Coding compliance auditor jobs | Healthcare Careers

Full Time

Riverside University Health System Medical Center Hybrid (Riverside, CA)

Riverside University Health System (RUHS) is seeking two skilled Coding Compliance Auditors (Administrative Services Manager I) to support the Health System's Compliance Department. Key responsibilities of this role include conducting thorough reviews of medical records to ensure compliance with coding regulations, while providing feedback and education to coders and physicians to enhance coding accuracy and documentation quality. The position involves performing annual, periodic, and focused audits of physician, inpatient, and outpatient coding as requested. It also requires effective communication with all RAC stakeholders to ensure timely and accurate responses to inquiries. Additionally, the role supports ongoing program development through training initiatives and process improvements, delivers coding presentations to diverse audiences including physicians and other staff. The ideal candidate will have at least five years of progressive experience in an acute care hospital...

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Sr Coding Compliance Auditor

Common Spirit Health Chattanooga, TN

Sr Coding Compliance Auditor Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an emphasis on documentation, coding improvement, and revenue capture. Provides education to clinicians, clinic staff, and others as needed via face-to-face meetings, classroom settings, webinars, and online modules. Develops, maintains and presents coding and compliance educational materials to staff and clinicians. Collaborates with the coding team to support the needs of the organization. The...

CM

Coding Compliance Auditor

Community Medical Centers Fresno, CA

Coding Compliance Auditor The Coding Compliance Auditor is a member of the Compliance Office and contributes to the Community Health System's mission to better the lives of all those we serve. As a Coding Compliance Auditor, you will be responsible for conducting coding and documentation audits to ensure accurate code assignment, appropriate billing, integrity of the medical record, and compliance with federal and state healthcare program requirements. The role requires a highly confident coder who can audit both facility coding and professional fees for partners, as well as audit other coders and physicians. Qualifications Education: Associate's Degree in Business, Information Systems, Nursing, Health Care, or a related field required Bachelor's Degree in Business, Information Systems, Nursing, Health Care, or a related field preferred Experience: Experience performing medical record and billing audits/reviews, including clinical documentation, medical terminology,...

UH

Coding Compliance Auditor (2223)

US Heart and Vascular Franklin, TN

Coding Compliance Auditor Fully Remote Overview Position Type Full Time Education Level High School Diploma/GED Category Other Positions Description US Heart and Vascular is in need of a Remote Coding Compliance Auditor to join our team. The Coding Compliance Auditor performs internal medical record audits and prepares compliance auditing reports, subsequent educational materials and training as directed by the Compliance and Privacy department. Audits include regular compliance medical record audits or focused review projects for ongoing review of coding and documentation for cardiovascular specialties to support compliance with coding and documentation rules and regulations. Responsibilities: Performs coding audits reviewing for compliance and accuracy with CPT, ICD-10, HCPCS and corporate coding policy and follows up for timely completion within designated time period. Maintains excellent documentation of all reviews, methodologies employed, results, corrective...

KM

Coding Compliance Auditor - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

Keck Medicine of USC Los Angeles, CA

Coding Compliance Auditor In accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded accounts to ensure appropriate CPT, ICD-10-CM, and HCPCS assignments and accuracy and completeness of all ICD-10-CM, CPT, and HCPCS codes assigned by professional revenue coders and providers. All assigned codes must be supported by professional documentation contained within the medical record and must be in compliance with federal coding compliance regulations, Official Coding Guidelines, AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding accuracy rates, compliance rates, denial analytics, etc. Recommend education topics based on audit findings and assist in the continuing education of professional coders and providers. Understands coding/billing computer systems...

RC

Healthcare Coding Compliance Auditor - RUHS

Riverside County, CA Riverside, CA

Coding Compliance Auditor Riverside University Health System (RUHS) is seeking two skilled Coding Compliance Auditors (Administrative Services Manager I) to support the Health System's Compliance Department. Key responsibilities of this role include conducting thorough reviews of medical records to ensure compliance with coding regulations, while providing feedback and education to coders and physicians to enhance coding accuracy and documentation quality. The position involves performing annual, periodic, and focused audits of physician, inpatient, and outpatient coding as requested. It also requires effective communication with all RAC stakeholders to ensure timely and accurate responses to inquiries. Additionally, the role supports ongoing program development through training initiatives and process improvements, delivers coding presentations to diverse audiences including physicians and other staff. The ideal candidate will have at least five years of progressive experience...

