Top 542 Clinical coding auditor 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
Medical Coding Auditor
IN Compass Health —Alpharetta, GA
- Full-time
- 5 years
- Acute care experience
- In-person
- Health insurance
- Dental insurance
Quick Apply
SIU Code Auditor
Fallon Health —Worcester, MA
- $87,500 a year
- Full-time
- Writing skills
- Mid-level
- 3 years
Patient Safety DRG Coding Auditor Principal
Elevance Health —Indianapolis, IN
- $116,128 - $210,864 a year
- Full-time
- Bachelor of Science
- Bachelor's degree
- Continuous improvement
- Employee stock purchase plan
- Paid holidays
Risk Adjustment Coding Auditor
Clever Care Health Plan —Huntington Beach, CA
- $72,800 - $80,000 a year
- Full-time
- Hybrid work
- Background check
- Nursing
- Microsoft Excel
3d
Professional Fee Coding Auditor
Managed Resources, Inc (MRI) —Remote
- $28 - $32 an hour
- Full-time
- Remote
- Microsoft Word
- 5 years
- HIPAA
- Paid holidays
- Health insurance
Inpatient Coding Auditor
PF Concepts —Paterson, NJ
- $40 - $44 an hour
- Per diem
- Remote
- Oracle
- 5 years
- HIPAA
Clinical Documentation Integrity Auditor
Professional Credit Service —Remote
- $45 - $58 an hour
- Full-time
- Remote
- Nursing
- Writing skills
- 3 years
- Health insurance
- Dental insurance
Quick Apply
11d
Inpatient Medical Coding Auditor
Humana —Remote
- $71,100 - $97,800 a year
- 8 hour shift
- Remote
- Microsoft Excel
- Mid-level
- Travel
- Paid parental leave
- Paid holidays
Medical Coding Auditor
Humana —Remote
- $59,300 - $80,900 a year
- 8 hour shift
- Remote
- Microsoft Excel
- HIPAA
- Mid-level
- Paid parental leave
- Paid holidays
Auditor, Risk Adjustment
Oscar Health —Miami, FL
- $82,717 - $108,566 a year
- Remote
- Mid-level
- Bachelor's degree
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
Acute Coding Quality Review Auditor (Remote)
Adventist Health —Roseville, CA
- $36.91 - $50.62 an hour
- Remote
- 5 years
- Mid-level
- High school diploma or GED
Coding Data Quality Auditor
CVS Health —Nevada
- $18.50 - $38.82 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Fair chance
- Health insurance
- Dental insurance
4d
Inpatient Coding Compliance Auditor (Remote)
Memorial Hermann Health System —Houston, TX
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- 4 years
Profee/Outpatient Medical Coding Auditor Remote
IKS Health —Remote
- $33 - $36 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- 3 years
- Disability insurance
- Health insurance
3d
Coding Quality Educator - Remote
Providence —Alaska
- $27.20 - $57.71 an hour
- Full-time
- Remote
- Mid-level
- Windows
- Fair chance
- Paid parental leave
- Paid holidays
Coding Auditor 1
Baylor Scott & White Health —Remote
- Anatomy knowledge
- 5 years
- HIPAA
- Health insurance
- Tuition reimbursement
Compliance Auditor -Remote
Providence —Alaska
- $30.47 - $58.75 an hour
- Full-time
- Remote
- 5 years
- Mid-level
- Finance
- Paid parental leave
- Paid holidays
Professional Medical Coding Educator Auditor HCS
Catholic Health System —Buffalo, NY
- $32 - $48 an hour
- Evening shift
- Anatomy knowledge
- Mid-level
- Office
Quick Apply
11d
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

I want to receive the latest job alert for clinical coding auditor

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Coding and Compliance Auditor

South Shore Health -
Weymouth, MA

Apply Now

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

Refine Your Search

clinical coding auditor jobs

Coding and Compliance Auditor

Medical Coding Auditor

SIU Code Auditor

Patient Safety DRG Coding Auditor Principal

Risk Adjustment Coding Auditor

Professional Fee Coding Auditor

Inpatient Coding Auditor

Clinical Documentation Integrity Auditor

Inpatient Medical Coding Auditor

Medical Coding Auditor

Auditor, Risk Adjustment

Acute Coding Quality Review Auditor (Remote)

Coding Data Quality Auditor

Inpatient Coding Compliance Auditor (Remote)

Profee/Outpatient Medical Coding Auditor Remote

Coding Quality Educator - Remote

Coding Auditor 1

Compliance Auditor -Remote

Professional Medical Coding Educator Auditor HCS

Coder Auditor/Senior CDI Specialist

I want to receive the latest job alert for clinical coding auditor

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected