Coder auditor professional jobs | Healthcare Careers

Full Time

C2Q Health Solutions Hybrid (NY)

JOB PURPOSE: Responsible for supervising, evaluating, and consistently improving the day-to-day operations of Medical Practice. This role is responsible for accurate and timely billing of insurance claims and patient statements across multiple sites, implements accurate medical coding policies, and enhances operational processes. It involves acting as a liaison between coding operations and clinical staff, training and coaching medical personnel on coding guidelines, and ensuring the accuracy and timeliness of clinical documentation. Additionally, the role includes analyzing and optimizing diagnosis data submission processes, presenting performance results to leadership, and supporting HCC/RAF optimization strategies. The role will also oversee the training of Medical Practice Assistants, Physician and IDT disciplines in ICD-9/ICD-10 guidelines. JOB RESPONSIBILITIES: Responsible to deliver accurate and timely billing of insurance claims and patient statements for all...

SU

OB/GYN Coder / Provider Educator

State University of New York Upstate Medical University Syracuse, NY

OB/GYN Coder / Provider Educator Syracuse Administrative, Secretarial & Clerical Full-time Part-time Varies Opening on: Nov 11 2025 UCM Administration Upstate Community Medical Medical Coder, N12 341067 N/A Position Overview Responsible for the accurate and compliant coding of inpatient, outpatient, and professional OB/GYN encounters. This position serves as a key liaison between coding, clinical, and compliance departments ensuring that all documentation and coding practices meet regulatory and payer requirements. The role also includes providing ongoing education to OB/GYN providers and clinical staff on documentation quality, coding updates, and best practices to optimize compliance and reimbursement. Tasks and Responsibilities Coding and Documentation Review: Assign accurate ICD-10-CM, CPT, and HCPCS codes for all OB/GYN-related inpatient and outpatient encounters, including deliveries, surgeries, procedures, and E/M services. Apply knowledge of global obstetric...

Ce

Medical Coding Auditor

Centerwell Albany, NY

Become a part of our caring community The 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 Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

Sa

Certified Interventional Radiology Cardiovascular Coder (CIRCC) Project Lead, Auditor

Savista Florida, NY

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Company Overview Savista partners with healthcare providers to improve their financial strength by implementing integrated revenue cycle solutions that help control cost, improve margins and cash flow, increase regulatory compliance, and optimize operational efficiency. Job Purpose The Audit Project Lead oversees a designated client’s audit, which is ongoing in nature and spans several hospital and/or clinic sites. This colleague coordinates project managing a designated client’s audit with a designated colleague(s) from the Audit...

MU

Compliance Auditor

Medical University of South Carolina Lima, NY

Job Summary The Compliance Auditor reports to the Internal Audit Coordinator and performs audits to evaluate adherence to laws, regulations and policies by reviewing records, analyzing data, and interviewing staff and stakeholders. These audits include high‑risk services identified via the annual risk assessment, OIG‑CMS‑PGBA workplan areas, ad hoc audit requests, and “for cause” coding and billing concerns. The audit scope covers regulatory and industry research for audit planning, pre‑and post‑audit meetings with stakeholders, a cohesive audit report communicating results with a corrective action plan if warranted, and education and training to stakeholders as needed. Education & Qualifications Bachelor’s degree in a related field and a minimum of 2 years of medical billing, coding, or audit experience; or a high school diploma or equivalent (GED) and 4 years of medical billing, coding, or audit experience. A college degree is preferred. The applicant must be credentialed...

Ws

Coding Auditor and Educator - Full Time - Days

What’s Upstate Utica, NY

Coding Auditor and Educator - Full Time - Days Department: MEDICAL GRP ADMIN Job Summary The Medical Group Coding Auditor and Educator is responsible for auditing clinical documentation and coding practices to ensure accuracy, compliance, and adherence to national standards. This role involves educating both medical coders, providers and staff on coding best practices, documentation requirements, and payer‑specific guidelines. The Auditor will apply expertise in coding principles, identify areas for improvement, and provide training to enhance the skills of both coders and healthcare providers. Core Job Responsibilities Perform thorough reviews of coded claims, ensuring compliance with ICD‑10, CPT, HCPCS, HIPAA, HITECH and other coding standards and payer‑specific requirements. Identify coding errors, documentation inconsistencies and discrepancies in claims submitted for reimbursement. Coach and educate coders and providers. Conduct detailed audits on medical records and...

