The Coding Quality Auditor at Houston Methodist is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or inpatient encounters based on documentation within the electronic medical record. This role involves maintaining compliance with established rules and regulatory body guidelines, performing data quality review to ensure data integrity, coding accuracy, and revenue preservation, and participating in quality review and performance improvement projects.

Coding Quality Auditor - 100% Remote (Must Live in FL, TN, GA, LA, WA State, or TX)

Coding Quality Auditor

The Coding Quality Specialist I at Christus Health is a remote position focused on performing internal departmental coding reviews to support the Coding Operations Department's business needs. This role involves contributing to coding education and training, facilitating pre-bill and cross-training, and maintaining a high accuracy rate in coding. The position requires residing in Texas, Louisiana, Arkansas, New Mexico, or Georgia and offers a unique opportunity to work collaboratively with various departments to ensure feedback is shared for education and training purposes.

Coding Quality Specialist I

The Coding Auditor at Northwell Health conducts coding audits to optimize diagnosis related groupings, develops and implements coding instruction classes, and prepares coding guidelines. This role involves implementing coding changes, providing ad-hoc education to the coding staff, and ensuring compliance with federal and state coding guidelines. The position requires a bachelor's degree or equivalent, a current coding credential, and 1-3 years of production coding and auditing experience in an acute inpatient facility setting.

Coding Auditor (ASU/ED) - Remote

Coding Auditor

The Coding Auditor at BlueCross BlueShield of Tennessee is responsible for communicating audit results, reviewing claims materials and medical record information for accuracy, planning and conducting investigations for certain claims, identifying potential subrogation or fraud, and documenting audit results. This role also involves developing audit policies and procedures.

The Coding Compliance Auditor at Dignity Health Medical Foundation is responsible for conducting professional fee audits on providers and coding department staff to ensure services are entered into the billing system and coded correctly according to established guidelines. This role involves providing education to improve clinical documentation and accurate code assignment, creating coding training for continuous education, and identifying coding trends to recommend improvements.

Coding Compliance Auditor

The Coding Auditor-Educator at CommonSpirit Health Mountain Region is an advanced level position responsible for utilizing various coding classification systems, supporting the facility and Coding Service Center, performing coding audits, and developing and deploying coding education. This role works closely with the leadership team to plan and execute coding education and training across the system, ensuring standardization of coding practices and compliance with regulatory changes.

Coding Auditor & Educator

The Supervisor, Coding Audit at Northwell Health supervises and coordinates the staff and activities of coding quality and operations to ensure Discharge Not Final Billed (DNFB) cases are analyzed, corrected, and coded per organization standards, policies, and procedures. This role involves identifying trends, errors, and recurring issues with medical record documentation and partnering with leadership to address these issues. The position also includes promoting department goals, leading the Coding Audit team, analyzing operational metrics, developing performance goals, and ensuring compliance with high-quality Medical Records standards.

Supervisor, Coding Audit - Remote

Supervisor, Coding Audit

The Coding Auditor - Outpatient at Northwell Health conducts coding audits to optimize diagnosis related groupings, develops and implements coding instruction classes, and prepares coding guidelines. This role involves implementing coding changes, providing ad-hoc education to the coding staff, and ensuring compliance with federal and state coding guidelines. The position requires a Bachelor's degree or equivalent, current coding credential, and 1-3 years of relevant experience.

Coding Auditor - ED/ASU (remote)

Coding Auditor - Outpatient

The Audit & Reimbursement Lead - Quality Auditor at Elevance Health is a virtual position responsible for providing technical direction, workload planning, associate mentoring, operational support, and examining and evaluating the accuracy of transactions in accordance with regulations and company guidelines. This role involves handling complex case research and resolutions, supporting the Appeal Unit, participating in special projects, analyzing and interpreting data, and working independently under minimal guidance.

Audit & Reimbursement Lead- Quality Auditor

Audit & Reimbursement Lead - Quality Auditor

The Quality Improvement Auditor (Clinical) at Actalent leads medical record audits, monitors and analyzes clinical documentation, and modifies business processes to measure member outcomes. This role involves assessing provider performance and quality of care through clinical case reviews, performing quantitative and statistical analysis of performance data, and coordinating with internal teams for audit requests. The position is remote and requires a Bachelor's degree in Nursing or a related field, along with 3+ years of nursing or quality improvement experience.

Quality Improvement Auditor (Clinical)

Practice Resources, LLC is seeking a full-time Remote Internal Medical Coding Auditor to review medical documentation from physicians and other healthcare providers to validate modifiers, diagnostic and procedure codes for symptoms, diseases, injuries, surgeries, and treatments according to official classification systems and standards. The role involves experience with coding/auditing multi-specialty accounts, conveying audit results to management, participating in coding team meetings, and maintaining productivity standards.

Remote Internal Medical Coding Auditor

Internal Medical Coding Auditor

The Coding Quality Auditor at Hackensack Meridian Health is responsible for ensuring compliance with clinical documentation to support coding and billing regulations for appropriate reimbursement and public reporting. This role involves reviewing DRG assignments, analyzing physician documentation for coding accuracy, providing guidance on coding clinics, and performing data analysis for DRG, Public Reporting, and HAC compliance. The position is remote, requiring flexible hours every weekend.

SMX is seeking a Quality Assurance Manager for a remote, Hawaii-based position, potentially considering candidates on the West Coast. The role involves developing and tracking the Master Test Plan, managing ongoing testing activities, and overseeing the quality assurance staff. This position is part of a team supporting critical missions through advanced software development, cloud migration, and operation of highly secure environments.

Quality Assurance Manager Hawaii  (3811)

Quality Assurance Manager

The Quality Control Analyst at Suvoda is responsible for ensuring compliance with Suvoda procedures during the software development process, including product releases, deliverable reviews, and in-process verifications. This role involves participating in internal validation projects, process improvements, and acting as a Subject Matter Expert in relevant areas. The position requires at least 1 year of experience, a Bachelor's degree in science or engineering fields is preferred, and knowledge of GxP regulations is beneficial.

Quality Control Analyst (US West Coast - Remote)

Quality Control Analyst

The Risk Adjustment Senior Coding Quality Auditor & Educator at Blue Cross Blue Shield of Massachusetts is responsible for providing education and training to the Risk Adjustment Coding team to ensure coding and clinical documentation accuracy and consistency. This role involves developing and administering a Quality Review Program, auditing medical records, identifying educational needs, delivering relevant training, and serving as a subject matter expert for Medicare and Commercial RADV audits. The position requires a minimum of 5+ years of Coding and Risk Adjustment Audit experience, extensive knowledge of ICD-10-CM coding guidelines, and certification as a Certified Professional Coder (CPC) and Certified Risk Coder (CRC).

Sr. Coding Quality Auditor & Educator - Certified Risk Coder (CRC)

Senior Coding Quality Auditor & Educator

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