261 senior medical coding compliance auditor jobs found

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

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

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

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

Montefiore Medical Center is seeking a Compliance Auditor to safeguard revenue and reputation by coordinating external audits (OMIG, OIG, CMS, DOH) and conducting medical record audits for coding and billing. The role develops and delivers education for 500+ physicians and allied staff, communicates audit findings to senior management, and helps implement corrective action plans to mitigate risk. #J-18808-Ljbffr

Montefiore Medical Center is seeking a Compliance Auditor to safeguard revenue and reputation by coordinating external audits (OMIG, OIG, CMS, DOH) and conducting medical record audits for coding and billing. The role develops and delivers education for 500+ physicians and allied staff, communicates audit findings to senior management, and helps implement corrective action plans to mitigate risk. #J-18808-Ljbffr

Description The Sr Billing Compliance Auditor serves as the liaison responsible for monitoring and auditing NCPS coding and documentation functions for professional fee services. Conducts independent ongoing reviews of vendor and provider-coded professional fee services to ensure practices meet federal requirements. Works closely with NCPS to communicate monitoring / auditing results and provide feedback to support necessary actions taken accordingly. Functions as the subject matter expert for professional fee coding and documentation, and partners with NCPS administrators to ensure consistent, compliant, and accurate coding practices. Job Summary Conducts audits of NCPS professional fee encounters to validate accuracy of CPT, HCPCS, ICD-10-CM, and modifier assignment. Serves as the coding, documentation, and billing expert for NCPS, ensuring focused expertise on pediatric, Fl AHCA / Medicaid, and CMS regulatory requirements. Monitors professional fee vendor‑coding services to...

Job Description - Sr Compliance Auditor (301657) Job Description Sr Compliance Auditor - 301657 Description Job Summary The Sr Billing Compliance Auditor serves as the liaison responsible for monitoring and auditing NCPS coding and documentation functions for professional fee services. Conducts independent ongoing reviews of vendor and provider‑coded professional fee services to ensure practices meet federal requirements. Works closely with NCPS to communicate monitoring / auditing results and provide feedback to support necessary actions taken accordingly. Functions as the subject matter expert for professional fee coding and documentation, and partners with NCPS administrators to ensure consistent, compliant, and accurate coding practices. Job Specific Duties Conduct audits of NCPS professional fee encounters to validate accuracy of CPT, HCPCS, ICD‑10‑CM, and modifier assignment. Serves as the coding, documentation, and billing expert for NCPS, ensuring focused expertise...

Job Summary The Sr Billing Compliance Auditor serves as the liaison responsible for monitoring and auditing NCPS coding and documentation functions for professional fee services. Conducts independent ongoing reviews of vendor and provider-coded professional fee services to ensure practices meet federal requirements. Works closely with NCPS to communicate monitoring / auditing results and provide feedback to support necessary actions taken accordingly. Functions as the subject matter expert for professional fee coding and documentation, and partners with NCPS administrators to ensure consistent, compliant, and accurate coding practices. Job Specific Duties Conducts audits of NCPS professional fee encounters to validate accuracy of CPT, HCPCS, ICD‑10‑CM, and modifier assignment. Serves as the coding, documentation, and billing expert for NCPS, ensuring focused expertise on pediatric, Fl AHCA / Medicaid, and CMS regulatory requirements. Monitors professional fee vendor-coding...

Senior Audit Role Primary Skills: Auditing, Compliance, Risk Management, Analytical Skills, Communication. Duration: 6 Months (Possible Extension). Grow your skills by working with industry leaders. Night Auditor – LodgeWorks LodgeWorks is actively hiring for a Night Auditor. LodgeWorks is a privately held hotel development and management company. While our name isn’t on the hotels themselves, our extraordinary culture is... Premium Auditor – Davies Risk Services Join Davies Risk Services as a Premium Auditor – No Experience Required! Are you a self-starter who thrives on independence, loves working with numbers, and enjoys meeting new people? Do you have a ... Staff Auditor – Downtown Seattle Client Staff Auditor for a permanent position with our downtown Seattle based client. Staff Auditor will work in preparing documents, schedules and the company liaison to work with the clients external aud... Junior Compliance Officer / Auditor – SGI Global Junior Compliance...

