73 senior profee coding auditor jobs found

Job Description Insight Global is seeking a Senior Profee Coding Auditor to support a healthcare consulting organization that partners with providers nationwide to improve coding accuracy, compliance, and revenue integrity through auditing and education services. This individual will perform physician-side (profee) coding audits within EMR systems, ensuring compliance with CMS, OIG, and industry standards. This is a high-level, production-driven consulting role requiring strong critical thinking, independent decision-making, and the ability to clearly explain audit findings and rationale to clients. The ideal candidate has extensive experience across multi-specialty profee coding and auditing and can confidently operate in a fast-paced, autonomous environment. The annual salary for this role ranges from 85k-93k depending on the candidates years of experience. KEY RESPONSIBILITIES: Perform profee coding audits (CPT, ICD-10, HCPCS) in EMR systems to ensure accuracy and...

Insight Global is seeking a Senior Profee Coding Auditor to support a healthcare consulting organization that partners with providers nationwide to improve coding accuracy, compliance, and revenue integrity through auditing and education services. This individual will perform physician-side (profee) coding audits within EMR systems, ensuring compliance with CMS, OIG, and industry standards. This is a high-level, production-driven consulting role requiring strong critical thinking, independent decision-making, and the ability to clearly explain audit findings and rationale to clients. The ideal candidate has extensive experience across multi-specialty profee coding and auditing and can confidently operate in a fast-paced, autonomous environment. The annual salary for this role ranges from 85k-93k depending on the candidates years of experience. KEY RESPONSIBILITIES: Perform profee coding audits (CPT, ICD-10, HCPCS) in EMR systems to ensure accuracy and compliance Evaluate...

Senior Profee Coding Auditor Insight Global is seeking a Senior Profee Coding Auditor to support a healthcare consulting organization that partners with providers nationwide to improve coding accuracy, compliance, and revenue integrity through auditing and education services. This individual will perform physician-side (profee) coding audits within EMR systems, ensuring compliance with CMS, OIG, and industry standards. This is a high-level, production-driven consulting role requiring strong critical thinking, independent decision-making, and the ability to clearly explain audit findings and rationale to clients. The ideal candidate has extensive experience across multi-specialty profee coding and auditing and can confidently operate in a fast-paced, autonomous environment. The annual salary for this role ranges from 85k-93k depending on the candidates years of experience. Key Responsibilities: Perform profee coding audits (CPT, ICD-10, HCPCS) in EMR systems to ensure accuracy...

Quadris Team, LLC - A Revenue Cycle Management Group, is searching for a dynamic person to join us, working with our highly skilled Medical Coding Team to fill the role of Medical Coding Auditor & Educator.We are a 100% remote team supporting our clients across the United States! See us at.The ideal applicant will be a subject matter expert in both Facility and Profee medical coding auditing.Job Focus :The Senior Coding Auditor may be responsible for a variety of duties and obligations, depending on the client and assignment.These responsibilities may include inpatient / outpatient / professional fee facility auditing, denial management, coding, implementation specialist, job aid creation, training, and specialty coding.The position may also be responsible for management of the audit team and project management.All coding and auditing are performed within the scope of regulatory and compliance law expectations.Auditing Responsibilities :May include conducting inpatient,...

Lead Medical Coder and Auditor [PR0001D] Full‑time ProSidian is looking for “Great People Who Lead” at all levels in the organization. Are you a talented professional ready to deliver real value to clients in a fast‑paced, challenging environment? ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. Linking strategy to execution, ProSidian assists client leaders in maximizing company return on investment capital through design and execution of operations core to delivering value to customers. Visit www.ProSidian.com or follow the company on Twitter at www.twitter.com/prosidian for more information. ProSidian Seeks a Lead...

Join to apply for the Supervisor Medical Staff Svcs role at CHI Job Summary and Responsibilities The overall function and responsibility of this position is to ensure the coordination of the credentialing provided by the CHI Health Centralized Credentialing Office. This includes both internal credentialing for CHI Health Facilities as well as credentialing services provided by the CHI Health Credentialing Verification Organization. This includes providing leadership and supervision of staff in the continuous and accurate credentialing of physicians and advanced practice clinicians, assuring compliance with regulatory bodies (Joint Commission, NCQA, URAC, CMS, federal and state), as well as Medical Staff Bylaws, Rules and Regulations, policies and procedures, and delegated contracts. Discretion is required at all times in sensitive and confidential matters. Responsibilities Has the authority to interview, hire, orient, terminate, promote, train and conduct performance...

