45 coding auditor jobs found in Atlanta

Professional Coding Auditor & EducatorThe Professional Coding Auditor & Educator works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to all patients, as well as ensuring compliant reimbursement of patient care services.Responsibilities:Responsible for reviewing and analyzing all aspects of the department clinical documentation and care to ensure timely, accurate, and compliant charge capture and submissionWorks as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these chargesCollaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and completeIdentifies inconsistencies in...

The Professional Coding Auditor & Educator works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to all patients, as well as ensuring compliant reimbursement of patient care services. Responsibilities Responsible for reviewing and analyzing all aspects of the department clinical documentation and care to ensure timely, accurate, and compliant charge capture and submission Works as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these charges Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete Identifies inconsistencies in medical reports and works with...

Inpatient/Outpatient Facility Coding Auditor PYA is seeking an Inpatient/Outpatient Facility Coding Auditor to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA's Revenue and Compliance Advisory Program. Responsibilities: Apply inpatient and outpatient facility/hospital coding and reimbursement methodologies to provide advisory services to PYA clients with a focus on the following: ICD-10-CM and PCS/CPT/HCPCS code assignment MS-DRG and other DRG validation APC validation and charge capture Clinical documentation improvement Regulatory compliance for third party payors Work in collaboration with the PYA executive team and other service lines to offer complete business solutions to clients Manage the preparation of excellent client deliverables and exhibit exceptional project management skills while balancing firm risk and compliance with appropriate professional standards Qualifications:...

Piedmont Urgent Care Occupational Medicine in Atlanta, GA, is hiring a Professional Coding Auditor & Educator to ensure accurate clinical documentation and compliant charge capture. The role requires collaboration with healthcare professionals and experience in auditing and billing. The ideal candidate holds a CPC or CCS Certification and has 3+ years of auditing experience in a healthcare setting. Strong critical thinking and knowledge of coding regulations are essential. #J-18808-Ljbffr

Emory Healthcare is seeking an Outpatient Coding Auditor to support the Coding Manager with outpatient and emergency coding services, and to help develop policies and procedures. The role includes educating staff across departments on documentation and coding requirements, ICD-10-CM guidelines, and CPT/HCPCS conventions for outpatient surgery. Ideal candidates will have CCS certification, 4+ years ICD-10 coding in acute care, and at least 2 years of APC coding audits. #J-18808-Ljbffr

Inpatient/Outpatient Facility Coding AuditorPYA is seeking an Inpatient/Outpatient Facility Coding Auditor to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA's Revenue and Compliance Advisory Program.ResponsibilitiesApply inpatient and outpatient facility/hospital coding and reimbursement methodologies to provide advisory services to PYA clients with a focus on the following:ICD-10-CM and PCS/CPT/HCPCS code assignmentMS-DRG and other DRG validationAPC validation and charge captureClinical documentation improvementRegulatory compliance for third party payorsWork in collaboration with the PYA executive team and other service lines to offer complete business solutions to clientsManage the preparation of excellent client deliverables and exhibit exceptional project management skills while balancing firm risk and compliance with appropriate professional standardsQualificationsProfessional...

PYA is seeking an Inpatient/Outpatient Facility Coding Auditor to join its high-performing firm with a dynamic culture and a national reputation. This role supports PYA's Revenue and Compliance Advisory Program and collaborates with the executive team to deliver comprehensive solutions to clients. The ideal candidate has 7+ years of inpatient coding auditing experience, professional credentials (CCS/RHIA/RHIT/CIC or similar), strong medical terminology knowledge, and excellent communication and #J-18808-Ljbffr

PYA is seeking an Inpatient/Outpatient Facility Coding Auditor to join its private, nationally recognized firm. You will support PYA’s Revenue and Compliance Advisory Program and work with hospital clients on coding, audits, DRG validation, and reimbursement strategies. Ideal candidates have 5+ years inpatient coding auditing experience and credentials such as CCS, RHIA, RHIT or CIC. Strong communication, leadership, and client relationship skills are essential. #J-18808-Ljbffr

Piedmont Urgent Care by Wellstreet is seeking a Professional Coding Auditor & Educator to work with physicians and coding staff to ensure accurate documentation for appropriate reimbursement and outcomes. The role focuses on reviewing charge capture, educating departments on CMS and payer requirements, and collaborating with the Coding Supervisor to maintain high-quality coding in high-volume settings. #J-18808-Ljbffr

Be inspired. Be valued. Belong.  At Emory Healthcare   At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be.  We provide:    Comprehensive health benefits that start day 1   Student Loan Repayment Assistance & Reimbursement Programs   Family-focused benefits   Wellness incentives  Ongoing mentorship, development, leadership programs  And more  JOB DESCRIPTION: Responsible for implementing and maintaining a compliance plan for outpatient coding and reimbursement. The Outpatient Coding auditor will assist the Coding Manager with Outpatient and Emergency Coding Services, and the development of policies and procedures. Develops education and Supervises programs regarding elements of the HIM Compliance program, such as...

Emory Healthcare is seeking an Outpatient Coding Auditor to implement and maintain a compliance plan for outpatient coding and reimbursement, and to assist the Coding Manager with outpatient and emergency coding services. The role includes developing education programs, supervising HIM Compliance activities, and coordinating continual reviews and quality audits to ensure accurate APC assignment and reimbursement. Strong communication and organization are essential. #J-18808-Ljbffr

Inpatient/Outpatient Facility Coding Auditor PYA is seeking an Inpatient/Outpatient Facility Coding Auditor to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA's Revenue and Compliance Advisory Program. Responsibilities Apply inpatient and outpatient facility/hospital coding and reimbursement methodologies to provide advisory services to PYA clients with a focus on the following: ICD-10-CM and PCS/CPT/HCPCS code assignment MS-DRG and other DRG validation APC validation and charge capture Clinical documentation improvement Regulatory compliance for third party payors Work in collaboration with the PYA executive team and other service lines to offer complete business solutions to clients Manage the preparation of excellent client deliverables and exhibit exceptional project management skills while balancing firm risk and compliance with appropriate professional standards...

