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MedKoder
Full Time
 
Physician Coding Auditor
MedKoder Remote
About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding for health systems, providers, and payers. MedKoder delivers accurate, efficient, and ethical coding, aiming to ensure accurate payment and financial peace for clients. With a team of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote-work flexibility, and a positive workplace culture, earning high employee satisfaction ratings and awards with Best Places to Work in Modern Healthcare and City Business Best Places to Work.   Position Location: 100% Remote This is a full-time, remote position that offers a flexible schedule.  Description: Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable...

Mar 27, 2026
Welter Healthcare Partners
Contract
 
Experienced Orthopedic Surgical Auditor or Coder
Welter Healthcare Partners Remote
For over 30 years, Welter Healthcare Partners has collaborated with healthcare organizations across the US on the business of healthcare. Healthcare is complicated and ever-changing, and our services, solutions, highly specialized and collaborative teams are focused on helping drive results for the long-term success of our clients! We are looking for new team members that share the same passion for success!   We are looking for a 1099 Surgical Coding Expert, primarily Orthopedics, who seeks ownership of their craft, asserts their interpretation of guidelines and rules and who is extremely particular about the highest level of quality of their coding work! Skilled auditor preferred; however, a skilled and detail-oriented coder with the desire to transition to auditing will be highly considered.   We offer up to $4,000 flat fee per month and are flexible for more depending on the ability to organize and facilitate volume, but quality over quantity. Opportunity...

Mar 17, 2026
Gainwell Technologies
Full Time
 
Clinical DRG Auditor – Remote
Gainwell Technologies Remote (United States)
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary: We are seeking a talented individual for a Clinical DRG Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to validate the conditions that were documented in the medical record, the ICD-10-CM/PCS code assignments and determine the accuracy of DRG assignment that is clinically supported as defined by review methodologies specific to the...

Mar 10, 2026
TT
Full Time
 
coding and documentation auditor
Texas Tech University Health Sciences Center Hybrid (Amarillo, TX)
Position Summary Performs coding and documentation quality audits, providing feedback and education to coding and reimbursement specialists, coders, and providers.   Minimum Qualifications ·       High School graduate or equivalency and five years of coding and reimbursement experience of which 1 year may be as a coding auditor. ·       Additional job-specific education may substitute for the experience. ·       Active professional coding certification from an accredited organization, e.g., American Association of Professional Coders (AAPC), American Health Information Management Association (AHIMA). ·       Certification to remain current during term of employment. ·       Knowledge of CPT, ICD-CM, ICD-10, and HCPCS nomenclature.   Position Specific Qualifications •        Billing and coding experience in a multi-specialty group practice and/or academic practice setting is preferred. •        Five...

Mar 04, 2026
RU
Full Time
 
Healthcare Coding Compliance Auditor
Riverside University Health System Medical Center Hybrid (Riverside, CA)
Riverside University Health System (RUHS)   is seeking two skilled Coding Compliance Auditors (Administrative Services Manager I) to support the Health System's Compliance Department. Key responsibilities of this role include conducting thorough reviews of medical records to ensure compliance with coding regulations, while providing feedback and education to coders and physicians to enhance coding accuracy and documentation quality. The position involves performing annual, periodic, and focused audits of physician, inpatient, and outpatient coding as requested. It also requires effective communication with all RAC stakeholders to ensure timely and accurate responses to inquiries. Additionally, the role supports ongoing program development through training initiatives and process improvements, delivers coding presentations to diverse audiences including physicians and other staff. The ideal candidate will have at least five years of progressive experience in an acute care hospital...

Mar 04, 2026
So
Tax Compliance Auditor II: Public Service Impact
State of Vermont Montpelier, VT
Compliance Division The Department of Taxes' Compliance Division is seeking a motivated professional who wants to make a meaningful impact by conducting audits that ensure the fair and accurate administration of Vermont's tax laws. In this role, you'll review taxpayer records, promote voluntary compliance, and help Vermonters understand their obligations. Key Responsibilities Reviewing and analyzing taxpayer returns Preparing assessments and adjustments to support accurate compliance Communicating with taxpayers and their representatives Participating in appeals and settlement discussions Conducting on‑site audits when appropriate Ideal Candidate Is curious, collaborative, digitally savvy, and self‑driven Enjoys learning new tools and technologies used in tax administration Communicates clearly and confidently, even when explaining complex or sensitive topics Has a genuine desire to grow, develop, and contribute to a strong public mission About the Compliance Division...

