(CPC) Certified Professional Coder coding auditor jobs

Full Time

Coding Auditor

University of Utah Health Remote

The position audits and reports on the accuracy of procedural billing, payment consideration and accuracy in reimbursement based on the correct interpretation and application of codes, modifiers and payment rules. The incumbent reviews and audits physician and institutional billing from multiple departments and entities across the organization, and assists in training departmental personnel in correct coding and documentation. This position is not responsible for providing patient care. Responsibilities Essential Functions Performs audits and reports on the accuracy of procedure coding, facility E&M coding, ICD-10 coding and billing. Reviews insurance payments for reimbursement accuracy, which is based on correct interpretation of clinical data and application of codes, modifiers and payment rules. Reviews and audits institutional coding and billing from multiple departments and entities across the organization. Assists in training personnel in...

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RCS Medical Coding Auditor (CPC, CPMA)

Veradigm LLC Raleigh, NC

RCS Medical Coding Auditor page is loaded## RCS Medical Coding Auditorremote type: Hybridlocations: Raleigh, NCtime type: Full timeposted on: Posted 7 Days Agojob requisition id: JR10360**Position Summary**The **RCS Medical Coding Auditor** is responsible for auditing professional (ProFee) medical coding to ensure accuracy, compliance, and alignment with AMA CPT, CMS, NCCI and payer guidelines. This role supports coding integrity, mitigates compliance risk, and drives continuous quality improvement through targeted education and audit-based feedback.The ideal candidate brings strong hands-on experience with **professional fee coding**, deep knowledge of **E/M, surgical, and modifier use**, and the ability to translate audit findings into actionable insights.**Key Responsibilities*** Perform daily QA to ensure accuracy of completed coding and provide targeted coding education and feedback* Validate ICD‐10‐CM, CPT(R), HCPCS, and modifier assignment against clinical...

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Medical Coding Auditor CPC Primary Care & Gynecology

All inclusive preventive care Hialeah, FL

Job Description Job Description Location: Miami, FL (On-site preferred; Hybrid/Remote may be considered) Employment Type: Part-Time (25–35 hours per week) About the Position We are seeking an experienced Senior Medical Coding Auditor (CPC) to join our growing multi-specialty medical practice specializing in Primary Care and Gynecology . The ideal candidate will be responsible for reviewing clinical documentation before claims are submitted to ensure accurate coding, appropriate E/M level selection, documentation compliance, and optimal reimbursement while maintaining full regulatory compliance. This position works closely with providers, clinical staff, and the billing department to improve documentation quality, reduce claim denials, maximize appropriate reimbursement, and ensure coding accuracy. Primary Responsibilities Review approximately 300 provider notes per week for coding accuracy and documentation compliance prior to claim submission. Validate...

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Medical Coding Auditor CPC Primary Care Gynecology

All inclusive preventive care Miami Gardens, FL

Location: Miami, FL (On-site preferred; Hybrid/Remote may be considered) Employment Type: Part-Time (25–35 hours per week) About the Position We are seeking an experienced Senior Medical Coding Auditor (CPC) to join our growing multi-specialty medical practice specializing in Primary Care and Gynecology. The ideal candidate will be responsible for reviewing clinical documentation before claims are submitted to ensure accurate coding, appropriate E/M level selection, documentation compliance, and optimal reimbursement while maintaining full regulatory compliance. This position works closely with providers, clinical staff, and the billing department to improve documentation quality, reduce claim denials, maximize appropriate reimbursement, and ensure coding accuracy. Primary Responsibilities Review approximately 300 provider notes per week for coding accuracy and documentation compliance prior to claim submission. Validate appropriate Evaluation & Management (E/M)...

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RCS Medical Coding Auditor (CPC, CPMA)

Veradigm United States

Position Summary The RCS Medical Coding Auditor is responsible for auditing professional (ProFee) medical coding to ensure accuracy, compliance, and alignment with AMA CPT, CMS, NCCI and payer guidelines. This role supports coding integrity, mitigates compliance risk, and drives continuous quality improvement through targeted education and audit-based feedback. The ideal candidate brings strong hands-on experience with professional fee coding , deep knowledge of E/M, surgical, and modifier use , and the ability to translate audit findings into actionable insights. Key Responsibilities Perform daily QA to ensure accuracy of completed coding and provide targeted coding education and feedback Validate ICD-10-CM, CPT®, HCPCS, and modifier assignment against clinical documentation to ensure accuracy and compliance with AMA CPT, ICD-10, CMS, NCCI, and payer-specific guidelines Conduct medical chart audits of professional services across multiple specialties...