SS

Senior Coding & Compliance Auditor & Training Lead

South Shore Health System Weymouth, MA

South Shore Health System is seeking a Coding & Compliance Auditor to ensure medical coding accuracy and compliance. The role involves establishing audit processes, conducting training for clinical staff, and monitoring regulatory changes. Applicants should have at least 5 years of coding experience in an acute care setting, extensive knowledge in coding standards, and relevant certifications. Join a team committed to quality healthcare standards. #J-18808-Ljbffr

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Coding Compliance Auditor

Community Health System Fresno, CA

Overview Opportunities for you! Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek Free Continuing Education and certification Tuition reimbursement, education programs and scholarships Vacation time starts building on Day 1, and builds with your seniority Free money toward retirement with a 403(b) and matching contributions Great food options with on-demand ordering Free parking and electric charging Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. Responsibilities The Coding Compliance Auditor is a member of the Compliance Office and contributes to the Community Health System’s mission to better the lives of all those we serve. As a Coding Compliance...

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Coding Compliance Auditor, Revenue Cycle Management, Amazon One Medical

Amazon Seattle, WA

Description Application deadline: May 20, 2026 As a key member of the Amazon One Medical Revenue Cycle team the Coding Compliance Auditor will be responsible for supporting Amazon One Medical Clinical and Revenue Cycle teams in managing and optimizing compliant healthcare revenue cycle operations. Demonstrating increased autonomy and strategic thinking and problem-solving skills, this role will perform detailed reviews of medical coding practices to ensure accuracy, compliance with regulatory requirements and adherence to organizational policies and procedures. This role reports into the Coding Compliance Auditing Manager, Revenue Cycle. As someone who naturally enjoys finding ways to improve the status quo, you adeptly identify and create processes necessary to get work done. You comfortably interact with your team members as well as other teams and easily tailor your message and communication style to different audiences. You have a high accountability bar and know how to...

CS

Sr Coding Compliance Auditor

CommonSpirit Health Chattanooga, TN

Job Summary and Responsibilities The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an emphasis on documentation, coding improvement, and revenue capture. Provides education to clinicians, clinic staff, and others as needed via face-to-face meetings, classroom settings, webinars, and online modules. Develops, maintains and presents coding and compliance educational materials to staff and clinicians. Collaborates with the coding team to support the needs of the organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition Category (HCC) Quality program was developed by CMS to promote quality care for Medical Advantage members. By focusing on comprehensive documentation to identify, evaluate and assess chronic conditions at the appropriate specificity, patient medical needs are met at the highest level. The Sr Coding Compliance Auditor's primary focus will be...

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Coding Compliance Auditor, Revenue Cycle Management, Amazon One Medical

Amazon United States

Application deadline: May 14, 2026 As a key member of the Amazon One Medical Revenue Cycle team the Coding Compliance Auditor will be responsible for supporting Amazon One Medical Clinical and Revenue Cycle teams in managing and optimizing compliant healthcare revenue cycle operations. Demonstrating increased autonomy and strategic thinking and problem-solving skills, this role will perform detailed reviews of medical coding practices to ensure accuracy, compliance with regulatory requirements and adherence to organizational policies and procedures. This role reports into the Coding Compliance Auditing Manager, Revenue Cycle. As someone who naturally enjoys finding ways to improve the status quo, you adeptly identify and create processes necessary to get work done. You comfortably interact with your team members as well as other teams and easily tailor your message and communication style to different audiences. You have a high accountability bar and know how to motivate...

