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13 coding compliance auditor jobs found

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coding compliance auditor Intermediate Level
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University Health
Full Time
 
Compliance & Coding Audit Specialist (SOME FLEXIBILITY ON REMOTE WORK OPTION; 5 days per week; 8:00a-4:30p; Mon-Fri)
University Health Hybrid
Help safeguard accuracy, integrity, and regulatory compliance across our organization. We are seeking a skilled Compliance & Coding Audit Specialist to support the Corporate Compliance Program through detailed auditing, monitoring, and provider education related to coding, billing, and clinical documentation practices. What You’ll Do Conduct ongoing coding, billing, and documentation audits to ensure compliance with hospital policies and federal and state regulations Interpret medical records and related documentation using advanced coding knowledge to assess accuracy and risk Execute compliance audit assignments with a high degree of independence, confidentiality, and professional judgment Analyze findings, prepare audit documentation, and identify trends or improvement opportunities Present audit results directly to physicians and providers, delivering clear feedback and education on documentation and coding best practices...

Jan 26, 2026
Physicians Choice LLC
Full Time
 
Quality Analyst / Coding Auditor I
Physicians Choice LLC Remote
Physicians' Choice is currently seeking a highly proficient and seasoned Medical Coding Auditor specializing in Evaluation and Management (E/M) services, with a comprehensive understanding of Emergency Medicine, to join our esteemed team. If you possess extensive expertise in current E/M coding guidelines and have a strong background in auditing, we invite you to apply for this exceptional opportunity. Job Description:  As a Medical Coding Auditor you will play a vital role in ensuring accurate and compliant coding practices within our organization. You will be responsible for conducting detailed audits of medical records, coding documentation, and related billing processes to verify compliance with established coding guidelines, regulatory requirements, and internal policies. Responsibilities: Perform comprehensive audits of medical records, coding documentation, and billing processes. Evaluate the accuracy, completeness, and appropriateness of medical...

Feb 18, 2026
US
Full Time
 
Healthcare Compliance Audit Analyst (Must have CPC, CCS-P, or CPMA)
U.S. Urology Partners Remote
General Summary:   U.S. Urology Partners, LLC (USUP) and its physician groups are committed to promoting conduct that is responsible, ethically sound, and compliance with applicable law.  USUP’s Compliance Department (CD) fosters a corporate culture of ethical behavior and integrity in all matters related to compliance with the laws and regulations that govern the delivery and reimbursement of health care.  An integral function of USUP’s compliance program is auditing and monitoring compliance with billing, coding, and documentation requirements of its providers.    An CPC, CCS-P, or CPMA is required for this position.     Compliance Audit Services:   Compliance audit initiatives include physician, other providers, and facility documentation audits as well as preparation of guidance documents and tools to assist physicians and staff in appropriate billing, coding, and documentation.  The audit program looks at professional fee billing,...

Feb 03, 2026
MG
Full Time
 
Coding Auditor Behavioral Health
Marwood Group Hybrid (New York, NY, USA)
The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for a  Certified Coding Auditor  to work in its New York office or remotely.   Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payers....

Mar 02, 2026
MG
Full Time
 
Certified Coding Auditor - Primary Care
Marwood Group Hybrid (New York, NY, USA)
The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for a Certified Coding Auditor to work in its New York office or remotely.   Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payers....

Feb 27, 2026
WellStreet Urgent Care
Full Time
 
Provider Education Auditor
WellStreet Urgent Care Remote (Alabama, Arkansas, Arizona, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Michigan, Missouri, Mississippi, North Carolina, Nebraska, New Jersey, New Mexico, New York, Ohio, Pennsylvania, South Carolina, Tenessee, Te)
The Provider Education Auditor works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to all patients, as well as ensuring compliant reimbursement of patient care services. Responsibilities: Responsible for reviewing and analyzing all aspects of the department clinical documentation and care to ensure timely, accurate, and compliant charge capture and submission Works as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these charges Collaborates with Coding Supervisor and Regional Medical director to ensure clinical documentation in high-risk areas is consistent and complete Duties include charge entry, ensuring...

Mar 16, 2026
New York Oncology Hematology
Full Time
 
Certified Billing and Coding Specialist
New York Oncology Hematology Hybrid (NY, USA)
SCOPE: Under minimal supervision performs periodic, comprehensive coding audits for all assigned regional oncologists (medical, radiation and surgical oncology).   Verifies charge documentation and charge submission processes are in compliance with Federal and State regulations, as well as payer guidelines. Coordinates efforts with manager and front office managers to ensure optimal revenue cycle processes and adherence to compliance and revenue cycle policies and procedures.  Provides effective educational feedback to physicians and staff on findings from audits and updates in Payer billing regulation . ESSENTIAL DUTIES AND RESPONSIBILITIES: Develops Audit and Education Programs Abstracts relevant clinical and demographic information from the medical record to assign current ICD and CPT codes in accordance with coding and reimbursement guidelines. Codes with an accuracy of 97% based on QA internal reviews Performs Evaluation and Management (E&M)...

