Remote Medical Coding Compliance Auditor

CommonSpirit Health seeks a Coding Auditor and Educator for Professional Fee coding. You will audit using ICD-10-CM, CPT-4 and HCPCS to ensure accuracy and compliance while providing onboarding and ongoing education to staff. You will stay current with Medicare rules, develop and deploy training programs, and partner with leadership to drive productivity and...

CommonSpirit is seeking a Coding Auditor and Educator Professional Fee to support the professional fee coding team across multiple U.S. sites and remote environments. You will audit ICD-10-CM, CPT-4, and HCPCS classifications, educate staff, and drive standardization of coding practices. You will monitor regulations, implement updates, and lead onboarding...

CVS Health is seeking a Certified Professional Coder (CPC) to perform comprehensive medical claim reviews for the SIU, ensuring coding accuracy and compliant documentation across medical and behavioral health records. The CPC will interpret CMS and state guidelines, discuss cases with Medical Directors, and identify potential fraud or billing issues....

CVS Health is seeking a Medical Records Auditor/Abstractor to review provider and vendor records, assign ICD codes, and ensure CMS risk adjustment submissions are accurate and compliant with state and federal regulations. The role supports coding judgments with industry-standard evidence and robust documentation. Responsibilities include abstraction of...

Where You'll WorkWith more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger...

CVS Health is seeking a Certified Professional Coder (CPC) to conduct medical claim reviews for the Special Investigations Unit (SIU). The role focuses on ensuring coding accuracy, proper documentation, and adherence to state, federal, and company guidelines. Travel may be required. The ideal candidate has 3+ years of medical/behavioral health coding...

Duties and Responsibilities :Review patient charts and medical documentation to identify appropriate diagnostic and procedural codes for reimbursementAssign and verify codes, ensuring they align with medical records and follow coding guidelinesFollow up on unpaid or denied claims; resolve billing discrepancies and resubmit as requiredProcess provider...

Outpatient Coding Compliance AuditorOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture...