Clinical Coding Auditor
$55.1k - $99kInteletech Global Inc.
Clinical Coding Auditor & Trainer
This is a remote position.
Compensation: $55,100.00 - $99,000.00 per year
Must-haves
Willingness to travel to New York twice a year RN, PA, MD, APRN, DO, or MBBS license Valid/Current CPC or CIC Certification, through APPC desired or CCS through AHIMA Inpatient coding experience 1 year of experience in clinical environment - hospital
Required Skills
- RN, PA, MD, APRN, DO, or MBBS license
- Associate's degree in Nursing or equivalent experience
- 4+ years of DRG and/or Medical Record Audit experience
- 1 year of clinical experience in a hospital setting
- Strong written communication skills
Preferred or Nice-to-have Skills
- Inpatient coding experience
- Valid/Current CPC or CIC Certification, or CCS through AHIMA
- RHIA/RHIT Credentials
- Training or auditing experience in a managed care or healthcare setting
Years of Experience
4+ years of DRG and/or Medical Record Audit experience 1 year of clinical experience in a hospital setting
Industry Experience
Healthcare, specifically in a hospital or managed care setting
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Clinical Coding Auditor in United States vacancy
$59.3k - $80.9k
...Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure... ...guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct...SuggestedFull timeTemporary workApprenticeshipRemote workWork from homeHumana
Frankfort, KY5 days ago$47.69 - $67.19 per hour
...SEARHC meets federal and state regulations and internal policies in regard to healthcare coding, documentation, and billing practices. Review health records to verify coding and clinical documentation meets applicable coding and billing requirements, Medicare/Medicaid...SuggestedPermanent employmentTemporary workSouth East Alaska Regional Health Consortium
Renton, WA3 days ago- ...Responsibilities Conducts regular audits of clinical documentation and coding to identify areas for improvement and ensure compliance with federal, state, and payer regulations Makes recommendations based on interpretations of identified coding patterns Implements compliant...Suggested
Jobtailor
Columbus, OH2 days ago $72.8k - $80k
...celebrates diversity and innovation. Job Summary The Risk Adjustment Coding Auditor is responsible for conducting retrospective and prospective... ...program requirements, Official Coding Guidelines, AHA Coding Clinic guidance, and organizational policies. The Risk Adjustment...SuggestedWork at officeRemote workClever Care Health Plan
Huntington Beach, CA5 days ago- ...Focusing on Coding & Clinical Chart Validation, the full-time Clinical Coding Auditor will analyze and audit inpatient claims, ensuring coding accuracy and appropriateness of treatment settings while utilizing proprietary auditing tools. Key responsibilities Analyzes...SuggestedFull timeRemote work
Virtual Vocations Inc
United States2 days ago - ...This position audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data to support that appropriate reimbursement and clinical severity is captured for the level of service rendered. Provides ongoing education to coders...
NACBA
Salt Lake City, UT3 days ago - ...employer business practices. What You Will Do To identify and report coding and documentation practices and make recommendations which... ...reporting and documentation of services provided by entity clinical providers. To support and facilitate the implementation of correct...Hourly payFor contractorsWork experience placementLocal areaFlexible hoursShift workWeekend work
Sharp HealthCare
San Diego, CA10 hours ago $32 - $52.08 per hour
...role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting... ...documentation of patient encounters to ensure coding accuracy and documentation adequacy. The... ...will work collaboratively with clinical providers to improve revenue cycle integrity...Hourly payFull timeShift workRush
Chicago, IL2 days ago- ...you to be a part of our team. Job Summary The Clinical Documentation Improvement (CDI) Auditor Educator will facilitate improvement system-wide in... ...Information Management Association (AHIMA) Certified Coding Specialist (CCS) from the American Health Information...Temporary workRemote workFlexible hours
Memorial Hermann Health System
Houston, TX3 days ago $25 - $39 per hour
...characteristic protected by law. Description Medical Coder and Auditor - Family Care Practice ~ Full-Time ~ Monday - Friday... ...Auditor will be responsible to conduct prospective audits of coding and billing; analyze physician and provider documentation in...Hourly payFull timePart timeWork at officeMonday to FridayFlexible hoursShift workCNY Family Care LLP
Syracuse, NY1 day ago$35 - $62.5 per hour
...global scale. Join us to start Caring. Connecting. Growing together. In this position as a Clinical DRG RN auditor , you will apply your expert knowledge of the MS-DRG and APR-DRG coding/reimbursement methodology systems, ICD-10 Official Coding Guidelines, and AHA Coding...Hourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRemote workRelocation package$34.23 - $61.15 per hour
About This Role As a Clinical DRG RN Auditor at UnitedHealth Group, you will leverage your expertise in MS-DRG and APR-DRG coding methodologies to audit inpatient claims, ensuring accuracy and identifying overpayments. This role is ideal for those with strong analytical...Hourly payFull timeTemporary workRelocation packageDay shift$30 - $100 per hour
...Workforce Development Non-Credit Instructor- Adjunct (Medical Coder/Auditor) Agency: Tidewater Community College Location: Suffolk... ...will prepare students to audit medical records and ensure coding accuracy and compliance. Emphasis is placed on healthcare regulations...Hourly payFull timePart timeWork at officeRemote workNight shiftWeekend workAfternoon shiftVirginia Jobs
Suffolk, VA2 days ago$30 - $100 per hour
...Summary Working Title Health Careers- Workforce Development Non-Credit Instructor- Adjunct (Medical Coder/Auditor) Role Title Role Code FLSA Exempt Pay Band UG Position Number 295A0003 Agency Tidewater...Hourly payFull timeTemporary workPart timeWork at officeLocal areaRemote workNight shiftWeekend workAfternoon shiftTidewater Community College
Richmond, VA1 day ago$32 - $42 per hour
...platform is seeking experienced inpatient coders to join their remote team. The role requires attention to detail, proficiency in medical coding, and strong communication skills. Candidates should have at least 3 years of inpatient coding experience and preferred...Hourly payRemote workFlexible hoursDatavant
Phoenix, AZ5 days ago- ...M-F Looking for someone with outpatient or inpatient hospital coding compliance or coding auditing experience. CPC or CCS certification... ...provider facility credentials Resolve and/or clarify clinical data as necessary Review and run data reports to monitor individual...Shift work
- ...building a people-centered culture rooted in collaboration, innovation, and strategic thinking. We are seeking an experienced Medical Coding Auditor to support our continued growth and commitment to deliver exceptional client outcomes. Why Join Us? Mission-Driven Work: You...
