracy and completeness of clinical coding. This mid-senior level position involves conducting coding audits, coordinating educational sessions forcoding staff, and adhering to coding and reimbursement guidelines. The ideal candidate will have four years of relevant experience and extensive knowledge of ICD‑10‑CM and CPT coding principles. This is a full-time position offering an opportunity to make a significant impact within the organization. #J-18808-Ljbffr

Rush University Medical Center in Chicago, IL seeks a senior coding auditor within the Medical Records department. This role monitors coding quality, provides education to physicians and staff, and prepares reports for administration and the Compliance Council. It requires RHIA/RHIT/CCS certification and 5 years of coding experience, with strong communication skills. The position is full-time, on-site in the Medical Records unit. #J-18808-Ljbffr

Central Health in Austin, TX is seeking a Healthcare Compliance Coding Auditor to conduct coding audits and communicate results to providers, staff and leadership. The role includes training, reviewing CPT/HCPCS and ICD-10 codes, and updating coding processes annually. Responsibilities include identifying coding discrepancies, guiding improvements, and ensuring compliance with Medicare/Medicaid and private payers. Collaboration across departments and ongoing education are required. #J-18808-Ljbffr

BJC HealthCare is hiring a Senior Compliance Coordinator who will ensure the accuracy of billing for specialty providers. This remote position involves conducting reviews, preparing reports, and providing education on compliance regulations. The ideal candidate will have 5-10 years of experience and relevant certifications such as CCS/CPC. The role offers the opportunity to develop training material and interact with various departments to support compliance initiatives. #J-18808-Ljbffr

South Shore Health System is seeking a Coding & Compliance Auditor to ensure medical coding accuracy and compliance. The role involves establishing audit processes, conducting training for clinical staff, and monitoring regulatory changes. Applicants should have at least 5 years of coding experience in an acute care setting, extensive knowledge in coding standards, and relevant certifications. Join a team committed to quality healthcare standards. #J-18808-Ljbffr

Nicklaus Children's Health System is looking for a Senior Billing Compliance Auditor based in Miami. This role involves conducting audits and ensuring compliance with coding and documentation regulations for professional fee services. The ideal candidate will have extensive experience in medical billing and coding, and will serve as a key resource for compliance and quality improvement initiatives. The auditor will collaborate with various teams to uphold standards in pediatric billing practices and continuous quality improvement. #J-18808-Ljbffr

NACBA is seeking a Senior Billing Compliance Auditor located in Miami, Florida. This role involves conducting audits of NCPS professional fee encounters, ensuring compliance with federal and state coding and documentation requirements. The ideal candidate will have at least 7-10 years of experience in coding and compliance, along with a Certified Professional Coder designation. Responsibilities include preparing audit trends, collaborating with administrators, and maintaining compliance standards. #J-18808-Ljbffr

NACBA is seeking a Senior Billing Compliance Auditor located in Miami, Florida. This role involves conducting audits of NCPS professional fee encounters, ensuring compliance with federal and state coding and documentation requirements. The ideal candidate will have at least 7-10 years of experience in coding and compliance, along with a Certified Professional Coder designation. Responsibilities include preparing audit trends, collaborating with administrators, and maintaining compliance standards. #J-18808-Ljbffr

You Matter • Make a difference every day in the lives of the underserved • Join a mission driven organization with a people first culture • Excellent career growth opportunities Join us and find a career that supports: • Caring for overlooked, underserved, and vulnerable patients • Diversity, equity, inclusion, and belonging • Autonomy in a warm team environment • Growth and training Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: • DailyPay, receive your money as you earn it! • Tuition Assistance and dependent Scholarships • Employee Assistance Program (EAP) including free counseling and health coaching • Company paid life insurance • Tax free Health Spending Accounts (HSA) • Wellness program featuring fitness memberships and product discounts • Preferred...

Job Description Job Description Overview The Sr Compliance Coding Auditor performs complex coding audits across a range of services, including those delivered in correctional settings and through third-party billing vendors. This role serves as a subject matter expert on coding and documentation guidelines, identifying risks and preparing detailed audit findings. The position works closely with leadership to develop corrective actions and deliver education to providers and coders. This role also supports regulatory audits and provides guidance and mentorship to compliance staff. Responsibilities Plan and conduct complex coding audits using risk-based sampling and established methodologies. Review provider documentation, coding, and modifier usage to ensure compliance with coding standards and payer rules. Analyze findings, prepare detailed audit reports, and present results to providers, coders, and leadership. Support corrective action planning, education efforts,...

