Certified Coding Auditor
CommonSpirit Health
Working remotely, the full-time Certified Coding Auditor will ensure accurate and timely reimbursement by resolving medical coding claim defects, optimizing the revenue cycle, and maintaining financial integrity. Key responsibilities Research and review coding-related claim denials, providing expert guidance on necessary corrections Proactively address pre-billing resolution of coding defects to prevent reimbursement impacts Utilize analytical skills to maximize financial accuracy and efficiency within the coding process Required qualifications High school diploma or equivalent Minimum of one year of coding experience or two years in a healthcare environment Certification from AAPC or AHIMA (e.g., CPC, CCA, CCS, CCS-P, RHIT, RHIA) Working knowledge of human anatomy, physiology, and medical terminology Ability to work under pressure to meet deadlines with minimal supervision #J-18808-Ljbffr
- ...Location Lake Success, NY, United States Job Description Required: Coding Auditor with inpatient hospital experience Experience coding and... ...credential: CER - Cert Professional Coder (CPC) OR CER - Certified Professional Coder (CCP), OR CCS - Certified Coding Specialist...SuggestedHourly payFull timeShift work
$46.99k - $122.4k
...Position Summary The Program Integrity Auditor is responsible for the review of records... ...must have the ability to determine correct coding and appropriate documentation during the... ...Time Zone. Must possess an active CPC (Certified Professional Coder), CCS (Certified...SuggestedHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours- ...Clinical Revenue Auditor-CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid... ...provided to patients are accurately documented, coded, and submitted for payment. This position... ...professions). Certifications such as Certified Professional Medical Auditor (CPMA),...SuggestedFull timeLocal area
$100k - $102.5k
...solutions. The Outpatient Payment Integrity Coder Auditor is responsible for reviewing outpatient medical claims to ensure coding accuracy, compliance, and appropriate payment... ..., and payer policy revisions. Requirements Certified Professional Coder (CPC), Certified...SuggestedRemote work- CommonSpirit Health is seeking a Certified Coding Auditor to work remotely in a full-time capacity. This role requires you to ensure accurate reimbursement by resolving medical coding claim defects, optimizing the revenue cycle, and maintaining financial integrity. The...SuggestedRemote jobFull time
$85k - $90k
...DRG Reviewer will conduct reviews of inpatient claims for both coding accuracy as well as perform screening referrals for clinical support... ...required and must be maintained as a condition of employment). Certified Coding Specialist (CCS) Certified Inpatient Coder (CIC)...Remote work$70k - $80k
Diagnosis Related Group (DRG) Auditor III Join to apply for the Diagnosis Related Group... ...Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment... ..., Emergency Department Single Path CERTIFIED OUTPATIENT MEDICAL CODER -- FULLY REMOTE...Full timeWork experience placementReliefRemote workWork from homeHome officeRelocation package$70k - $85k
...focus on quality of care and healthier lives for all. Medical Coding Auditor - Inpatient (Remote) Location: Remote. Full‑time. Salary: $70... ...or related field preferred. Active certification required (Certified Professional Coder (CPC) and/or Certified Coding Specialist (...Full timeWork at officeRemote workHome office$82.23k - $155.81k
...Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)... ...audits claims by integrating medical chart coding principles, clinical guidelines, and... ...Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS)...Full timeWork at officeLocal area$119.4k - $136.2k
Principal Auditor - Cyber, Risk and Analysis Technology Audit (Hybrid) Capital One’s Audit... ...year of experience in test scripting or coding (writing, reviewing, assessing)... ...such as Cloud provider certifications, Certified Information Systems Security Professional...Full timePart timeLocal area3 days per week- ...stability we’ve built and the long‑term success of our dedicated team. We are currently seeking an experienced facility inpatient Coding Auditor to join our team on a full‑time basis. The Coding Auditor will perform inpatient coding audits and review services to client...Full timeFor contractorsRemote workWork from homeHome officeFlexible hours
- ...HCC Auditor (Humana Experience Required) – Contract (3–6 Months) We are seeking experienced HCC Auditors with Humana experience to support a HCC coding project. This contract assignment will run approximately 3–6 months with full‑time hours (minimum 40 hours per week)....Full timeContract workRemote work
- ...Position Title: Inpatient Coding Auditor Department: HIM Coders Job Description: Ask your recruiter about our competitive wages and total rewards package! Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of...Full timeImmediate startRemote work
