2825 coding auditor jobs found

Location: Baltimore, Maryland, United StatesCompany: TEKsystemsPosted: 2026-09-07TEKsystems seeks a Medical Coding Auditor in Baltimore, hybrid (1-2 days in office weekly). The role focuses on independent physician coding reviews, CMS/CPT/ICD-10 compliance, and training to improve documentation accuracy.Responsibilities include auditing, reporting findings, and developing education programs for providers, with a compensation range typically aligned to the posted salary and located in Baltimore, MD.#J-18808-Ljbffr

Location: Baltimore, Maryland, United StatesCompany: TEKsystemsPosted: 2026-09-06Location: Baltimore, Maryland, United StatesCompany: TEKsystemsPosted: 2026-09-03TEKsystems in Baltimore, MD, is seeking an experienced Physician Coding Auditor & Educator to support coding compliance, documentation improvement, auditing, and provider education initiatives. The role conducts independent audits, educates physicians, and helps ensure accurate documentation in line with CMS, CPT, HCPCS, and ICD-10 guidelines.The candidate should combine auditing expertise with the ability to educate and communicate with physicians and leadership.#J-18808-Ljbffr

Ensemble Health Partners seeks an Inpatient/DRG Validation Coding Auditor to review medical records and ensure accurate DRG assignment and documentation. You will identify discrepancies, educate coders, and help improve reimbursement accuracy for hospital clients. The role requires 5+ years of coding and 3+ years of facility audit experience, proficiency with EMR systems and encoders, and maintaining HIPAA compliance. #J-18808-Ljbffr

Location: Indianapolis, Indiana, United StatesSalary: $92,880 - $160,218Company: ElevancehealthPosted: 2026-09-06Location: Indianapolis, Indiana, United StatesSalary: $92,880 - $160,218Company: Elevance HealthPosted: 2026-09-01DRG Coding Auditor - MS-DRG and APR-DRGSign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service.Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also...

DRG Coding Auditor - MS-DRG and APR-DRGSign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service.Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients....

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...

Acute Inpatient Coding AuditorWe are seeking an experienced Acute Inpatient Coding Auditor with recent acute care hospital experience. This role is responsible for auditing facility-based inpatient coding, DRG assignment, ICD-10-CM/PCS coding accuracy, documentation review, and compliance. Candidates must have a strong background in acute inpatient hospital coding and auditing.This position focuses exclusively on facility (hospital) inpatient services and is not a professional fee/physician coding role.JOB SUMMARY:Audits medical record documentation and coding to extract data and determine appropriate ICD-10-CM/PCS and HCPCS codes for billing, internal and external reporting, and compliance with the Official Coding Guidelines for Coding and Reporting, payer regulations, and hospital policy. Educates physicians and clinical personnel to ensure complete documentation in the medical record and queries physicians to resolve incomplete or conflicting information to ensure compliant...

NON-CLINICAL CODING AUDITOR AND TRAINER - 5525 US:NV:Carson City | Information Management | Full Time Description US:NV:Carson City Health Information Management Full Time Standard Office Hours Summary The Non-Clinical Coding Auditor and Trainer reviews services provided and compares them to EHR and billing records to determine accuracy. This position is responsible for performing quality reviews of outpatient medical records to validate the integrity of ICD-10 diagnoses and procedures as well as CPT/CPT II/PCS coded procedures. The position reviews medical records and other documentation to identify under and over coded services, prepares reports of findings and meets with management to educate on and improve coding practices. The Coding Auditor and Trainer ensures appropriate coding and maintains compliance documentation. This position ensures that billing is optimized, and errors are minimized by identifying opportunities through audit and observation; remaining abreast of...

Humana is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims and assign appropriate DRGs using ICD-10-CM and CPT terminology. The role emphasizes accuracy, confidentiality, and independent work in a remote setting with some travel for training or meetings. Requirements include RHIA/RHIT/CCS certification and MS-DRG coding experience, plus strong claims-reading skills and proficiency with MS Office. #J-18808-Ljbffr

A healthcare services organization is seeking a Medical Record Audit / Coding Auditor to oversee the development of a clinical coding audit program. The role involves conducting compliance reviews, training coding associates, and ensuring adherence to coding regulations. Candidates must have at least five years of experience in physician coding and be a certified professional coder. This job offers an opportunity to impact billing accuracy and training processes within the organization. #J-18808-Ljbffr

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...

