Coding auditor jobs | Healthcare Careers

Full Time

Physicians Choice LLC Remote

Physicians' Choice is currently seeking a highly proficient and seasoned Medical Coding Auditor specializing in Evaluation and Management (E/M) services, with a comprehensive understanding of Emergency Medicine, to join our esteemed team. If you possess extensive expertise in current E/M coding guidelines and have a strong background in auditing, we invite you to apply for this exceptional opportunity. Job Description: As a Medical Coding Auditor you will play a vital role in ensuring accurate and compliant coding practices within our organization. You will be responsible for conducting detailed audits of medical records, coding documentation, and related billing processes to verify compliance with established coding guidelines, regulatory requirements, and internal policies. Responsibilities: Perform comprehensive audits of medical records, coding documentation, and billing processes. Evaluate the accuracy, completeness, and appropriateness of medical...

Full Time

Professional Coding Auditor and Educator

WellStreet Urgent Care Remote (Alabama, Arkansas, Arizona, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Michigan, Missouri, Mississippi, North Carolina, Nebraska, New Jersey, New Mexico, New York, Ohio, Pennsylvania, South Carolina, Tenessee, Te)

The Provider Education Auditor 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 healthcare...

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Medical Coding Auditor

Community Care Plan Sunrise, FL

Overview Certified Medical Coder required (AHIMA, AAPC, or PMI). Hybrid-Sunrise, Florida The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through post payment medical records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines and regulatory and contract requirements. Essential Duties and Responsibilities Performs post payment medical record review audits of claims payments to identify potential fraud, waste, abuse and/or overpayment. Completes and maintains detailed documentation of audits including but not limited to coding guidelines reviewed, medical necessity documentation, decision methodology, and monetary discrepancies identified. Coordinates overpayment recoveries with the Fraud Investigative Unit Manager. Responsible for assisting the Fraud Investigative...

HM

Coding Auditor

Health Ministries Clinic Newton, KS

Health Ministries Clinic (HMC) is seeking a Coding Auditor (with PCP auditing experience) as a trusted expert to join our integrated care team in Newton, Kansas. This is a full‑time, on‑site position offering the opportunity to support patient care in a collaborative, mission‑driven environment. At Health Ministries Clinic, we offer more than just primary care with a full spectrum of services including behavioral health, lab, diagnostic, pharmaceutical and dental. We are seeking an experienced Coding Auditor with a multi‑speciality coding background. The Coding Quality Auditor is responsible for ensuring Health Ministries Clinic's compliance with national coding guidelines, FQHC coding guidelines and regulations. The Coding Auditor plays a crucial role in minimizing coding errors and preventing fraudulent activities. The Coding Auditor is responsible for ensuring accurate and consistent coding which results in appropriate reimbursement and data integrity. This role requires...

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Medicare ACO Coding Auditor Impactful Risk Adjustment

Cano Health Doral, FL

A healthcare organization in Florida is seeking an ACO Coding Auditor responsible for reviewing medical records and documenting Medicare Risk codes. The role involves on-site and remote audits, providing guidance on coding practices, and ensuring compliance with quality standards. Candidates should have experience in Medicare Risk Adjustment along with certifications as a coder. This position requires critical thinking, attention to detail, and strong communication skills. The work is based in Miami with occasional travel needed. #J-18808-Ljbffr

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Coding Auditor (PCP Experience) – On-Site

Health Ministries Clinic Newton, KS

A community health facility in Newton, Kansas seeks a knowledgeable Coding Auditor to ensure compliance with coding guidelines and enhance patient care. Ideal candidates will have extensive experience in ICD-10, CPT, and HCPCS coding along with active certifications. The position offers a supportive work culture, competitive salary of $25 per hour, and various benefits including medical, dental, and retirement plans. Join a dedicated team and contribute to improved health outcomes in a mission-driven environment. #J-18808-Ljbffr