Summary Of Position To aid and assist in providing direction, instruction, and guidance to a team of individuals with the purpose of training and developing staff. Works with the CBO A/R Manager to manage projects and develop process improvements, while providing the daily guidance and assistance needed to maintain optimal performance and productivity within the team. Provides supervisory guidance to the team as directed by the A/R Manager and perform all functions with a high level of discretion and professionalism. Nature and Scope An effective Senior Team Lead will provide guidance to their team based on management direction, will use their experience and knowledge of the tools the team uses (e.g., EPIC), policies, and guidelines to educate team members, will identify areas for improvement systematically and within their team, and will communicate directly with management the status of resolved and outstanding issues/roadblocks within the team. Principal Duties And...

Oak View Group Oak View Group (OVG) is the global leader in premium live entertainment infrastructure and services, with a platform spanning venue development and end-to-end capabilities across venue management, hospitality, and sponsorship sales. Founded in 2015, the company serves a collection of seven world-class owned venues and a client roster of the most iconic arenas, stadiums, convention centers, music festivals, performing arts centers, and cultural institutions, spanning four continents. Position Summary The Food & Beverage Supervisor is responsible for the effective management and running of banquet and concessions operations. The F&B supervisor must provide a high level of event oversight, technical proficiency, and operational/personnel support to ensure the smooth running of any assigned event. This role involves leading and directing serving staff, coordinating with various departments, and ensuring a high level of customer service. The F&B...

Job Details Description Review medical records and clinical documentation to assign accurate and complete diagnosis and procedure codes. Apply knowledge of coding systems (ICD-10-CM, ICD-10-PCS, CPT, HCPCS) and coding guidelines (AHA Coding Clinic, CPT Assistant, etc.) to ensure proper code selection. Abstract and enter coded data into electronic health record (EHR) and hospital information systems for billing and reporting purposes. Ensure compliance with federal, state, and payer‑specific coding regulations and hospital policies. Work closely with providers and clinical documentation improvement (CDI) teams to clarify ambiguities or incomplete documentation. Maintain productivity and coding accuracy benchmarks as defined by the department. Support audits and quality reviews by coding leadership or external bodies. Assist with mentoring or training junior coding staff as needed. Stay updated on coding changes, regulatory updates, and continuing education requirements....

Who We Are BioMarin is a global biotechnology company that relentlessly pursues bold science to translate genetic discoveries into new medicines that advance the future of human health. Since our founding in 1997, we have applied our scientific expertise in understanding the underlying causes of genetic conditions to create transformative medicines, using a number of treatment modalities. Using our unparalleled expertise in genetics and molecular biology, we develop medicines for patients with significant unmet medical need. We enlist the best of the best – people with the right technical expertise and a relentless drive to solve real problems – and create an environment that empowers our teams to pursue bold, innovative science. With this distinctive approach to drug discovery, we’ve produced a diverse pipeline of commercial, clinical and preclinical candidates that have well-understood biology and provide an opportunity to be first-to-market or offer a substantial benefit over...

Compliance Auditor page is loaded## Compliance Auditorlocations: SD, City - Remote SD: Remote MN: Remote WI: Remote IA: Remote ND (Central Time)time type: Full timeposted on: Posted 7 Days Agojob requisition id: R-0255424**Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.**Work Shift:8 Hours - Day Shifts (United States of America)Scheduled Weekly Hours:40Salary Range: $19.00 - $30.50**Union Position:**No**Department Details****Summary**Responsible for conducting internal audits and monitors to ensure that the organization’s processes and operations are in compliance with laws, corporate guidelines, best practices, and contractual agreements.**Job Description**Knowledgeable of general audit concepts and...

Job Summary Under the general direction of the Director CDI/Coding or designee, the Medical Records Coder I will improve documentation, data quality and revenue cycle operations.  The coder assigns International Classification of Disease system- 10 (ICD), CM, and PCS codes according to AHA – AMA Guidelines, CMS and NGS. Core Job Responsibilities Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer Audit charges and establish proper coding in collaboration with providers Initiate and follow up on queries with providers Assist departments with diagnostic and procedural coding Respond to Insurance, compliance and RAC denials Review and assist in the maintenance of coding related policies and procedures Perform other duties as required. Education/Experience Requirements REQUIRED: AS in Health Information Management , a related degree or equivalent experience Knowledge of EMR, Coding Software, and Microsoft Office...

