Coding auditor jobs | Healthcare Careers

Centerwell Madison, WI

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...

GT

Remote Inpatient Coding Auditor - Senior Associate

Gainwell Technologies Granite Heights, WI

A healthcare solutions company is seeking an Inpatient Coding Auditor, Senior Associate to perform coding reviews of inpatient records. This remote role requires extensive knowledge of coding guidelines and reimbursement systems. Candidates should possess active credentials from AHIMA or AAPC and 2+ years in coding or auditing experience. Ideal for those looking to advance their skills in a supportive environment with flexible hours and comprehensive benefits. #J-18808-Ljbffr

GT

Inpatient Coding Auditor- Remote

Gainwell Technologies Granite Heights, WI

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 anInpatient Coding Auditor, Senior Associatewho is responsible for performing coding reviews of inpatient medical records and/or other documentation to determine correct coding as defined by review methodologies specific to the contract for which review services are being provided. This involves accessing...

GT

Remote Inpatient Coding Auditor - Senior Associate

Gainwell Technologies Wausau, WI

A healthcare solutions company is seeking an Inpatient Coding Auditor, Senior Associate to perform coding reviews of inpatient records. This remote role requires extensive knowledge of coding guidelines and reimbursement systems. Candidates should possess active credentials from AHIMA or AAPC and 2+ years in coding or auditing experience. Ideal for those looking to advance their skills in a supportive environment with flexible hours and comprehensive benefits. #J-18808-Ljbffr

Hu

Inpatient Medical Coding Auditor

Humana Madison, WI

Become a part of our caring community and help us put health first 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. 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...

GT

Inpatient Coding Auditor- Remote

Gainwell Technologies Wausau, WI

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 anInpatient Coding Auditor, Senior Associatewho is responsible for performing coding reviews of inpatient medical records and/or other documentation to determine correct coding as defined by review methodologies specific to the contract for which review services are being provided. This involves accessing...

WM

Professional Coding Auditor-Educator

WVU Medicine Madison, WI

Overview Professional Coding Auditor-Educator role at WVU Medicine. To apply, click the Apply button and complete the application in full. Responsibilities Educate and train WVU Healthcare Coding Staff as directed by Coding Managers. Oversee or perform the overall auditing and education plans for the Coding staff. Perform coding quality audits, provide ongoing feedback and education. Utilize ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment. Develop and maintain coding-related policies, procedures, query development, work queues and training materials in conjunction with management. Communicate with Coding Staff, Medical Staff, Physician Advisor, Department Chairman, and Department Administrators. Organize, facilitate, perform, track, trend, and report on internal quality reviews. Design and use audit tools to monitor coding accuracy and documentation gaps; coordinate external audits and related...

TC

Coding Auditor

ThedaCare Appleton, WI

Why ThedaCare? Living A Life Inspired! Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world. At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you're interested in joining a health care system that is changing the face of care and well-being in our community, we...

HA

Healthcare Data Quality & Coding Auditor

Hispanic Alliance for Career Enhancement Vermont, WI

Hispanic Alliance for Career Enhancement is looking for a Medical Coder to perform audits and abstraction of medical records, ensuring compliance with regulations. The role requires at least 1 year of experience, proficiency in ICD coding, and a certified coding qualification. This full-time position offers a competitive salary range of $18.50 - $38.82 per hour, along with a comprehensive benefits package including medical, dental, and vision coverage. The application window closes on 05/05/2026. #J-18808-Ljbffr

HA

Healthcare Data Quality & Coding Auditor

Hispanic Alliance for Career Enhancement Granite Heights, WI

Hispanic Alliance for Career Enhancement in Wisconsin is seeking a Medical Coder to perform audits and ensure accurate ICD coding for medical records. The ideal candidate must have a minimum of 1 year of experience in medical record documentation review and hold certifications such as CPC or CCS-P. Proficiency in Microsoft Office and coding applications is essential. The position offers a full-time role with a pay range of $18.50 - $38.82 per hour, alongside a comprehensive benefits package. #J-18808-Ljbffr