MR

Outpatient Coder Auditor

Med Review Inc New York, NY

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...

Sa

Certified Interventional Radiology Cardiovascular Coder (CIRCC) Project Lead, Auditor

Savista New York, NY

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Company Overview Savista partners with healthcare providers to improve their financial strength by implementing integrated revenue cycle solutions that help control cost, improve margins and cash flow, increase regulatory compliance, and optimize operational efficiency. Job Purpose The Audit Project Lead oversees a designated client’s audit, which is ongoing in nature and spans several hospital and/or clinic sites. This colleague coordinates project managing a designated client’s audit with a designated colleague(s) from the Audit...

PP

Senior Medical Coder: Revenue Cycle & Coding Audits

Planned Parenthood of Greater New York New York, NY

A leading health services provider in New York City is seeking a knowledgeable professional for the role of Coding Auditor. The ideal candidate will have extensive experience in outpatient provider coding alongside robust knowledge of Medicaid regulations. Responsibilities include reviewing coding audits to ensure compliance, educating providers on best practices, and collaborating with stakeholders to address coding issues. A commitment to health equity and other related competencies is highly valued in this dynamic and impactful role. #J-18808-Ljbffr

PP

Medical Coder

Planned Parenthood of Greater New York New York, NY

At Planned Parenthood of Greater New York (PPGNY), our greatest strengths are the employees who empower every individual with the information, resources, and care they need to live happy, healthy lives. We are a team of trusted health care providers, educators, and fierce advocates committed to advancing equity and improving health outcomes in communities that face systemic barriers to quality, innovative sexual and reproductive health services—including birth control, pregnancy testing, emergency contraception, cancer screenings, STI testing and treatment, HIV testing and prevention, transgender hormone therapy, wellness exams, crisis counseling, financial counseling, and compassionate, nonjudgmental abortion services. DUTIES AND RESPONSIBILITIES Revenue Cycle Coding (85%) Responsible for performing coding and documentation audits to ensure compliance and optimal reimbursement. Responsible for identifying billing and charge issues to Int VP Revenue Cycle, along with proposals...

NM

Certified Medical Coding Auditor – Anesthesia Denials & Compliance

NAPA Management Services Corporation Melville, NY

A healthcare services provider based in Melville, NY is seeking a Certified Coding Auditor to review clinical documentation and ensure accurate coding for anesthesia services. The ideal candidate has a minimum of 2 years' medical coding experience and holds a CPC or CCS-P certification. This position offers competitive hourly pay, health benefits, paid time off, and opportunities for professional development. The role supports offshore vendor coding inquiries and improves documentation accuracy. #J-18808-Ljbffr

MH

Hospital Based Outpatient Coder II - HIM - FT - Days - MSS - Remote Eligible

Memorial Healthcare System Florida, NY

Location Miramar, Florida Summary Reviews medical record documentation to assign ICD‑10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing, and compliance. Responsibilities For hospital encounters, routes billing charge entry errors and/or account edits preventing completion of coding and/or billing. Makes appropriate coding corrections when advised and follows procedure to notify billing. Reviews chargemaster generated CPT/HCPCS codes when errors are found. Coding Management is notified to alert Charge Management to educate department making errors. For Professional Billing, routes to billing charge entry errors and/or account edits preventing completion of coding and/or billing. Enhances and maintains coding knowledge and skills for physician billing. Maintains strict adherence to patient confidentiality according to MHS standards and regulatory requirements. Communicates with insurance...

