166 coding auditor jobs found

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...

Job Overview Clinical Coding Auditor & Trainer – Remote, NY, US. The position is primarily remote with a small travel expectation (twice a year to New York). Full‑time, permanent, salary $55,100–$99,000 / yr. Required Qualifications 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 Valid/Current CPC or CIC Certification, or CCS through AHIMA Inpatient coding experience preferred Preferred or Nice-to-­Have Skills RHIA/RHIT credentials Training or auditing experience in a managed care or healthcare setting Years of Experience 4+ years in DRG/Medical Record Audit; 1 year in hospital clinical setting. Industry Experience Healthcare, specifically in a hospital or managed care setting. This is a remote position. Compensation: $55,100 – $99,000 per year. I was referred to this position by a current employee. #J-18808-Ljbffr

A healthcare solutions company is seeking a Clinical Coding Auditor & Trainer to work remotely. This role requires professional licensing (RN, PA, MD, etc.) and at least 4 years of experience in DRG and Medical Record Audits. The position involves occasional travel to New York. The salary ranges from $55,100 to $99,000 annually, providing a competitive compensation package for qualified candidates. #J-18808-Ljbffr

The 100 Lawrence Memorial Hospital is looking for a Medical Coding Auditor responsible for conducting compliance reviews to ensure accuracy in billing. The role includes analyzing medical records and providing training for staff on coding practices. Qualified candidates should have strong communication skills and a minimum of five years experience in physician coding, with relevant certifications. This position aims to enhance charge capture and ensure compliance with industry regulations. #J-18808-Ljbffr

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...

Job DescriptionDepartment / Unit :Health Information ManagementWork Shift :Day (United States of America)Salary Range :$60,367.47 - $90,551.20Professional Coding Auditor will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding / charging / denials follow-up.Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes.Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines.Provide education, instruction and training to providers and coding staff.This position is remote but does require onsite education to providers as needed.This position has remote opportunityThis position requires a CPC Certification - Upon HireTwo years or more prior experience in professional fee coding - requiredEssential...

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...

Senior Clinical Coding Auditor & Trainer-Remote New York, New York, United States About the Job The Senior Clinical Coding Auditor & Trainer will conduct audits of inpatient coding processes for Fiscal care and assist in development of training and audit tools. Location: The Senior 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. Pay Range: $68,700.00 - $123,700.00 per year Responsibilities: Develop and maintain complex audit processes and audit tools related to inpatient coding Develop and conduct clinical education courses for existing and new employees Audit established guidelines for medical necessity Analyze training needs and identify, select, or develop appropriate training programs including training aids and materials Audit staff in accordance with established auditing processes, work...

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 to ensure 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 to ensure accurate and consistent coding which results in appropriate reimbursement and data integrity. This role requires the...

A community health center is seeking a Coding Auditor responsible for ensuring compliance with coding guidelines. This role requires collaboration across departments and a focus on accurate coding for appropriate reimbursement. Candidates must have a high school diploma, relevant certifications, and three years of coding/auditing experience. The position promotes work-life balance and a supportive culture, with benefits including healthcare, retirement plans, and paid time off. #J-18808-Ljbffr

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...

Job DescriptionJob DescriptionJob Summary / PurposeThe Senior Clinical Coding Auditor & Trainer will conduct audits of inpatient coding processes for Fidelis Care and assist in development of training and audit tools.Location :The Senior 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.Pay Range :$68,700.00 - $123,700.00 per yearResponsibilities :Develop and maintain complex audit processes and audit tools related to inpatient codingDevelop and conduct clinical education courses for existing and new employeesAudit established guidelines for medical necessityAnalyze training needs and identify, select, or develop appropriate training programs including training aids and materialsAudit staff in accordance with established auditing processes, work with staff to identify and resolve errors, and present findings and...

Clinical Coding Auditor & Trainer We are looking for a Clinical Coding Auditor & Trainer position that 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. Responsibilities Conducts auditing of work performed by staff and present findings and recommendation for areas of improvement to management Under minimal supervision responsible for all aspects of auditing projects that are broad in nature and require originality and/or ingenuity Assists with revisions to Policy and Procedure and/or work process development Conducts training needed analysis to determine specific training needs for clinical and coding staff Identifies, selects, or develops appropriate training...