RC

Healthcare Coding Compliance Auditor - RUHS

Riverside County, CA Riverside, CA

Salary : $105,597.80 - $145,114.92 Annually Location : Riverside Job Type: Regular Job Number: 26-74191-01 AL Department: RUHS-Medical Center Opening Date: 03/03/2026 Closing Date: Continuous For questions regarding this position, please contact the Recruiter listed in the Supplemental Information section. ABOUT THE POSITION Riverside University Health System (RUHS)is seeking two skilled Coding Compliance Auditors (Administrative Services Manager I) to support the Health System's Compliance Department. Key responsibilities of this role include conducting thorough reviews of medical records to ensure compliance with coding regulations, while providing feedback and education to coders and physicians to enhance coding accuracy and documentation quality. The position involves performing annual, periodic, and focused audits of physician, inpatient, and outpatient coding as requested. It also requires effective communication with all RAC stakeholders to...

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Senior Healthcare Coding Compliance Auditor

County of Riverside California, MO

County of Riverside is seeking two Coding Compliance Auditors (Administrative Services Manager I) to join their Compliance Department. This role involves thorough reviews of medical records to ensure coding compliance, performing audits, and supporting training initiatives. Candidates must have extensive experience in hospital settings, coding audits, and managing external audits, along with relevant certifications. The position involves a hybrid work schedule based in Riverside, providing an opportunity to contribute to significant compliance improvements. #J-18808-Ljbffr

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Healthcare Coding Compliance Auditor - RUHS

County of Riverside California, MO

Overview Riverside University Health System is seeking two Coding Compliance Auditors (Administrative Services Manager I) to support its Compliance Department. Key Responsibilities Conduct thorough reviews of medical records to ensure compliance with coding regulations and provide feedback to coders and physicians to enhance coding accuracy and documentation quality. Perform annual, periodic, and focused audits of physician, inpatient, and outpatient coding as requested. Communicate effectively with all RAC stakeholders and respond to inquiries. Support ongoing program development through training initiatives and process improvements. Deliver coding presentations to diverse audiences including physicians and other staff. Conduct comprehensive audits of inpatient and outpatient medical records to ensure accurate ICD-10-CM/PCS, CPT, and HCPCS coding in accordance with official coding guidelines and regulatory requirements. Evaluate DRG assignment accuracy, validate principal and...

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Inpatient Coding Compliance Auditor - HIM - FT - Days - Remote Eligible

Memorial Healthcare System United States

Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Responsible for auditing coded inpatient or outpatient medical records applying ICD-10 CM/PCS and/or CPT-4. Reviews Ambulatory Payment Classification (APC), Medicare Severity Diagnosis Related Groups (MSDRG) and All Patients Refined Diagnosis Related Groups (APRDRG) assignment and queries following official coding guidelines and regulatory requirements. Provides training and education based on audit results and any regulatory changes that effect Federal, State and American Health Information Management Association (AHIMA) guidelines. Responsibilities: Maintains thorough knowledge of ICD-10CM/PCS, and CPT coding principles and guidelines; possesses substantial knowledge of...

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Remote Inpatient Coding & Compliance Auditor

Optum Chandler, AZ

Optum is seeking an Auditor responsible for regulatory compliance audits, ensuring adherence to laws and regulations. The role involves conducting audits, analyzing risks, and providing feedback to the coding team. Candidates should have 5+ years of auditing experience in inpatient settings and a deep knowledge of compliance requirements. This position allows for telecommuting from anywhere in the U.S. Ideal applicants will possess strong coding and auditing skills, including certifications from AAPC or AHIMA. #J-18808-Ljbffr

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Billing & Coding Compliance Auditor

ARMA International Springfield, IL

ARMA International is seeking a Compliance Auditor to coordinate compliance auditing activities and assist the Deputy Chief Compliance Officer. You will support the development of the Compliance Audit Plan and assist in proactively auditing billing and coding. The successful candidate will have a Bachelor's degree in a relevant field and experience in a healthcare setting, ideally with a certification in medical coding. Strong analytical and communication skills are essential for this role. #J-18808-Ljbffr

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Senior Healthcare Coding Compliance Auditor

Central Health Austin, TX

Central Health in Austin, Texas, is seeking a Compliance Auditor responsible for conducting billing and coding audits, as well as providing training to staff. The role requires expertise in CPT, HCPCS, and ICD-10 coding principles. Qualified candidates should have at least 5 years of experience in a medical environment, with certifications as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Strong attention to detail and excellent communication skills are essential. #J-18808-Ljbffr