- ...POSITION SUMMARY The HIM Coding Auditor is responsible for supporting the HIM Division by conducting internal and external coding related audits. This position will perform client-based coding quality audits and post assessments (quality control audits). The Auditor serves...Remote work
- ...healthcare integrity solutions provider is looking for an Outpatient Payment Integrity Coder Auditor in New York City. In this role, you will audit outpatient medical claims for coding accuracy and compliance with CMS guidelines. The ideal candidate must have advanced...Remote work
- ...The Compliance Auditor will support the compliance functions at SJ/C. The auditor is expected to conduct independent compliance audits... ...on audit results and provides education related to billing and coding as well as other compliance requirements. Works with all employees...Work experience placement
$95k - $120k
...Audit Team, under the direction of the Audit Manager, the Senior Auditor is responsible for conducting risk-focused audits; advising... ...attribute-based assessment and other skills tests (such as simulation, coding, MS Office). Our goal for the application process is to get to...Temporary workRemote work2 days per week$90k - $100k
...Compliance Auditor Help Protect the Integrity of Healthcare Join C2Q Health Solutions and play a critical role in promoting compliance... ..., Part D, LHCSA, and Article 28 requirements. Billing and coding experience. Professional compliance or audit certification....Temporary workRemote work$30 per hour
...Professional Coding Auditor Englewood Health, a leading healthcare system comprising Englewood Hospital and the Englewood Health Physician... ...and competencies. Must be CPC or CCS-P and ICD-10 Certified CPMA A minimum of three years' of multi-specialty physician...Full timeWork at officeShift work$45.67 per hour
Auditor Clinical Validation Outpatient Specialty Clinical Job Locations US-Remote ID 2026-18743 Category Audit - Healthcare Position... ...Type Full-Time Overview This auditing role will focus on Coding & Clinical Chart Validation for our Outpatient and Specialty...Hourly payFull timeContract workWork at officeImmediate startRemote work- ...SCOPE / GENERAL PURPOSE OF JOB: The Trainer/Auditor is responsible for providing medical coding, coding training andauditing services to physician practices, billing companies and hospitals and other related entities with a concentration on coding audits of physician and...Work at officeHome office
- ...Medical Billing Auditor Our client is seeking a detail-oriented, analytically strong Medical Billing Auditor to join our revenue cycle... ...The ideal candidate will audit and review medical billing and coding practices, ensure compliance with payer and regulatory...Local area
- COMPLIANCE AUDITOR page is loaded## COMPLIANCE AUDITORremote type: On-sitelocations: NY Brooklyn / Prospect Place - 3rd Floortime type... ...the industry's rules, guidelines, and regulations.* Billing and Coding experience, preferred.* Strong attention to detail, analytical,...Local area
- We are looking for a skilled RCM Auditor to join our team in the dental industry. The ideal candidate will have experience in auditing... .... Strong knowledge of RCM principles and practices, including coding, claims submission, and payment posting. Excellent analytical...Flexible hours
$60k - $80k
TalentLNX LLC is seeking a Coding and Billing Auditor to support provider-side revenue cycle operations in a fully remote environment. This role requires reviewing medical records and validating coding accuracy. The ideal candidate should have a minimum of 5 years of coding...Remote job- A healthcare provider is seeking a Compliance Auditor to safeguard revenue and reputation through various audit activities and compliance... ...a Bachelor's degree and 5+ years of experience in billing, coding, and documentation within a hospital setting. This position is...
- ...2023, and 2024. With over 40 years of experience, we pride ourselves on stability and long-term success. Responsibilities Perform coding quality audits and reviews on a variety of facility outpatient records, including but not limited to Same Day Surgery, Observations...ReliefRemote workWork from homeHome office
$81.6k - $102k
...disclosures and repayments to federal and state agencies. • Coordinates, supervises, and performs medical record audits of documentation, coding and billing for technical and professional services, including:* CPT* ICD9* HCPCII* DRG* APC* APG* Modifiers* Teaching Physician...For contractorsWork at officeLocal areaShift work- Oscar Health is hiring a remote Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This role involves conducting internal and external quality audits specific to ICD-10 code accuracy. The ideal candidate will have experience in risk adjustment coding...Remote job
$82k - $96k
AHIMA is seeking a Senior Inpatient Auditor to join their Payment Integrity team. This remote role requires expertise in MS-DRG and APR-DRG coding, with responsibilities including conducting coding reviews and preparing audit findings. With a salary range of $82,000 to...Remote job
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