Clinical Coding Auditor & Trainer Remote (U.S.) Must be willing to travel to New York twice annually Position Type: Full Time The Clinical Coding Auditor & Trainer is responsible for conducting clinical documentation and coding audits to ensure compliance with federal regulations, payer requirements, and company policies. This position focuses on DRG validation, inpatient medical record auditing, and education/training for clinical and coding teams. The role is primarily remote, with occasional travel to New York twice a year for onsite meetings or training sessions. The ideal candidate will possess strong analytical and clinical expertise, proficiency in medical coding standards, and exceptional written communication skills to ensure audit accuracy and compliance across departments. Key Responsibilities: Conduct DRG validation and inpatient coding audits to ensure medical record accuracy and compliance. Provide training and education to clinical, coding, and quality...

A leading health services company is seeking an experienced Inpatient Medical Coding Auditor to perform coding audits and ensure accurate provider reimbursements. This remote position requires certifications such as RHIA, RHIT, or CCS, and proficiency in MS-DRG coding, claims interpretation, and Microsoft Office. Strong communication and detail orientation are essential for success in our supportive, flexible work environment, where candidates will also enjoy competitive benefits and potential bonuses. #J-18808-Ljbffr

Become a part of our caring community The Inpatient 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 Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

Integrated Management Strategies is hiring a fully remote Medical Coding Auditor to join their healthcare consulting practice. The role requires a current coding credential, DoD Medical Coding auditing experience, and at least one year of coding management experience. You will aid the Contract Manager with audits, training, and documentation, while maintaining communication with Contract Service Providers. The company offers a comprehensive benefits package that includes a 401(k) plan and various insurance options. #J-18808-Ljbffr

Professional Credit Service is hiring an experienced Inpatient Medical Coding Auditor to perform audits of acute inpatient medical records. This role ensures coding accuracy and compliance with coding guidelines, while providing feedback and insights to improve documentation practices. Ideal candidates will possess active AHIMA or AAPC certification and have 3-5 years of auditing experience. This full-time position offers remote work, competitive pay, and excellent benefits including health insurance and a 401k plan. #J-18808-Ljbffr

A healthcare organization is seeking a Clinical Coding Auditor & Trainer to develop training programs and conduct audits primarily remotely. Candidates must be attentive to quality and have significant experience in auditing within healthcare. The position requires a willingness to travel to New York twice a year. Full-time applicants are preferred, ideally with relevant certifications and clinical experience. #J-18808-Ljbffr

A healthcare consulting firm in the United States is seeking an experienced facility inpatient Coding Auditor to conduct remote audits and provide review services. The ideal candidate will have RHIA, RHIT, or CCS certification, along with 2-5 years of experience in inpatient facility audits. Strong communication skills and the ability to work independently are essential. This role offers a flexible working environment with comprehensive benefits and competitive salaries. #J-18808-Ljbffr

Trend Health Partners is looking for an Outpatient Coding Auditor to ensure accurate coding compliant with CMS guidelines. The position offers a salary range of $65,000 to $85,000 and includes a competitive benefits package. Responsibilities include reviewing medical documentation, ensuring coding accuracy for outpatient claims, and assisting in new concept development. Candidates must have a coding certification and proficient knowledge in ICD-10, CPT, and HCPCs coding. A collaborative work environment is fostered with continual development opportunities. #J-18808-Ljbffr

6 days 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 Job Title Clinical Coding Auditor & Trainer Job Location Remote (Candidates must be residents of New York) Summary 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. Applicants must be willing to travel to New York twice a year. Responsibilities Conducts auditing of work performed by staff and present findings and recommendation for areas...

A health insurance company is seeking a Senior Specialist, Coding Auditor to join their Payment Integrity team. This remote position involves supporting issue resolution, ensuring claims repayment quality, and assisting in root cause analysis. Candidates should have 1+ years of coding or auditing experience and a CPC designation. The role offers a competitive salary and comprehensive benefits including medical, dental, and unlimited vacation. #J-18808-Ljbffr