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 Medical Coder Auditor at UNC Health Care serves as a lead employee responsible for auditing coded records for multiple specialties to ensure compliance with federal, state, and third-party insurer rules and regulations. This role involves analyzing coded records, establishing collaborative relationships with stakeholders, and ensuring quality standards are met. The auditor also provides information on current coding practices, reviews and resolves coding issues, and serves as a resource and trainer for other coders.

Medical Coder Auditor- Physician Rev Cycle Coding

Medical Coder Auditor

As a Medical Coding Reviewer I at Centene Corporation, you will perform clinical/coding medical claim review to ensure compliance with coding practices through a comprehensive review and analysis of medical claims, medical records, claims history, state regulations, contractual obligations, corporate policies, and procedures. This role involves analyzing provider billing practices, reviewing medical records, validating decisions with Medical Director, assisting with research of health plan coding questions, identifying potential billing errors, abuse, and fraud, and maintaining appropriate records.

Medical Coding Reviewer I

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 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 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

We are seeking an Internal Auditor to join our team in the manufacturing industry. This remote role involves conducting operational, financial, compliance, and technology risk-based audits within the North American region. The successful candidate will play a crucial role in enhancing company processes and controls, utilizing data analytics tools, and contributing to departmental projects.

Internal Auditor

The Inpatient Facility Medical Coder is responsible for assigning accurate diagnosis and procedure codes to patients' health information records for various facility records. This role involves maintaining an acceptable level of performance in quality and productivity for various classification systems, including ICD-10-CM, ICD-10-PCS, and HCPCS/CPT. The position requires on-site training for new coders and involves a significant amount of medical record review, coding, and quality assurance.

Inpatient Facility Medical Coder Remote

Inpatient Facility Medical Coder

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 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)

We are seeking a Certified Medical Coder for a fully remote, long-term contract position focusing on the development of coding for benefit plans. This role involves working with a team of certified coders and business analysts on a COC/SPD project, ensuring coding accuracy and participating in project meetings.

Certified Medical Coder

The Senior Coding Auditor at Northwell Health performs complex coding audits, drafts findings, and advises with organization leadership to provide education on regulations and mitigate compliance risk. This role involves reviewing data such as claims detail and medical record documentation to determine compliance with coding and documentation requirements, drafting reports on audit findings, and acting as an internal expert on coding issues to ensure compliance with state and federal regulations.

Senior Coding Auditor (CCS cert) - Remote

Senior Coding Auditor

The Certified Medical Code role at Ascension Health involves applying diagnostic and procedural codes to patient health records for purposes of document retrieval, analysis, and claim processing. This position is fully remote and requires a high school diploma or equivalent, along with certification in one of several recognized coding specialties. The role includes abstracting information from patient records, assigning codes, performing complex coding, and maintaining knowledge of coding guidelines and reimbursement reporting requirements.

Certified Medical Code

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Internal Medical Coding Auditor Jobs in Utica, NY Hiring Now