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

Location: Atlanta, Georgia, United StatesCompany: Emory HealthcarePosted: 2026-09-01Emory Healthcare is seeking an Outpatient Coding Auditor to implement and maintain a compliance plan for outpatient coding and reimbursement, and to assist the Coding Manager with outpatient and emergency coding services.The role includes developing education programs, supervising HIM Compliance activities, and coordinating continual reviews and quality audits to ensure accurate APC assignment and reimbursement. Strong communication and organization are essential.#J-18808-Ljbffr

Location: Atlanta, Georgia, United StatesCompany: Emory HealthcarePosted: 2026-06-20Inpatient Drg Coding AuditorBe inspired. Be valued. Belong.At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:Comprehensive health benefits that start day 1Student Loan Repayment Assistance & Reimbursement ProgramsFamily-focused benefitsWellness incentivesOngoing mentorship, development, leadership programs...and more!Job DescriptionWe are seeking an experienced Inpatient DRG Coding Auditor to extract data from patient encounters ensuring the accuracy of DRGs. This individual will:Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and...

Northside Hospital is seeking a Medical Records Auditor to review documentation and ensure accurate CPT, ICD-10, HCPCS coding and modifier assignments for patient claims. The Auditor will follow policy for audit schedules and deliver professional reports to physicians and leadership. Responsibilities include applying CMS guidelines, educating staff on coding results, and maintaining a 90%+ accuracy rate while meeting production standards. Strong communication and privacy compliance are essential. #J-18808-Ljbffr

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) Job Summary Under the direction of the Coding Compliance Manager, conducts independent audits of professional fee coding. Assures appropriate and accurate coding assignments in accordance with federal coding regulations and guidelines. Prepares written reports of findings and leads meetings with providers to review the audit findings and recommend ways to improve when indicated. Also responsible for providing assistance with coding inquiries from providers, coding, staff,...

Wellstar Health Systems is seeking a Coding Compliance Auditor to conduct independent audits of professional fee coding under the guidance of the Coding Compliance Manager. The role requires advanced knowledge of CPT, ICD-10-CM, HCPCS, and physician documentation, with experience in Medicare/Medicaid regulations. You will train physicians on ICD-10-CM and EMR documentation to ensure accurate reimbursement. #J-18808-Ljbffr

Wellstar Health System is seeking a Coding Compliance Auditor to independently audit professional fee coding and ensure accuracy per federal guidelines. You will prepare findings and guide providers to improve coding practices. The role requires advanced CPT/ICD-10-CM/HCPCS knowledge, and experience with Medicare regulations, plus strong communication and training abilities. Work aligns with Georgia healthcare standards in a day shift. #J-18808-Ljbffr

Northside Hospital Inc. is seeking an experienced Auditor to review medical record documentation and ensure accurate ICD-10, CPT, and HCPCS coding for claims. The role includes conducting audits, delivering findings to physicians and leadership, and educating staff based on audit results. Candidates should hold a coding or nursing credential and have 1 year of hospital or physician practice coding experience, with strong communication skills and attention to detail. 8–5, on-site in Atlanta. #J-18808-Ljbffr

Job Description Job Description Job Title: Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Auditors to contribute their specialized expertise to an innovative healthcare AI project. In this role, you will help improve next-generation AI systems by reviewing, evaluating, and refining medical coding and audit-related content. This opportunity is ideal for professionals with strong experience in outpatient professional fee coding, auditing, and academic medical center environments. No prior AI experience is required—your healthcare expertise is what matters most. Key Responsibilities Conduct detailed reviews and audits of outpatient professional fee coding records for accuracy, compliance, and quality. Identify coding trends, gaps, risks, and opportunities for improvement. Evaluate audit findings using knowledge of academic medical center protocols and industry best practices. Document audit results and...

Job Description Job Description Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Auditors with strong expertise in outpatient professional fee coding and coding audits , preferably within academic medical centers. You will review coding records, identify compliance risks, and provide expert feedback to support AI-focused projects. No prior AI experience is required. Key Responsibilities Conduct detailed audits of outpatient professional fee coding records. Review coding accuracy, documentation, and compliance. Identify coding trends, gaps, risks, and improvement opportunities. Apply academic medical center standards and coding guidelines. Document audit findings and provide clear recommendations. Evaluate complex coding and documentation scenarios. Contribute to AI training through expert coding and audit feedback. Support audit program management and quality improvement initiatives. Required Qualifications...

Location: Atlanta, Georgia, United StatesCompany: Piedmont HealthcarePosted: 2026-09-09Location: Atlanta, Georgia, United StatesCompany: Piedmont HealthcarePosted: 2026-09-07Location: Atlanta, Georgia, United StatesCompany: Piedmont HealthcarePosted: 2026-09-04Location: Atlanta, Georgia, United StatesCompany: Piedmont HealthcarePosted: 2026-09-02Surgical Coder - PHYSAt Piedmont Healthcare, you'll love a shared purpose, be motivated to be your best, and be recognized for your contributions. Piedmont Healthcare leaders are in your corner and invested in your success. Our wellness programs and comprehensive total benefits and rewards will meet your needs for today and help you plan for the future.Responsibilities:Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical diagnostic and complex procedural information for general surgical specialties for the correct ICD-10, CPT and/or HCPCS codes to the greatest specificity. Abstracts demographic...