DS

Texas CPC Medical Coding Auditor & Litigation Support

Dane Street, LLC Granite Heights, WI

A leading medical coding firm is seeking an experienced CPC certified medical coder in Texas to conduct coding audits and provide litigation support. Candidates should have a minimum of 5 years of coding experience, with at least 3 years in Texas. The role includes performing audits, conducting reviews for medical necessity, and preparing documentation. The firm offers a comprehensive benefits package, including medical, dental, vision coverage and a 401k plan with company match. #J-18808-Ljbffr

DS

Texas CPC Medical Coding Auditor & Litigation Support

Dane Street Wausau, WI

A leading medical coding firm is seeking an experienced CPC certified medical coder in Texas to conduct coding audits and provide litigation support. Candidates should have a minimum of 5 years of coding experience, with at least 3 years in Texas. The role includes performing audits, conducting reviews for medical necessity, and preparing documentation. The firm offers a comprehensive benefits package, including medical, dental, vision coverage and a 401k plan with company match. #J-18808-Ljbffr

MC

Senior Medical Coding Auditor & Educator - Remote

Medical College of Wisconsin Milwaukee, WI

A leading medical institution in Wisconsin is seeking an expert in multi-specialty coding to manage documentation, coding, and billing. The role involves educating clinicians, conducting audits, and ensuring compliance with coding guidelines. Candidates should have at least 6 years of experience in medical coding and relevant certifications. Excellent communication skills and knowledge of coding tools are essential. The position offers a competitive salary and comprehensive benefits, including healthcare coverage and tuition reimbursement. #J-18808-Ljbffr

CH

Senior Compliance Coding Auditor

Central Health Granite Heights, WI

Overview This position reports to the Director of Healthcare Compliance. Responsibilities include conducting billing and coding audits, and communicating results and recommendations to providers, management, and executive administration. This role will provide training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, HCPCS and ICD-10 codes on an annual basis. Responsibilities Essential Functions: Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical record notes to reported CPT/HCPCS and ICD codes with consideration of applicable payer coding requirements. Identify coding discrepancies and formulate suggestions for improvement. Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. Work with medical staff department to identify and assist providers with coding. Report findings and...

DS

Texas Medical Coding Auditor & Litigation Support (CPC)

Dane Street, LLC Granite Heights, WI

A healthcare solutions company seeks an experienced CPC certified medical coder to conduct medical coding audits and utilization reviews. The ideal candidate must reside in Texas and have at least 5 years of coding experience, with strong knowledge of Texas Medicaid policies. Responsibilities include performing audits, preparing reports, and providing litigation support. The position may be part-time, offering comprehensive benefits such as medical coverage, paid time off, and a 401k plan with a company match. #J-18808-Ljbffr

CH

Senior Medical Coding Compliance Auditor

Central Health Granite Heights, WI

A healthcare organization in Wisconsin is seeking a coding auditor to conduct billing and coding audits, provide training, and ensure compliance with regulations. The ideal candidate has extensive experience in procedural and diagnostic coding, with relevant certifications. Strong attention to detail and communication skills are essential. This position offers a chance to work within a collaborative environment focused on compliance and accurate reporting. #J-18808-Ljbffr

MC

Multispecialty Medical Coding Auditor & Educator

Medical College of Wisconsin Wauwatosa, WI

A leading medical institution in Wauwatosa seeks a Coding Specialist to serve as an expert in multi-specialty documentation, coding, and billing. This role involves auditing coding practices, educating clinicians and coding staff, and maintaining compliance with regulations. Candidates should have a Bachelor's degree, 6 years of experience in medical coding, and relevant certification. The salary range is between $74,500 and $94,900 annually, with excellent benefits included. #J-18808-Ljbffr

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

Savista Onalaska, WI

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...

Full Time

Revenue Integrity Manager

Prevea Health Green Bay, WI

The Revenue Integrity Manager will lead the development of the revenue integrity function and is responsible for the oversight and management of the revenue integrity team. This position is accountable for optimizing revenue by ensuring accurate, compliant, and efficient charge capture and billing practice. The Revenue Integrity Manager will improve the performance of revenue cycle processes including developing best practices, coordinating issue resolution, establishing proactive lost revenue prevention measures, and monitoring compliance. The ideal candidate has a strong understanding of EPIC systems, coding standards, and billing regulations across both physician and facility revenue streams. Utilize data analytics and process improvement techniques to identify potential revenue leakage and support accurate charge capture. Use EPIC reporting tools to extract and analyze charge data. Perform extensive data mining, develop reports, review trends, and recommend enhancements...

