UNKNOWN

FEED

Essential Functions: Performs comprehensive reviews of health care records for accuracy of revenue cycle billing compliance to include but not limited to: medical necessity, compliance risk, review of denials, charge trends, and applied CPT, HCPCS, ICD 10-CM and ICD-10-PCS coding guidelines for inpatient, outpatient, and/or clinic visit encounters that correlates to clinical documentation. Certified Professional Medical Auditor (CPMA) or Certified E&M Auditor (CEMA) or Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified in Healthcare Compliance (CPC) or Certified E/M Coder (CEMC) or Certified Documentation Improvement Practitioner (CDIP) or Certified Clinical Documentation Specialist - (CCDS): Preferred.

Adventist Health

Revenue Cycle Compliance Auditor (Remote)

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OTHER

Clinical Terminologist ( Contract) Truveta transforms healthcare into intelligence. Built with and owned by US health systems united by a mission of Saving Lives with Data, Truveta powers breakthrough discoveries, auditable data fit for regulatory submissions, and AI that improves patient care. At Truveta, we are building som...

HOUR

Truveta

Clinical Terminologist (Contract)

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Registered Nurse (RN), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), Certified Risk Adjustment Coder (CRC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Documentation Improvement Practitioner (CDIP), or Certified Clinical Documentation Specialist (CCDS). This position will work closely with Revenue Compliance leadership, revenue compliance analysts, Revenue Cycle, Clinical Documentation Improvement (CDI) programs and others to support compliance program initiatives focusing on Medicare Conditions of Participation, billing regulations, and coding guidelines.

YEAR

Mayo Clinic

Senior Risk Analyst - Rev

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Serve as a trusted advisor to senior leaders such as VPs of Revenue Cycle and Managed Care, CFOs, and their teams at hospitals and health systems, framing ambiguous problems and translating them into structured, data-driven engagements across strategic pricing, payer contracting, charge capture, CDI, and other initiatives supporting net revenue improvement. Youll sit at the intersection of healthcare data and customer solution strategy, pulling and interpreting price transparency and reimbursement data, reasoning across the RCM landscape, and translating insights into board-ready narratives that move strategic pricing, payer contracting, and innovative tech-enabled solutions.

Turquoise Health Co

Senior Manager/Principal, Provider RCM Business Development & Strategy

ADAPTED_NOW

ExperienceExperience performing medical record and billing audits/reviews, including clinical documentation, medical terminology, codes (CPT, HCPCS, ICD-10-CM, and revenue), and reviews for charge and reimbursement accuracy required. As a Coding Compliance Auditor, you will be responsible for conducting coding and documentation audits to ensure accurate code assignment, appropriate billing, integrity of the medical record, and compliance with federal and state healthcare program requirements.

Community Health Systems, Inc. is a non-profit 501 (c) (3) 330 HRSA Grantee with Federally Qualified Health Center (FQHC) status. Established from the roots of Inland Empire Community Health Center in Bloomington, CHSI has grown with community health centers in the counties of Riverside, San Bernardino, and San Diego. These centers have been developed in accordance with standards established for safety net providers by the U.S. Department of Health and Human Services (HHS), the Health Resources Services Administration (HRSA), the Public Health Service (PHS), and the Bureau of Primary Health Care (BPHC). As such, services are offered to the neediest in each community - the un-insured and under-insured, the working poor, those with limited ability to pay, the homeless, and the indigent. Services are provided at discounted (sliding fee scale) rates for those who qualify based on gross annual income and family size.

Community Health System

Coding Compliance Auditor

Community Medical Centers Jobs

For Non-HCC roles: Certification as Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Coding Specialist Physician-Based (CCS-P) Upon Hire Required. This includes, analyzing errors and formulating advice/education, identifying and advising staff on quality improvement opportunities, participating in individualized feedback for coding staff, and summarizing results and identifying trends for specific educational opportunities.

