Top 2040 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
Risk Adjustment Coding and Documentation Specialist
Kootenai Health —Coeur d'Alene, ID
- Full-time
- Hybrid work
- Mid-level
- Office
- 3 years
- Wellness program
- Health insurance
CDI Specialist
Immanuel —Omaha, NE
- 8 hour shift
- Background check
- Nursing
- Bachelor of Science
- Wellness program
- Health savings account
Coder II
The Center for Orthopedic and Research E —Carmel, IN
- Anatomy knowledge
- Mid-level
- 3 years
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RN Clinical Reviewer (CPC Medical Coding Academy) - San Juan, PR
UnitedHealth Group —San Juan, PR
- Full-time
- RN License
- Pass drug screening
- Research
Entry level QA/BA
MicroCoders LLC —Old Bridge, NJ
- Full-time
- Computer literacy
- Microsoft Office
- Leadership
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Clinical Operations Specialist
SmarterDx —Remote
- $100,000 - $125,000 a year
- Remote
- Nursing
- Anatomy knowledge
- Writing skills
- Paid parental leave
- Health insurance
Medical Coder
VENESCO, LLC —Falls Church, VA
- Full-time
- Remote
- Mid-level
- 3 years
- Bachelor's degree
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Medical Coder (Profee)
RSi —Remote
- $30 an hour
- Monday to Friday
- Remote
- Nursing
- Anatomy knowledge
- Mid-level
Quick Apply
100% Remote, Full Time CDI Specialist
HIMpros —Remote
- $35 - $65 an hour
- Full-time
- Remote
- Nursing
- RN License
- HIPAA
- Travel reimbursement
- Free parking
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8d
Medicare Medical Coder & Billing Specialist
Wellness Care —Richardson, TX
- $30 - $35 an hour
- Urgently hiring
- Background check
- Mid-level
- In-person
Quick Apply
Professional Coding Educator
Catholic Health —Melville, NY
- $70,000 - $90,000 a year
- Full-time
- Classroom
- Anatomy knowledge
- Research
- Health savings account
- Health insurance
Quick Apply
Medical Biller and Coder
Advanced Dermatology Care, Medical, Cosmetic, and Surgery, P.A. —Saint Paul, MN
- $24 - $27 an hour
- Full-time
- Hybrid work
- Computer literacy
- Writing skills
- HIPAA
Quick Apply
Coder Auditor/Senior CDI Specialist
HAMASPIK CHOICE INC —Spring Valley, NY
- $83,000 - $90,000 a year
- Full-time
- Writing skills
- Mid-level
Quick Apply
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
CDI Consultant- Full Time + $2,000 SIGN ON BONUS
e4health —Remote
- From $54 an hour
- Email
- Remote
- Acute care
- Nursing
- Microsoft Excel
- Health savings account
- Disability insurance
Quick Apply
Home Health Quality Assurance (QA) Nurse
CENTER OF ILLINOIS HOME HEALTHCARE INC —Arlington Heights, IL
- $52,000 - $90,000 a year
- Full-time
- RN License
- Mid-level
- Quality control
- Health insurance
- Paid time off
Quick Apply
Medical Biller/Certified Coder
Bayhealth —Dover, DE
- $22.09 - $33.47 an hour
- Full-time
- Hospital
- Mid-level
- High school diploma or GED
Anesthesia Coding Specialist/Manager
Vital Health Partners, LLC —Remote
- $52,000 - $64,000 a year
- Full-time
- Remote
- HIPAA
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
14d
Certified Professional Coder (CPC or CCS required), Westchester, NY
FlexStaff —Mount Kisco, NY
- $28 - $30 an hour
- Hybrid work
- Background check
- Anatomy knowledge
- HIPAA
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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