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Inpatient Coder

TEKsystems Freedom, WI

Location: Remote (WI/IL preferred). Candidates must reside in the U.S. Schedule: Full-time, remote | Flexible hours after training Work Setup: Private, dedicated workspace with a door required About the Role We're seeking a detail-oriented and experienced Inpatient Coder (Coder Inpatient II) to join our Health Information Management team. In this remote role, you will accurately assign ICD diagnosis/procedure codes and MS-DRGs for inpatient hospital services at an academic, Level I Trauma environment. You'll code across complex specialties (e.g., Neurology, Oncology, Urology, Transplant, OB/Newborn, Orthopedics, Cardiology, Critical Care), collaborate with providers via compliant queries, and partner closely with CDI to ensure documentation supports the most appropriate DRG assignment. This is an advanced, independent role where accuracy, communication, and sound judgment are essential. What You'll Do Code inpatient charts across medical/surgical specialties,...

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CODER ANALYST SPEC-CLNIC

Covenant Health Oregon, WI

Coder Analyst Specialist, Clinical Document Integrity Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health’s employed and managed medical practice organization, with more than 300 top physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology. Position Summary Analyzes documentation in the medical record to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT-4 codes. Abstracts and codes procedures in conjunction with the provider to code services rendered with correct coding initiatives. Abstracts...

TE

Inpatient Coder

TEKsystems Appleton, WI

*Location:* *Remote (WI/IL preferred).* Candidates must reside in the U.S. *Schedule:* Full-time, remote | Flexible hours after training *Work Setup:* Private, dedicated workspace with a door required *About the Role* We're seeking a detail-oriented and experienced *Inpatient Coder (Coder Inpatient II)* to join our Health Information Management team. In this remote role, you will accurately assign *ICD diagnosis/procedure codes* and *MS-DRGs* for inpatient hospital services at an academic, Level I Trauma environment. You'll code across complex specialties (e.g., Neurology, Oncology, Urology, Transplant, OB/Newborn, Orthopedics, Cardiology, Critical Care), collaborate with providers via compliant queries, and partner closely with CDI to ensure documentation supports the most appropriate DRG assignment. This is an advanced, independent role where accuracy, communication, and sound judgment are essential. *What You'll Do* * *Code inpatient charts* across medical/surgical...

AH

Coder II - Behavioral Health

Aurora Health Care Allenton, WI

Responsibilities Assigns codes using International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS). Sequences diagnoses and procedure codes as outlined in CPT, ICD and HCPC Coding Guidelines while adhering to local and national governmental payer guidelines. Adheres to the organization and departmental guidelines, policies and protocols. Maintains the confidentiality of patient records. Reports any perceived non-compliant practices to the coding leader or compliance officer. Reviews all provider documentation to support assigned codes in the health information record so that all significant diagnoses and procedures may be captured for reimbursement and data purposes. Follows up and obtains clarification of inaccurate documentation as appropriate. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and the American Academy of Professional...

FH

Physician Coder/Auditor

FROEDTERT HEALTH Kenosha, WI

POSITION PURPOSE Areas of emphasis will include inpatient and outpatient coding of provider charges as well as documentation reviews and audits. Secondary responsibilities will include assisting Physicians Billing staff and clinic staff with coding questions. MINIMUM EDUCATION REQUIRED High School or Equivalent (GED) MINIMUM EXPERIENCE REQUIRED 1-3 years Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician (CCS-P) MINIMUM EXPERIENCE PREFERRED LICENSES / CERTIFICATIONS REQUIRED Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician (CCS-P). KNOWLEDGE, SKILLS & ABILITIES REQUIRED Knowledge of CPT and ICD-10 codes Ability to accurately audit provider documentation to ensure all CPT codes and ICD-10 codes are accurately assigned Ability to communicate findings by way of written reports and via verbal...

35 coding auditor jobs found