Top 75 Coding Auditor Cms Jobs

Physician Coding Auditor
MedKoder —Remote
- Full-time
- Remote
- Google Workspace
- Anatomy knowledge
- Microsoft Excel
- Profit sharing
- Continuing education credits
Quick Apply
Inpatient Facility Coding Auditor
Professional Credit Service —Remote
- $39 - $43 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- 3 years
- Continuing education credits
- Health insurance
Quick Apply
Coding Educator/Auditor
Norwood —Remote
- $35 - $37 an hour
- Full-time
- Remote
- Mid-level
- Outpatient experience
- 3 years
- Paid holidays
- Health insurance
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MRA Coding Auditor - Remote
Alignment Healthcare USA, LLC —Orange, CA
- $64,384 - $96,577 a year
- Full-time
- Remote
- Microsoft Outlook
- Basic math
- HIPAA
Quick Apply
7d
Inpatient Coding Auditor
PF Concepts —Paterson, NJ
- $40 - $44 an hour
- Per diem
- Remote
- Oracle
- 5 years
- HIPAA
Certified Coding Auditor (Remote)
North American Partners in Anesthesia —Melville, NY
- $27.35 - $37.61 an hour
- Full-time
- Remote
- Computer literacy
- Research
- Mid-level
- Health savings account
- AD&D insurance
Risk Adjustment Coding Auditor
Global KTech —Remote
- $60 - $65 an hour
- Contract
- Remote
- 5 years
- Senior level
Quick Apply
13h
CODING AUDITOR
Methodist Hospitals —Merrillville, IN
- Hybrid work
- Anatomy knowledge
- Writing skills
- English
Professional Coding Auditor & Educator
Holy Cross Health —Silver Spring, MD
- $28.00 - $43.40 an hour
- Full-time
- Remote
- Computer literacy
- Mid-level
- Windows
- Free parking
- Tuition reimbursement
9d
Coding Auditor
ThedaCare —Appleton, WI
- Part-time
- Hospital
- Urgent Care
- Mid-level
Coding Quality Auditor
Hackensack Meridian Health —Neptune City, NJ
- $97,011.20 a year
- Full-time
- 5 years
- Research
- Mid-level
- Health insurance
- Dental insurance
RCS Medical Coding Auditor (CPC, CPMA)
Veradigm —Raleigh, NC
- $57,728 - $80,243 a year
- Full-time
- Remote
- HIPAA
- Mid-level
- Analysis skills
- Health insurance
- Dental insurance
PB Cardiac Coding Educator/Auditor -Cardiac- Remote
LCMC Health —New Orleans, LA
- Full-time
- Remote
- Research
- Analysis skills
- US work authorization
Quick Apply
Billing Coding Auditor
Hospital: Rush University Medical Center —Chicago, IL
- $29.36 - $47.79 an hour
- 8 hour shift
- Research
- Mid-level
- High school diploma or GED
Inpatient Coding Data Quality Auditor/Educator
University Hospital, Newark NJ —Newark, NJ
- $98,288 - $142,009 a year
- Full-time
- Anatomy knowledge
- Mid-level
- 3 years
- Health savings account
- Disability insurance
Quick Apply
7d
Medical Coding Auditor
Exceptional Healthcare Inc. —Dallas, TX
- Full-time
- Computer literacy
- Mid-level
- Microsoft Office
Quick Apply
Coding and Compliance Auditor & Educator - Remote
Regional West Health Services —Scottsbluff, NE
- Full-time
- Remote
- Nursing
- Pass drug screening
- Mid-level
- Tuition reimbursement
- 401(k) matching
Quick Apply
Compliance and Coding Auditor
CaroMont Health —Gastonia, NC
- Full-time
- Microsoft Excel
- 5 years
- Mid-level
Coding Auditor
Independence Physician Management —Wayne, PA
- Full-time
- Anatomy knowledge
- Computer literacy
- Research
- Health insurance
- Dental insurance
2d
Coding Auditor and Educator, Physician Billing (PB)
Hackensack Meridian Health —Hasbrouck Heights, NJ
- From $97,011.20 a year
- Full-time
- 5 years
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
9d

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Physician Coding Auditor

MedKoder
Remote

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Job Details

Full-time

Benefits

Profit sharing
Continuing education credits
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Vision insurance
Flexible schedule
Life insurance

Qualifications

Google Workspace
Anatomy knowledge
Microsoft Excel
Medicare
Audit engagement planning
Windows
High school diploma or GED
CMS regulatory compliance
Medicare regulations
Electronic health record (EHR) management for billing and coding
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid regulations
Medicaid
Productivity software
Medical terminology

Full Job Description

About Us

MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding for health systems, providers, and payers. MedKoder delivers accurate, efficient, and ethical coding, aiming to ensure accurate payment and financial peace for clients. With a team of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote-work flexibility, and a positive workplace culture, earning high employee satisfaction ratings and awards with Best Places to Work in Modern Healthcare and City Business Best Places to Work.

