Jobs in the United States

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Added 18 hours ago
Certified Professional Coder
Naphcare, Inc.
Birmingham, AL
NaphCare is hiring a Certified Professional Coder at our Corporate Offices in Birmingham, AL.
Added 22 hours ago
PI Medical Coding Reviewer II (CPC, RHIT or RHIA required)
CareSource Management Services LLC
Remote, United States
Clinical background with a firm understanding of claims payment preferred
Added 1 day ago
VH
Medical Records Administrator-Chief of Health Information Management (CHIM)
Veterans Health Administration
White River Junction, VT
- $101,375 to $131,790 USD / year
…HIM-related matters, such as health record documentation, coding and clinical documentation improvement, release of information, file room/scanning, records management, transcription and…
Added 1 day ago
Compliance Analyst
Wellpath
Franklin, TN
…and a very large percent of those individuals receive direct clinical care, which includes lives saved by…
Added 2 days ago
CH
Hospital Coding Resource | Full Time | Concord Hospital
Concord Hospital Inc.
Concord, NH
- Full-time
One of the Following Certifications Required: Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Registered Health Information…
Added 2 days ago
VH
Medical Records Technician (CDIS Outpatient)
Veterans Health Administration
Remote, United States
- $61,722 to $80,243 USD / year
This position is in the Health Information Management (HIM) section at the Ralph H. Johnson VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health…
Added 2 days ago
VH
Med Rec Tech (Med Coder)
Veterans Health Administration
Remote, United States
- $55,882 to $72,644 USD / year
This position is an outpatient medical coder who reviews patient records and assigns correct ICD-10 and CPT/HCPCS codes for surgeries, procedures, and visits. The coder checks that…
Added 2 days ago
MH
Outpatient Coding Specialist II - Ambulatory Surgery Unit (ASU)
MedStar Health
United States
- $28.76 to $48.96 USD / hour
To qualify the coder must have either a CCS, CCS-P or COC certification and a minimum of two years of ambulatory surgery coding experience
Added 2 days ago
TCI - BILLING/CODING CLERK
MOUNTAIN VIEW HOSPITAL LLC
Idaho Falls, ID
3. Coder’s diagnoses and procedure on clinical summary agree with physician’s preference 100% of the time.
Added 2 days ago
LN
IP Coder-Redlands
LaSalle Network
Alpharetta, GA
- $37 to $40 USD / hour
Our client is hiring an Inpatient Facility Coder to support complex inpatient coding for Level II trauma cases. This contract-to-hire opportunity offers a fully remote work environment and…
Added 2 days ago
MI
Health Care Surveyor 3 (Nursing)
Medicaid Inspector General, NYS Office of the
New York, NY
- $97,371 to $120,261 USD / year
Must have a valid driver’s license or otherwise demonstrate the ability to meet the transportation requirements of the position
Added 3 days ago
VH
Medical Records Technician (Coder Outpatient and Inpatient)
Veterans Health Administration
San Diego, CA
- $63,203 to $82,170 USD / year
Persons hired or reassigned to MRT (Coder) positions in the GS-0675 series in VHA must have either (1), (2), or (3) below:
Added 3 days ago
VH
Medical Records Technician (Coder In/Out)
Veterans Health Administration
Remote, United States
- $36,409 to $72,644 USD / year
This position is located in the Health Information Management (HIM) section at the Tomah VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records…
Added 4 days ago
Ambulatory Professional Fee and Hospitalist Coder (On-Site, Hybrid, Remote)
Northbay
Fairfield, CA · Napa, CA
Must have experience working in a multi-specialty environment and assigning physician Evaluation and Management (E&M) levels
Added 4 days ago
Professional Surgical Coder - Otolaryngology (On-Site, Hybrid, Remote)
Northbay
Fairfield, CA
At Northbay Health, the Professional Surgical Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and…
Added 5 days ago
Medical Records Coder III Outpatient (Remote)
BayCare Health System
FL
BayCare is seeking an experienced Medical Records Coder III to perform advanced outpatient coding for short-stay encounters. In this role, you will review medical records and accurately…
Added 5 days ago
Coder Medical Record II
Wyckoff Heights Medical Center
NY
Abstracts clinical and demographic data from the medical record and enters coded information into designated coding and billing systems.
Added 5 days ago
Professional Coder II
Horizon Healthcare Services, Inc
Remote, United States
Must have effective verbal and written communication skills and demonstrate the ability to work well within a team · Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware
Added 5 days ago
MS
CPC Coder
Medix Staffing Solutions
Remote, United States
- $33 to $36 USD / hour
Our client is seeking a CPC Coder. The coding specialist reviews clinical documentation to assign accurate diagnosis, procedure, and modifier codes for professional radiology and…
Added 5 days ago
T
Inpatient Coding Auditor
TEKsystems
Houston, TX
- $35 to $42 USD / hour
MUST HAVE 1+ years of INPATIENT coding experience to be qualified!
Added 5 days ago
GH
Radiation Oncology Coding Specialist
GeBBS Healthcare Solutions, Inc.
Remote, United States
- $32 to $36 USD / hour
Must be based in the United States
Added 5 days ago
Outpatient Auditor II
EXL Talent Acquisition Team
United States
…reimbursement to review outpatient claims across a variety of clinical specialties. Your work will support providers, payers, and patients by validating billed CPT codes, identifying…
Added 6 days ago
Medical Coder III, Inpatient Hospital Coding (Must reside in KPNW region)
Kaiser Permanente
Portland, OR
TITLE: Medical Coder III, Inpatient Hospital Coding (Must reside in KPNW region)
Added 6 days ago
Medical Coder II, Hospital-Based Coding (Must reside in KPNW region)
Kaiser Permanente
Portland, OR
TITLE: Medical Coder II, Hospital-Based Coding (Must reside in KPNW region)
Added 6 days ago
PB Coder
Intermountain Health
Jefferson City, MO
The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ's and assigning ICD-10, CPT, and HCPCS coding classifications and…

