Audit surgical and procedural coding for accuracy, documentation support, and compliance with ICD-10-CM, CPT, and HCPCS guidelines.
Document findings with authoritative guidance, assess financial impact, and recommend corrective actions.
Deliver facility-specific coding education and collaborate with health information management leadership and facility stakeholders.
A healthcare organization is seeking a Surgery Coding Auditor to ensure accurate surgical coding and compliance. The company operates across multiple healthcare facilities in the US and emphasizes quality assurance, education, and process improvement.
Audit inpatient and outpatient records for coding accuracy, documentation support, and reimbursement impact.
Review ICD-10-CM, ICD-10-PCS, CPT, HCPCS, DRG, modifier, and bundling assignments across facilities.
Present findings and provide facility-specific coding education to leadership and stakeholders.
A large regional health network operates multiple medical facilities across the United States, focusing on accurate coding and compliance. The organization maintains a structured, regulated environment with an emphasis on quality improvement, education, and confidentiality.
Review inpatient and outpatient records and assign accurate ICD-10, CPT, and HCPCS codes.
Maintain a minimum coding accuracy of 95% while meeting turnaround and quality standards.
Work fully remotely within the US supporting multiple medical facilities.
This position is listed on behalf of a partner company within a large healthcare network. They focus on health information management and clinical coding accuracy, offering a fully remote environment.
Conduct facility inpatient coding audits using MS-DRG and APR-DRG methodologies, providing evidence-based recommendations.
Identify coding quality and compliance opportunities while delivering coder education through the audit process.
Manage multiple cases concurrently, maintain accuracy, and uphold professional ethics and confidentiality.
Our partner provides healthcare organizations with high-quality, compliant coding practices through inpatient coding audits. They offer a collaborative, service-oriented environment focused on coding excellence and continuous professional development.
Monitor coding prevalence and ensure compliance with CMS audit processes.
Conduct provider and coder level reviews to ensure accurate risk adjustment data submission.
Maintain tracking tools and assist in RADV audits and corrective action plans.
Alignment Health is a healthcare organization dedicated to transforming senior care, focusing on the chronically ill and frail. The company is fast-growing with a passionate team united in the mission to put seniors first.
Assess clinical documentation for compliance with AMA and CMS coding guidelines.
Provide education and guidance to providers, clinical staff, and coders on documentation standards.
Analyze audit data, report findings, and collaborate with leadership to improve coding practices.
UnityPoint Health is a healthcare system providing medical services across Iowa, Illinois, and Wisconsin. It is recognized as a top workplace, committed to team member support, development, and a culture of belonging.
Review provider documentation in Epic to assign accurate CPT, ICD-10-CM, and HCPCS codes.
Ensure compliance with federal, state, and payer guidelines while meeting 95% accuracy and productivity standards.
Serve as a resource for coding and billing issues, supporting timely charge capture and claim submission.
Oregon Health & Science University is a public academic health center dedicated to patient care, research, and education. As Portland's largest employer, it offers opportunities across hospitals and clinics with a strong commitment to diversity and inclusion.
Conduct routine and focused audits of medical coding to ensure compliance with CMS, payer, and organizational standards.
Develop and deliver education and feedback to coders and providers to improve documentation quality and coding accuracy.
Assist with internal and external audit preparation and response, including documentation requests and validation reviews.
Sprinter Health reimagines healthcare by delivering care directly to patients' homes using marketplace and last-mile technologies. They have supported over 2 million patients across 22 states, completed 130,000 in-home visits, and raised over $125M from investors like a16z and General Catalyst, with a team of clinicians, technologists, and operators.
Apply certified coding expertise to healthcare coding activities while maintaining high accuracy and quality.
Review and interpret clinical and administrative documentation to support appropriate coding outcomes.
Follow established coding standards, policies, and regulatory requirements while protecting data confidentiality.
A partner company in the healthcare coding industry seeks a certified coding professional. The full-time remote role supports accurate and compliant coding operations in a structured environment.
Audit medical records to ensure documentation supports level of service and compliance with coverage determinations.
Develop and implement educational programs for coding and documentation improvement.
Orient and audit newly on-boarded providers and programs.
Southcoast Health is a not-for-profit health system providing comprehensive healthcare across Southeastern Massachusetts and Rhode Island. With multiple facilities, they have been voted 'Best Place to Work' for 7 years in a row.
Perform accurate diagnostic and procedural coding for outpatient and/or inpatient medical records.
Assign diagnostic and procedure codes and modifiers to meet productivity, quality, and timeliness standards.
Serve as a subject matter expert and resource for other staff in coding and compliance.