May 30, 2026
HI
Medical Coding Auditor Evaluation & Management
Humana Inc Concord, NH
Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry‑standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation, coding, and billing in accordance with regulatory guidelines, payer policies, and Humana’s internal standards. WORK STYLE Remote / Work at home WORK HOURS Associates will work on EST, regardless of where the associate resides. All associates must start between 6 AM‑9 AM EST, Monday‑Friday as a dedicated schedule. Work hours can vary occasionally and/or depending on business needs. Responsibilities Conduct comprehensive...

May 30, 2026
VC
File Compliance Auditor
~ Village Caregiving Home Office Barboursville, WV
Job Description Job Description Village Caregiving is seeking a detail-oriented File Compliance Auditor to manage and review client and caregiver records.  You will play a critical role in the quality and integrity of our operations. You'll work closely with our auditing team to keep caregiver and client files airtight by tracking certifications, reviewing documentation, and ensuring every branch stays audit-ready. This is a great opportunity for someone who loves organization, has a sharp eye for detail, and wants to make a meaningful impact in a home care support environment.    *Remote or Hybrid option   Benefits & Compensation: 50k-60k Annual Salary Full medical, dental, and vision insurance  HSA option 401(k) with company match Paid time off Life insurance Short term disability Hospital insurance   Job Summary: You will ensure our files are 100% compliant with state regulations, healthcare mandates, and company policies, keeping...

May 30, 2026
TC
Truck Sales & Compliance Auditor
Truck Co Dubuque, IA
The Truck Sales Auditor position provides support to dealerships and accounting by performing the following duties personally or with administrative support. Essential Duties and Responsibilities (not in order of priority) Review all equipment sales for accuracy and integrity. Calculating and processing sales commissions. Maintain and review equipment schedules. Processing internal equipment transfers. Scanning and maintaining sales documentation in an electronic imaging system. Preparing and posting journal entries. Reviewing dealership journal entries. Staying up to date on federal excise tax regulations. Preparing federal excise tax returns. Calculating monthly floor plan interest amounts. Generating floor plan costs by unit on request. Other duties as required and assigned. Work Environment Ability to sit frequently and for long durations. The noise level in the work environment is usually quiet to moderate. A cubicle setting with moderate spacing between...

May 30, 2026
Pr
Remote CPMA: Outpatient Coding Auditor
Premera Granite Heights, WI
Certified Professional Medical AuditorSkip to main content# CareersCertified Professional Medical Auditor page is loaded## Certified Professional Medical AuditorApplylocations: WA Western Telecommuter: TX Telecommutertime type: Full timeposted on: Posted 26 Days Agojob requisition id: R28802**Workforce Classification:**Telecommuter### Kinwell was founded on the principle of personalized, whole-hearted care for every patient. We believe the best healthcare is a conversation, and one that includes nutrition, fitness, sleep, and behavioral health. Our Clinicians and Clinic Support staff drive real change in their patient’s well-being. Along the way, we are setting a new standard for primary care, making it more accessible, impactful, and holistic.We are dedicated to building great places to work. We value all teammates and respect a diversity of thought, ideas, and cultures—all focused on the common goal of nurturing the health of those we serve.Kinwell fosters a culture...

May 30, 2026
SC
Lead Compliance Auditor - Monday - Friday, 7:00am - 3:30pm
Saddle Creek Granite Heights, WI
Lead Compliance Auditor - Monday - Friday, 7:00am - 3:30pm page is loaded## Lead Compliance Auditor - Monday - Friday, 7:00am - 3:30pmlocations: Ft. Worth, TXtime type: Full timeposted on: Posted 2 Days Agojob requisition id: R28237Saddle Creek Logistics Services succeeds by promoting a diverse, friendly, and respectful teamwork environment. As a vital service provider, we not only make a difference in our community but offer our associates opportunities to enhance their skills, build meaningful careers and end each day with a sense of accomplishment. If you're looking for a family-oriented company that lives by its values and offers competitive pay and benefits, join our team today.## **Benefits:*** Weekly pay with skill pay and shift differentials* Benefits package including medical, dental, vision and medical reimbursement* Medical employee-only premium less than $10/week with wellness discounts* HSA with annual employer contribution* Weekly 401(k) match* Vacation immediately...