Xtensys
Ithaca, NY4 days ago - ...The Medical Coding Auditor is responsible for conducting prospective and retrospective compliance reviews of documentation supporting codes... ...for physicians, including Medical Staff By‑laws, Clinical Standards, Regulatory Compliance, and Risk Management. Required...
100 Lawrence Memorial Hospital
Rochester, NY1 day ago $56.17k - $70.22k
...Medical Coding Auditor - Must have a NM Residence UNM Medical Group, Inc. is hiring for a Medical Coding Auditor to join our Compliance... ...review of evaluation and management codes, medical diagnoses and clinical procedures ensuring that accurate medical billing conforms...Permanent employmentFull timeFor contractorsLive inRemote workWork from homeRelocationRelocation packageDay shiftUNM Medical Group, Inc.
Albuquerque, NM3 days ago- ...Performing concurrent and retrospective medical coding audits, the full-time Medical Coding Auditor will ensure coding accuracy, regulatory compliance, and documentation quality while collaborating with stakeholders to drive continuous improvement, all in a remote work...Full timeRemote work
Virtual Vocations Inc
United States4 days ago - ...Harris Center for Mental Health and IDD as a Regulatory Compliance Auditor. The Regulatory Compliance Auditor provides coordination between... ...by technical review of the medical records, billing service codes, contracts and other documents. The Regulatory Compliance Auditor...Contract workFor contractors
The Harris Center for Mental Health and IDD
Houston, TX4 days ago - ...Performing detailed reviews of medical records and billing data, the full-time remote Coding Auditor will ensure proper coding and documentation while generating audit reports that identify overpayments and potential fraud. Key responsibilities Conduct thorough reviews...Full timeRemote work
Virtual Vocations Inc
United States3 days ago $96k
...Internal Audit has an outstanding opportunity for a Senior IT Auditor to join their team.Reporting to the IT Audit Manager, the Senior... ..... Show more Full-time Job Summary and Responsibilities.As a Coding Auditor, you will be a central figure ensuring accurate and timely...Hourly payPermanent employmentFull timePart timeImmediate startRelocation packageNight shiftUS Government Jobs
Seattle, WA5 days ago$32.32 - $53.32 per hour
...Job Summary and Responsibilities As a Coding Auditor, you will be a central figure ensuring accurate and timely reimbursement by proactively resolving medical coding claim defects before billing. You will play a vital role in optimizing our revenue cycle and maintaining...Hourly payWork at officeCommonSpirit Health
Seattle, WA4 days ago- ...Humana Inc is seeking a Medical Coding Auditor to join the SIU clinical review team in Des Moines, Iowa. This role involves reviewing medical records for coding accuracy, applying Evaluation & Management coding principles, and communicating findings to stakeholders. Candidates...Work at officeRemote work
Humana
Des Moines, IA5 days ago - ...Remote Medical Coding Auditor (CPC, CCS-P, or CPMA) Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Since 2005, Crossroads has been at the forefront of treating...Temporary workRemote workMonday to FridayShift work
Crossroads Services
Greenville, SC2 days ago $71.1k - $97.8k
...Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records...Bi-weekly payContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayHumana
Olympia, WA2 days ago- ...Medical Coding Auditor This role is part of the SIU clinical review team and involves reviewing medical records to ensure accurate application of Evaluation & Management (E&M) coding, understanding line‑of‑business constraints, and communicating audit findings to internal...Bi-weekly payTemporary workWork at officeRemote workWork from homeWeekend workAfternoon shift
Humana
Des Moines, IA1 day ago - ...Overview Certified Medical Coder required (AHIMA, AAPC, or PMI). Hybrid-Sunrise, Florida The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through post payment medical records review...Contract workWork at officeRemote work
Community Care Plan
Sunrise, FL5 days ago - A leading healthcare organization is seeking an Inpatient Medical Coding Auditor to work remotely. You will review inpatient hospital claims to ensure proper reimbursement and manage provider disputes in a metrics-driven environment. The ideal candidate holds a relevant...Remote workFlexible hours
Humana
Jackson, MS2 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Coding Auditor. Be the first to apply!
Related searches