773 coding auditor specialist jobs found

SGMC Health is seeking a Professional Coding Auditor/Education Specialist to join our Revenue Cycle Medical Group on-site at SGMC Health Main Campus. The role focuses on auditing professional coding, educating providers, and improving documentation to support compliant billing. The ideal candidate will hold a CPC certification, prefer CPMA or CDEO, and have extensive ICD-10, HCPCS, and CPT knowledge, with strong analytical and communication skills for cross-functional collaboration. #J-18808-Ljbffr

Coding Quality Auditor and Specialist, HB Coding, Full-time, Days (Remote) At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As part of our team, you’ll have the opportunity to contribute to better health care across the Northwestern Medicine system. We offer competitive benefits including tuition reimbursement and loan forgiveness, 401(k) matching, and lifecycle benefits. The Coding Quality Auditor and Specialist reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and regulatory standards. This role is the expert in clinical documentation and coding, working with the Clinical Documentation Team to ensure quality metrics meet high standards for NM Health System. The Coding Quality Auditor and...

Description WHAT IT'S LIKE AT SGMC HEALTH Purpose . No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place. Excellence . We strive to do the right thing the right way, are accountable in all we do, require competence of our people, and are compassionate in our service. Team Spirit. We encourage team effort, support personal and professional development, acknowledge individual talents and skills, and support innovation and empowerment. Award Winning Performance. We are committed to providing the best care possible and we are proud to be recognized locally, statewide, and nationally for the exceptional care that our staff provides. WHY YOU WILL LOVE SGMC HEALTH SGMC has great benefit options, depending on the role that you are going into- including healthcare, supplementary benefits, ways to save for the future, opportunities for career advancement, and opportunities...

A healthcare institution in Valdosta, GA is seeking a Professional Coding Auditor/Education Specialist. The ideal candidate will be a Certified Professional Coder (CPC) with expertise in medical coding including ICD-10, HCPCS, and CPT. Strong analytical skills and proficiency in Microsoft Office are essential for this full-time on-site role. Responsibilities include conducting audits, educating healthcare providers, and developing training materials to improve coding compliance and efficiency. Competitive benefits include 401(k), healthcare options, and tuition reimbursement. #J-18808-Ljbffr

Serco is seeking a Medical Coding Auditing Specialist to support the Defense Health Agency’s Medical Coding Program Branch. The role involves auditing DHA facilities, developing annual audit plans, and conducting targeted coding/documentation audits to ensure compliance with coding policies and standards. Candidates must have 7+ years in medical coding/auditing across multiple specialties, with required professional and institutional certifications; pre-employment screening may apply. #J-18808-Ljbffr

Serco is seeking Medical Coding Auditing Specialists to support the DHA Medical Coding Program Branch. The role involves auditing medical records across DHA Markets, supporting annual audit plans, and performing targeted coding audits to ensure compliance with official policies and regulations. Candidates must have seven years of coding/auditing experience across multiple specialties, hold the required professional certifications, and be able to work with government guidelines and revenue cycle #J-18808-Ljbffr

Serco is seeking a Medical Coding Auditing Specialist to support the Defense Health Agency’s Medical Coding Program Branch. The role involves auditing DHA Market facilities, developing annual audit plans, and conducting targeted reviews of coding and documentation to ensure compliance with official policies. Ideal candidates will have seven years of coding/auditing experience across multiple specialties, plus certification requirements. #J-18808-Ljbffr

Serco is seeking a Medical Coding Auditing Specialist to support the Defense Health Agency (DHA) Medical Coding Program Branch. You will conduct routine audits across DHA Markets’ facilities, helping ensure ICD/PCS coding accuracy and compliance with CMS/NCD guidelines. The role involves collaboration on annual audit plans and targeted reviews, with potential CONUS/OCONUS travel, and onsite engagements as needed. #J-18808-Ljbffr

Serco is seeking a Medical Coding Auditing Specialist to support the Defense Health Agency’s Medical Coding Program Branch. The role involves auditing DHA Market facilities, developing annual audit plans, and conducting targeted reviews of coding and documentation to ensure compliance with official policies. Ideal candidates will have seven years of coding/auditing experience across multiple specialties, plus certification requirements. #J-18808-Ljbffr

Serco is seeking Medical Coding Auditing Specialists to support the DHA Medical Coding Program Branch. You will audit DHA markets’ medical records for ICD, CPT, HCPCS compliance and assist in developing annual audit plans. Responsibilities include targeted audits and reporting results to DHA-MCPB. Onsite travel to CONUS and possibly OCONUS locations may be required. Applicants must possess multiple coding certifications and substantial experience in medical coding auditing across inpatient, #J-18808-Ljbffr