SCOPE/GENERAL PURPOSE OF JOB: This position is responsible for providing medical coding, coding training and auditing services to physician practices, billing companies and hospitals and other related entities with a concentration on coding audits of physician and hospital outpatient claims, and coding education. Also, to include auditing of internal Coding staff as well as continued training and possible corrective action coding reviews.  ESSENTIAL DUTIES AND RESPONSIBILITIES: Provide training to all RCCS coders regarding new tasks, new clients, cross-training, and continuing education. Perform coding audits of coder work during training processes and once completed periodically to ensure maintained quality. Feedback will be provided in various forms including written explanation and training sessions based on coder educational needs. Create clear explanations of errors as well as authoritative guidance for coding recommendations for all reviews. Acts as a...

Healthy Careers Start Here At Blue Cross & Blue Shield of Mississippi, we encourage professional growth in a challenging and fast-paced atmosphere. Our 'be healthy' culture promotes health and wellness at all levels of the Company, and we provide our employees with the time, tools and resources to commit to a healthy lifestyle. Job Summary: The Senior Clinical Compliance Auditor serves as the primary clinical reviewer of data analysis findings, referrals, appeals and complaints related to Network Hospitals, Providers, Pharmacies, and other entities or programs suspected of inappropriate billing of claims to Blue Cross & Blue Shield of Mississippi. The incumbent is responsible for selecting, obtaining, coordinating, monitoring, and reviewing medical records and other relevant information for clinical and coding assessment and validation of related billing of services provided to Blue Cross Blue Shield Customers. The Senior Clinical Compliance Auditor collaborates with...

Overview Providence requires a Compliance Auditor – Remote. The Revenue Cycle Compliance Hospital Auditor evaluates compliance with federal and state laws, regulatory rules, and Providence policies and procedures across a variety of audit focus areas, including clinical and nonclinical services related to revenue cycle operations. The auditor works collaboratively with Case Management, Utilization Review, Revenue Integrity, the Professional Revenue Cycle Compliance Team, Clinical Risk, Internal Legal Affairs, and Finance under the supervision of the Rev Cycle Compliance Senior Manager. The role involves navigating and analyzing data across clinical EMR and Epic billing systems, reviewing line-item charges, revenue codes, CPT descriptions, status, orders, supporting documentation, and reimbursement. Audit findings are presented verbally and visually to reduce risk within the Providence system. Overpayments received in error are refunded following the CMS Voluntary Self Disclosure...

Certified Medical Coding Auditor (CPC or CCS-P) Join to apply for the Certified Medical Coding Auditor (CPC or CCS-P) role at Accelerated Urgent Care Certified Medical Coding Auditor (CPC or CCS-P) 2 weeks ago Be among the first 25 applicants Join to apply for the Certified Medical Coding Auditor (CPC or CCS-P) role at Accelerated Urgent Care About Us Simply put, our purpose at Accelerated Urgent Care is to get you quality care when you need it. We aim to foster a supportive environment where our team members can develop their careers. To promote this goal, we’ve built a diverse and driven team of employees who are all eager to learn from one another and reach Accelerated Urgent Care’s mission of delivering exceptional healthcare to the patients and communities that we are privileged to serve. We are ... a fast-growing company that doubles in size year after year since 2012! Recognized as Kern County’s Top Urgent Care center 6 years in a row! Dedicated to our employees’ career...

***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)...

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...

