Remote Medical Coding Auditor (CPC, CCS-P, or CPMA)
Crossroads Services
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 patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. Day in the Life of a Medical Coding Auditor Conducting audits of claims and patient records to identify incorrect coding. Audits will be performed for both provider and coder coding accuracy with required documentation in accordance with current coding guidelines. Developing, implementing, and coordinating corrective action proposals and plans. Tracking completion of internal and external Plans of Correction. Preparing reports of findings and any compliance issues identified with audits, including monthly summary reports for the Crossroads executive team and quarterly reports for the Chief Compliance Officer. Attending and reporting at weekly team calls with Manager of Medical Coding Compliance Audits, Director of Medical Coding Compliance and Chief Compliance Officer. Attending weekly meetings with other auditors. Reporting coding patterns identified within the audit process to management and identifies corrective measures to compliance problems. Assisting the Manager of Medical Coding Compliance Audits with training and education of providers, coders, and centers (OBOTs and OTPs) on medical coding compliance. Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-10 materials, the Federal Register, and other pertinent materials. May interact with providers and/or center administrators from time to time regarding billing and documentation policies, procedures, and conflicting/ambiguous or non-specific documentation. Provide coding and compliance updates to all staff. Collaborates with interdepartmental or cross-functional teams for assigned projects and provides departments with identified coding issues and updates to ensure timely and accurate reimbursement. Determines method of completing daily workload and priorities to ensure that all responsibilities are carried out in a timely manner. Assisting with pulling records requested by payers related to payer audits and review of such records to identify any issues. Other duties and responsibilities pertaining to medical coding compliance monitoring as requested by the Director of Medical Coding Compliance. Schedule, Travel, & Work Authorization Employees must work 8-hour shifts Monday through Friday and may clock in as early as 6:30 AM EST, but no later than 9:00 AM EST. Employees may not clock out before 4:00 PM EST. Education and Licensure Requirements Certified Professional Coder (CPC), Certified Coding Specialist- Professional (CCS-P) or Certified Professional Medical Auditor (CPMA) High School diploma, GED or equivalent. Minimum of 5 years of coding experience. Minimum of 2 years of auditing experience. Experience in auditing healthcare provider documentation to identify correct ICD-10-CM, CPT, and/or HCPCS codes preferred. An excellent understanding of Mental Health / Opioid Addiction medical terminology preferred. An excellent understanding of ICD-10-CM coding classification and CPT/HCPCS coding. Computer literate adept skill level on MS Office applications. Good organizational and communication skills. Task oriented and ability to meet designated deadlines and productivity standards. Strong, well-developed interpersonal skills. Experience in Mental Health or Addiction Medicine a plus. Position Benefits Medical, Dental, and Vision Insurance PTO Variety of 401K options including a match program with no vesture period Annual Continuing Education Allowance (in related field) Life Insurance Short/Long Term Disability Paid maternity/paternity leave Mental Health Day Calm subscription for all employees Have a daily impact on many lives. Excellent training if you are new to this field. Mileage reimbursement (if applicable) Crossroads matches the current IRS mileage reimbursement rate. Community events that promotes belonging and education. Opportunity to save lives everyday! #J-18808-Ljbffr
- ...motivated Contract Coder to join our remote team. The ideal candidate must have at least 5 years of coding experience across various... ...include accurately coding medical records, preparing coding... ...regulations. Certifications in CPC or CCS-P are mandatory, while additional...Remote workContract work
- ...compliance with billing, coding, and documentation... ...of its providers. An CPC, CCS-P, or CPMA is required for this position... ...through an electronic medical record system.... ...Work Hours This is a remote position, typical work... ...hours for the Compliance Auditor Analyst will be Monday...Remote workWork at officeLocal areaMonday to Friday