A healthcare organization in New York seeks an experienced individual to safeguard revenue and reputation through auditing and compliance activities. Responsibilities include conducting medical record audits, developing formal reports for senior management, and coordinating education sessions for over 500 health professionals. The ideal candidate must have a Bachelor's degree, at least 5 years of relevant experience in billing and coding, and excellent communication skills. #J-18808-Ljbffr

Baptist Health Care is seeking a Coding Auditor to review and audit patient records for correct ICD-10-CM/PCS codes, CPT codes, POA assignment and MS-DRG assignment. The role will issue quarterly report cards and provide coding training and education to coders. The ideal candidate has at least five years of inpatient and/or outpatient coding experience and holds CCS, CPC, and CCA certifications. Knowledge of Medicare and other third-party payer regulations is required. #J-18808-Ljbffr

The 100 Lawrence Memorial Hospital is looking for a Medical Coding Auditor responsible for conducting compliance reviews to ensure accuracy in billing. The role includes analyzing medical records and providing training for staff on coding practices. Qualified candidates should have strong communication skills and a minimum of five years experience in physician coding, with relevant certifications. This position aims to enhance charge capture and ensure compliance with industry regulations. #J-18808-Ljbffr

Baptist Medical Center Jacksonville is seeking a Full-time Inpatient Hospital Coding Auditor. The successful candidate will conduct Quality Assurance audits of inpatient encounters, ensuring compliance with coding guidelines. We require candidates with an Associate of Science degree, CCS certification, and 3–5 years of experience in coding and auditing. Knowledge of state and federal coding requirements is crucial, as well as a valid driver’s license. This position is based in Jacksonville, Florida. #J-18808-Ljbffr

OverviewThis position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff.This position will support the implementation of changes to the CPT, CDT, HCPCS and ICD-10 codes on an annual basis.ResponsibilitiesEssential Duties :Conduct prospective and retrospective chart reviews (i.e.baseline, routine periodic, monitoring, and focused) comparing medical and / or dental record notes to reported CDT, CPT, HCPCS, and ICD codes with consideration of applicable FQHC and payer / title / grant coding requirements.Identify coding discrepancies and formulate suggestions for improvement.Communicate audit results / findings to providers and / or ancillary staff and share improvement ideas.Work with the Office of the CMO and provider leadership to identify and assist providers with coding.Report findings and recommendations to Compliance...

Wellpath in California seeks a Sr Compliance Coding Auditor to perform complex coding audits across correctional and healthcare settings. You will serve as a subject matter expert on coding and documentation, identify risks, and deliver detailed audit findings to leadership. The role emphasizes accuracy, integrity, and collaboration within a mission-driven team. Responsibilities include reviewing documentation, supporting corrective actions, educating providers and coders, and guiding external #J-18808-Ljbffr

McLaren Health Care is looking for a professional responsible for coding education for healthcare providers and conducting quality assurance audits to ensure accurate coding practices. This position requires a minimum of 5 years of coding experience and certification in coding methodologies. The role includes auditing, documentation improvement, and working with a clinical team to enhance patient care quality. This is a full-time position with fixed working hours from 8 am to 4:30 pm. #J-18808-Ljbffr

South Shore Health seeks a Coding & Compliance Auditor to evaluate medical record documentation and coding accuracy. The role designs and delivers training for clinical staff and coders while monitoring regulatory changes to ensure adherence to Federal, State, and local requirements. The incumbent will support multiple departments, maintain training tools, and report program effectiveness. Requires AHIMA/AAPC certifications and ongoing licensure. #J-18808-Ljbffr

340B Health in Miami, Florida is seeking a Sr Billing Compliance Auditor responsible for monitoring coding and documentation functions. This role includes auditing professional fee services to ensure federal compliance and working closely with NCPS administrators. The ideal candidate will have extensive experience in physician billing and coding, with a focus on CMS and Medicaid regulations. Strong communication skills and the ability to analyze data are essential. #J-18808-Ljbffr

The Regional Business Office (MIDA) in Norfolk, Virginia, is seeking a full-time professional for an on-site position focused on performing medical record chart and coding audits for the US Oncology Network. This role requires adherence to compliance programs and established guidelines. We offer a competitive hourly pay range of $28-$38 based on experience, along with generous benefits including M/D/V, Life Insurance, 401(k), PTO, and Paid Holidays. Join us in the fight against cancer! #J-18808-Ljbffr

US Oncology Inc. is looking for a skilled professional in Norfolk, Virginia, to perform medical record chart and coding audits under the supervision of the State Reimbursement Manager. This full-time, on-site role involves ensuring compliance with established guidelines and providing insight for procedural improvements. The ideal candidate will have at least nine years of experience in billing and coding, a CPC certification, and strong knowledge of ICD9, CPT4, and HCPCS codes. We offer a comprehensive benefits package including medical, dental, vision, 401(k), and more. #J-18808-Ljbffr

A healthcare organization in Wisconsin is seeking a coding auditor to conduct billing and coding audits, provide training, and ensure compliance with regulations. The ideal candidate has extensive experience in procedural and diagnostic coding, with relevant certifications. Strong attention to detail and communication skills are essential. This position offers a chance to work within a collaborative environment focused on compliance and accurate reporting. #J-18808-Ljbffr

Overview This position reports to the Director of Healthcare Compliance. Responsibilities include conducting billing and coding audits, and communicating results and recommendations to providers, management, and executive administration. This role will provide training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, HCPCS and ICD-10 codes on an annual basis. Responsibilities Essential Functions: Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical record notes to reported CPT/HCPCS and ICD codes with consideration of applicable payer coding requirements. Identify coding discrepancies and formulate suggestions for improvement. Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. Work with medical staff department to identify and assist providers with coding. Report findings...