Senior compliance coding auditor jobs

Central Health Austin, TX

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...

CU

Senior Compliance Coding Auditor (REMOTE)

CommUnityCare United States

Overview This 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. Responsibilities Essential 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...

CU

Senior Compliance Coding Auditor (REMOTE)

CommUnityCare TX

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...

CH

Senior Compliance Coding Auditor

Central Health Granite Heights, WI

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 and...

BM

Senior Compliance & Coding Auditor - Remote

BJC Medical Group St. Louis, MO

A multi-specialty healthcare organization in St. Louis seeks a Senior Compliance Coordinator. This role involves ensuring accurate billing through reviewing provider documentation and developing training materials for compliance with regulations. The position requires strong analytical skills, a high school diploma or GED, and preferable CCS/CPC certification. Benefits include comprehensive insurance, tuition assistance, and a retirement plan. A remote opportunity is available. #J-18808-Ljbffr

BM

Senior Compliance & Coding Auditor - Remote

BJC Medical Group St. Louis, MO

A multi-specialty healthcare organization in St. Louis seeks a Senior Compliance Coordinator. This role involves ensuring accurate billing through reviewing provider documentation and developing training materials for compliance with regulations. The position requires strong analytical skills, a high school diploma or GED, and preferable CCS/CPC certification. Benefits include comprehensive insurance, tuition assistance, and a retirement plan. A remote opportunity is available. #J-18808-Ljbffr

CU

Senior Compliance Coding Auditor (REMOTE)

CommUnityCare Austin, TX

Overview This 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. Responsibilities 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 Officer or...

NA

Senior Billing Compliance Auditor - Coding & Audit Expert

NACBA Evanston, IL

NACBA is seeking a Senior Auditor in Evanston, Illinois, to support their Corporate Compliance Program through auditing and compliance investigations. Candidates should hold a Bachelor's degree and relevant coding certification, along with over three years of experience in regulatory billing compliance. The Senior Auditor will ensure billing accuracy, handle audit documentation, and work on government and payer audits. Proficiency in Microsoft Excel and familiarity with audit processes is essential for success in this role. #J-18808-Ljbffr

VR

Senior Healthcare Compliance Auditor & Coding Lead

ViziRecruiter,LLC. New York, NY

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

IH

Remote Senior Billing Compliance Auditor (Physician Coding)

Intermountain Health Salt Lake City, UT

Intermountain Health in Salt Lake City seeks a Professional Billing Compliance Auditor. In this remote position, you'll leverage your expertise to safeguard compliance in a complex healthcare setting, focusing on physician billing. The ideal candidate holds a CPC certification and has over three years of experience in related fields. A commitment to ethical compliance and strong communication skills are essential. Enjoy competitive pay ranging from $33.75 to $53.16 per hour and comprehensive benefits. #J-18808-Ljbffr

CH

Senior Healthcare Coding Compliance Auditor

Central Health Austin, TX

Central Health in Austin, Texas, is seeking a Compliance Auditor responsible for conducting billing and coding audits, as well as providing training to staff. The role requires expertise in CPT, HCPCS, and ICD-10 coding principles. Qualified candidates should have at least 5 years of experience in a medical environment, with certifications as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Strong attention to detail and excellent communication skills are essential. #J-18808-Ljbffr

SS

Senior Coding & Compliance Auditor & Training Lead

South Shore Health System Weymouth, MA

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

AI

Senior Billing Compliance Auditor: CMS & Coding Expert

ARMA International Brookline, MA

ARMA International in Brookline, Massachusetts, is seeking a Billing Compliance Reviewer. This role entails planning and executing audits, analyzing medical documentation, and ensuring compliance with regulations. The ideal candidate will have a strong background in healthcare coding and auditing. The position offers a salary range of $93,800.00 - $106,000.00 based on experience and skills. Qualified candidates must have at least 5 years of relevant experience and appropriate certifications. #J-18808-Ljbffr

Co

Senior Healthcare Coding Compliance Auditor

County of Riverside California, MO

County of Riverside is seeking two Coding Compliance Auditors (Administrative Services Manager I) to join their Compliance Department. This role involves thorough reviews of medical records to ensure coding compliance, performing audits, and supporting training initiatives. Candidates must have extensive experience in hospital settings, coding audits, and managing external audits, along with relevant certifications. The position involves a hybrid work schedule based in Riverside, providing an opportunity to contribute to significant compliance improvements. #J-18808-Ljbffr

Li

Senior Medical Coding Auditor & Compliance Educator

Lifespan Hagedorns Mills, NY

Lifespan is seeking a Coding Auditor in New York, responsible for performing coder and provider audits on medical records. The ideal candidate will have at least five years of coding experience, proficiency with ICD-10 codes, and a strong background in clinical documentation. This role includes preparing training materials, identifying trends in coding documentation, and ensuring compliance with industry standards. A conducive office environment is provided with a workweek from Monday to Friday. #J-18808-Ljbffr

Bc

Senior Clinical Compliance Auditor – RN, Billing & Coding

Bcbsms Flowood, MS

A leading health insurance provider in Mississippi is seeking a Senior Clinical Compliance Auditor. This role involves reviewing clinical data, coordinating and validating billing practices for healthcare providers, and working closely with various teams. Required qualifications include a Bachelor's degree in Nursing and at least three years of relevant experience. The ideal candidate will possess strong communication, organizational, and analytical skills. Join us to promote health and wellness throughout Mississippi. #J-18808-Ljbffr