PP

Medical Coder

Planned Parenthood of Greater New York NY

At Planned Parenthood of Greater New York (PPGNY), our greatest strengths are the employees who empower every individual with the information, resources, and care they need to live happy, healthy lives. Picture yourself here: We are a team of trusted health care providers, educators, and fierce advocates committed to advancing equity and improving health outcomes in communities that face systemic barriers to quality, innovative sexual and reproductive health services -- including birth control, pregnancy testing, emergency contraception, cancer screenings, STI testing and treatment, HIV testing and prevention, transgender hormone therapy, wellness exams, crisis counseling, and financial counseling. PPGNY also proudly provides compassionate, nonjudgmental abortion services. When you join PPGNY as a Medical Record Coding Auditor you will be responsible for This position will be responsible for performing on-going auditing of outpatient provider coding, and education. Individuals...

CF

Medical Coder and Auditor

CNY Family Care LLP Syracuse, NY

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 $22.00 -$28.00 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...

PF

Remote Medical Coding Auditor

Patient Financial Concepts New York, NY

Job TypePart-timeDescriptionRequired :3-5 years of experience in acute care facility (hospital) medical coding auditing or complianceLocation :RemoteJob Summary :The Medical Coding Auditor is responsible for reviewing medical records to ensure accurate coding and compliance with regulatory requirements.This role ensures continuous quality improvement in coding practices while maintaining compliance with healthcare laws and organizational policies.Occasional travel may be required for audits or meetings.Key Responsibilities :Conduct reviews and audits of medical records for coding accuracy (ICD-10-CM, CPT, HCPCS) and documentation compliance.Ensure compliance with federal, state, and payer-specific regulations, including CMS guidelines.Identify and address coding discrepancies and recommend corrective actions.Prepare detailed audit reports with findings and provide feedback on documentation and coding practices.Collaborate with relevant departments to resolve audit findings and...

Full Time

Certified Billing and Coding Specialist

New York Oncology Hematology Hybrid (NY)

SCOPE: Under minimal supervision performs periodic, comprehensive coding audits for all assigned regional oncologists (medical, radiation and surgical oncology). Verifies charge documentation and charge submission processes are in compliance with Federal and State regulations, as well as payer guidelines. Coordinates efforts with manager and front office managers to ensure optimal revenue cycle processes and adherence to compliance and revenue cycle policies and procedures. Provides effective educational feedback to physicians and staff on findings from audits and updates in Payer billing regulation . ESSENTIAL DUTIES AND RESPONSIBILITIES: Develops Audit and Education Programs Abstracts relevant clinical and demographic information from the medical record to assign current ICD and CPT codes in accordance with coding and reimbursement guidelines. Codes with an accuracy of 97% based on QA internal reviews Performs Evaluation and Management (E&M)...

EM

Medical Coder I

Ellis Medicine NY

WHAT WILL I GET AT ELLIS MEDICINE? Comprehensive and affordable Health, Dental and Vision insurance that starts DAY ONE ! Generous paid time off to support a work-life balance, including 6 paid holidays Tuition Reimbursement and professional development opportunities Retirement plan in the form of a 401(3b) with company match after longevity Flexible Spending Account and Dependent Care Account-allowing you to set aside pretax dollars to better care for your health and the health of your loved ones Free yearlong unlimited CDTA Navigator Pass, including Free CDTA bike share program Employee Wellness Program Employee Assistance Program Employer paid Life Insurance WHAT WILL I DO AS A MEDICAL CODER? Basic Function: The Medical Coder is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes, but is not limited to managing the charge entry and charge reconciliation process for the assigned...

NH

Coding Auditor

Northwell Health New Hyde Park, NY

Job Description Overview: Develops and implements coding instruction classes; demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. Demonstrates effective skills in validation; provides educational in-service to the coding and medical staff. Able to communicate effectively with coders and medical staff; acts as liaison to consultants. Prepares coding guidelines; demonstrates knowledge of coding policy and procedures. Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies. Maintains coding clinic up-dates. Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing. Reviews potential reassignments; demonstrates accurate and timely review of all reassignments. Implements coding changes; demonstrates ability to accurately and efficiently relate coding changes to staff. Operates under general...