- ...highest quality, evidence-based medication assisted treatment (MAT)... ...Assign ICD-10-CM and CPT/HCPCS codes with modifiers for services provided... ...and EMR in an office or remote setting. Review and... ...Certified Professional Coder (CPC) or CCS-P High School diploma, GED or...Remote workTemporary workLocal areaMonday to Friday
- ...a Division Manager, Talent Acquisition to manage coding operations for hospital settings, focusing on OB/... ...should have a HS Diploma and certification as a CPC or CCS-P, along with 2+ years’ coding experience. This remote role offers a W2 contract-to-hire arrangement and...Remote workContract work
$56.17k - $70.22k
...Medical Coding Auditor - Must have a NM Residence UNM Medical Group, Inc. is... ...Team. This opportunity is a REMOTE, full-time, day shift opening... ...least one of the following CPC, CCs, CCS-P, COC, RHIA or RHIT, CHONC.... ...Medical Auditor (CPMA). Completed degree from an...Remote workPermanent employmentFull timeFor contractorsLive inWork from homeRelocationRelocation packageDay shift- ...seeking a highly motivated professional medical coder for a remote position. The ideal candidate must have at least five years of coding experience for physician practices, including... .... Required qualifications include CPC or CCS-P certification and strong communication skills...Remote job
- ...LLC is a full-service medical coding management services provider... ...coding excellence, remote-work flexibility, and... ...: Physician Coding Auditor is responsible for... ...professional credential (e.g., CCS-P, CPC, or another applicable... ...standing. The AAPC CPMA credential is...Remote workPermanent employmentFull timeLocal areaFlexible hours
- ...ProFee E/M Clinic Coder to work full-time in a remote capacity. The role includes coding CPT, HCPCS, ICD-10-CM based on medical records, ensuring compliance with laws and guidelines. Candidates must have a valid CPC or CCS-P certification and 5 years of experience in...Remote workFull timeHome office
$30.49 - $46.03 per hour
...Responsibilities As a Coding Auditor, you will be a... ...resolving medical coding claim defects... ...efficiency. As a remote employee, we will provide... ...Professional Coder (CPC), Certified Coding... ...Coding Specialist (CCS), Certified Coding... ...Specialist-Physician (CCS‑P), Registered Health...Remote workWork at officeWork from home$64.38k - $96.58k
...Alignment Health is seeking a remote Risk Adjustment Compliance Auditor to support auditing and... ...coder‑level audits, review medical record documentation and coding accuracy, identify compliance... ...Certified Coder required – CPC, CCS & CCS-P. Certified Auditor preferred...Remote workFull timeLocal areaMonday to FridayFlexible hours- ...Humana Inc is seeking a Medical Coding Auditor to join the SIU clinical review team in Des Moines, Iowa... ...findings to stakeholders. Candidates must have CPC certification and acute outpatient coding experience. The position offers a remote work environment with occasional office...Remote workWork at office
$59.3k - $80.9k
...Humana Inc is seeking a Medical Coding Auditor to join their SIU clinical review team. The role entails... .... Required qualifications include CPC Certification and experience in acute outpatient coding. The position offers remote work with occasional travel and provides...Remote work- ...Adjustment Nurse/Coder (RN/CPC, COC, CIC, CCS-P, CCS, RHIT, RHIA in Doral, FL... ...Doral, FL 33122, and 3 days remote. Job Profile Summary Then... ...prospective/retrospective medical record reviews (MMR) & CMS/... ...RADV) audits. Reviews provider coding for professional & inpatient...Remote workPermanent employmentFull timeTemporary workWork at officeShift work
$27.35 - $37.61 per hour
...NY - USA Position Requirements Use coding skills to review clinical documentation... .... Primary Responsibilities Review medical record documentation to identify correct... ...professional medical coding experience. CPC or CCS-P certification. Proficient computer...Remote jobHourly payFlexible hours- ...Professional Fee Auditing Specialist to conduct medical coding audits for various healthcare organizations. This fully remote role allows for a flexible schedule, and the... ...experience and relevant certifications such as CPC. Responsibilities include performing audits, providing...Remote jobFlexible hours
- ...Coding Auditor Location: Miramar, Florida At Memorial,... ...inpatient or outpatient medical records applying ICD-10... ...Certified Coding Specialist (CCS) - American Health... ...For Physician Coding: CPC Certified Professional... ...Risk Adjustment Coder, or CPMA Certified Professional...Remote jobWork experience placementInternshipWork at officeShift work