Compliance Auditor Avanath is proud to be named one of the top property management companies to provide affordable housing for the workforce. Cultivating the American Dream is the purpose that binds the Avanath team. At Avanath, every day is an opportunity to make a difference in someone's life. Whether it is helping residents call one of our communities' home, providing excellence in customer service, or championing our workforce, we are committed to creating an unforgettable experience as a great place to live, work, and be. We are seeking a meticulous, detail-oriented Compliance Auditor to join our Compliance Team. The Compliance Auditor, specializing in hard-file review, will play a crucial role in ensuring our files comply with all relevant laws, Affordable Care Act regulations, and internal policies. This role involves carefully examining resident files, documentation, and records to identify non-compliance issues and recommend corrective actions. The incumbent in this...

Data Quality Senior Medical Coder - Remote Full-time Shift: Day Shift Status: Full Time More Than Just Care,It’sCommunity Imagine doing meaningful work in a place where peoplevacation. That’slife 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 alifestylemost people only dream about – with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just beMunson 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 onlinedevelopment,and access to ourcareer hubto help...

Physician Billing Coder | Revenue Cycle - Team 5 - Surgery | Days | Full-Time | CERTIFIED | REMOTE Position: Remote Coder – Office/Hospital FTE: 1.0 Shift Hours: Monday – Friday Work Location: Remote – Authorized remote work states: FL, GA, MO, PA, NC, SC, TN and TX. Under general supervision, this role reviews, analyzes, and assigns final diagnoses and procedures based on provider documentation, following all compliance policies and guidelines. The Coder accurately codes office and hospital procedures to ensure proper reimbursement. Additionally, this position provides physician education to ensure proper completion of Electronic Health Records and accurate assignment of ICD‑10, CDM, HCPCS, and CPT codes, delivered verbally, physically, and in written form. Key Responsibilities Review clinical documentation and code to the highest level of specificity for accurate charge capture. Interact with providers to provide feedback and education using physical, verbal, and written...

Physician Billing Coder (Surgical) | Revenue Cycle Admin | Days| PRN Pool | CERTIFIED | REMOTE University of Florida Jacksonville Physicians, Inc. is seeking an experienced Physician Billing Coder for a remote position. This role requires strong coding expertise and a commitment to maintaining compliance with all regulations. Overview FTE: 0.20 Shift Hours: Monday - Friday - VARIABLE Work Location: Remote (within approved states: FL, GA, MO, PA, SC, TN, and TX) Position Summary Under general supervision, the Coder reviews, analyzes, and assigns final diagnoses and procedures based on provider documentation, adhering to all compliance policies and guidelines. The Coder accurately codes office and hospital procedures to ensure proper reimbursement. This position also provides physician education to ensure proper completion of Electronic Health Records and accurate assignment of ICD-10, CDM, HCPCS, and CPT codes, delivered verbally, physically, and in written form....

Who we are The real world is the next frontier, and at Metropolis, we are creating the artificial intelligence to make it responsive. We are pioneering the Recognition Economy - a future where mundane repetition disappears and being known unlocks access, comfort and belonging everywhere you go. From transforming parking into a seamless drive-in, drive-out experience for millions of Members to expanding our intelligence layer across retail and hospitality, we are building a world that feels instinctive and magical. The future isn't coming; it's here, and we need builders, innovators and problem solvers to help us create it. Who you are Metropolis is seeking an Operational Compliance Auditor to add value and improve our operations by bringing a systematic and disciplined approach to the effectiveness of risk management, control, and governance processes. The ideal candidate possesses thorough knowledge of accounting procedures and sound judgment, as you will review control...