Wellpath

Compliance Analyst

Franklin, TN, United States

Apply on careers-wellpath.icims.com About employer

Applications open in a new tab.

Job details

Apply by: Nov 10, 2027
Posting language: English
Posted: Nov 10, 2024

Original job description

You Matter

Make a difference every day in the lives of the underserved
Join a mission driven organization with a people first culture
Excellent career growth opportunities

Join us and find a career that supports:

Caring for overlooked, underserved, and vulnerable patients
Autonomy in a warm team environment
Growth and training

Perks and Benefits

In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including:

DailyPay, receive your money as you earn it!
Tuition Assistance and dependent Scholarships
Employee Assistance Program (EAP) including free counseling and health coaching
Company paid life insurance
Tax free Health Spending Accounts (HSA)
Wellness program featuring fitness memberships and product discounts
Preferred banking partnership and discounted rates for home and auto loans

*Eligibility for perks and benefits varies based on employee type and length of service.

Why Us

Now is your moment to make a difference in the lives of the underserved.

If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time.

Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan.

We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support.

How you make a difference

The Compliance Analyst supports the coding compliance and audit program through data collection, analysis, routine coding audits, and report preparation. This role conducts entry- to intermediate-level coding reviews, including services provided in correctional settings and through third-party billing vendors. The position maintains audit documentation, prepares regular compliance reports, and supports efficient audit workflows using available tools. This role also assists senior auditors and leadership with complex audits, regulatory inquiries, and education initiatives.

Key Responsibilities

Conduct routine coding reviews and audits to ensure accurate CPT, HCPCS, ICD-10-CM, and modifier use.
Collect, organize, and validate audit data while maintaining audit workpapers and tracking logs.
Prepare monthly, quarterly, and ad hoc compliance reports and perform data analysis to identify trends and risks.
Support vendor audits and compliance efforts by reviewing documentation, comparing claims, and tracking remediation activities.
Assist with complex audits, regulatory inquiries, education materials, and maintaining audit tools and documentation.

Qualifications & Requirements

Education

Associate's degree in Health Information Management, Health Sciences, Business, or a related field preferred
Bachelor's degree preferred
Completion of formal coding training program (AAPC, AHIMA, or equivalent) required
Equivalent professional coding credentials and experience may substitute for formal education

Experience

Minimum three (3) years of professional medical coding, billing, or coding-audit support experience
Working knowledge of CPT, HCPCS Level II, ICD-10-CM, and modifier guidelines
Experience with EMR systems, encoders, and claims/billing workflows
Familiarity with CMS, OIG, AMA, and payer documentation and coding requirements
Exposure to state Medicaid coding rules, Section 1115 Reentry Demonstration billing requirements, and correctional health workflows required
Experience supporting audits or oversight of third-party billing vendors preferred
Previous correctional/detention facility experience preferred

Licenses/Certifications

Certified Professional Coder (CPC) through AAPC - required
Certified Professional Medical Auditor (CPMA) through AAPC - preferred, or to be obtained within the first twelve (12) months of employment
Certified Professional Biller (CPB) through AAPC - preferred, given the role's emphasis on third-party billing vendor oversight and government-program payer requirements
Certified Coding Specialist (CCS) through AHIMA may be substituted for an AAPC equivalent

This position is available only to those who reside in the United States.

We are an Equal Employment Opportunity Employer

We value the contributions of team members with a broad range of experiences, skills, and perspectives and are committed to providing equal employment opportunity for all.

We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles.

Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description.

If you need a reasonable accommodation to participate in the application or hiring process, please contact ADARequests@wellpath.us

Apply on careers-wellpath.icims.com About employer

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Work requirements

Jobs in the United States