212 coder auditor jobs found

Location 1240 39th Street,Brooklyn, NY, 11218,United States Base Pay $83,000.00 - $90,000.00 / Year Employee Type Full Time Required Degree 4 Year Degree We are seeking a detail-oriented and experienced Coder Auditor to join our dynamic team. The ideal candidate will be responsible for ensuring the accuracy and completeness of clinical data used to support risk adjustment coding for our Medicare plan. You will work closely with healthcare providers and clinical teams to identify and mitigate documentation gaps, ultimately supporting our mission to provide exceptional care to our members. Responsibilities Audit and QC the coding team’s output for accuracy and compliance with HCC/ICD-10-CM guidelines Speak directly with providers — writing and following up on provider queries for insufficient or ambiguous documentation Educate providers on documentation practices that support accurate risk adjustment coding Serve as the escalation point for complex charts and coding...

Overview At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions. The Outpatient Payment Integrity Coder Auditor is responsible for reviewing outpatient medical claims to ensure coding accuracy, compliance, and appropriate payment in accordance with CMS and payer-specific guidelines. This role supports the development and implementation of payment integrity initiatives by identifying coding and billing inaccuracies, trends, and potential cost savings opportunities across outpatient facility claims. The ideal candidate has advanced knowledge of outpatient coding, APC and EAPG payment methodologies, and clinical documentation requirements, with strong analytical and auditing skills. Salary Range: $100,000 - $102,500 Responsibilities Perform detailed coding audits on outpatient facility claims to validate appropriate CPT/HCPCS, revenue codes, modifiers, and ICD-10 coding...

Lead Him Hospital Coder/Auditor (In-Patient - Observation) Remote The Health Information Management (HIM) Inpatient/Observation Hospital Coder Auditor/Lead responsibilities include reviewing all diagnosis and procedural coding in ICD-10-CM/PCS for accurate DRG assignment. This position will have daily interactions with internal and external customers to include physicians, hospital support services and ancillary departments. The HIM Inpatient/Observation Hospital Coder Auditor/Lead will perform inpatient/outpatient coding compliance audits and provide coder education. This position will assist in the preparation and finalization of auditing reports. Responsibilities and Essential Job Functions Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department. Note: These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may...

A healthcare technology firm is seeking a Nurse Coder DRG Auditor to validate coding accuracy and medical necessity of inpatient claims. The role involves applying industry standards and guidelines to perform DRG validations while collaborating within a team. Successful candidates will have an active RN license, relevant coding certifications, and experience in clinical practice. A competitive salary of $85,000 to $90,000 is offered, along with a comprehensive benefits package. #J-18808-Ljbffr

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. Description Medical Coder and Auditor - Family Care Practice Full-Time Monday - Friday Flexible Schedule $25.00 - $39.00 per hour (depending on experience) Medical Coder and Auditor Benefits: Annual performance review, performance-based merit increase Health, dental and vision benefits available with coverage effective the first of the month following date of hire Full complement of voluntary benefits $1,000 annual employer HSA contribution for employees enrolled in CNYFC high deductible health plan Free office visits with NP or PA employees who are patients of the practice and enrolled in CNYFC high deductible health plan Waiver program for health benefits ($3,000...

Phoebe Putney Health Systems, Inc. is seeking a skilled coder auditor to review medical record documentation and assign ICD-10-CM/PCS and HCPCS codes for billing and reporting. The role ensures compliance with Official Coding Guidelines and payer regulations. The position involves educating physicians and clinical staff to improve documentation quality and prevent denials, and training coders on reimbursement guidelines and career development materials. #J-18808-Ljbffr

A healthcare integrity solutions provider is looking for an Outpatient Payment Integrity Coder Auditor in New York City. In this role, you will audit outpatient medical claims for coding accuracy and compliance with CMS guidelines. The ideal candidate must have advanced knowledge of outpatient coding and payment methodologies, along with at least 3 years of relevant experience. The position offers competitive salary options and comprehensive benefits including health insurance and a 401(k) plan. #J-18808-Ljbffr

Certified Medical Coder – Family Medicine Staffingly, Inc. supports family practices, urgent care centers, and specialty clinics across the U.S. with a highly educated and certified remote healthcare workforce. With over 400 trained agents—most holding PharmDs, RNs, or MHAs—we specialize in revenue cycle management, including coding, prior authorization, intake coordination, and patient follow-up. Our coders don’t just process claims—they recover missed revenue, catch denials before they happen, and educate providers to prevent repeated documentation errors. We are HIPAA, SOC 2 Type II, and ISO 27001 certified. Position Summary We are hiring a Certified Medical Coder with hands-on Family Medicine experience and a proven track record of partnering with providers to increase revenue per visit, reduce denials, and enhance care quality reporting. This role goes beyond code entry—it requires someone who understands workflows, EHR behavior, documentation pitfalls, and can work closely...

