Top 19285 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
Medical Coding Auditor
IN Compass Health —Alpharetta, GA
- Full-time
- 5 years
- Acute care experience
- In-person
- 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
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
Medical Coding Manager
Confidential —Florida
- Full-time
- Remote
- HIPAA
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
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
Contract to Hire Clinical Documentation Specialist
Oxford Global Resources —Remote
- $55 - $60 an hour
- 8 hour shift
- Remote
- Background check
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
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
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
Outpatient Coding Specialist
Health Information Associates —Remote
- $30 - $35 an hour
- Remote
- Computer literacy
- Research
- Mid-level
Quick Apply
CDI Specialist III
Leoforce —Altamonte Springs, FL
- $35 - $65 an hour
- Remote
- Nursing
- Anatomy knowledge
- RN License
- Health insurance
- Vision insurance
Quick Apply
Research Admin Specialist II-Coverage Analysis, REMOTE
Huron Consulting Services LLC —Chicago, IL
- Full-time
- Remote
- Mid-level
- 3 years
- Analysis skills
- Dental insurance
Quick Apply
Clinical Provider (Telemedicine) – Medication-Assisted Treatment
Klinic —Remote
- $150,000 - $200,000 a year
- Full-time
- Remote
- BLS Certification
- Mid-level
- Patient care
Quick Apply
Coding Specialist- holds and denials CPC
Caduceus Health —Remote
- $25 - $27 an hour
- Full-time
- Background check
- Anatomy knowledge
- Microsoft Excel
- Continuing education credits
- Health insurance
Quick Apply
Clinical Quality Reviewer
US Family Health Plan @ SVCMC, Inc. —New York, NY
- $80,000 - $115,000 a year
- Full-time
- Hybrid work
- Background check
- Nursing
- Anatomy knowledge
- Commuter assistance
- Paid holidays
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
Clinical Documentation Specialist-Remote
Onpoint Healthcare —Remote
- $45 - $55 an hour
- Full-time
- Remote
- RN License
- Hospital
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
17h
Clinical Coding Specialist
SmarterDx —Remote
- $75,000 - $105,000 a year
- Remote
- 5 years
- Continuous improvement
- Senior level
- Paid parental leave
- Health insurance
Coding Specialist-Clinics
La Paz Regional Hospital & Clinics —Remote
- $19 - $26 an hour
- Full-time
- Anatomy knowledge
- Ability to walk for extended periods
- Computer literacy
Quick Apply
Medical Billing and Coding Specialist
MedHQ, LLC —Remote
- $17 - $26 an hour
- Full-time
- Surgery
- Mid-level
- Analysis skills
- 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

Refine Your Search

clinical coding jobs

Coding and Compliance Auditor

Medical Coding Auditor

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

CDI Coding Liaison

Medical Coding Manager

Clinical Provider (Telemedicine) – Diabetes & Endocrinology Management

Contract to Hire Clinical Documentation Specialist

Professional Fee Coding Auditor

Clinical Coding Manager

Outpatient Coding Specialist

CDI Specialist III

Research Admin Specialist II-Coverage Analysis, REMOTE

Clinical Provider (Telemedicine) – Medication-Assisted Treatment

Coding Specialist- holds and denials CPC

Clinical Quality Reviewer

Remote Inpatient CDI Specialist

Clinical Documentation Specialist-Remote

Clinical Coding Specialist

Coding Specialist-Clinics

Medical Billing and Coding Specialist

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