Title: Senior Medical Billing & Coding Specialist Location: Charlotte, NC (Onsite) Employment Type: Full Time Pay Range: $50,000-$55,000 Per Year Position Summary The Senior Medical Billing & Coding Specialist is responsible for supporting and optimizing the organization’s revenue cycle operations, with a focus on accurate coding, timely billing, and maximizing reimbursement. This role requires strong expertise in FQHC billing methodologies, payer regulations, and coding compliance, along with the ability to identify trends, resolve complex issues, and support overall revenue integrity. Key Responsibilities Perform and review medical coding (CPT, ICD-10, HCPCS) to ensure accuracy and compliance Submit and reconcile claims in a timely manner, ensuring clean claim rates Monitor and resolve claim denials, rejections, and underpayments FQHC Reimbursement Expertise Apply knowledge of FQHC billing requirements, including PPS/APM methodologies Ensure proper use of...

JOB DESCRIPTION To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), and Kaiser Permanente organization/institutional coding...

Inpatient Facility Medical Coder Location: Clackamas, OR, US Pay Rate: USD $27.26 – $39.37 / hr + Benefits Essential Responsibilities: Proficient in medical record review and translating clinical information into coded data. Identify and assign appropriate codes for diagnoses, procedures and other services rendered, while also validating any Computer Assisted Coded (CAC) assignments for dual coding. Utilizing the Code Base Charge Trigger system (CBCT) and OPTUM 360 EncoderPRO software system for professional surgical services, analyzing and maintaining systems accuracy, validity and meaningfulness for both professional and facility services. Utilizes electronic patient data system and clinical information system (EpicCare) to access patient encounter information. Abstracts and enters clinical data elements as defined by the needs of the organization. Identifies and assigns principal diagnosis and procedure codes, sequencing them as needed for proper Ambulatory Payment...

Who we are The real world is the next frontier, and at Metropolis, we are creating the artificial intelligence to make it responsive. We are pioneering the Recognition Economy - a future where mundane repetition disappears and being known unlocks access, comfort and belonging everywhere you go. From transforming parking into a seamless drive-in, drive-out experience for millions of Members to expanding our intelligence layer across retail and hospitality, we are building a world that feels instinctive and magical. The future isn't coming; it's here, and we need builders, innovators and problem solvers to help us create it. Who you are Metropolis is seeking an Operational Compliance Auditor to add value and improve our operations by bringing a systematic and disciplined approach to the effectiveness of risk management, control, and governance processes. The ideal candidate possesses thorough knowledge of accounting procedures and sound judgment, as you will review control...

Who we are The real world is the next frontier, and at Metropolis, we are creating the artificial intelligence to make it responsive. We are pioneering the Recognition Economy - a future where mundane repetition disappears and being known unlocks access, comfort and belonging everywhere you go. From transforming parking into a seamless drive-in, drive-out experience for millions of Members to expanding our intelligence layer across retail and hospitality, we are building a world that feels instinctive and magical. The future isn't coming; it's here, and we need builders, innovators and problem solvers to help us create it. Who you are Metropolis is seeking an Operational Compliance Auditor to add value and improve our operations by bringing a systematic and disciplined approach to the effectiveness of risk management, control, and governance processes. The ideal candidate possesses thorough knowledge of accounting procedures and sound judgment, as you will review control...

Food & Beverage Supervisor The Food & Beverage Supervisor is responsible for the effective management and running of banquet and concessions operations. The F&B supervisor must provide a high level of event oversight, technical proficiency, and operational/personnel support to ensure the smooth running of any assigned event. This role involves leading and directing serving staff, coordinating with various departments, and ensuring a high level of customer service. The F&B Supervisor is also responsible for setting up, executing, and breaking down events, providing leadership and guidance to staff, and ensuring all banquet and/or retail event services align with the event's requirements. This role will pay an hourly rate of $28.00-$30.00. Benefits for part-time roles: 401(k) savings plan and 401(k) matching. This position will remain open until July 31, 2026. Responsibilities Assist Operations Managers and Concessions Managers on duty in preparation for...

Hospital Outpatient Coder Senior reviews, analyzes and assigns codes for diagnoses and procedures information that uses International Classification of Diseases, Tenth Revision, Clinical Modification (ICD‑10‑CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS). The position promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. It ensures compliance with established coding guidelines, federal regulations, and accreditation guidelines. Hospital Outpatient Coder Senior is expected to function as a subject matter expert, assist less experienced team members on operational policies, train and onboard new team members, and participate in special projects assigned by the Mid Revenue Cycle leadership. Responsibilities Determine proper codes and modifiers for all billable services utilizing ICD‑10‑CM, CPT, and HCPCS code sets in accordance with coding compliant guidelines, federal...