Top 1241 Certified Clinical Coder Jobs

Coding and Compliance Auditor
South Shore Health —Weymouth, MA
- $73,000 - $104,400 a year
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Acute care experience
RN Clinical Reviewer (CPC Medical Coding Academy) - San Juan, PR
UnitedHealth Group —San Juan, PR
- Full-time
- RN License
- Pass drug screening
- Research
Medicare Medical Coder & Billing Specialist
Wellness Care —Richardson, TX
- $30 - $35 an hour
- Urgently hiring
- Background check
- Mid-level
- In-person
Quick Apply
Coder Abstractor Certified
St. Joseph's Health —New Jersey
- $30.88 - $47.86 an hour
- Part-time
- Mid-level
- Analysis skills
- Children
- 403(b) matching
- Paid holidays
Clinical Documentation Improvement (CDI) Manager
University Medical Center of Southern Nevada —Las Vegas, NV
- $90,584.00 - $144,934.40 a year
- Full-time
- Nursing
- Management
- Hospital
- Free parking
- Relocation assistance
Quick Apply
Certified Coder
Toney HealthCare Consulting, LLC —Remote
- From $50 an hour
- Full-time
- Remote
- 5 years
- HIPAA
- Analysis skills
- Health insurance
Quick Apply
RCM Revenue Integrity Specialist - Coder Certified
Unio Health Partners —Remote
- $30 - $32 an hour
- Remote
- Microsoft Excel
- Microsoft Outlook
- Research
- Paid holidays
- Health insurance
Quick Apply
PRN Professional Fee Coder
Santiam Hospital & Clinics —Remote
- $22.59 - $33.47 an hour
- PRN
- Hybrid work
- Customer service
- HIPAA
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Certified Coder - Anesthesia
National Partners in Healthcare —Richardson, TX
- $22 - $26 an hour
- Full-time
- Remote
- Anatomy knowledge
- Writing skills
- Mid-level
- Opportunities for advancement
Quick Apply
DRG Clinical Validation Nurse
MedReview —Remote
- $85,000 - $95,000 a year
- Full-time
- Remote
- Anatomy knowledge
- RN License
- Computer literacy
- Commuter assistance
- Health insurance
Quick Apply
Certified Professional Coder (CPC)
Atlanta Perinatal Associates —Decatur, GA
- $55,000 - $65,000 a year
- Full-time
- HIPAA
- Mid-level
- Microsoft Office
- Health insurance
- Dental insurance
Quick Apply
Certified Coder
Bayhealth —Dover, DE
- $23.32 - $34.97 an hour
- Full-time
- Hospital
- Mid-level
- Critical & Intensive Care
- 403(b) matching
- Paid holidays
Physician Based Coder (Profee)
FFAM 360 Healthcare —Remote
- $24 - $25 an hour
- Temporary
- Remote
- Background check
- 5 years
- Computer literacy
Quick Apply
Sr. Clinical Coder
Cook Systems —Phoenix, AZ
- Remote
- Microsoft Word
- Microsoft Excel
- Research
- Health insurance
- Dental insurance
Certified Coder
Skagit Regional Health —Mount Vernon, WA
- $37.72 - $50.59 an hour
- Overtime
- Hybrid work
- Background check
- Anatomy knowledge
- Microsoft Excel
- Disability insurance
- Health insurance
Quick Apply
HCC Certified Coder
Monogram Health Inc —Remote
- Anatomy knowledge
- Microsoft Excel
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Medical Oncology Coder
Managed Resources, Inc (MRI) —Remote
- $28 - $32 an hour
- Part-time
- Remote
- Microsoft Word
- 5 years
- HIPAA
- Paid holidays
- Health insurance
Certified Medical Coder
MJHS —New York, NY
- $61,463.13 - $73,755.75 a year
- Full-time
- Remote
- Microsoft Word
- Adults
- Mid-level
- Health insurance
- Dental insurance
Coder-ASC CIRCC Certified Coder
MedHQ, LLC —Remote
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Analysis skills
- Disability insurance
- Health insurance
Quick Apply
Medical Coding Specialist - Orthopedic Surgery & Office Coder
MedHQ, LLC —Remote
- Full-time
- Anatomy knowledge
- Surgery
- HIPAA
- Disability insurance
- Health insurance
Quick Apply