UASI is seeking an experienced facility inpatient Coding Auditor to perform inpatient coding audits and reviews from a home office, serving client sites remotely. The role involves identifying audit trends, researching documentation, and presenting findings to clients. Ideal candidates have RHIA/RHIT or CCS certifications, 2–5 years of inpatient audits, strong communication, and the ability to work independently while meeting deadlines and HIPAA requirements. #J-18808-Ljbffr

Baptist Health Care is seeking a Coding Auditor to review patient records for accurate ICD-10-CM/PCS, CPT, POA and MS-DRG assignments across inpatient and outpatient settings. The role also issues quarterly report cards and provides coding training to staff. The ideal candidate has a technical coding credential and several years of inpatient/outpatient coding experience, with knowledge of Medicare/third-party payer guidelines, and the ability to work remotely from Pensacola, FL. #J-18808-Ljbffr

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...

Humana is seeking an experienced Inpatient Medical Coding Auditor to review hospital claims for proper reimbursement, assign DRGs, and ensure accurate coding in payer systems. This remote role may require occasional travel to Humana offices for training or meetings. You will analyze medical records, respond to information requests, and maintain HIPAA confidentiality while applying MS-DRG coding expertise to support cost reduction and data integrity across payer operations. #J-18808-Ljbffr

DRG Coding Auditor - MS-DRG and APR-DRGSign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service.Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients....

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...

Select how often (in days) to receive an alert: Lead Coding Auditor, Itemized Bill Review and Appeals- Remote Date: Sep 9, 2026 Location: Any city, TX, US, 99999 Work Mode: Virtual (Exception only) 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 aLead Coding Auditor, Itemized Bill Review and Appeals who is responsible for performing itemized bill review, chart review, and coding validation to ensure that billed services were...

Gainwell Technologies seeks a Lead Coding Auditor for Itemized Bill Review and Appeals. This 100% remote role requires expertise in inpatient hospital bill auditing, outpatient facility coding, and charge master review. You will train Coding Auditors, participate in hearings, and ensure billing is accurate and compliant with plan policies. As part of the mission, you will analyze documentation, maintain coding knowledge, and support management with production and quality goals while working #J-18808-Ljbffr

Inpatient Medical Coding Auditor As an Inpatient Medical Coding Auditor, you will make an impact by auditing consultant inpatient records. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and teams. In this role, you will: Review inpatient records for diagnostic and procedural coding accuracy and compliance Review physician documentation to verify diagnoses and procedures Identify accurate ICD-10-CM and ICD-10-PCS codes utilizing an electronic encoder application, Solventum (3M), in accordance with practice policy and regulatory guidelines Complete reports as requested Provide ICD-10-CM and ICD-10-PCS education and mentoring to Company's clients in coding, billing and compliance Perform Peer Reviews of Company Health Information Management coding auditors and coders Assure that services provided to Clients of Company are current and up to date with industry standards Conduct other reviews, audits and other tasks at the...

A leading healthcare consulting firm is seeking a Clinical Coding Auditor & Trainer to lead DRG and medical record auditing while delivering staff training programs. The role emphasizes quality improvement and compliance across clinical and coding teams. Candidates should have a relevant license and an associate’s degree in nursing, coupled with 4+ years in auditing and at least 1 year of clinical experience. This primarily remote position offers competitive benefits and workplace flexibility. #J-18808-Ljbffr

Overview We are seeking a Clinical Coding Auditor & Trainer to lead DRG and medical record auditing and deliver staff training programs. This role supports quality improvement, compliance, and education across clinical and coding teams. Responsibilities Conduct audits of staff work; report findings and improvement recommendations. Develop and deliver coding and DRG training programs. Revise policies and procedures to improve audit accuracy. Maintain training and audit records and track staff progress. Ensure compliance with company policies and healthcare standards. Requirements RN, PA, MD, APRN, DO, or MBBS license. Associate’s degree in Nursing or equivalent experience. 4+ years of DRG and/or medical record audit experience. 1 year of clinical experience in a hospital setting. Preferred Valid/current CPC or CIC Certification (AAPC) or CCS (AHIMA). RHIA/RHIT credentials. Prior training or auditing experience in managed care. Notes Primarily remote position...

Zing Health is seeking a Senior Risk Adjustment Coding Auditor to ensure accurate, compliant coding across Medicare Advantage programs. You will lead audits, validate records, and support RADV activities, driving quality and regulatory compliance. The role requires strong analytical skills and proficiency in Excel and coding platforms. Join a mission-driven team focused on member-centered care, data integrity, and continuous improvement within a fast-paced, innovative environment in Illinois. #J-18808-Ljbffr

Description COMPANY OVERVIEW Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health aims to return the physician and the member to the center of the health care equation. Members receive individualized assistance to make their transition to Zing Health as easy as possible. Zing Health offers members the ability to personalize their plans, access to facilities designed to help them better meet their healthcare needs and a dedicated care team. For more information on Zing Health, visit www.myzinghealth.com. SUMMARY DESCRIPTION The Senior Risk Adjustment Coding Auditor is a highly experienced coding professional responsible for ensuring compliant, accurate, and high-quality risk adjustment coding across Medicare Advantage programs. This role is critical...