Remote Inpatient Coding & Compliance Auditor

UnitedHealth Group Chandler, AZ

UnitedHealth Group is hiring an Auditor in Chandler, Arizona, to manage compliance audits and coding quality across the organization. Candidates should have significant experience in inpatient coding and auditing, understanding of regulatory compliance, and the ability to communicate findings effectively. Flexibility to telecommute is offered, making this a great opportunity for experts seeking a challenging yet rewarding environment. Salary ranges from $60,200 to $107,400 annually with comprehensive benefits. #J-18808-Ljbffr

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Medicare Coding & Compliance Auditor

Brg Corp New York, NY

A leading consulting firm is seeking a Healthcare Compliance Auditor at either Consultant or Managing Consultant level in the United States. This role involves conducting audits and ensuring compliance in healthcare billing and coding, requiring strong analytical skills and experience in medical auditing. Candidates must have an undergraduate degree and an active coding certification. The position offers a range of salaries based on experience, from $70,000 to $230,000, reflecting the level of expertise and responsibility. #J-18808-Ljbffr

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Coding & Compliance Auditor

American Oncology Management Company Fort Myers, FL

Location: Remote PositionPay Range: $20.78 - $36.53Position SummaryResponsible for performing E/M audits, summarizing the results, communicating the outcomes to all parties and completing any follow up or educational needs as required. Responsible for the review and completion of email requests in a timely manner as well as reviewing and completing ticket requests. Assigned list review and update in a timely and accurate manner. Contributes to the completion of government audits when requested.Key Performance AreasProvide coding support for physicians.Provide coding support for Claims Resolution Specialists. Meet with Manager to discuss coding trends and report any coding issues.Attend seminars and training sessions and report any changes or concerns to Manager/Compliance Officer.Maintain and ensure the confidentiality of all patient and employee information at all times.Assist in training new employees to related job duties.Will be expected to work overtime when given sufficient...

AO

Coding & Compliance Auditor

American Oncology Network LLC United States

Job Title Remote Position Pay Range: $20.78 - $36.53 Position Summary Responsible for performing E/M audits, summarizing the results, communicating the outcomes to all parties and completing any follow up or educational needs as required. Responsible for the review and completion of email requests in a timely manner as well as reviewing and completing ticket requests. Assigned list review and update in a timely and accurate manner. Contributes to the completion of government audits when requested. Key Performance Areas Provide coding support for physicians. Provide coding support for Claims Resolution Specialists. Meet with Manager to discuss coding trends and report any coding issues. Attend seminars and training sessions and report any changes or concerns to Manager/Compliance Officer. Maintain and ensure the confidentiality of all patient and employee information at all times. Assist in training new employees to related job duties. Will be expected to...

MH

Inpatient Coding Compliance Auditor - HIM - FT - Days - Remote Eligible

Memorial Healthcare System United States

Coding Auditor Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary Responsible for auditing coded inpatient or outpatient medical records applying ICD-10 CM/PCS and/or CPT-4. Reviews Ambulatory Payment Classification (APC), Medicare Severity Diagnosis Related Groups (MSDRG) and All Patients Refined Diagnosis Related Groups (APRDRG) assignment and queries following official coding guidelines and regulatory requirements. Provides training and education based on audit results and any regulatory changes that effect Federal, State and American Health Information Management Association (AHIMA) guidelines. Responsibilities Maintains thorough knowledge of ICD-10CM/PCS, and CPT coding principles and guidelines; possesses substantial...

MH

Inpatient Coding Compliance Auditor - HIM - FT - Days - Remote Eligible

Memorial Health Care System United States

Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Responsible for auditing coded inpatient or outpatient medical records applying ICD-10 CM/PCS and/or CPT-4. Reviews Ambulatory Payment Classification (APC), Medicare Severity Diagnosis Related Groups (MSDRG) and All Patients Refined Diagnosis Related Groups (APRDRG) assignment and queries following official coding guidelines and regulatory requirements. Provides training and education based on audit results and any regulatory changes that effect Federal, State and American Health Information Management Association (AHIMA) guidelines. Responsibilities: Maintains thorough knowledge of ICD-10CM/PCS, and CPT coding principles and guidelines; possesses substantial knowledge of...

1248 coding compliance auditor jobs found