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Coding and Compliance Auditor

South Shore Health -
Weymouth, MA

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Job Details

Full-time
$73,000 - $104,400 a year

Qualifications

Medical coding experience in outpatient clinics
Medical coding for surgical records
Health information management
Acute care experience

Full Job Description

Job Description Summary

The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders. The Coding & Compliance Auditor monitors external regulatory and internal process changes and provides support to colleagues in adhering to Federal, State and local requirements. This is a hybrid position: 2 days onsite; 3 days remote option.

Job Description

Job Responsibilities:

Establishes, implements, and maintains a formalized review process for coding compliance, including a formal review (audit) process.

Responsible for conducting both routine and targeted audits to ensure clinical documentation supports accurate CPT, HCPC’s, PCS and ICD-10-CM codes.
Perform prospective and retrospective audits to validate medical necessity and documentation supportive of code selection.
Analyzes data to identify deficiencies, prepare reports to deliver provider education specific to training needs identified during audit.
Develop and monitor follow-up audits and education as determined necessary to improve documentation quality.

Support all departments of the Health System with coding guidance:

Pertaining to compliance training / education as requested from providers and/or staff related to coding, billing and documentation in the inpatient, outpatient, professional, surgical and Home Health divisions of the Health System to ensure accuracy and support program objectives.
Designs training programs around compliant coding and billing from a regulatory standpoint for any new initiatives or programs affecting the Health System.
Evaluates vendor-training materials for its application or recommendation for use in educational programs.

Maintains:

Knowledge of all State and Federal regulatory changes that impact the Health System
Revises/modifies any instructional tools as necessary based on any changes to State and Federal regulatory changes to ensure guidance and training are accurate.
Assists in the development of follow-up mechanisms to ensure that knowledge and/or skills learned in the training are being applied on the job and have an impact on staff performance in meeting organizational goals.
Reports on program effectiveness and documents necessary changes.

Self Development:

Participates in professional societies or organizations relevant to ICD-9-CM, ICD-10-CM, PCS and CPT.
Maintains necessary licensure required for employment.

Administrative Duties:

Assists with administering programs as assigned.
Attends and participates in organization-wide committees as assigned.
Performs additional related duties as required.
Designs, develops and delivers education and training programs that meet the staff’s needs for compliant coding and billing.
Plans and develops curriculum in accordance with the organization’s strategic goals, mission and business strategies to improve employee performance leading to quality data and accuracy.

JOB REQUIREMENTS

Minimum Education - Preferred

Associates or Bachelor’s degree in Health Information Management.

Minimum Work Experience

Minimum 5 years acute care coding with demonstrated expertise in ICD-9-CM, ICD-10-CM, PCS and CPT coding.
Experience, preferred, in adult and continuing education, organizational development and training.

Required Certifications

CCA - Certified Coding Associate (AHIMA-American Health Information Management Assoc) or

CCS - Certified Coding Specialist (AHIMA-American Health Information Management Assoc) or

CCS-P - Certified Coding Specialist-Physican Based (AHIMA-American Health Information Management Assoc) or

CPC - Certified Professional Coder (AAPC-American Academy of Professional Coders) or

CPMA -Certified Professional Medical Auditor (AAPC-Academy of Professional Coders) or

RHIA - Registered Health Information Administrator (AHIMA-American Health Information Management Association)

Required additional Knowledge and Abilities:

Interact with constituents who have competing priorities and effectively communicate the importance of compliance in a respectful yet authoritative manner.

Apply Now

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