Review inpatient medical records to validate DRG coding accuracy.
Apply clinical judgment to identify discrepancies, coding errors, and overpayments.
Document evidence-based audit findings and meet quality standards.
The company specializes in healthcare claims auditing and analytics, improving accuracy and consistency in payments. It is a collaborative, fully remote environment that values precision, teamwork, and continuous improvement.
Perform inpatient coding quality audits and reviews to ensure accuracy and compliance with coding guidelines and regulatory requirements.
Analyze audit results to identify coding trends and provide feedback, education, and coaching to internal coders and clients.
Participate in senior-level projects such as ICD-10 assessment and development of audit tools and training materials.
UASI provides healthcare auditing and consulting services, specializing in inpatient coding quality and education. With over 40 years of experience, the company has been recognized as a Top Workplace and offers a collaborative, remote work culture.
Audit inpatient medical records to validate ICD-10-CM/PCS coding, DRG assignments, and compliance.
Identify documentation gaps and develop compliant physician queries while collaborating with physicians.
Maintain productivity of at least three chart reviews per hour and complete accurate audit workpapers.
The hiring company provides clinical documentation improvement consulting services to healthcare organizations, focusing on accurate coding, compliance, and reimbursement. It fosters a collaborative, people-first environment and has been recognized as a Great Place to Work for three consecutive years.
Conduct independent coding audits of inpatient, outpatient, and professional fee services across multiple specialties.
Analyze sampled medical records to identify and substantiate coding, documentation, and compliance errors.
Provide targeted education and train-the-trainer sessions to strengthen coding practices.
This company provides medical coding auditing and validation services for Veterans Affairs medical centers, supporting healthcare data quality and compliance. It operates in a mission-driven environment focused on improving coding accuracy for veteran-serving facilities.
Conduct routine and targeted coding audits for internal and outsourced vendors across ASC, hospital outpatient, and professional fee services.
Review ICD-10, CPT, HCPCS, and payer policies to ensure coding accuracy, compliance, and documentation support.
Prepare audit reports, identify trends, provide coder education, and support performance improvement initiatives.
Surgery Partners is a healthcare services company operating ambulatory surgery centers and related facilities across the United States. With more than 58 facilities, the company prioritizes compliance, quality, and a diverse, inclusive workplace.
Perform complex concurrent and retrospective audits of inpatient and outpatient medical records to validate coded data.
Analyze findings, identify root causes, and prepare summary reports for clients.
Develop and deliver educational content to clients on audit findings and coding compliance.
CorroHealth helps clients exceed their financial health goals through revenue cycle solutions and clinical expertise. The company prioritizes automation and scalability while investing in professional development and long-term careers.
Conduct detailed outpatient coding audits for ED, SDS, OBS, and I&I services.
Identify coding discrepancies, root causes, and compliance risks to support appropriate reimbursement.
Provide technical guidance and training to coding staff to improve accuracy and quality.
This healthcare organization specializes in hospital outpatient coding, billing, and compliance services. It emphasizes accuracy, quality, and continuous improvement, with a collaborative culture that supports remote work.
Assigns ICD-9 and/or ICD-10 codes to inpatient encounters with the highest accuracy following official coding guidelines.
Works closely with physicians, clinical documentation specialists, quality, and patient finance teams to ensure accurate DRG assignment and data extraction.
Plays a key role in billing, research, regulatory compliance, and reporting to support patient acuity and quality outcomes.
Emory Healthcare is a comprehensive health system providing patient care, research, and education across multiple hospitals and clinics. They foster a supportive culture with mentorship, leadership programs, and a focus on professional growth, serving a large and diverse workforce.
Perform coding audits on professional fee medical records across multiple specialties.
Provide individualized feedback and education to coders and auditors for quality improvement.
Work remotely with a dedicated support team and enjoy competitive benefits and career growth.
UASI is a health information management consulting firm specializing in medical coding auditing and education. They offer a dynamic work environment with opportunities for career growth and top pay.
Ensures accuracy, completeness, and compliance of medical coding and clinical documentation.
Reviews patient records and coded data to identify discrepancies and support proper reimbursement.
Conducts chart reviews and audits, provides coding education, and prepares audit reports.
Emory Healthcare is a comprehensive healthcare system based in Atlanta, GA, providing a range of medical services. The organization fosters a supportive culture with mentorship, leadership programs, and comprehensive benefits.
Audit medical claims for government payers, applying medical review guidelines and documenting findings.
Generate letters articulating audit findings and support them during the appeals process.