CH

Senior Medical Coding Compliance Auditor

Central Health Granite Heights, WI

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

CU

Senior Coding Compliance Auditor: CPT/ICD-10 Audits

CommUnityCare Austin, TX

A healthcare organization based in Austin, Texas is seeking a Coding Auditor to conduct coding audits, ensure compliance with medical billing guidelines, and provide training for providers and staff. The ideal candidate should have a minimum of 5 years of healthcare experience and 4 years of coding experience. Relevant certifications are required. This position plays a crucial role in supporting the implementation of coding changes and improving accuracy across the organization. #J-18808-Ljbffr

Contract

Experienced Orthopedic Surgical Auditor or Coder

Welter Healthcare Partners Remote

For over 30 years, Welter Healthcare Partners has collaborated with healthcare organizations across the US on the business of healthcare. Healthcare is complicated and ever-changing, and our services, solutions, highly specialized and collaborative teams are focused on helping drive results for the long-term success of our clients! We are looking for new team members that share the same passion for success! We are looking for a 1099 Surgical Coding Expert, primarily Orthopedics, who seeks ownership of their craft, asserts their interpretation of guidelines and rules and who is extremely particular about the highest level of quality of their coding work! Skilled auditor preferred; however, a skilled and detail-oriented coder with the desire to transition to auditing will be highly considered. We offer up to $4,000 flat fee per month and are flexible for more depending on the ability to organize and facilitate volume, but quality over quantity. Opportunity...

RU

Full Time

Healthcare Coding Compliance Auditor

Riverside University Health System Medical Center Hybrid (Riverside, CA)

Riverside University Health System (RUHS) is seeking two skilled Coding Compliance Auditors (Administrative Services Manager I) to support the Health System's Compliance Department. Key responsibilities of this role include conducting thorough reviews of medical records to ensure compliance with coding regulations, while providing feedback and education to coders and physicians to enhance coding accuracy and documentation quality. The position involves performing annual, periodic, and focused audits of physician, inpatient, and outpatient coding as requested. It also requires effective communication with all RAC stakeholders to ensure timely and accurate responses to inquiries. Additionally, the role supports ongoing program development through training initiatives and process improvements, delivers coding presentations to diverse audiences including physicians and other staff. The ideal candidate will have at least five years of progressive experience in an acute care hospital...

CH

Compliance Auditor II - Compliance

Christus Health Irving, TX

Description Summary: The Compliance Auditor II will assist in the overall quality, compliance, and auditing activities to ensure compliance of standard operating procedures, corporate policies, industry standards, and applicable federal and state laws. Conducts audit activities, reporting and communicates audit findings. Works in conjunction with Compliance Director on compliance work plans, internal and external audits and reviews, and provides assurance that the organization is operating in an efficient and effective manner. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Manages compliance audit activities pertaining to compliance and coordinates with Corporate Compliance Director and Senior Leadership as it relates to such audits Responsible for answering inquiries related to professional documentation, coding, and billing regulatory requirements. Work with VP/Senior/Manager/Director on...

VH

Compliance Auditor Sr

VCU Health Richmond, VA

***To be considered for the role, you must permanently reside in one of the following states: Alabama, Arkansas, Florida, Georgia, Kentucky, Kansas, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, South Carolina, Tennessee, Texas, Virginia, or West Virginia*** The Senior Compliance Auditor reviews complex audits, performs quality assurance reviews, acts as a peer mentor, and assists management with onboarding process of new auditors. The Senior Compliance Auditor supports the audit supervisor with the development and maintenance of the quarterly audit work plan and audit workflow processes. The Senior Compliance Auditor recommends changes to improve business operations by using professional judgement and knowledge of best practices. This position contributes to special projects, as applicable. The Senior Compliance Auditor performs documentation/chart audits on inpatient and outpatient records, and to provide analysis of the records (provider and facility)...

UH

Compliance Auditor, Billing and Coding Compliance

UT Health San Antonio San Antonio, TX

Compliance Auditor, Billing and Coding Compliance The Compliance Auditor, Billing and Coding Compliance is responsible for the oversight and management of auditing and monitoring billing and coding compliance activities, assist with internal compliance policies and procedures, completing compliance risk assessments, and developing risk-based educational materials to ensure compliance with federal/state laws and regulations, and UT Health San Antonio policies. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc. Responsibilities Provide oversight on billing compliance auditing, monitoring, and educational activities within the compliance department. Performs audits of electronic and manual documentation, coding, and billing systems. Conducts close-out meetings with senior management of audited departments. Maintain current knowledge of changes in federal and state coding and...

UH

Sr Risk Adjustment Coder

University HealthCare Alliance Newark, NJ

Senior Risk Adjustment Coder The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare Advantage Risk Adjustment. What you will do: Risk Adjustment Review May perform prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing Reviewing medical records to ensure accurate HCC coding and identify opportunities for recapture and suspect diagnoses. Evaluating medical records to verify that M.E.A.T criteria support the submitted diagnosis codes. Inquire with clinicians the recommended HCC diagnosis for chart addendum. Collaborating with other departments to address coding updates and support risk...

205 senior compliance coding auditor jobs found