Independently audit professional-fee coding for accuracy, compliance, and reimbursement impact.
Evaluate ICD-10-CM, CPT, HCPCS Level II, E/M services, modifiers, and professional components.
Prepare reports, deliver coding education, and maintain 95% audit accuracy.
A large regional healthcare network providing medical services across multiple facilities. The culture emphasizes independent auditing, high accuracy, and collaborative compliance education.
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.
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.
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.
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.
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.
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, 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.
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.
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.
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.
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 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.
Complete final review of medical records and select appropriate ICD-10 and CPT codes within 4 days of patient discharge.
Review documentation to match codes with medical necessity and assign working diagnoses and DRGs.
Collaborate with Clinical Documentation Specialists to identify and address documentation deficiencies.
UAMS is Arkansas' only comprehensive academic health sciences center, combining education, research, and clinical programs. It fosters a collaborative culture focused on improving patient care and supporting teamwork and diversity.
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.
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.
Analyze and confirm assigned encounters for provider's selection of E/M code level using auditing tools.
Assist physicians with record documentation needs and educate staff on coding documentation requirements.
Code all types of encounters and ensure data quality and optimum reimbursement under federal and state payment systems.
Sarah Bush Lincoln is a healthcare organization providing medical coding and documentation services. They foster a supportive work culture with career development programs, on-site training, and a comprehensive benefits package to retain employees.
Conduct clinical documentation reviews to ensure compliance with coding guidelines and regulations.
Provide education and training to providers and coding staff on documentation standards.
Analyze data and report findings to leadership to improve coding accuracy.
UnityPoint Health is a healthcare system serving Iowa, Illinois, and Wisconsin. It has been recognized as a Top 150 Place to Work in Healthcare and fosters a culture of belonging.