Collaborate with the audit team and clients to improve medical policies and minimize appeals.
Machinify is a healthcare intelligence company providing AI-powered payment solutions for health plans. It serves over 85 health plans and more than 270 million lives, with a culture focused on innovation and reducing healthcare costs.
Review complex inpatient medical records and assign ICD-10-CM, ICD-10-PCS, and DRG codes accurately.
Ensure compliant documentation and billing by applying federal and VHA coding guidelines.
Maintain 95% coding accuracy and meet facility-specific turnaround requirements while working remotely.
This role is with a partner company that supports inpatient coding operations for Veterans Affairs medical centers. The environment is structured and mission-driven, with a focus on accuracy, compliance, and federal healthcare standards.
Audit skilled nursing facility (SNF) medical claims for medically appropriate services using applicable guidelines and policies.
Document findings, generate audit letters, and support audit findings during the appeals process.
Work collaboratively with the audit team, clients, and contractors to improve medical policies and audit workflows.
Machinify is a healthcare intelligence company with expertise across the payment continuum, delivering value, transparency, and efficiency to health plan clients. Deployed by over 85 health plans representing more than 270 million lives, the company combines an AI-powered platform with best-in-class expertise to drive down healthcare costs.
Code inpatient professional and nursing home services using CPT, ICD-10-CM, and HCPCS.
Apply E/M categories, NCCI edits, and modifiers accurately for surgical and evaluation services.
Maintain 95% accuracy and meet productivity standards while working with clinical documentation.
This partner company provides medical coding and billing services for healthcare facilities, including Veterans Affairs medical centers. It is an equal opportunity employer with a remote team focused on accuracy and compliance.
Review inpatient pediatric medical records to assign accurate ICD-10-CM and ICD-10-PCS codes for a range of cases including surgical, cardiac, trauma, and maternal/newborn.
Maintain a minimum coding accuracy of 95% while meeting productivity expectations of approximately two inpatient charts per hour.
Collaborate with coding, clinical documentation, billing, IT, and facility teams to uphold compliance, reimbursement integrity, and timely chart processing.
A healthcare services provider specializing in inpatient pediatric medical coding. The company emphasizes accuracy, compliance, and professional development, offering a fully remote work environment.
Conduct clinical and billing reviews of claims, itemized bills, and UB-04 forms to ensure accuracy.
Perform utilization reviews to assess medical necessity and validate charges against policies.
Mentor reviewers, meet productivity targets, and maintain active RN licensure with CEUs.
Our partner is a healthcare services company that conducts medical claims and utilization reviews to ensure accurate billing and appropriate care. They offer a collaborative, quality-focused remote environment with opportunities for professional development.
Provide day-to-day leadership, technical support, and QA for Revenue Optimization Auditors.
Perform complex coding, billing, and revenue integrity audits and analyze data for opportunities.
Train and mentor new auditors, support process improvement, and escalate compliance concerns.
NAPA is a clinician-led leader in anesthesia and perioperative services, delivering exceptional patient experiences. They cultivate leaders, promote work-life balance, and celebrate diversity in a collegial environment.
Partner with Clinical, Claims, and SIU teams to review claims for billing and coding issues.
Leverage internal AI tools and predictive models to identify anomalous billing patterns and support prepayment audits.
Collaborate with Data Science and Engineering to validate AI-flagged claims and refine machine learning models.
Clover Health is reinventing health insurance by combining the power of data with human empathy to keep members healthier. It is a fast-growing, remote-first startup with a mission-driven, collaborative culture focused on improving healthcare.
Serve as an expert-level coder for complex inpatient records, ensuring accurate data retrieval and reimbursement.
Resolve billing inquiries, manage DRG denials, conduct audits, and support revenue cycle integrity.
Mentor coding staff and collaborate with management on training, education, and process improvements.
CommonSpirit Health operates more than 700 care sites across the U.S., from clinics and hospitals to home-based and virtual care services. With a mission to build healthy communities and advocate for the poor and vulnerable, they foster a culture of compassion and innovation.
Code a high volume of outpatient encounters, including clinic visits, ancillary services, diagnostic testing, and outpatient surgery.
Assign E/M levels, apply NCCI edits and modifiers, and review clinical documentation in VA systems like CPRS and VistA.
Maintain 95% coding accuracy, protect patient information, and complete federal background investigation requirements.
Our partner is a healthcare organization that provides medical coding services for Veterans Affairs facilities. The company emphasizes mission-driven work, accuracy, and confidentiality while supporting veteran healthcare services across the United States.