May 30, 2026
BC
Senior Clinical Compliance Auditor
Blue Cross and Blue Shield of Mississippi Flowood, MS
Senior Clinical Compliance Auditor At Blue Cross & Blue Shield of Mississippi, we encourage professional growth in a challenging and fast-paced atmosphere. Our 'be healthy' culture promotes health and wellness at all levels of the Company, and we provide our employees with the time, tools and resources to commit to a healthy lifestyle. The Senior Clinical Compliance Auditor serves as the primary clinical reviewer of data analysis findings, referrals, appeals and complaints related to Network Hospitals, Providers, Pharmacies, and other entities or programs suspected of inappropriate billing of claims to Blue Cross & Blue Shield of Mississippi. The incumbent is responsible for selecting, obtaining, coordinating, monitoring, and reviewing medical records and other relevant information for clinical and coding assessment and validation of related billing of services provided to Blue Cross Blue Shield Customers. The Senior Clinical Compliance Auditor collaborates with data...

May 30, 2026
HI
Remote E/M Coding Auditor — Elevate Compliance & Revenue
Humana Inc Montgomery, AL
Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry‑standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation, coding, and billing in accordance with regulatory guidelines, payer policies, and Humana’s internal standards. WORK STYLE Remote / Work at home WORK HOURS Associates will work on EST, regardless of where the associate resides. All associates must start between 6 AM‑9 AM EST, Monday‑Friday as a dedicated schedule. Work hours can vary occasionally and/or depending on business needs. Responsibilities Conduct comprehensive...

May 30, 2026
DB
Hybrid RN Coder & Auditor - Home Health
Downtown Boulder Partnership Colchester, VT
Downtown Boulder Partnership is seeking a Clinical RN Auditor to ensure clinical documentation meets regulatory standards. This hybrid role requires 1-2 days per week in the Colchester, VT office for collaboration and in-person meetings. The auditor will review care documentation for accuracy, working to improve clinical outcomes while reducing risk through monitoring and expert collaboration. Candidates should possess Vermont RN Licensure and relevant coding certifications, along with strong experience in home health or hospice settings. #J-18808-Ljbffr

May 30, 2026
GM
Medical Auditor/Educator - West Jordan - FT - Prior Industry Experience Required
Granger Medical Clinic Salt Lake City, UT
Medical Auditor/Educator - West Jordan - FT - Prior Industry Experience Required Granger Medical Clinic has an immediate opening for a Full Time Medical Auditor/Educator at our Taylorsville headquarters location. We are seeking candidates with relevant professional experience who can contribute quickly and effectively in this role. Essential Functions and Duties: Supports and implements the organization's vision, mission, and values. Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies as necessary or required. Effectively communicates with providers/Coders to clarify diagnoses, procedure coding and documentation requirements, including proper sequencing. Monitors all coding accuracy at various levels of detail and maintains coding quality as needed. Tracks coding issues and reviews coding inaccuracies to highlight areas of improvement....

May 30, 2026
HI
Medical Coding Auditor Evaluation & Management
Humana Inc Charleston, WV
Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry‑standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation, coding, and billing in accordance with regulatory guidelines, payer policies, and Humana’s internal standards. WORK STYLE Remote / Work at home WORK HOURS Associates will work on EST, regardless of where the associate resides. All associates must start between 6 AM‑9 AM EST, Monday‑Friday as a dedicated schedule. Work hours can vary occasionally and/or depending on business needs. Responsibilities Conduct comprehensive...

May 30, 2026
HI
Medical Coding Auditor Evaluation & Management
Humana Inc Springfield, IL
Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry‑standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation, coding, and billing in accordance with regulatory guidelines, payer policies, and Humana’s internal standards. WORK STYLE Remote / Work at home WORK HOURS Associates will work on EST, regardless of where the associate resides. All associates must start between 6 AM‑9 AM EST, Monday‑Friday as a dedicated schedule. Work hours can vary occasionally and/or depending on business needs. Responsibilities Conduct comprehensive...

