Top 5060 Coding specialist 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
Medicare Medical Coder & Billing Specialist
Wellness Care —Richardson, TX
- $30 - $35 an hour
- Urgently hiring
- Background check
- Mid-level
- In-person
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
Professional Medical Coding Educator Auditor HCS $10,000 Retention Bonus
Catholic Health —Buffalo, NY
- $31.54 - $47.32 an hour
- Full-time
- Hybrid work
- Background check
- Anatomy knowledge
- Mid-level
- Health insurance
- Dental insurance
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
Coder I Inpatient
Saint Luke's Health System —Remote
- Full-time
- Remote
- Surgery
- Entry level
- Health savings account
- Dental insurance
Insurance Billing Specialist
Sensibill Services —Arizona
- $20 - $25 an hour
- Full-time
- Remote
- Mid-level
- Organizational skills
- Medical terminology
- Paid time off
- Professional development assistance
Quick Apply
Medical Billing Specialist
Ceresti Health —Remote
- $28 - $30 an hour
- Full-time
- Remote
- Medical office experience
- Research
- Mid-level
- Paid time off
- Opportunities for advancement
Quick Apply
Clinical Operations Specialist
SmarterDx —Remote
- $100,000 - $125,000 a year
- Remote
- Nursing
- Anatomy knowledge
- Writing skills
- Paid parental leave
- Health insurance
Home Health QA Specialist
Nestmed —Remote
- $68,000 - $80,000 a year
- Full-time
- Remote
- HIPAA
- Mid-level
- Home Health
Medical Coding Opportunities up to $10,000 Retention Bonus
Catholic Health —Buffalo, NY
- $26.44 - $47.32 an hour
- Full-time
- Hybrid work
- Anatomy knowledge
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Professional Fee Coder - Analyst II (part-time / per diem)
University of California San Francisco —Emeryville, CA
- Full-time
- Anatomy knowledge
- Mid-level
- Bachelor's degree
Certified Coder
Skagit Regional Health —Mount Vernon, WA
- $37.72 - $50.59 an hour
- Overtime
- Hybrid work
- Background check
- Anatomy knowledge
- Microsoft Excel
- Disability insurance
- Health insurance
Quick Apply
Medical Billing Specialist
TSAOG Orthopedic & Spine Clinics —San Antonio, TX
- $19.00 - $26.50 an hour
- Full-time
- Mid-level
- Analysis skills
- Organizational skills
Quick Apply
Medical Billing and Coding Specialist
Premier Pain & Spine Center —Remote
- From $24 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- Administrative experience
- Flexible schedule
Quick Apply
Coder I - Professional
SSM Health —Missouri
- Full-time
- Remote
- High school diploma or GED
- Children
- Entry level
- Paid parental leave
- Health insurance
Medical Coding Specialist
Gryphon Healthcare —Remote
- Overtime
- Remote
- Anatomy knowledge
- Computer literacy
- Mid-level
Quick Apply
Certified Coding Specialist I (Temporary)
NeoGenomics Laboratories —Remote
- Temporary
- Remote
- Anatomy knowledge
- HIPAA
- Medical terminology
Quick Apply
8d
Risk Adjustment Analyst
PCC MEDICAL HOLDINGS LLC —North Palm Beach, FL
- $65,000 - $75,000 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- 2 years
Quick Apply
Outpatient Coding Specialist
Health Information Associates —Remote
- $30 - $35 an hour
- Remote
- Computer literacy
- Research
- Mid-level
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

coding specialist jobs

Coding and Compliance Auditor

Medicare Medical Coder & Billing Specialist

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

Professional Medical Coding Educator Auditor HCS $10,000 Retention Bonus

Coder Auditor/Senior CDI Specialist

Coder I Inpatient

Insurance Billing Specialist

Medical Billing Specialist

Clinical Operations Specialist

Home Health QA Specialist

Medical Coding Opportunities up to $10,000 Retention Bonus

Professional Fee Coder - Analyst II (part-time / per diem)

Certified Coder

Medical Billing Specialist

Medical Billing and Coding Specialist

Coder I - Professional

Medical Coding Specialist

Certified Coding Specialist I (Temporary)

Risk Adjustment Analyst

Outpatient Coding Specialist

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