NH

Registered Nurse Coding Auditor

Northwell Health New Hyde Park, NY

Job Description Preferred Skills: 3-5 years of Inpatient Coding experience Inpatient Coding certificate required CCS, CIC Job Description Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code changes 3.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. 4.Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. 5.Applies coding rules and regulations to the validation review process. 6.Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. 7.Communicates DRG changes and rationale to the coding and CDI staff. 8.Identifies appropriate...

RO

Medical Biller

RPCI Oncology, PC - Roswell Park Care Network Williamsville, NY

Job Description Job Description Come and join our growing organization as a Medical Biller! Roswell Park Care Network is a recognized leader in oncology and specialty care, supporting community physician practices across New York State. We are committed to delivering exceptional patient care while advancing innovative treatment options in a collaborative and patient-focused environment. Comprehensive Benefits: Monday-Friday schedule Medical, dental, and vision coverage Employer funded Health Reimbursement Account (HRA) 401(k) with company match Generous vacation and sick time Company-paid life insurance 11 paid Holidays The Medical Biller position offers a hybrid schedule. After successfully completing on-site training, the schedule transitions to just one on-site day per week As the Medical Biller you will be responsible for entering charges and submitting medical claims to insurance companies. This role will work all open accounts for...

SH

Certified Professional Coder

Seneca Health Services Salamanca, NY

Benefits include: Monday - Friday (No weekends and no holidays) Health, dental, and vision full coverage for individual Short term/long term disability options Vacation (annual) + PTO (accrued weekly) 16 paid holidays in the calendar year 401K - 5% matching Parental, medical, education, bereavement leaves and so much more! BASIC FUNCTION: Incumbent reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid, and private insurance payments. Ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. GENERAL RESPONSIBILITIES: Abstracts all necessary information and sequences and assigns codes (ICD-10, CPT, and HCPCS), which most accurately describe each documented diagnosis, surgical procedure and special therapy/procedure according to established guidelines, and to identify secondary complications and co-morbid conditions. Determines the...

NH

(RN) Registered Nurse Coding Auditor - HCS-D, COS-C - Per Diem

Northwell Health Garden City, NY

Req Number 176729 Job Description Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Remote position Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code changes 3.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. 4.Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. 5.Applies coding rules and regulations to the validation review process. 6.Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. 7.Communicates DRG changes and rationale to the coding and CDI...

OH

Mental Health & Wellness Billing Coordinator/Coder

Oswego Health Oswego, NY

Job Title: Mental Health & Wellness Billing Coordinator/Coder Department: Mental Health & Wellness Reports to: Business Operations Manager Revision Date: 2/24/2026 Status: Non-Exempt Job Summary: Full-time The Behavioral Health Billing Coordinator is responsible for reviewing outpatient medical documentation to ensure accurate billing and timely reimbursement for services. This role supports approximately 30 mental health providers across three outpatient offices and school-based programs. The Billing Coordinator collaborates with clinical staff, physicians, administrators, billing specialists, insurance carriers, and patients to verify insurance eligibility, resolve discrepancies, and ensure compliance with coding and documentation standards. Duties/Responsibilities: Verify insurance eligibility for three outpatient offices and school-based programs; resolve eligibility issues by contacting insurance carriers and/or patients. Update and...

UH

Inpatient coder III

UHS Binghamton, NY

Position OverviewThe Inpatient Coder Level 3 is a senior-level position responsible for coding high-complexity inpatient records with accuracy and efficiency. This role requires expert-level knowledge of ICD-10-CM and ICD-10-PCS coding systems, MS-DRG and APR-DRG assignment, and comprehensive understanding of clinical documentation. The Level 3 coder ensures coding compliance, supports training and mentoring of junior staff, and contributes to audit and quality improvement efforts within the HIM department. #IND1 Primary Department, Division, or Unit: Coding Support Services, UHS Revenue Cycle Operations Primary Work Shift: Day Compensation Range: $33.63 - $50.45 per hour, depending on experience You will be eligible for benefits if you are hired into a regular position with at least 24 scheduled weekly hours. Key Responsibilities Demonstrate proficient understanding of complex clinical scenarios, including comorbidities and complications. Analyze...

87 coder auditor professional jobs found