Top 18718 Clinical coding 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
HIV Nurse Practitioner
Chase Brexton Health Care —Baltimore, MD
- $115,202.50 - $140,000.00 a year
- Full-time
- Mid-level
- Office
Quick Apply
Medical Coding Auditor
IN Compass Health —Alpharetta, GA
- Full-time
- 5 years
- Acute care experience
- In-person
- Health insurance
- Dental insurance
Quick Apply
Medical Billing & Coding-Ophthalmology
Eye Care Northeast, PC —Putnam, CT
- $26 - $28 an hour
- Full-time
- Clinic experience
- Mid-level
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
RN Clinical Reviewer (CPC Medical Coding Academy) - San Juan, PR
UnitedHealth Group —San Juan, PR
- Full-time
- RN License
- Pass drug screening
- Research
Clinical Provider (Telemedicine) – Diabetes & Endocrinology Management
Klinic —Remote
- $150,000 - $200,000 a year
- Full-time
- Remote
- Medicine
- Mid-level
- US work authorization
Quick Apply
Inpatient Coding Specialist - FT - SIGN ON BONUS ELIGIBLE
e4health —Remote
- From $35 an hour
- Full-time
- Remote
- Mid-level
- US work authorization
- Organizational skills
- Disability insurance
- Health insurance
Quick Apply
Clinical Coding Specialist
SmarterDx —Remote
- $75,000 - $105,000 a year
- Remote
- 5 years
- Continuous improvement
- Senior level
- Paid parental leave
- Health insurance
Ancillary Medical Coding Specialist
Valerion Health —Remote
- Full-time
- Anatomy knowledge
- HIPAA
- Mid-level
- Health insurance
Quick Apply
Clinical Coding Manager
Reveleer —Remote
- $85,000 - $100,000 a year
- Full-time
- Remote
- Computer literacy
- HIPAA
- 3 years
- Health insurance
- Dental insurance
Quick Apply
CDI Coding Liaison
Mercy Medical Center —Baltimore, MD
- $33.60 - $60.48 an hour
- Full-time
- Hospital
- Mid-level
- Trade school
- 403(b) matching
- Paid holidays
Initiating Visit Clinician MD, DO, PA, NP (Chronic Care) 35+ State REQUIRED
Wellness Care —Remote
- $120 - $200 an hour
- Part-time
- Remote
- Background check
- Medicine
- Internal Medicine
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
Medical Coding Team Lead
Upland Hills Health —Dodgeville, WI
- 8 hour shift
- Hospital
- HIPAA
- Mid-level
- Paid time off
- Retirement plan
Quick Apply
Coding Quality Specialist
St. Joseph's Health —New Jersey
- $28.55 - $44.25 an hour
- Full-time
- 5 years
- Mid-level
- Children
- 403(b) matching
- Paid holidays
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
CDI Director
Norwood —Remote
- $76 - $78 an hour
- Full-time
- Remote
- Nursing
- Mid-level
- Travel
- Paid holidays
- Health insurance
Quick Apply
Clinical Data Scientist - AI Trainer
DataAnnotation —Waltham, MA
- $50 - $100 an hour
- Part-time
- Remote
- Computer Science
- English
- Mid-level
- Flexible schedule
Quick Apply
Clinical Data Scientist - AI Trainer
DataAnnotation —Cambridge, MA
- $50 - $100 an hour
- Part-time
- Remote
- Computer Science
- English
- Mid-level
- Flexible schedule
Quick Apply
Remote Inpatient CDI Specialist
The CSI Companies —East Meadow, NY
- $45 - $62 an hour
- Contract
- Remote
- RN License
- Mid-level
- Critical & Intensive Care
- Paid training
- AD&D 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

Refine Your Search

clinical coding jobs

Coding and Compliance Auditor

HIV Nurse Practitioner

Medical Coding Auditor

Medical Billing & Coding-Ophthalmology

RN Clinical Reviewer (CPC Medical Coding Academy) - San Juan, PR

Clinical Provider (Telemedicine) – Diabetes & Endocrinology Management

Inpatient Coding Specialist - FT - SIGN ON BONUS ELIGIBLE

Clinical Coding Specialist

Ancillary Medical Coding Specialist

Clinical Coding Manager

CDI Coding Liaison

Initiating Visit Clinician MD, DO, PA, NP (Chronic Care) 35+ State REQUIRED

Clinical Documentation Improvement (CDI) Manager

Medical Coding Team Lead

Coding Quality Specialist

Patient Safety DRG Coding Auditor Principal

CDI Director

Clinical Data Scientist - AI Trainer

Clinical Data Scientist - AI Trainer

Remote Inpatient CDI Specialist

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