University of Wisconsin Hospitals and Clinics Authority

Coding Quality Analyst

Certified Nursing Assistant (CNA) or Certified Medical Assistant (CMA) or Health Information Management (HIM) or Certified Professional Coder (CPC) or California Certified Medical Assistant (CCMA) or Certified Medical Assistant- NHA (CMA-NHA) or Nationally Registered Certified Medical Assistant (NRCMA) or Registered Medical Assistant (RMA) or Medical Assistant (MA) or American Medical Tech Board MA (MA-AMT) or Medical Assistant - NCCT (MA-AMT): Required. Job Requirements: Education and Work Experience: Associate''s/Technical Degree in one of the following fields of study: patient care technician, medical assistant, licensed vocational nurse, laboratory technician, radiologic technology, pharmacy technician, certified nursing assistant, health information management, nursing, respiratory therapy, rehabilitation services or equivalent combination of education/related experience: Required.

Adventist Health System

Informaticist

Updates the CDM annually based on changes published by the AMA (American Medical Association) via CPT guidelines; updates quarterly based on CMS (Centers for Medicare and Medicaid) guidelines for HCPCS codes (Healthcare Common Procedure Coding System). Performs job functions adhering to service principles with customer service focus of innovation, service excellence and teamwork to provide the highest quality care and service to our patients, families, co-workers and others.

Ann & Robert H Lurie Children's Hospital of Chicago

Revenue Integrity Chargemaster Analyst

Meets continued education guidelines to maintain current AAPC CPC certification Exercises good judgement in escalating identified coding trends that may negatively impact productivity, quality or revenue to enhance clinical documentation to support codes billed, drive consistency across IPM, mitigate claim denials, expedite reprocessing of claims and maximize opportunities to enhance front end, coding-related claim edits to facilitate first pass resolution. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

University Health Services Inc

HIM Coding Auditor

FULL_TIME

This position will assist in educating all primary and specialty care providers and other clinical staff on processes for improving coding accuracy performance, proper documentation, and improved HCC performance in coding specificity and persistency to fully capture the risk of our population. Participates in department meetings and area specific meetings (Professional coding, Practice Managers, billing, routine specialty, clinical areas, resident/physician meetings, etc.) as required.

Covenant HealthCare

RISK ADJUSTMENT CODING SPECIALIST

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To be considered for this position, candidates must possess relevant professional experience or appropriate licensure in the content area or a closely related field and hold CPB certification for medical billing instruction, as well as CPC and CPC-I certifications for medical coding instruction. The adjunct instructor prepares students for the AAPC Certified Professional Coder (CPC) or Certified Professional Biller (CPB) exam through didactic classroom instruction and facilitation of online material.

Frederick Community College

Adjunct, Medical Billing and Coding

Identifies potential areas of compliance vulnerability and risk, develops and identifies potential corrective action plans for resolution of problematic issues, and provides general guidance on how to avoid or deal with similar situations in the future. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way.

LCMC Health

HB Outpatient Coding Educator/Auditor

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Document all annual code changes and report in a format that can be used for communication to the Revenue Integrity Specialist and revenue-generating departments as a means to initiate discussion, provide needed charge education, and facilitate the timely completion of CDM maintenance by January 1st. This role requires a broad understanding of, and close collaboration with, representatives across all areas of the revenue cycle, including Patient Financial Services (PFS), Health Information Management (HIM), Case Management, and Contracting and Reimbursement Services.

Children's Hospital of Philadelphia

Charge Description Master Specialist

The ACO Quality Manager is a Registered Nurse responsible for supporting quality performance across Medicare accountable care programs, including the Medicare Shared Savings Program, ACO REACH, and successor models such as LEAD. The ACO Quality Manager reviews clinical and claims-based data, identifies care and documentation gaps, validates measure compliance through medical-record review, and works directly with providers and clinical teams to improve quality outcomes.

Provider Partners Health Plan

ACO Quality Manager

This role leads onboarding for new physicians, provides targeted education following audit results, and ensures providers and coders fully understand identified issues and required corrective actions. Certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), Certified Healthcare Compliance (CHC), or AHIMA certifications (RHIT/RHIA).