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Medical Coding Auditor

R3 Management Services Montgomery, AL

Job Description Job Description Salary: Medical Coding Auditor Position Overview The Medical Coding Auditor performs detailed audits of both outpatient and inpatient medical records to ensure coding accuracy, compliance, and consistency with regulatory and payer standards. This role identifies errors, provides corrective feedback, and supports quality assurance and revenue integrity. Key Responsibilities Conduct audits of outpatient and inpatient medical records for coding accuracy, completeness, and compliance. Review cases against ICD-10-CM, CPT, and HCPCS coding standards, including DRG assignments for inpatients. Identify coding discrepancies, documentation deficiencies, and compliance issues. Provide detailed audit reports and actionable recommendations. Collaborate with coders and providers to improve coding accuracy and documentation practices. Track audit findings and maintain records for management and regulatory review. Support compliance initiatives and...

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Healthcare Compliance Coding Auditor & Audit Expert

Advanced Medical Management, Inc. Long Beach, CA

A leading healthcare management firm is seeking a Compliance Coding Auditor to support its Compliance & Ethics Program. The role involves auditing and monitoring compliance in healthcare practices, ensuring accurate coding and billing processes. Candidates should have 5-10 years of relevant experience in healthcare along with necessary certifications. The position offers comprehensive benefits including a full employer-paid HMO, generous PTO, and tuition reimbursement. #J-18808-Ljbffr

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Remote Coding Auditor Team Lead | Ambulatory & Epic

Baptist Health Frankfort, KY

A healthcare organization is looking for a Coding Auditor Team Lead to oversee ambulatory coders in a remote position. The role involves problem-solving missing charges, addressing coding errors, and monitoring coding accuracy and productivity. Candidates should possess a high school diploma or G.E.D., coding certification (CPC or CCS-P), and at least a year of supervisory experience, along with familiarity with electronic medical records systems. Apply now to be part of a family focused on clinical excellence and teamwork. #J-18808-Ljbffr

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Coding Auditor Team Lead

Baptist Health Frankfort, KY

Coding Auditor Team Lead page is loaded## Coding Auditor Team Leadlocations: Kentuckytime type: Full timeposted on: Posted Todayjob requisition id: R26099840**Summary****Job Description:*****BHMG is looking for a Coding Auditor Team Lead to join our team! This is a remote position that requires residency in Ky or IN***Assist in overseeing the daily operations of specialty and ambulatory coders in the provision of coding as it pertains to physician services for Baptist Health Medical Group. Function in a fully accountable role with respect to assisting in overall quality of the Ambulatory Coding Department. Works with Supervisor and Manager to problem solve missing charges, coding errors, codes for new services, missing documentation, denials and updates to computer systems. Monitors and reports to the supervisor and regional coding manager coding accuracy, productivity and charge posting.***Qualifications:**** High School Diploma or G.E.D. required, Bachelor's degree preferred.*...

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Inpatient Coding Auditor

Magicforce Irving, TX

Overview: q Under minimal supervision and according to established policies and procedures, conducts retrospective inpatient coding quality review audits in compliance with the coding compliance plan and established standards. Supports the review activities that drive hospital revenue including revenue cycle initiatives, internal audit plan, reimbursement audits and data quality. Key support for the coding areas and staff. Duties and Responsibilities: Essential Functions: q Performs coding quality audits and reports results for accurate ICD-10-CM and ICD-10-PCS coding of the principal diagnosis, secondary diagnosis, principal and secondary procedures, present on admission (POA) indicators, and DRG assignment. q Identifies missed query opportunities for complete and accurate revenue within the federal, state and payer specific regulations and coding policies. q Conducts quality review of medical record abstracting and appropriate discharge disposition selection to...