TREND Health Partners is a tech-enabled payment integrity company. Our mission is to facilitate collaboration between payers and providers for mutual benefit and waste reduction, ultimately improving access to healthcare. We achieve this by aligning the common goals of payers and providers and fostering collaboration through a shared technology platform and seamless workflows. Joining TREND Health Partners means becoming part of a dynamic, growing organization that promotes a collaborative and innovative work environment. Our comprehensive compensation package includes competitive salaries, highly valued health insurance, a 401(k) plan with employer match, paid parental leave, and more. The Nurse Coder DRG Auditor’s primary responsibility is to review medical records and associated claim information to validate accuracy of DRG assignments and/or medical necessity for inpatient level of care. This role will apply coding and clinical principles based on industry standards and...

Location Miramar, Florida Summary Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities Enhances and maintains coding knowledge and skills. Reviews all appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding. Reviews medical record documentation to determine all appropriate diagnosis (including HCC Coding Hierarchical Condition Category), procedural and modifier code assignments. For hospital coding, reviews medical record documentation (i.e., provider orders); may code outpatient diagnostic and therapeutic encounters requiring minimal procedural coding. Submits daily productivity report to HIM manager by defined deadline....

The Coder I position at 100 Lawrence Memorial Hospital requires expertise in coding, documentation review, and claims filing. The role involves working with medical records to ensure accurate coding following various guidelines and collaborating with healthcare professionals. Qualifications include a High School Diploma, relevant certifications from AHIMA, and a preference for Radiation oncology experience. The role offers remote work options post-training, with excellent benefits and supports for continuing education. #J-18808-Ljbffr

Medical Billing Specialist We are unable to offer a work visa sponsorship for this position. You must be authorized to work in the U.S. to apply. Posting Details Posting Number: S15474P Working Title: Medical Billing Specialist Department: UHC-Business Services About the University of Georgia: Chartered by the state of Georgia in 1785, the University of Georgia is the birthplace of public higher education in America and is the state’s flagship university ( https://www.uga.edu/ ). The proof is in our more than 240 years of academic and professional achievements and our continual commitment to higher education. UGA is currently ranked among the top 20 public universities in U.S. News & World Report. The University’s main campus is located in Athens, approximately 65 miles northeast of Atlanta, with extended campuses in Atlanta, Griffin, Gwinnett, and Tifton. UGA employs approximately 3,100 faculty and more than 7,700 full-time staff. The University’s enrollment exceeds 41,000...

Clinical Coder To undertake the role of a Clinical Coder to clinical groups or specialties as appropriate, abstracting from patient notes and other information sources and assigning suitable codes onto the Trust's patient administration system in line with National standards. Attend training sessions as necessary and work to maintain allocated reference manuals and standards manuals so that they are always up to date with national guidance. We are recruiting Band 4 Clinical Coders (with a 5% Recruitment & Retention Premium) who have completed the NHS Clinical Coding Foundation Course. Previous applicant need not apply. Please be advised that sponsorship is not eligible for this post. Please note that only the Band 4 role is subject to the R&R Premium (subject to renewal in December 2026). This will be applied upon commencement of the role. This will be included in the salary package from the start of employment. Closing Date: Please be advised that this job advert will...

To ensure compliance with coding regulations, the full-time Certified Coding Auditor will perform audits and abstraction of medical records, accurately assign ICD codes, and support clinical documentation processes while working remotely. Key responsibilities Conduct audits and abstraction of medical records to identify and submit appropriate ICD codes for risk adjustment processes Utilize medical records to ensure diagnosis codes are accurate and supported by clinical documentation in accordance with regulations Perform self-process audits to maintain compliance with internal policies and regulatory guidance from CMS and other bodies Required qualifications Minimum of 1 year of recent experience in medical record documentation review, diagnosis coding, and/or auditing CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician) certification required Proficiency in Microsoft Office products and industry-standard coding applications Experience with...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