Montefiore Health System seeks a Senior Coding Auditor in Tarrytown, New York. The role involves auditing medical cases for coding accuracy and ensuring compliance with regulations. Candidates need a Bachelor’s degree in a relevant field and at least 2 years of experience. Proficiency in hospital systems, coding methodologies, and strong analytical skills are essential. The position operates on a weekday schedule, 8:30 AM to 5 PM, offering a salary range of $76,632.04 to $95,790.05. #J-18808-Ljbffr

Position Summary Responsible for working with and providing on‑going coding and documentation education (quarterly, annually and ad‑hoc) for physicians, coders, ancillary department staff, clinical documentation improvement (CDI), and other allied health professionals to improve documentation of patient care and to appropriately assign codes and/or determine charges to support those services. Essential Functions and Responsibilities As Assigned Completes quality assurance audits on inpatient and outpatient coding specialists, onboarding audits and training of newly hired coding specialists, validating the coding specialist is accurately abstracting data into medical record systems, following coding guidelines and directives. Validates Present on Admission (POA) indicators according to guidelines and identifies any missing or inappropriate queries to providers. Uses payment methodology to audit outpatient and/or inpatient facility coding and billing, MS‑DRG or APC assignment,...

Overview Providence requires a Compliance Auditor – Remote. The Revenue Cycle Compliance Hospital Auditor evaluates compliance with federal and state laws, regulatory rules, and Providence policies and procedures across a variety of audit focus areas, including clinical and nonclinical services related to revenue cycle operations. The auditor works collaboratively with Case Management, Utilization Review, Revenue Integrity, the Professional Revenue Cycle Compliance Team, Clinical Risk, Internal Legal Affairs, and Finance under the supervision of the Rev Cycle Compliance Senior Manager. The role involves navigating and analyzing data across clinical EMR and Epic billing systems, reviewing line-item charges, revenue codes, CPT descriptions, status, orders, supporting documentation, and reimbursement. Audit findings are presented verbally and visually to reduce risk within the Providence system. Overpayments received in error are refunded following the CMS Voluntary Self Disclosure...

Overview Providence requires a Compliance Auditor – Remote. The Revenue Cycle Compliance Hospital Auditor evaluates compliance with federal and state laws, regulatory rules, and Providence policies and procedures across a variety of audit focus areas, including clinical and nonclinical services related to revenue cycle operations. The auditor works collaboratively with Case Management, Utilization Review, Revenue Integrity, the Professional Revenue Cycle Compliance Team, Clinical Risk, Internal Legal Affairs, and Finance under the supervision of the Rev Cycle Compliance Senior Manager. The role involves navigating and analyzing data across clinical EMR and Epic billing systems, reviewing line-item charges, revenue codes, CPT descriptions, status, orders, supporting documentation, and reimbursement. Audit findings are presented verbally and visually to reduce risk within the Providence system. Overpayments received in error are refunded following the CMS Voluntary Self Disclosure...

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...

NorthShore University HealthSystem is seeking a Senior Auditor for Billing Compliance to conduct audits, analyze coding and billing documentation, and support investigations across the medical group and system facilities. The role requires strong knowledge of ICD-10-CM/PCS, CPT/HCPCS, and Medicare/Medicaid rules, with EPIC experience highly preferred. Hybrid work arrangement (Evanston, IL and remote) with flexible hours and opportunity for professional growth within a leading health system. #J-18808-Ljbffr

Job Summary The Sr Billing Compliance Auditor serves as the liaison responsible for monitoring and auditing NCPS coding and documentation functions for professional fee services. Conducts independent ongoing reviews of vendor and provider‑coded professional fee services to ensure practices meet federal requirements. Works closely with NCPS to communicate monitoring/auditing results and provide feedback to support necessary actions taken accordingly. Functions as the subject matter expert for professional fee coding and documentation, and partners with NCPS administrators to ensure consistent, compliant, and accurate coding practices. Key Responsibilities Conduct audits of NCPS professional fee encounters to validate accuracy of CPT, HCPCS, ICD‑10‑CM, and modifier assignment. Serve as the coding, documentation, and billing expert for NCPS, ensuring focused expertise on pediatric, Florida AHCA / Medicaid, and CMS regulatory requirements. Monitor professional fee vendor‑coding...