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Inpatient Coding Auditor (PRN)

UASI Poland, NY

Overview Join Our Award-Winning Team and Work with the Best! We are thrilled to share that UASI has been recognized as a Top Workplace by the Cincinnati Enquirer in 2022, 2023 and 2024. With over 40 years of experience and enduring partnerships with our valued clients, we are proud of the stability we’ve built and the long-term success of our dedicated team. We are currently seeking an experienced facility inpatient Coding Auditor to join our team on a PRN basis. The Coding Auditor will perform inpatient coding audits and review services to client sites remotely from a home office. Responsibilities Work with clients performing coding audit and/or review services on a variety of inpatient facility record types Identify trends based on coding audit and review findings and formulate recommendations for corrective action plans Perform necessary research to support findings, including online searches and pulling CMS transmittals and program memorandums Provide in-service education to...

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Remote Inpatient Coding Auditor (PRN)

UASI Poland, NY

A leading healthcare auditing company is seeking an experienced Coding Auditor to perform inpatient coding audits remotely on a PRN basis. The ideal candidate will have RHIA, RHIT, or CCS certification, and a minimum of 2-5 years' experience in facility audits. Responsibilities include client communication, identifying coding trends, and delivering educational seminars. The role promises a flexible work environment with opportunities for career development and competitive salaries. #J-18808-Ljbffr

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Coding Auditor

BlueCross BlueShield of Tennessee Chattanooga, TN

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 willingness...

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Outpatient Coding Auditor Remote Part Time or Full Time (20+ hrs/week) Flexible Schedule

Cedar Park Group Buffalo, NY

Outpatient Coding Auditor Cedar Park Group is hiring an Outpatient Coding Auditor for a remote, short-term summer assignment supporting annual outpatient audits across ED, Same Day Surgery (SDS), and Observation. If you're looking for flexible hours, competitive pay, and focused audit work with clear deliverables, this is a strong opportunity. Assignment length is 36 months with possible extension. Shift / Schedule Remote Flexible schedule Part-time to full-time Minimum 20 hours per week 36 month assignment (possible extension) Position Overview As an Outpatient Coding Auditor, you will lead annual outpatient coding audits, including chart review, scoring, rebuttals, and executive-level reporting. You'll analyze trends and error patterns, present findings to leadership, and deliver group and 1:1 education sessions to strengthen coding accuracy and documentation quality across ED, SDS, and Observation services. Responsibilities Complete annual outpatient coding...

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Remote Outpatient Coding Auditor Flexible 20+ hrs/wk

Cedar Park Group Buffalo, NY

A woman-owned staffing firm is hiring an Outpatient Coding Auditor for a remote, short-term summer assignment to support annual outpatient audits. The role involves leading coding audits, analyzing trends, and delivering education sessions. Candidates must have AHIMA or AAPC certification, experience in Meditech EHR, and be comfortable communicating findings with leadership. Benefits include PTO, vacation pay, and health insurance. This is a part-time to full-time role requiring a minimum of 20 hours per week. #J-18808-Ljbffr

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Remote Inpatient Coding Auditor - Level 1 Trauma

Cedar Park Group Buffalo, NY

A woman-owned healthcare staffing firm is seeking an Inpatient Coding Auditor for a remote, short-term assignment focused on Level 1 Trauma coding audits. The role entails completing annual inpatient coding audits, scoring charts, and producing executive reports. Candidates should have AHIMA certification (RHIT or CCS), experience in inpatient auditing, and the ability to deliver educational sessions. The position offers flexibility in scheduling, competitive pay, and various benefits, including health insurance and PTO. #J-18808-Ljbffr

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Coding Auditor-1

MUSC Health Charleston, SC

Job Description Summary The Coding Auditor performs provider audits and education according to the OC compliance plan policy to ensure compliance with the Federal Documentation Guidelines. This role ensures that claims are coded accurately to optimize reimbursement and is responsible for keeping physicians and physician assistants current on coding changes and updates. Minimum credentials: RHIA, RHIT, CCS or CPC (CPMA preferred). Minimum experience: 4 years coding experience. Education: Bachelor’s degree or equivalent. Work experience: 2–4 years. Responsibilities and Qualifications Perform provider audits and education per compliance plan. Ensure accurate claim coding for reimbursement optimization. Keep physicians and physician assistants informed about coding updates. Maintain compliance with Federal Documentation Guidelines. Review and audit coding practices and provide feedback. Equal Employment Opportunity Medical University of South Carolina is an Equal Opportunity...

