1829 coding compliance auditor jobs found

Outpatient Coding Compliance Auditor Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels (ACEP or client-specific). This role reviews coding for alignment with medical record documentation and established guidelines, ensuring compliance with applicable laws,...

GeBBS Healthcare Solutions is seeking an experienced Coding Compliance Auditor to join our remote team. You will audit inpatient and outpatient records for accurate ICD-10-CM/PCS, CPT and HCPCS coding, ensuring alignment with CMS and other regulatory guidelines. Responsibilities include identifying trends, producing actionable audit reports, and educating coders and staff to improve documentation quality. A strong background in Medicare reimbursement (MS-DRGs/IPPS/OPPS) and Epic EHR is highly #J-18808-Ljbffr

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. 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, codes (CPT,...

Coding Compliance Auditor, Revenue Cycle Management, Amazon One Medical Job ID: 10452620 | Amazon.com Services LLC Application deadline: Jul 18, 2026 As a key member of the Amazon One Medical Revenue Cycle team, the Coding Compliance Auditor will support Clinical and Revenue Cycle teams in managing and optimizing compliant healthcare revenue cycle operations. The role requires autonomy, strategic thinking, and problem‑solving skills to perform detailed reviews of medical coding practices, ensuring accuracy, compliance with regulatory requirements, and adherence to organizational policies. Key Responsibilities Conduct regular audits to verify accuracy of ICD-10-CM, CPT, HCPCS, and modifier medical codes. Review documentation to verify appropriate code assignment. Ensure coding reflects clinical documentation and meets medical necessity requirements. Identify coding inaccuracies and opportunities for improvement. Track and report coding errors and findings. Maintain detailed...

Ensemble Health Partners is seeking a Senior Coding Compliance Auditor to lead and perform detailed coding audits, develop action plans, and prepare high‑quality audit reports. The role emphasizes training, monitoring quality, and collaboration with leadership to improve compliance programs. The candidate will stay current with ICD‑10, DRG, CPT, and HCPC guidelines, mentor auditors, and support continuous process improvement across the organization, with up to 10% travel as needed. #J-18808-Ljbffr

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...

Seeking a full-time Coding Compliance Auditor to work remotely, this position involves performing comprehensive audits of medical records, ensuring compliance with regulatory requirements, and providing education to improve coding quality across healthcare environments. Key responsibilities Conduct thorough audits of inpatient and outpatient medical records for accurate coding assignments Identify compliance risks and opportunities for improvement through detailed analysis of documentation trends Develop and deliver educational materials and reports to enhance coding practices and documentation quality Required qualifications 4+ years of acute care inpatient and outpatient coding experience, including compliance auditing Active credentials such as CCS, RHIA, RHIT, CPC, or CIC Strong knowledge of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding systems Understanding of Medicare reimbursement methodologies and federal coding guidelines Proficiency with EHR Epic

Description Application deadline: Jul 23, 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...

Optum is hiring an Outpatient Facility Coding Compliance Auditor to conduct audits and ensure compliance with coding guidelines. This role allows remote work within the U.S. and offers a salary range of $72,800 to $130,000 annually. The ideal candidate will have extensive experience in outpatient coding and auditing, certified coding credentials, and strong analytical skills. Join a diverse workplace focused on improving health outcomes nationally. #J-18808-Ljbffr

Job Description Job Description Description: GeBBS Healthcare Solutions Full-Time | Remote Help Shape the Future of Coding Accuracy and Healthcare Compliance Are you passionate about coding integrity, regulatory excellence, and helping healthcare organizations maintain the highest standards? GeBBS Healthcare Solutions is seeking an experienced Coding Compliance Auditor to join our growing team of industry experts. In this role, you'll leverage your extensive coding knowledge to evaluate documentation accuracy, identify compliance risks, and provide meaningful education that improves coding quality across complex healthcare environments. If you enjoy analyzing trends, influencing best practices, and partnering with coding professionals to drive continuous improvement, we'd love to hear from you. What You'll Do Perform comprehensive audits of inpatient and outpatient medical records to validate accurate ICD-10-CM, ICD-10-PCS, CPT,...