Serco is seeking a Medical Coding Auditing Specialist to support the DHA Medical Coding Program Branch. The role covers audits across DHA markets, including MTFs and dental clinics, with potential CONUS/OCONUS travel and on-site visits. Qualified candidates have 7+ years in coding/auditing, strong CPT/ICD-CM knowledge, and a solid understanding of revenue cycle management and government coding guidelines. Documentation of education is required. #J-18808-Ljbffr

Serco Inc. is seeking Medical Coding Auditing Specialists to support the Defense Health Agency's Medical Coding Program Branch (DHA-MCPB). The role focuses on auditing medical documentation, ensuring compliance with ICD-CM, CPT, HCPCS, and DRG guidelines, and developing audit plans across DHA markets. Ideal candidates will have 7+ years of coding/auditing experience, strong knowledge of CMS/NCD/LCD guidance, and professional certifications (RHIT/RHIA/CPC/CCS-P) with institutional certifications. #J-18808-Ljbffr

Privia Health is seeking a Coding Compliance Audit & Education Specialist to conduct audits and educate providers on coding compliance. This remote position requires expertise in CPT, ICD-10, and HCPCS coding, as well as strong communication skills. The ideal candidate will have at least 5 years of experience in auditing and education, with necessary certifications. The role includes preparing audit reports and interacting professionally with healthcare providers. The salary range is $70,000 to $80,000, plus eligibility for a 15% annual bonus. #J-18808-Ljbffr

SCP Health is seeking a detail-oriented auditor to perform multi-specialty quality reviews across EM/UC/Observation and HM. You will support the global partner team with auditing, coding guidance, and policy compliance while ensuring HIPAA standards in chart activities. This role requires collaboration with multiple departments, addressing quality concerns, providing training, and maintaining clear communication to ensure program integrity and continuous improvement. #J-18808-Ljbffr

SCP Health in the United States is seeking a detail-oriented Coding Auditor to perform multi-specialty quality reviews, audits, and edits as directed by leadership. You will provide guidance and education on auditing and coding, ensure HIPAA compliance, and serve as a primary contact between SCP Health and our global coding partners. This role emphasizes collaboration, accuracy, and ongoing training to uphold our standards across service lines. #J-18808-Ljbffr

Saint Francis Health System in Tulsa, Oklahoma is seeking a Coding Auditor to perform coding audits ensuring CPT and ICD-10 accuracy and compliance. The role develops clinic-wide education on coding and billing issues and serves as a resource to physicians, office staff, management, and patients. Minimum 3 years of hospital or physician auditing experience is required; CCS/CPC/RHIT/RHIA certifications preferred. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the SIU, ensuring coding accuracy and compliant documentation across medical, behavioral, and other healthcare areas. The role requires 3+ years in coding/audit, CPT/HCPCS/ICD-10 knowledge, and strong communication to share findings with investigators, leadership, and regulators. 40 hours weekly, full-time, with comprehensive benefits. #J-18808-Ljbffr

A healthcare organization in Sunrise, Florida is seeking a Certified Medical Coder to conduct audits related to potential fraud, waste, and abuse. The role involves post-payment medical records reviews to ensure compliance with coding guidelines. Candidates must have medical coding certification and knowledge of Medicaid rules. The position offers a hybrid work schedule and requires strong analytical and communication skills. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit. The CPC will ensure coding practices meet state, federal, and company requirements, reviewing records for accuracy and identifying billing issues. Required CPC certification, 3+ years of coding or auditing experience, and proficiency with CPT/HCPCS/ICD-10; strong Excel/Word skills are essential. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the SIU, ensuring coding compliance across medical, behavioral, transportation and other healthcare providers. The CPC will review records, determine correct coding, and ensure state, federal and company requirements are met. The role requires CPC certification, 3+ years in coding or auditing, and strong Excel/Word skills. #J-18808-Ljbffr

NACBA seeks a dedicated medical records auditor to perform abstraction and ICD coding for risk adjustment, using physician documentation and industry standards. You will ensure accuracy, compliance, and timely submission of codes in a professional clinical setting. Qualified candidates have at least 1 year of related experience, CPC/CCS-P certification, and proficiency in ICD coding and MS Office. This is a full-time, on-site role with comprehensive benefits and a focus on accurate clinical #J-18808-Ljbffr

Ascension is seeking a remote HIM Coding Documentation professional to drive audits of coding records and ensure stringent documentation compliance. The role requires willingness to travel across Florida to multiple sites and maintain high accuracy in coding and billing practices. This full-time, day-shift position offers opportunities to develop proactive improvement plans, deliver virtual trainings, and support a Catholic health system known for its commitment to service and care. #J-18808-Ljbffr

A healthcare organization is seeking a Medical Coding Auditor for a remote position in Albuquerque, NM. The role involves auditing medical records for compliance with coding regulations, providing training to staff, and assisting management with audits. Candidates should have a high school diploma or GED with relevant certifications and at least 5 years of experience. A competitive salary and benefits package are provided, along with a sign-on bonus. #J-18808-Ljbffr