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Medical Coding Auditor & Compliance Educator

MUSC Health Charleston, SC

A healthcare provider in South Carolina is seeking a Coding Auditor to perform provider audits and ensure compliance with federal documentation guidelines. The ideal candidate will have a bachelor's degree and at least four years of coding experience. Responsibilities include educating physicians about coding changes, ensuring accurate claim coding for optimal reimbursement, and maintaining compliance with documentation guidelines. This is an opportunity to contribute to a significant healthcare organization. #J-18808-Ljbffr

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Outpatient Coding Auditor – Remote – Part Time or Full Time (20+ hrs/week) – Flexible Schedule

Cedar Park Group Buffalo, NY

Cedar Park Group is hiring an Outpatient Coding Auditor for a remote, short-term summer assignment supporting annual outpatient audits across ED, Same Day Surgery (SDS), and Observation. If you’re looking for flexible hours, competitive pay, and focused audit work with clear deliverables, this is a strong opportunity. Assignment length is 3–6 months with possible extension. Shift / Schedule Remote Flexible schedule Part-time to full-time Minimum 20 hours per week 3–6 month assignment (possible extension) Position Overview As an Outpatient Coding Auditor, you will lead annual outpatient coding audits, including chart review, scoring, rebuttals, and executive-level reporting. You’ll analyze trends and error patterns, present findings to leadership, and deliver group and 1:1 education sessions to strengthen coding accuracy and documentation quality across ED, SDS, and Observation services. Responsibilities Complete annual outpatient coding audits for ED, SDS, and...

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Senior Inpatient Coding Auditor - Remote

Prisma Health Columbia, SC

A healthcare organization is seeking a Health Information Management Inpatient Coding Auditor Sr. to lead coding teams and perform audits on inpatient coding. The ideal candidate should have a minimum of four years of experience in coding, an associate degree or equivalent, and relevant certifications such as RHIT or CCS. This full-time position requires strong knowledge of medical terminology and the ability to work independently, with a focus on improving coding accuracy and documentation quality. #J-18808-Ljbffr

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Medical Coding Auditor

South Florida Community Care Network LLC Fort Lauderdale, FL

Job Description Job Description Hybrid-Sunrise, Florida Position Summary: The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through post payment medical records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines and regulatory and contract requirements. Essential Duties and Responsibilities: Performs post payment medical record review audits of claims payments to identify potential fraud, waste, abuse and/or overpayment. Completes and maintains detailed documentation of audits including but not limited to coding guidelines reviewed, medical necessity documentation, decision methodology, and monetary discrepancies identified. Coordinates overpayment recoveries with the Fraud Investigative Unit Manager. Responsible for assisting the Fraud...

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Remote Inpatient Coding Auditor - MS-DRG Expert

Humana Honolulu, HI

A major healthcare services provider is seeking an Inpatient Medical Coding Auditor to review hospital claims for reimbursement accuracy. This remote role requires strong attention to detail and certifications (RHIA, RHIT, CCS). Candidates should have experience in medical coding audits and the ability to work independently. The position offers a competitive compensation and benefits package in a metric-driven environment focused on wellness and quality healthcare. #J-18808-Ljbffr

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Remote Inpatient Coding Auditor & Compliance Specialist

SSM Health Des Moines, IA

A healthcare organization is seeking a Remote Coding Auditor to ensure the accuracy of coding and billing processes. The ideal candidate will have a bachelor's degree or equivalent experience, three years in healthcare coding, and hold certifications such as CCA and CPC. Responsibilities include auditing records, preparing reports, and educating staff on best practices in coding and documentation improvements. This role allows for remote work in specific states including Missouri, and offers paid parental leave and tuition coverage among its benefits. #J-18808-Ljbffr

1593 coding auditor jobs found