Curana Health is a national leader in value-based care, offering senior living communities and skilled nursing facilities a range of solutions including on-site primary care and Medicare Advantage plans. Founded in 2021, the company has grown to serve over 200,000 seniors across 1500+ communities in 32 states, with a team of more than 1,000 clinicians and professionals ranked #147 on the Inc. 5000 list.
Review and abstract professional medical records and assign accurate ICD-10-CM, CPT, and HCPCS codes.
Maintain coding quality metrics, participate in audits, and stay current with coding guidelines.
Ensure confidentiality and adhere to HIPAA and compliance standards while working independently.
Sprinter Health reimagines how people access care by bringing it directly into their homes, using technology to deliver care where people are. Backed by over $125M from top investors like a16z, General Catalyst, GV, and Accel, the team of clinicians, technologists, and operators has supported 2 million patients across 22 states with a 92 NPS.
Review outpatient medical records and assign diagnosis and procedure codes accurately based on clinical documentation.
Maintain a minimum 95% coding accuracy rate and meet productivity expectations while handling complex coding scenarios.
Collaborate with stakeholders to identify documentation improvement opportunities and ensure compliance with coding standards.
The company provides healthcare coding consulting services to hospitals and clinics. It is a remote-first organization that values accuracy, quality, and professional development, with a collaborative and supportive culture.
Conduct internal and external quality audits for ICD-10 code abstraction and identify clinical documentation improvement opportunities.
Mitigate risk by validating Encounter Data Gathering Environment Server (EDGE) data and reviewing Risk Adjustment coding performance.
Maintain compliance with national coding standards and support CMS and Risk Adjustment Data Validation audits.
Oscar is a health insurance company built around a full-stack technology platform and a relentless focus on serving its members. Founded in 2012, it cultivates an inclusive environment where employees can be their authentic selves.
Reviews, analyzes, and validates diagnostic and procedural codes for reimbursement and billing purposes.
Abstracts accurate information from the electronic health record to support patient care evaluation and administrative decision making.
Ensures compliance with established coding guidelines, third-party reimbursement policies, and regulatory requirements.
Henry Ford Health is a leading academic health system providing a comprehensive continuum of care, from primary and specialty care to virtual care, pharmacy, and health insurance, across Michigan and around the world. With 12 hospitals and hundreds of ambulatory care locations, the organization is grounded in purpose, collaboration, and belonging, empowering team members to grow their careers and make a meaningful difference.
Review and analyze medical record documentation to assign diagnoses and procedure codes for inpatient, outpatient, and professional services.
Ensure compliance with official coding guidelines and ethical standards set by AHIMA.
Work remotely in a full-time, days shift position using ICD-10-CM and CPT/HCPCS coding systems.
Mercy is a Catholic health system founded by the Sisters of Mercy, providing care across hospitals and clinics in the Midwest. It is a large, collaborative organization focused on innovation, technology, and compassion, with a heritage spanning over 195 years.
Reviews inpatient and outpatient medical records for documentation, abstracting, and assigning codes to the highest level of specificity.
Assigns procedural and diagnosis codes following ICD-10-CM, CPT, HCPCS guidelines, and payer regulations.
Collaborates with Clinical Auditors to improve coding quality and resolves coding-related denials per payer policies.
UnityPoint Health is a healthcare system providing patient services and medical care. It is recognized as a Top 150 Place to Work in Healthcare, with a culture that champions belonging and offers competitive benefits.
Assign diagnostic and procedural codes for general surgery and ophthalmology records using ICD-10-CM, CPT, and E&M guidelines.
Maintain high productivity and accuracy while reviewing medical documentation and resolving coding discrepancies.
Participate in coding education, roundtables, and mentoring to support team development and client requirements.
This company provides medical coding services to healthcare clients, ensuring accurate documentation and revenue-cycle operations. It operates as a fully remote, collaborative team focused on quality, compliance, and professional growth.
Assigns appropriate ICD-10-CM and CPT-4 codes to outpatient visit types with high accuracy.
Reviews medical records thoroughly and interprets documentation to select diagnoses and procedures.
Meets established coding productivity and quality standards (90% productivity, 95% accuracy).
Northwestern Medicine is a healthcare system focused on a patient-first approach to deliver better healthcare. They are a large organization that values employee well-being and offers competitive benefits like tuition reimbursement and 401(k) matching.
Manage a team delivering outsourced coding services to critical access hospitals and rural health clinics.
Ensure accurate and timely coding of medical records, compliance with ICD-10, CPT, and HCPCS guidelines.
Implement quality assurance audits, resolve coding discrepancies, and collaborate with providers and billing departments.
Tegria helps healthcare organizations improve care, technology, revenue, and operations, moving from patient-centered to human-centered. They have a diverse team of talented people who welcome challenge and change, fostering a culture of equity and inclusion.