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Certified Medical Coding Auditor (CPC or CCS-P)

Accelerated Urgent Care California, MO

Certified Medical Coding Auditor (CPC or CCS-P) Join to apply for the Certified Medical Coding Auditor (CPC or CCS-P) role at Accelerated Urgent Care Certified Medical Coding Auditor (CPC or CCS-P) 2 weeks ago Be among the first 25 applicants Join to apply for the Certified Medical Coding Auditor (CPC or CCS-P) role at Accelerated Urgent Care About Us Simply put, our purpose at Accelerated Urgent Care is to get you quality care when you need it. We aim to foster a supportive environment where our team members can develop their careers. To promote this goal, we’ve built a diverse and driven team of employees who are all eager to learn from one another and reach Accelerated Urgent Care’s mission of delivering exceptional healthcare to the patients and communities that we are privileged to serve. We are ... a fast-growing company that doubles in size year after year since 2012! Recognized as Kern County’s Top Urgent Care center 6 years in a row! Dedicated to our employees’ career...

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Remote Medical Coding Auditor (CPC, CCS-P, or CPMA)

Crossroads Services Greenville, SC

Remote Medical Coding Auditor (CPC, CCS-P, or CPMA) Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. Day in the Life of a Medical Coding Auditor Conducting audits of claims and patient records to identify incorrect coding. Audits will be performed for both provider and coder coding accuracy with required documentation in accordance with current coding guidelines. Developing, implementing, and coordinating corrective action proposals and plans. Tracking completion of internal and external Plans of Correction....

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Senior Medical Coding Auditor (CPC/CCS-P)

Accelerated Urgent Care California, MO

A leading healthcare provider is seeking a Certified Medical Coding Auditor (CPC or CCS-P) in Bakersfield. This full-time role involves conducting audits, providing regulatory education, and ensuring compliance with billing standards. The ideal candidate will have an active certification, strong communication skills, and at least 3 years of experience. Benefits include medical, dental, vision insurance, and PTO, supporting professional growth within the organization. #J-18808-Ljbffr

UH

CPC-Certified Coding Auditor: ICD-10 & CPT Expert

Universal Health Services Wayne, PA

Universal Health Services, Inc. seeks a Coding Auditor to determine ICD-10, CPT-4, and HCPCS coding alignment with clinical documentation and to validate medical necessity per LCDs. The role requires CPC certification and experience in professional billing, auditing, and the revenue cycle. The position involves reviewing documentation, educating providers on coding requirements, and ensuring timely, accurate audits across IPM services. #J-18808-Ljbffr

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CPC-Certified Coding Auditor | ICD-10 & CPT Expert

Independence Physician Management (IPM) Wayne, PA

Independence Physician Management (IPM), a UHS subsidiary, seeks a Coding Auditor to ensure ICD-10, CPT-4 and HCPCS coding is supported by medical records and meets CMS LCD guidelines. The role requires CPC certification, auditing experience, and strong knowledge of coding policies; you will review documentation, educate providers, and support front-end coding accuracy. IPM offers comprehensive benefits and opportunities within a national health system; on-site in Wayne, PA with collaboration #J-18808-Ljbffr

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Full Time

Certified Coding Auditor Primary Care

Marwood Group Hybrid (New York, NY)

The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for a Certified Coding Auditor to work in its New York office or remotely. Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payers....

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Coding Auditor & Education Specialist (CPC) - Onsite

South Georgia Medical Center Valdosta, GA

South Georgia Medical Center seeks a Professional Coding Auditor/Education Specialist to conduct audits, educate healthcare providers, and manage coding compliance. Ideal candidates should hold a Certified Professional Coder (CPC) certification, with a strong foundation in medical coding, including knowledge of ICD-10, HCPCS, and CPT. The position is full-time, requiring on-site presence in Valdosta, Georgia, and offers benefits such as healthcare insurance, 401(k) with match, and tuition reimbursement. #J-18808-Ljbffr

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Remote Profee Coding Auditor - CPC Expert

Datavant Montpelier, VT

Datavant is seeking a Profee Auditing Specialist to conduct coding audits and provide education related to coding quality. With a strong focus on customer service, this fully remote position requires 5+ years of experience and CPC certification. Responsibilities include performing audits using ICD-10-CM and educating coders. Benefits include medical, dental, vision, generous PTO, and more. The salary range is $35-$45 per hour depending on experience and skills. #J-18808-Ljbffr

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Remote Pro Fee Coding Auditor (CPC)

Datavant Carson City, NV

Datavant is seeking a Professional Fee Auditing Specialist to perform coding audits and ensure compliance. The ideal candidate will have over 5 years of experience, a CPC certification, and proficiency in software like Epic and Cerner. This fully remote position offers flexibility, comprehensive benefits including medical, dental, vision, and a supportive team environment. The estimated pay ranges from $35 to $45 per hour based on experience and skills. #J-18808-Ljbffr

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Senior Profee Coding Auditor | CPC Certified

