Title: Inpatient Coding Auditor Location: Salt Lake City United States Job Description: schedule Full-time • Work From Home business_center HIMS and Health Informatics find_in_page Job ID: 4691801 Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Inpatient Coding Auditor with Parallon you can be a part of an organization that is devoted to giving back! Job Summary and Qualifications As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. What you will do in this role:  - Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and/or outpatient coding across multiple HSCs - Assists in ensuring HSC coding staff adherence with coding guidelines and policy - Demonstrates and applies expert level knowledge of medical coding practices and concepts - Participates on special reviews or projects - Maintains or exceeds 95% productivity standards - Maintains or exceeds 95% accuracy - Meets all educational requirements as stated in current Company policy - Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current What qualifications you will need: - High school diploma and/or GED preferred - Undergraduate degree in HIM/HIT preferred - Minimum of 3 years acute care inpatient/outpatient coding experience preferred - Minimum of 3 years coding auditing/monitoring experience strongly preferred - RHIA, RHIT and/or CCS preferred Please visit our Parallon HCA Healthcare Coding Landing Page for more information on Coding Opportunities. CLICK HERE for more information on Parallon HCA Coding Benefits Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: - Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services - Wellbeing support, including free counseling and referral services - Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence - Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling - Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing - Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. " Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Be a part of an organization that invests in you! We are reviewing applications for our Inpatient Coding Auditor opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Title: Inpatient Coding Auditor Location: Richmond United States Job Description: Full-time • Work From Home HIMS and Health Informatics Job ID: 4691801 Hourly Wage Estimate: $34.59 - $51.89 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Inpatient Coding Auditor with Parallon you can be a part of an organization that is devoted to giving back! Job Summary and Qualifications As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. What you will do in this role:  - Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and/or outpatient coding across multiple HSCs - Assists in ensuring HSC coding staff adherence with coding guidelines and policy - Demonstrates and applies expert level knowledge of medical coding practices and concepts - Participates on special reviews or projects - Maintains or exceeds 95% productivity standards - Maintains or exceeds 95% accuracy - Meets all educational requirements as stated in current Company policy - Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current What qualifications you will need: - High school diploma and/or GED preferred - Undergraduate degree in HIM/HIT preferred - Minimum of 3 years acute care inpatient/outpatient coding experience preferred - Minimum of 3 years coding auditing/monitoring experience strongly preferred - RHIA, RHIT and/or CCS preferred Please visit our Parallon HCA Healthcare Coding Landing Page for more information on Coding Opportunities. CLICK HERE for more information on Parallon HCA Coding Benefits Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: - Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services - Wellbeing support, including free counseling and referral services - Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence - Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling - Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing - Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. " Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Be a part of an organization that invests in you! We are reviewing applications for our Inpatient Coding Auditor opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Title: Risk & Compliance Auditor Location: Neenah/Appleton/Oshkosh, WI, US Workplace: Non-Exempt - Non-Sales Department: Corporate Positions Job Description: Company: J. J. Keller & Associates, Inc. Requisition #: 20765 Functional Area: Risk & Compliance; Audit/Risk/Compliance Employment Type: Full-Time Work Options: In Office / Partial Remote from Neenah/Appleton/Oshkosh area #LI-Hybrid Work Hours: Monday - Friday, 8:30 a.m. - 5:00 p.m. Position Summary As a Risk & Compliance Auditor, you will help ensure J. J. Keller operates with integrity by supporting internal audits and compliance initiatives. In this role, you'll partner with teams across the business to evaluate processes, identify risks, and drive improvements aligned with company policies and regulatory standards. You'll coordinate audit activities, analyze findings, and contribute to solutions that strengthen our operations - gaining valuable exposure and growing your expertise in risk, compliance, and continuous improvement along the way. Job Responsibilities - Coordinates and conducts annual internal audits for compliance with ISO 14001, ISO 45001, and ISO 9001. This includes scheduling audits, preparing audit reports, and consulting with business units on interpreting audit results, managing risks and evaluating proposed remediation. - Assists with management of the Governance Risk & Compliance software platform, including creating audits, deploying audit questions, entering corrective actions, generating reports for meetings, providing user training and monitoring completion status. - Evaluates information security and privacy practices of vendors/suppliers to ensure alignment with company standards. - Responds to customer inquiries regarding the company’s security strategy and practices. - Assists with coordination of penetration testing with external consultants and internal resources, monitoring of corrective action plans and distribution of reports to interested parties. - Processes insurance claims for the Risk & Legal business unit. Qualifications Education and Experience Requirements - High school diploma required. Post secondary education in a business-related field preferred. - Minimum of one year of related experience comparing evidence with a standard and/or regulatory compliance required. Experience with internal auditing preferred. - Experience with internal compliance or operational audits will be considered in lieu of ISO experience, for example, experience with reviewing contractual requirements, adherence to internal policies, reviewing processes and workflows. Other Skills/Qualifications - Ability to work autonomously and meet deadlines. - Strong organizational and time management skills. - Excellent verbal and written communication skills, including the ability to present information in meetings. - Proficiency in report writing and analysis. - Enthusiastic about learning from peers, studying and taking educational courses on auditing, standards, root cause analysis, and risk management. - Understanding of audit system reporting, usage and troubleshooting. Internal J. J. Keller experience requirements may vary from those for external candidates, with consideration given to demonstrated performance, institutional knowledge, and career progression within the organization. Physical Requirements Work is performed primarily in a standard office environment. Work involves operation of personal computer equipment for extended periods of time.