$64.38k - $96.58k
Alignment Health is a remote company focused on senior care. The Medical Risk Adjustment (MRA) Coding Auditor role supports departmental quality assessment audits of internal... .... Licensure Certified Coder required (CCS, CCS-P, CPC, or CRC). Work Environment & Physical...Remote jobLocal area$70k - $85k
...of care and healthier lives for all. Medical Coding Auditor - Inpatient (Remote) Location: Remote. Full‑time. Salary: $... ...required (Certified Professional Coder (CPC) and/or Certified Coding Specialist (CCS); preferred CPC‑H, CPC‑P, RHIA, RHIT, CCS‑P). At least three years...Remote workFull timeWork at officeHome office$45.67 per hour
Auditor Clinical Validation Outpatient Specialty Clinical... ...Job Locations US-Remote ID 2026-18743... ...auditing role will focus on Coding & Clinical Chart... ...review, coding accuracy, medical necessity, and the... ...and maintained i.e. CPC, CIC, CCS, CCS-P, RHIA or RHIT. 5 to 7...Remote workHourly payFull timeContract workWork at officeImmediate start- ...Granger Medical Clinic is seeking a Medical Coder for a remote position, with essential duties including auditing and coding daily E & M visits and assigning accurate CPT and ICD-10 codes. The ideal candidate must have two years of medical coding experience and be certified...Remote work
$57.73k - $80.24k
Position SummaryThe RCS Medical Coding Auditor is responsible for auditing professional (ProFee) medical coding to ensure accuracy, compliance,... ...organizational policiesRequired QualificationsCPC (Required) and CPMA (Required/In Process)2+ years of ProFee auditing...For contractorsWork at officeLocal area$57.4k - $99k
...The Physician Coding Auditor develops and implements... ...delivery of training for Medical Coders employed by Ensemble... .... ~ This is a remote position; however, candidates... ...certifications (CPC, CPMA or CCS Preferred): CPC (... ...Professional Coder) CCS-P (Certified Coding...Remote workTemporary workWork at officeImmediate start$25.49 - $33.16 per hour
...Capital Health (US) seeks a full-time Medical Coder in Trenton, New Jersey. You'll review and assign CPT, HCPCS, and ICD-10-CM codes for professional claims. The role demands excellent communication skills and coding certification. We're dedicated to flexible compensation...Remote workHourly payFull timeFlexible hours$59.3k - $80.9k
...Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted... ...Procedures for Physicians RHIA, RHIT, CCS, CPC, or COC Certification Strong knowledge... ...Cycle Additional Information WORK STYLE: Remote/Work at home; minimal travel may be...Remote workFull timeTemporary workApprenticeshipWork from home- ...row for providing the highest-quality medical care in Los Angeles. We also were awarded... ...What will I be doing in this role? The Coding Auditor works under the general direction of... ...billing accuracy of coding staff required. CCS, CPC, RHIA or RHIT required upon hire....Remote workLocal area
- ...Position Title: Inpatient Coding Auditor Department: HIM Coders Job Description... ...and total rewards package! Remote Eligibility: Candidates must... ...coding at an academic medical center.**** General... ...License/Registration: RHIA, RHIT, CCS, CPC, or CIC required Minimum Requirements...Remote workFull timeImmediate start
- ...Performing concurrent and retrospective medical coding audits, the full-time Medical Coding Auditor will ensure coding accuracy,... ...improvement, all in a remote work environment. Key responsibilities... ...from AAPC and/or AHIMA (e.g., CPC, CRC, CCS) Advanced proficiency in...Remote workFull time
- ...Job Description Insight Global is seeking a Medical Coding Auditor for a large healthcare client in Houston, TX. This role is responsible... ...cardiology coding experience Surgical coding experience CPC or CCS Certified through AHIMA or AAPC HS Diploma or GED BS...Remote workLive in
- ...Coder with anesthesia and/or surgical coding experience for a client—a medical administration practice—located in... ..., NY . Qualifications Current CPC (AAPC) or CCS (AHIMA) certification required 2+... ...Hybrid: 3 days onsite / 2 days remote Hours: Monday-Thursday: 8:30 AM-4...Remote work
- ...looking for a full-time Certified Coder II (CPC or CCS) to join our team. The Medical Coder II performs more complex coding assignments. This role requires independent judgment... .... Learn more about us at Location: Remote for someone located Texas or Oklahoma About...Remote workFull timeTemporary workFlexible hours
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