Datavant Jefferson City, MO

Datavant is seeking a Profee Auditing Specialist in Jefferson City, Missouri. This role involves conducting professional fee coding audits, providing education on coding standards, and ensuring compliance. Candidates must have over 5 years of experience in fee coding and be a Certified Professional Coder (CPC). Benefits include comprehensive training, healthcare, a 401(k), and paid time off. Join Datavant to contribute to transformative change in healthcare through accurate data solutions. #J-18808-Ljbffr

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Remote Profee Coding Auditor - CPC Expert

Datavant Jackson, MS

Datavant is seeking a Profee Auditing Specialist to conduct Professional Fee coding audits fully remote. In this role, you will ensure coding accuracy, provide education, and keep up with regulatory changes while maintaining a customer-service focus. Required qualifications include over 5 years of coding/auditing experience, CPC certification, and proficiency in software like Epic and Cerner. Benefits include medical coverage and a $2,500 sign-on bonus. Pay ranges between $35 to $45 hourly depending on experience. #J-18808-Ljbffr

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Remote Profee Coding Auditor - CPC Expert

Datavant Salem, OR

Datavant is looking for a Profee Auditing Specialist in Salem, Oregon, to perform coding audits and provide support for coding quality and compliance. The role requires more than 5 years of experience in professional fee coding, with a CPC certification being mandatory. This is a fully remote position that offers a competitive salary of $35 to $45 per hour, along with comprehensive benefits including medical, dental, vision, and 401k. Join Datavant to help improve health data accessibility in healthcare. #J-18808-Ljbffr

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CPC Medical Coding Auditor — Compliance & Investigations

Hispanic Alliance for Career Enhancement Lansing, MI

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). The role ensures coding accuracy, reviews medical records, and confirms compliance with state and federal requirements. Strong documentation and communication skills are essential for presenting findings to investigators and leadership. You will audit CPT/HCPCS coding, identify potential fraud or errors, and maintain thorough records. #J-18808-Ljbffr

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CPC-Certified Medical Coding Auditor (Compliance)

Hispanic Alliance for Career Enhancement Springfield, IL

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). You will ensure coding accuracy, complete documentation, and adherence to state, federal, and company guidelines across medical, behavioral health, and transportation providers. The CPC will audit CPT/HCPCS, discuss findings with Medical Directors, identify billing errors and opportunities for savings, and maintain thorough records while staying current on coding #J-18808-Ljbffr

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CPC Medical Coding Auditor - Compliance & Investigations

Hispanic Alliance for Career Enhancement Madison, WI

CVS Health is hiring a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU), ensuring coding accuracy and compliance across medical, behavioral health and related records. The CPC will audit CPT/HCPCS, ICD-10 and UB04 data, articulate findings to investigators and leadership, and help identify billing errors, potential fraud and opportunities for savings. This full-time role offers strong benefits and a focus on quality and integrity. #J-18808-Ljbffr

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Remote Profee Coding Auditor - CPC Expert

Datavant Phoenix, AZ

Datavant is seeking a Profee Auditing Specialist to perform coding audits and enhance educational support related to coding quality and compliance. Candidates should have over 5 years of Professional Fee coding experience and hold a CPC certification. This fully remote role offers a competitive salary of $35—$45 per hour, alongside comprehensive benefits including medical, dental, and retirement plans. Join Datavant to contribute to transformative healthcare data solutions. #J-18808-Ljbffr

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Medical Coding Auditor (CPC) – Compliance & Fraud Detection

Hispanic Alliance for Career Enhancement Nevada, IA

CVS Health is seeking a Certified Professional Coder (CPC) to review medical records for the Special Investigations Unit (SIU) to ensure coding accuracy and compliance. The role requires identifying billing patterns and ensuring state and federal guidelines are met. The position emphasizes detailed audit work, clear written findings, and communication with investigators and leadership, with full-time hours and competitive benefits. #J-18808-Ljbffr

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Ambulatory Coding Compliance Auditor (CPC/CCS-P)

Sharp Healthcare San Diego, CA

A healthcare provider in San Diego is seeking a Coding Auditor to conduct audits and ensure compliance with coding standards. The role requires strong knowledge of CPT and ICD-10 codes, exceptional communication skills, and the ability to train clinical staff. The ideal candidate has 3 years of experience in a healthcare setting and holds a CPC or CCS-P certification. Competitive hourly rate offered. #J-18808-Ljbffr

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CPC Medical Coding Auditor & Compliance Specialist

Hispanic Alliance for Career Enhancement Indiana, PA

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit. The CPC will ensure coding practices meet state, federal, and company requirements, reviewing records for accuracy and identifying billing issues. Required CPC certification, 3+ years of coding or auditing experience, and proficiency with CPT/HCPCS/ICD-10; strong Excel/Word skills are essential. #J-18808-Ljbffr

910 coding auditor jobs found