Title: Claims Auditor Location: Hyderabad, Telangana, India Remote Job Description: Opportunity Overview: We are seeking a versatile and highly skilled Claims Auditor to join our dynamic Payment Integrity team. This critical role involves conducting comprehensive professional and facility coding reviews—encompassing both outpatient/professional and inpatient claims—to ensure the accuracy of code assignment, DRG/reimbursement, and to maximize overpayment identification. If you possess a CPC and/or CCS credential, expert knowledge of CPT, HCPCS, and ICD-10-CM/PCS coding guidelines, and a passion for deep analytical auditing, you will be instrumental in supporting our commitment to accurate reimbursement solutions. This opportunity requires a self-motivated individual who thrives on precision, compliance, and continuous learning in a high-growth environment What you’ll do: - Conduct comprehensive coding reviews to ensure accuracy in code assignment and reimbursement. Conduct comprehensive outpatient and professional coding reviews to ensure accuracy in code assignment and reimbursement. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. - Conduct ambulatory surgery center, emergency room, observation and infusion coding reviews. - Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. - Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations. - Utilize advanced DRG encoder tools (such as 3M, Webstrat) to drive efficiency and accuracy in audits. - Meet or exceed company quality and productivity standards, including strong uphold rates for appeals. - Stay ahead of industry trends, coding updates, and compliance regulations to maintain expert-level knowledge. - Adhere to HIPAA and company policies and procedures to ensure data security and regulatory compliance. - Maintain and apply superior knowledge of changes and updates to coding guidelines, reimbursement trends, and health payment policy language. Required Qualifications - 3-5 years of experience overall - Expert-level coding knowledge with an in-depth understanding of ICD-10-CM/PCS coding guidelines/Deep understanding of outpatient claims coding and auditing - Self-motivated and able to work independently in a remote environment while maintaining high performance. - Expertise in outpatient and professional coding audits to ensure accurate code assignment and compliant reimbursement. Leverage in‑depth knowledge of coding guidelines and industry‑standard tools to identify and maximize potential overpayment recoveries. - Exceptional time management, problem-solving, and analytical skills. - Passion for auditing and a commitment to teamwork, collaboration, and continuous learning. - Possess the CCS (Certified Coding Specialist) or CPC (Certified Professional Coder) credentials. - Superior knowledge of HCPCS, CPT, ICD-10-CM/PCS coding, and US healthcare payment methodologies for Commercial, Marketplace, Medicare, and Medicaid. - Right candidates will have experience with coding ambulatory surgery clinic claims and hospital observation claims to include injection and infusion claims. - Excellent candidates will also have experience auditing high-cost drug and/or Durable Medical Equipment claims. - Completion of a bachelor's degree. - Excellent written and verbal English communication skills, strong analytical skills, and attention to detail. Nice-to-haves - Experience using CMS NCDs/LCDs and clinical criteria guidelines. - ​​RHIA or RHIT credential. - Experience working in a start-up or high-growth company environment, demonstrating agility and adaptability. - Familiarity with working with a diverse, global team of talent. - Excellent computer skills and familiarity with a Mac. Ability to commute/relocate: - Nacharam, Hyderabad, Telangana*: Reliably commute or planning to relocate before starting work (Preferred) About Cohere Health: Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum–including policy, prior authorization, payment accuracy, and more–the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction. With the acquisition of ZignaAI, we expanded our AI-native platform with a comprehensive Payment Integrity Suite that spans data mining, clinical and coding validation, authorization and claims reconciliation, and end-to-end payment integrity services across pre- and post-pay workflows. By connecting clinical and payment insights, our transparent, AI-powered solutions help health plans proactively improve payment accuracy, reduce waste and vendor dependency, strengthen provider relationships, and build smarter, more efficient payment integrity programs. Cohere Health’s innovations continue to receive industry-wide recognition. We’ve been recognized on TIME’s World Top HealthTech Companies 2025 list, the 2025 Inc. 5000 list, in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. We can’t wait to learn more about you and meet you at Cohere Health! Equal Opportunity Statement: Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it’s personal. ISMS roles and responsibilities - Fair understanding of Information Security practices. - Align to the organization policies and procedures. - Ensure to get updated with ISMS roles as assigned by the department/process heads