Mar 02, 2026
Adventist Healthcare
Full Time
 
Lead Coding Specialist, Day Shift, Medical Coding
Adventist Healthcare Gaithersburg, MD, USA
Adventist HealthCare seeks to hire an experienced Lead Coding Specialist for our Medical Coding Department who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing. As a Lead Coding Specialist, you will: Conduct reviews to validate I-10-CM diagnosis codes and PCS procedure codes for inpatient bill hold related to PSI, PPC & other reimbursement conventions to be resolved prior to final coded data. Manages daily DNFB and DNFC reports and work queues for un-coded or outstanding records. Under the direction of the coding manager, the coding specialist lead should be proficient in communicating with the coding team. Oversees coding corrections, abstracts elements for HSCRC submissions, and ensures coding compliance with coding standards. Liaison between coding and other departments, managing coding-related tasks and denials. Provides mentoring support to coders on coding...

Feb 09, 2026
FH
Full Time
 
Corporate Compliance Specialist
Frederick Health Frederick, MD, USA
Supporting the Vice President & Chief Compliance Officer, the Compliance Specialist assists in carrying out the activities of the Frederick Health Compliance Program, including risk assessment, training & education, audits, policy development and internal investigations. Requirements: BA/BS required. MBA/MHA preferred. 5-10 years' experience in healthcare compliance and internal auditing. Certification preferred. Knowledge of laws, regulations, policies and procedures of governmental authorities and payers. Experience in developing and carrying out training and education of staff. Excellent oral and written communication skills. Strong organizational skills and ability to prioritize and manage multiple tasks. Ability to maintain a high level of confidentiality. The following experience & credentials are strongly preferred: Experience in healthcare revenue cycle or patient accounting (coding and/or billing) internal auditing and compliance....

Jan 15, 2026
MaineHealth
Full Time
 
Trainer I – Coding Training & Education
MaineHealth Scarborough, ME, USA
Trainer I – Coding Training & Education MaineHealth Location: Portland, ME (Hybrid/Remote options may be available)   MaineHealth is seeking a Trainer I – Coding Training & Education to support the development, onboarding, and ongoing education of medical coding professionals across our system. This role is ideal for an experienced medical coder who enjoys teaching, mentoring, and helping others succeed. You’ll play a key role in ensuring coding accuracy, compliance, and consistency by delivering engaging training and serving as a subject‑matter expert for coding standards and best practices.   Key Responsibilities Deliver onboarding and ongoing training for medical coding staff Facilitate instructor‑led and virtual training sessions Support education related to ICD‑10‑CM, CPT, HCPCS, and payer guidelines Develop and update training materials, job aids, and reference tools Provide feedback, coaching, and remediation support as needed...

Mar 20, 2026
Prairie Flower Billing
Full Time Part Time
 
Medical Billing Assistant
Prairie Flower Billing Remote
The Medical Billing Assistant is responsible for handling insurance claims, patient billing, and  payment processing in a fully remote environment. This role ensures the accuracy and timeliness  of financial transactions while maintaining compliance with regulatory standards. The position  requires a dedicated home office setup, reliable high-speed internet, and proficiency with digital  communication and billing systems. Duties & Responsibilities  Billing & Claims Processing  ● Prepare, review, and submit insurance claims and patient invoices with accuracy and  timeliness.  ● Verify patient insurance coverage and eligibility prior to billing.  ● Follow up with insurance companies to ensure timely payments and resolve claim issues.  ● Process claim denials and coordinate appeals when necessary.  ● Follow up and collect payments from patients.  Financial Management  ● Process patient payments, reconcile accounts, and manage accounts receivable.  ● Investigate...

Mar 12, 2026
LT
Full Time
 
In-house Medical Biller & Coder (Houston, TX - Fannin St. Texas Medical Center
LUNA THERAPEUTICS Houston, TX, USA
About the Clinic Luna Therapeutics is a rapidly expanding gynecological practice with a new clinic located just south of Houston’s Texas Medical Center. Our new specialty clinic focuses exclusively on chronic and recurrent urinary tract infections and complex gynecological care. After three years of significant growth, we are opening this second location to meet increasing patient demand. Our original Luna OBGYN location will continue to provide Obstetrics-only care. Across both sites, three providers rotate on assigned days within the Luna network. Position Summary We are seeking an experienced In‑House Medical Biller & Coder to manage coding accuracy, claims submission, reimbursement workflows, and compliance for a high‑volume gynecological practice. The ideal candidate has strong Medicare experience and is comfortable supporting audit processes. Responsibilities Assign accurate ICD‑10, CPT, and HCPCS codes for gynecological services and procedures....

Mar 10, 2026
UM
Full Time
 
INPATIENT CODING EDUCATION ANALYST
UW Medicine Remote
UW Medicine Enterprise Records and Health Information has an outstanding opportunity for an INPATIENT CODING EDUCATION ANALYSTS. WORK SCHEDULE 100% FTE Mondays - Fridays 100% Remote POSITION HIGHLIGHTS Performs daily activities related to auditing, education and training of one or more content areas ERHI has coding oversight for. Serve as an expert in Inpatient coding, respond to general coding questions (ICD, DRG, CPT and HCPCS), engage in the development and/or implementation of audit/monitoring plans, participate in the development and/or delivery of educational and outreach materials, report on unit activities, maintain unit records, monitor regulatory developments, and help develop Coding program policies and procedure. DEPARTMENT DESCRIPTION Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical...

Feb 23, 2026
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