1st Choice & in Linthicum, Maryland is seeking a highly skilled Coding Compliance Auditor. This fully remote role emphasizes ensuring the accuracy and compliance of coding practices in both inpatient and outpatient settings. The ideal candidate must possess strong knowledge in ICD 10 CM and CPT 4 coding, a minimum of 2 years inpatient coding experience, and hold relevant certifications. The role involves conducting audits, providing education, and collaborating with various teams to enhance coding outcomes. #J-18808-Ljbffr

Imagine Pediatrics is looking for a Coding Compliance Auditor in Nashville, TN. This role involves ensuring accurate coding while collaborating with clinical and compliance teams. Responsibilities include reviewing medical records, conducting audits, and preparing reports. The ideal candidate has over 5 years of experience in fee coding and auditing, with a strong understanding of HEDIS measures. A bachelor’s degree in healthcare management is preferred, and familiarity with EMR software is essential. #J-18808-Ljbffr

To support a growing pediatric practice, the remote Coding Compliance Auditor will ensure accurate and compliant coding by reviewing medical records, conducting audits, and collaborating with clinical and compliance teams in a high-growth environment. Key responsibilities Review medical records and clinical documentation to ensure compliance with coding standards and regulations Conduct routine and focused coding audits to identify discrepancies and compliance risks Communicate audit findings and provide education to providers and coding staff to enhance documentation practices Required qualifications 5+ years of experience in professional fee coding and auditing, with a focus on E/M and outpatient coding Knowledge of medical terminology and coding systems such as CPT, HCPC, ICD-10, and DRG Prior coding or auditing experience in a Medicaid environment Bachelor's degree in healthcare management or related field preferred CPC, CCS, and CPMA certifications required

Senior Coding Compliance Auditor Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! The Senior Coding Compliance Auditor will assist with the development and execution of the Annual Compliance Workplan including the Auditing and Monitoring Workplans. They will lead & complete detailed Coding compliance audits including complex audits, implement Management Action Plans, prepare high quality audit reports, establish and...

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

Job Type Full-time Description GeBBS Healthcare Solutions Full-Time | Remote Help Shape the Future of Coding Accuracy and Healthcare Compliance Are you passionate about coding integrity, regulatory excellence, and helping healthcare organizations maintain the highest standards? GeBBS Healthcare Solutions is seeking an experienced Coding Compliance Auditor to join our growing team of industry experts. In this role, you'll leverage your extensive coding knowledge to evaluate documentation accuracy, identify compliance risks, and provide meaningful education that improves coding quality across complex healthcare environments. If you enjoy analyzing trends, influencing best practices, and partnering with coding professionals to drive continuous improvement, we'd love to hear from you. What You'll Do Perform comprehensive audits of inpatient and outpatient medical records to validate accurate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS code assignment....

Job Description Job Description 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...

Amazon One Medical is hiring a Coding Compliance Auditor to support Revenue Cycle operations by auditing coding practices for accuracy and regulatory compliance. You will review documentation, ensure alignment with clinical notes and medical necessity, and identify opportunities to improve coding quality. The role requires 3+ years of coding/auditing experience, applicable certifications (CPC/CCS/CPMA/CRC), and knowledge of ICD-10-CM, CPT, and HCPCS. #J-18808-Ljbffr

South Shore Health seeks a Coding & Compliance Auditor to evaluate medical record documentation and coding accuracy. The role designs and delivers training for clinical staff and coders while monitoring regulatory changes to ensure adherence to Federal, State, and local requirements. The incumbent will support multiple departments, maintain training tools, and report program effectiveness. Requires AHIMA/AAPC certifications and ongoing licensure. #J-18808-Ljbffr

Priority One Staffing Services is seeking a Coding Compliance Auditor for a remote/hybrid position in Baltimore, Maryland. The role involves auditing hospital visits for appropriate reimbursement and ensuring compliance with federal and state regulations. Candidates should have a minimum of 2 years in ICD-10-CM and ICD-10-PCS, along with inpatient auditing experience. Relevant certifications such as CCS, RHIT, or CIC are required. This is an excellent opportunity for professionals seeking to leverage their coding expertise. #J-18808-Ljbffr

Coding Compliance Auditor United States (Remote) Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity. What You'll Do The Coding Compliance Auditor partners cross-functionally with clinical leadership, revenue cycle, and compliance teams to ensure accurate, complete, and timely coding for a first-of-its-kind pediatric risk-bearing provider. This highly visible role supports ongoing compliance and operational excellence by ensuring all coding activities align with national coding standards, regulatory requirements, and Imagine Pediatrics'...

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...

Coding Compliance Auditors (Administrative Services Manager I) Riverside University Health System (RUHS) is seeking two skilled Coding Compliance Auditors 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...

A healthcare service organization is seeking a Medical Coding and Billing Compliance Auditor to perform coding audits and ensure compliance with regulations. The role requires extensive coding knowledge, analytical skills, and a strong background in Microsoft Office applications. Applicants should have a current coding credential and a minimum of three years of outpatient coding experience. This is a full-time remote position. #J-18808-Ljbffr