To support accurate claims processing, the part-time Certified Medical Coding Auditor will remotely review and analyze medical records against submitted claims, ensuring compliance with coding guidelines and identifying potential errors or fraud. Key responsibilities Performs clinical reviews of CPT, HCPCS, and modifiers for claims submitted by providers Determines accuracy of medical coding and provides payment recommendations based on comprehensive evaluations Identifies aberrant billing patterns and trends, recommending providers for further review as necessary Required qualifications Certified Coder AHIMA (CCA, CCS, CCS-P) or AAPC Certified coder (CPC, CPC-I) 2+ years of experience as an AHIMA or AAPC Certified coder 2+ years of CPT/HCPCS/Modifiers coding experience 2+ years of strong medical record review experience 1+ year of experience in the health insurance business, utilizing industry terminology and regulatory guidelines

The Medical Coding Auditor is responsible for conducting prospective and retrospective compliance reviews of documentation supporting codes reported by providers or facility coding to ensure accuracy in billing, maximize charge capture, and comply with Federal, State, payer, and institutional requirements. This role involves analyzing medical records, ensuring the accuracy of ICD-10-CM diagnosis coding and CPT/HCPCS coding, and compliance with regulations. The specialist communicates results, makes recommendations, and provides training and education to staff on appropriate documentation, coding, and billing practices. Essential Job Responsibilities Conduct coding and auditing of technical and professional components of services and procedures to ensure accuracy. Perform audits of new physicians on coding and documentation requirements for E/M services and procedures. Track coding issues by provider and present necessary education and training to improve coding. Demonstrate...

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 high-performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that...

American Oncology Network is seeking an experienced Auditor for E/M coding who is proficient in MS Office and possesses strong critical thinking and communication skills. The role entails performing audits, providing coding support, and maintaining patient confidentiality. Applicants should have a minimum of 2 years of coding experience and relevant certifications. This remote position offers opportunities for professional development and necessitates effective time management skills. #J-18808-Ljbffr

Inpatient Coding Auditor Remote Eligibility: Candidates must reside and work full‑time in AR, KS, MO, OK, or TX before their first day of employment. Ensures accurate, quality, and compliant inpatient facility coding through pre‑bill and retrospective audits of coder work and providing targeted education to improve consistency and documentation quality. Responsibilities Perform all functions of coding quality reviews (routine monthly, focus pre‑bill, CDI reconciliations, second‑level review work queues) for inpatient coding across OUH. Conduct peer‑to‑peer auditor reviews. Communicate with other teams and departments directly as needed to resolve immediate issues related to account reviews and code/DRG validation. Respond to coding‑related questions from internal and external coding staff. Initiate the rebilling process as required per policy on special projects. Trial tip sheets and training developed by the auditing team and provide constructive feedback. Maintain or exceed...

1 day ago Be among the first 25 applicants This range is provided by TalentPlug LLC. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $55,100.00/yr - $99,000.00/yr Direct message the job poster from TalentPlug LLC The Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation on an annual basis. Candidates must be willing to travel to New York twice a year to be considered for the position. Position Purpose: Responsible for developing and conducting training and quality auditing programs for the Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation on an annual basis. Candidates must be willing to travel to New York twice a year to be considered for the position. Responsibilities: Conducts auditing of work performed by staff and present...

A healthcare provider is seeking a Clinical Coding Auditor & Trainer to develop training and quality auditing programs. The role primarily offers remote work with some travel to New York expected annually. Candidates should have a valid clinical license and experience in DRG and Medical Record Audits. This full-time position focuses on training, quality assurance, and compliance in a hospital environment. #J-18808-Ljbffr

Inpatient Coding Auditor & Educator Our client is seeking an experienced Inpatient Coding Auditor & Educator to support coding quality, compliance, and education within an acute care hospital environment. This role focuses on auditing inpatient facility coding, identifying opportunities for improvement, and developing educational resources to enhance coding accuracy and regulatory compliance. Requirements 5+ years of coding/auditing experience, including hands-on coding experience. 3+ years of inpatient facility auditing in an acute care hospital. Experience with Level I Trauma Centers and multi-specialty inpatient coding. Strong background auditing hospital/facility coding (not professional/physician coding). Experience creating coder education and training materials. Advanced Excel and PowerPoint skills. One or more certifications required: RHIA, RHIT, CCS, CIC, COC, CPC, CCA, CCC, CIRCC, CCVTC, or another AAPC/AHIMA credential. Responsibilities Audit inpatient medical...

Physician Coding Auditor 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 Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder's internal coding/auditing policies and expectations set forth by department management. The Physician Coding Auditor must prioritize daily duties, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals. Candidates should have recent auditing and education multi-specialty experience, have been client-facing, have experience presenting or educating in-person or virtually, and ideally have expert-level Epic proficiency. Responsibilities: Perform professional compliance audits of coding and documentation including surgeries,...