UNKNOWN

FEED

Participates in external government audits, including but not limited to: Centers for Medicare and Medicaid Services (CMS); Office of Inspector General (OIG); Medicaid Fraud Control Unit (MFCU); Virginia Department of Health (DOH); Medicaid Integrity Program Contractor (MIC); Recovery Audit Contractor (RAC); Zone Program Integrity Contractor (ZPIC); Health Care Fraud Prevention and Enforcement Action Team (HEAT). Performs medical record audits of documentation, coding and billing for technical and professional services, including: CPT; ICD10; HCPCII; DRG; APC; APG; Modifiers; Non-Physician Practitioner Documentation (including “incident-to” guidelines), and other services; Conducts audits of electronic and manual documentation, coding, and billing systems.

Chesapeake Regional Healthcare

Compliance Auditor

The scholarship covers: Tuition (excludes out-of-district surcharge), General Education Fee, Student Life Fee, Health Services Fee, Registration Fee, Parking Fee, Distance Education Fee, Lab Fee and the College Preparatory Fee. Employee and immediate family use of the Apache Recreation Center - an indoor weight and exercise center, 18-hole disc golf course, covered basketball course, and outdoor ping-pong table and cornhole.

YEAR

Tyler Junior College

Professor, Medical Office Management

Employees have access to free assistance navigating the Public Service Loan Forgiveness program and submitting their federal student loans for forgiveness. Performance bonus: UCHealth offers a 3-Year Incentive Bonus to recognize employee contributions to our success in quality, patient experience, organizational growth, financial goals and tenure.

HOUR

University of Colorado Health

Coord Quality Coding

Interpret medical documentation ensure accuracy of billed services IE: CPT, HCPCs codes. Qualifications and Experience: 3-5 years experience conducting code reviews; specifically NJ / NY PIP fee schedules.

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<p>At EDI Staffing, we strive to provide the best staffing solutions for each of our business disciplines, in honest, resourceful, and creative techniques. Our mission is to connect talented people with great organizations across all industries, while maintaining our company values: accountability, innovation, integrity, teamwork and work ethic. Our commitment to our values becomes tangible in our daily customer interactions and lifetime customer relationships.</p>
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EDI Staffing

Remote Certified Professional Coder/ PIP Adjuster

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Has the knowledge and ability and will be required to code all of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9/10 CM and CPT-4 classification system. Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement, research in accordance with Federal Regulations and Hospital and Departmental policies.

Presbyterian System Services

Remote Certified Cardiothoracic Vascular Surgery Coder

This position is responsible for providing coding literacy and awareness using adult methodologies to revenue cycle, coding professionals, department managers, medical staff and others, ensuring proficiency is accurate and within compliant coding practices for billing. These tools are integral for creating organized literacy plans, delivering engaging presentations, and visualization, ensuring a well-rounded and effective learning experience.

The Tampa General Hospital Foundation Inc

Medical Coder Educator - Usftgp Umsa RCO Back End

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Must have one of the following: • RHIT - Certified Health Information Technician (AHIMA) • RHIA - Registered Health Information Administrator (AHIMA) • CCS - Certified Coding Specialist (AHIMA) • CCA - Certified Coding Associate (AHIMA) • CCS-P - Certified Coding Specialist Physician-Based (AHIMA) • CPC - Certified Professional Coder (AAPC) • CPC-H - Certified Professional Coder - Hospital (AAPC) • CPC-I - Certified Professional Coder Instructor (AAPC) • CPC-A - Certified Professional Coder Associate (AAPC) • CCC - Certified Cardiology Coder (AAPC) • COC - Certified Outpatient Coder (AAPC). Must have one of the following: •RHIT - Certified Health Information Technician (AHIMA) •RHIA - Registered Health Information Administrator (AHIMA) •CCS - Certified Coding Specialist (AHIMA) •CCA - Certified Coding Associate (AHIMA) •CCS-P - Certified Coding Specialist Physician-Based (AHIMA) •CPC - Certified Professional Coder (AAPC) •CPC-H - Certified Professional Coder - Hospital (AAPC) •CPC-I - Certified Professional Coder Instructor (AAPC) •CPC-A - Certified Professional Coder Associate (AAPC) •CCC - Certified Cardiology Coder (AAPC) •COC - Certified Outpatient Coder (AAPC).

Houston Methodist Hospital

Outpatient Coder

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. You'll 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

Senior Manager/Director, Provider RCM Business Development & Strategy

Job Summary (Par time-Potential for Fulltime) The Certified ER Medical Coding Auditor is responsible for auditing emergency department medical records to ensure accurate coding, compliance, and optimal reimbursement. Qualifications Minimum 3–5 years of ER (Emergency Room) coding experience for facility and professional billing required .

Exceptional Healthcare Inc.

Senior ER Coding Auditor

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

OTHER

Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly. Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution.