Our Billing Co LLC

Quality Educator

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Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Researches, prepares, develops, and delivers education to physicians, advanced practice providers, clinical teams, coders, business office staff, and operational leaders through individual sessions, group meetings, webinars, written guidance, and other approved methods.

Texas Oncology

Sr Medical Coding Educator

HB Outpatient Coding Educator/Auditor - Remote

One of the following but not limited to these certifications: Certified Professional Coder (CPC) - AAPC, Certified Coding Specialist (CCS) - AHIMA, Certified Coding Associate (CCA) - AHIMA, Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P). We recognize that opportunities in technology historically excluded and continue to disproportionately exclude Black and Indigenous people, people of color, people from working class backgrounds, people with disabilities, and LGBTQIA+ people.

Truveta Inc

Clinical Terminologist Contract

The Clinical Coder assesses the adequacy of medical record documentation to ensure that documentation supports the diagnosis, procedure, complications, and co-morbid conditions assigned codes. The Clinical Coder is responsible for coding inpatient and outpatient services as required to ensure timely and accurate coding of unbilled records.

Southwestern Vermont Health Care

Clinical Coder-Coding

Req ID 21060 Working Title Coder II - Surgical (Remote) Department CSRC - Coding Profee Business Entity Cedars-Sinai Medical Center Job Category Patient Financial Services Job Specialty Medical Coding Overtime Status NONEXEMPT Primary Shift Day Shift Duration 8 hour Base Pay $32.64 - $50.59. Accurately assigns all applicable modifiers for all patients to assure optimal reimbursement and the highest quality data possible Duties of this Coder II include: Performs accurate and timely coding (CPT, ICD-10, HCPCS, modifiers).

Cedars Sinai is one of the largest nonprofit academic medical centers in the United States, and it is the largest private academic medical center in the Western United States. The Cedars Sinai main campus, which encompasses nearly 24 acres, is located at the point where the cities of Los Angeles, Beverly Hills, and West Hollywood meet. Cedars Sinai has been recognized annually by U.S. News & World Report’s top 10 best hospitals in the U.S. The institution most recently placed No. 7 among a select group of 20 Honor Roll hospitals and ranked nationally in a dozen specialties. In addition, Cedars Sinai ranked No. 3 in California and No. 2 in the Los Angeles metro area.
Within Cedars Sinai, the Institute for Research on Health Aging conducts multi-disciplinary research that prioritizes the prevention of cardiovascular disease, neurocognitive disease, and cancer. Our focus is on translating new research discoveries into pragmatic interventions aimed at promoting healthy aging across diverse populations. Our approach involves human physiology, cohort, and clinical trial studies and our team includes established experts in population, clinical, translational, basic, and data science.

Certified Professional Coder Jobs in the United States

Revenue Cycle Compliance Auditor (Remote) Adventist Health

Clinical Terminologist (Contract) Truveta

Senior Risk Analyst - Rev Mayo Clinic

Senior Manager/Principal, Provider RCM Business Development & Strategy Turquoise Health Co

Coding Compliance Auditor Community Health System

Coding Quality Analyst University of Wisconsin Hospitals and Clinics Authority

Informaticist Adventist Health System

Revenue Integrity Chargemaster Analyst Ann & Robert H Lurie Children's Hospital of Chicago

HIM Coding Auditor University Health Services Inc

RISK ADJUSTMENT CODING SPECIALIST Covenant HealthCare

Adjunct, Medical Billing and Coding Frederick Community College

HB Outpatient Coding Educator/Auditor LCMC Health

Charge Description Master Specialist Children's Hospital of Philadelphia

ACO Quality Manager Provider Partners Health Plan

Quality Educator Our Billing Co LLC

Sr Medical Coding Educator Texas Oncology

HB Outpatient Coding Educator/Auditor - Remote LCMC Health

Clinical Terminologist Contract Truveta Inc

Clinical Coder-Coding Southwestern Vermont Health Care

Coder II - Surgical (Remote) Cedars-Sinai Medical Center

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