Position Location: 100% Remote

This is a full-time, remote position that offers a flexible schedule.

Description:

Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder’s internal coding/auditing policies and expectations set forth by department management. The Physician Coding Auditor must prioritize daily duties, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals.

Candidates should have recent auditing and education multi-specialty experience, have been client-facing, have experience presenting or educating in-person or virtually, and ideally have expert-level Epic proficiency.

Responsibilities:

Perform professional compliance audits of coding and documentation including surgeries, visits, and other services for multiple provider types across multiple specialties, for multiple clients;
Accurate application of appropriate coding and documentation guidelines, including ICD-10-CM Guidelines, CPT Coding Guidelines, AHA Coding Clinics, AMA, CMS, Specialty Association/Society guidance, and others, as applicable;
Accurate selection of CPT codes for services performed;
Accurate selection and application of modifiers to CPT codes;
Accurate selection and evaluation of ICD-10-CM diagnosis coding;
Evaluate the overall quality of physician documentation that supports codes selected including adherence to Medical Necessity;
Adherence to Local Coverage Determination (LCDs), or National Coverage Determination (NCDs), if applicable; National Correct Coding Initiative (NCCI) edits, and payor-specific policies, if applicable;
Appropriateness of documentation for split/shared or incident-to services;
Appropriateness of provider documentation related to Teaching Physician Guidelines, FQHCs, RHCs, and HEDIS, as applicable;
Accurately score audits utilizing proper scoring methodology;
Identifies risk areas and provides mitigation strategies and recommendations;
Provide detailed findings for each service reviewed on customized reports, including supporting documentation;
Prepare and present audit follow-up education to clients;
Prepare and present customized education materials based on the unique needs of the client remotely and on-site;
Communicate with the Physician Audit and Education Manager on issues, trends, and audit timeline task completion;
Stay current on all coding guidelines (including specialty-specific guidelines), and maintain credentials as necessary;
Participate in department and education meetings;
Maintain confidentiality and protect sensitive information;
Exhibit professional demeanor and communication (written and verbal);
Other duties as assigned by leadership.

Education/Experience Requirements:

High School diploma required. Associate or BS degree preferred.
Successful completion of at least one AHIMA or AAPC certification program with the achievement of the corresponding professional credential (e.g., CCS-P, CPC, or another applicable AAPC stand-alone credential), which must be active and in good standing.
The AAPC CPMA credential is preferred, but not required.
Minimum 5 years of recent physician coding experience and 3 years of recent physician auditing experience are required.
Must be a subject matter expert on E&M and Surgical coding. Must have expert knowledge of medical terminology, anatomy and physiology, disease processes, CPT coding and guidelines by the AMA, ICD-10-CM coding and guidelines, and Medicare and Medicaid billing policies for professional services.
Experience working independently, excellent time management, masterful research and organizational skills, the ability to switch between multiple projects, and the ability to meet project deadlines are a must.
Experience creating and implementing audit plans. Experience educating providers one-on-one or in group settings.
Additional skills required: Proficiency with Microsoft Word, Excel, PowerPoint, Windows, and healthcare information and billing systems.
Experience working with Google Workspace is preferred but not required.
Experience working remotely is preferred but not required.
Experience working with multiple common EMRs is a PLUS.
Experience specializing in some of the following profee areas is a PLUS: Ophthalmology, Behavioral Health, Cardiovascular/Cardiothoracic Surgery, Complex ENT Surgery (and Dental), Complex Plastic Surgery, Orthopedic Surgery, NICU/PICU, and FQHC/RHC.

About MedKoder, LLC:

Privately held, growing company with strong values and ethics
Professional development and education
All positions are permanent – no contracts or sitting on a “coding bench”
Generous paid time off, holiday pay, and flexible scheduling year-round
Internal network of Medical Coding Industry Leaders – CEO is a Certified Coder with 20+ years of experience
Up to 100% EMPLOYER PAID Medical, Dental, and Vision benefits for employees
401K and Profit Sharing
STD, LTD, Life Insurance, and FSA Program
Paid AAPC and AHIMA corporate memberships
30 Hours of CEU pay (continuance in education)
MedKoder is recognized nationally by Modern Healthcare as Best Place to Work

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Refine Your Search

Coding Auditor Cms jobs

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Inpatient Facility Coding Auditor

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