May 30, 2026
HI
Remote E/M Coding Auditor — Elevate Compliance & Revenue
Humana Inc Little Rock, AR
Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry‑standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation, coding, and billing in accordance with regulatory guidelines, payer policies, and Humana’s internal standards. WORK STYLE Remote / Work at home WORK HOURS Associates will work on EST, regardless of where the associate resides. All associates must start between 6 AM‑9 AM EST, Monday‑Friday as a dedicated schedule. Work hours can vary occasionally and/or depending on business needs. Responsibilities Conduct comprehensive...

May 30, 2026
HI
Medical Coding Auditor Evaluation & Management
Humana Inc Olympia, WA
Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry‑standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation, coding, and billing in accordance with regulatory guidelines, payer policies, and Humana’s internal standards. WORK STYLE Remote / Work at home WORK HOURS Associates will work on EST, regardless of where the associate resides. All associates must start between 6 AM‑9 AM EST, Monday‑Friday as a dedicated schedule. Work hours can vary occasionally and/or depending on business needs. Responsibilities Conduct comprehensive...

May 30, 2026
HI
Medical Coding Auditor Evaluation & Management
Humana Inc Lansing, MI
Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry‑standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation, coding, and billing in accordance with regulatory guidelines, payer policies, and Humana’s internal standards. WORK STYLE Remote / Work at home WORK HOURS Associates will work on EST, regardless of where the associate resides. All associates must start between 6 AM‑9 AM EST, Monday‑Friday as a dedicated schedule. Work hours can vary occasionally and/or depending on business needs. Responsibilities Conduct comprehensive...

May 30, 2026
SH
Remote Compliance Coding Auditor - CPC/CCS, Multi-Specialty
Sentara Healthcare Inc Norfolk, VA
Compliance Coding Auditor Performs a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara's patients, and also assures that the coding practices fall within established compliance guidelines. Both ICD and CPT coding methodologies are used in the internal audit activity. The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment methodology, including the impact on Relative Value Unit (RVU) value related to Non-Physician Practitioner (NPP) services, Provider Based Billing (PBB) locations, and all other complex coding protocols within one year. All queries arising from the audit process are...

May 30, 2026
SH
Compliance Coding Auditor
Sentara Health Plans Norfolk, VA
Compliance Coding Auditor page is loaded## Compliance Coding Auditorremote type: Remotelocations: Norfolk, VAtime type: Full timeposted on: Posted 2 Days Agojob requisition id: JR-99531**City/State**Norfolk, VA**Work Shift**First (Days)**Overview:**# Compliance Coding AuditorPerforms a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara's patients, and also assures that the coding practices fall within established compliance guidelines.Both ICD and CPT coding methodologies are used in the internal audit activity. The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment methodology,...

May 30, 2026
BC
Coding Auditor
BlueCross BlueShield of Tennessee Chattanooga, TN
Coding Auditor The Facility Audit Department at BCBST is searching for a talented Coding Auditor to join our dynamic team in performing detailed claims payment quality reviews and coding compliance audits. This role is essential in reviewing hospital claims to ensure appropriate reimbursement, as well as compliance with contracts, regulatory requirements, and BCBST guidelines. A unique aspect of this position is providing educational feedback and reports to TN facilities based on audit findings. While travel is not currently required, there may be rare occasions when traveling to a TN facility for an audit becomes necessary, so we're seeking candidates who reside in Tennessee or contiguous counties. The ideal candidate will bring a Bachelor's degree or equivalent experience, together with at least two years of facility inpatient or outpatient coding and auditing experience, or reimbursement experience in a payer environment. An active AHIMA certification is required, or the...

May 30, 2026
HI
Remote E/M Coding Auditor — Elevate Compliance & Revenue
Humana Inc Baton Rouge, LA
Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry‑standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation, coding, and billing in accordance with regulatory guidelines, payer policies, and Humana’s internal standards. WORK STYLE Remote / Work at home WORK HOURS Associates will work on EST, regardless of where the associate resides. All associates must start between 6 AM‑9 AM EST, Monday‑Friday as a dedicated schedule. Work hours can vary occasionally and/or depending on business needs. Responsibilities Conduct comprehensive...

May 30, 2026
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