Alignment Healthcare USA, LLC

Remote Medicare HCC Coding Analyst | CRC Certification

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The Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical, behavioral, transportation, and other healthcare providers. • Ensure staff provide detailed written summaries of medical record review findings and ensure the team articulates findings effectively to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, and state regulators.

<p>CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all. </p>

CVS Health

Special Investigation Unit (SIU) Manager

Working collaboratively with providers, clinical leaders, coding professionals, and operational teams, you will identify opportunities for documentation improvement, provide individualized education, and help implement best practices that enhance the accuracy and completeness of the medical record. As a Clinical Documentation Specialist at Quincy Medical Group, you will play a key role in advancing our Value-Based Care initiatives by partnering with providers to improve clinical documentation, diagnosis capture, and coding accuracy.

Quincy Physician Administrative Services

Clinical Documentation Specialist

We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do.

Corewell Health

Audit Compliance Manager

In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Education: Must possess current knowledge of Healthcare/Coding as normally obtained through the completion of a bachelor's degree in healthcare administration or related field, or equivalent experience in a related field.

StratAcuity Staffing Partners Inc

Risk Adjustment Audit Reviewer

As a nationally certified Great Place to Work, at Lake Charles Memorial Health System you will have the opportunity to be a part of an organizational culture that supports not only exceptional patient care but also the well-being and professional growth of our employees. DESCRIPTION OF POSITION: Codes Inpatient, Observation and Same Day Surgery (SDS) charts using ICD10-CM and CPT coding guidelines.

Lake Charles Memorial Hospital

HIM Coding Tech II (Full Time)

The work is performed in a normal, professional office environment; The work area is adequately lighted, heated and ventilated; Typically, the employee may sit comfortably to perform the duties of the job and will perform repetitive motions with hands/fingers using a computer mouse and keyboard to type. Presents facilitative, well prepared, organized, and clear lectures and classroom activities consistent with the course syllabus (AAPC curriculum, medical terminology, anatomy & physiology, advanced medical coding, HCPCS coding, ICD-10 coding) and school policies.

Cuyahoga Community College

Instructor, Medical Coding

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.

Deloitte Touche Tohmatsu Ltd

Senior Consultant, Health Insurance - Risk Regulatory & Compliance

This role evaluates coding accuracy, identifies documentation deficiencies, conducts audits, provides education to coding staff and providers, and supports revenue cycle integrity while minimizing compliance risk. The Medical Coding Auditor is responsible for keeping Sutherland coders in compliance by reviewing medical records and coding practices to ensure accurate assignment of ICD-10-CM, CPT, and HCPCS Level II codes in compliance with federal, state, payer, and organizational guidelines.

<p>As a process transformation company, Sutherland rethinks and rebuilds processes for the digital age by combining the speed and insight of design thinking with the scale and accuracy of data analytics. We have been helping customers across industries from financial services to healthcare, achieve greater agility through transformed and automated customer experiences for over 30 years.<br></p>

<p>Headquartered in Rochester, N.Y., Sutherland employs thousands of professionals spanning 19 countries around the world. To learn more, please visit us at www.sutherlandglobal.com. </p>

Sutherland Global Services Inc

Lead - Healthcare - Coding Quality Auditor

As a key contributor to the SIU lead development process, this role evaluates provider, member, pharmacy, and ancillary healthcare billing patterns for signs of fraud, waste, abuse, and other anomalies. The Analyst II uses internal claims data, analytical tools, business rule results, and industry intelligence to assess potential FWA concerns and determine whether they warrant formal investigation.

Certified Professional Coder Jobs in the United States

Compliance Auditor Chesapeake Regional Healthcare

Professor, Medical Office Management Tyler Junior College

Coord Quality Coding University of Colorado Health

Remote Certified Professional Coder/ PIP Adjuster EDI Staffing

Remote Certified Cardiothoracic Vascular Surgery Coder Presbyterian System Services

Medical Coder Educator - Usftgp Umsa RCO Back End The Tampa General Hospital Foundation Inc

Outpatient Coder Houston Methodist Hospital

Senior Manager/Director, Provider RCM Business Development & Strategy Turquoise

Senior ER Coding Auditor Exceptional Healthcare Inc.

HIM Coding Auditor University Health Services Inc

Remote Medicare HCC Coding Analyst | CRC Certification Alignment Healthcare USA, LLC

Special Investigation Unit (SIU) Manager CVS Health

Clinical Documentation Specialist Quincy Physician Administrative Services

Audit Compliance Manager Corewell Health

Risk Adjustment Audit Reviewer StratAcuity Staffing Partners Inc

HIM Coding Tech II (Full Time) Lake Charles Memorial Hospital

Instructor, Medical Coding Cuyahoga Community College

Senior Consultant, Health Insurance - Risk Regulatory & Compliance Deloitte Touche Tohmatsu Ltd

Lead - Healthcare - Coding Quality Auditor Sutherland Global Services Inc

Special Investigation Unit Lead Review Analyst II (Aetna SIU) CVS Health

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