51 coding compliance auditor jobs found

Join Wellstar How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) Job Summary: Under the direction of the Coding Compliance Manager, conducts independent audits of professional fee coding. Assures appropriate and accurate coding assignments in accordance with federal coding regulations and guidelines. Prepares written reports of findings and leads meetings with providers to review the audit findings and recommend ways to improve when indicated. Also responsible for providing assistance with coding inquiries from...

Emory Healthcare is seeking a Remote Medical Coding Auditor to ensure accuracy, completeness, and regulatory compliance across professional coding services. You will review patient records, documentation, and coded data to identify discrepancies and optimize reimbursement. The role collaborates with providers, coders, and compliance staff to maintain high standards while staying current with ICD-10, CPT, HCPCS guidelines. Prior auditing and EHR familiarity are highly valued. #J-18808-Ljbffr

Signature Performance, Inc. is seeking an Outpatient Coding Auditor for a remote nationwide position. You will conduct quality reviews and audits of outpatient coding, provide education to coders, and coordinate with managers to ensure policy adherence. The ideal candidate has 5+ years of professional medical coding experience, CPT/HCPCS/ICD-10 knowledge, and credentials (AHIMA/AAPC preferred). This role supports multiple client systems and requires strong communication and QA skills. #J-18808-Ljbffr

Professional Coding AuditorWellStreet Urgent Care is redefining the urgent care experience through patient-focused service, high-quality care, and strong partnerships with health systems. As a rapidly growing healthcare organization, we are building a national network of urgent care facilities and creating opportunities for talented professionals to make a meaningful impact.If you're an experienced medical coder who enjoys digging into documentation, identifying coding opportunities, and helping providers and coding teams improve accuracy, this could be a great opportunity to join our team.The Professional Coding Auditor reviews clinical documentation and coding to ensure accuracy, completeness, compliance, appropriate charge capture, and alignment between documentation and assigned CPT and ICD-10 codes. This role goes beyond identifying errors—you'll help educate providers and coders, identify trends, and partner with leadership to improve coding quality and reimbursement.Perform...

Job Description Job Description Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Auditors with strong expertise in outpatient professional fee coding and coding audits , preferably within academic medical centers. You will review coding records, identify compliance risks, and provide expert feedback to support AI-focused projects. No prior AI experience is required. Key Responsibilities Conduct detailed audits of outpatient professional fee coding records. Review coding accuracy, documentation, and compliance. Identify coding trends, gaps, risks, and improvement opportunities. Apply academic medical center standards and coding guidelines. Document audit findings and provide clear recommendations. Evaluate complex coding and documentation scenarios. Contribute to AI training through expert coding and audit feedback. Support audit program management and quality improvement initiatives. Required Qualifications...

Job Description Job Description Job Title: Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Auditors to contribute their specialized expertise to an innovative healthcare AI project. In this role, you will help improve next-generation AI systems by reviewing, evaluating, and refining medical coding and audit-related content. This opportunity is ideal for professionals with strong experience in outpatient professional fee coding, auditing, and academic medical center environments. No prior AI experience is required—your healthcare expertise is what matters most. Key Responsibilities Conduct detailed reviews and audits of outpatient professional fee coding records for accuracy, compliance, and quality. Identify coding trends, gaps, risks, and opportunities for improvement. Evaluate audit findings using knowledge of academic medical center protocols and industry best practices. Document audit results and...

Inpatient/Outpatient Facility Coding Auditor PYA is seeking an experienced Inpatient/Outpatient Facility Coding Auditor to join our nationally recognized Revenue and Compliance Advisory team. As a trusted advisor to leading healthcare organizations, you will apply your expertise in coding, reimbursement, compliance, and documentation to help clients improve revenue integrity and reduce risk. What You'll Do Perform inpatient and outpatient facility coding audits and reimbursement reviews, including: ICD-10-CM/PCS, CPT, and HCPCS coding validation MS-DRG and APC validation Charge capture and revenue integrity reviews Clinical documentation improvement (CDI) assessments Third-party payer compliance evaluations Deliver high-quality client reports, recommendations, and presentations Manage multiple engagements while maintaining exceptional quality and compliance standards Collaborate with PYA's consulting, compliance, and executive teams to deliver comprehensive client...

Phoebe Putney Memorial Hospital in Albany, GA is seeking a CBO coding Auditor/Educator to audit medical record documentation and determine ICD-10-CM/PCS and HCPCS codes for billing and reporting. You will educate physicians and clinical staff to ensure complete documentation and query for unresolved information. The role includes training coders on reimbursement guidelines and developing reference materials, with the position reporting to the CBO Coding Manager to ensure compliance and high #J-18808-Ljbffr

Morehouse School of Medicine is seeking a Sr. Claims Auditor - Revenue Integrity to conduct comprehensive retrospective and concurrent audits of professional and facility medical claims, ensuring coding accuracy, billing compliance, and proper reimbursement. This role collaborates across Revenue Integrity, Compliance, and clinical departments to minimize risk. The ideal candidate has 7+ years of healthcare coding audit experience, extensive CPT/HCPCS/ICD-10-CM knowledge, and familiarity with #J-18808-Ljbffr

Job InformationMedical Biller / Certified Coder & Auditor Presented by Symbiotic Services, LLC Location: Atlanta, GA Area | On-Site Employment Type: Full-Time (Pending Confirmation) Position Overview Symbiotic Services is seeking an experienced, detail-oriented Medical Biller / Certified Coder & Auditor for a confidential client in the specialty healthcare industry in the Atlanta, GA area. This position will be responsible for accurate medical coding, billing, and auditing across a complex, high-volume healthcare revenue cycle, with a particular emphasis on oncology, hematology, infusion services, and specialized treatment programs. The ideal candidate possesses extensive knowledge of medical coding guidelines, payer reimbursement policies, and compliance requirements, along with the ability to identify billing discrepancies, resolve claim issues, and optimize revenue cycle performance. This opportunity is well suited for a certified coding professional who thrives in a...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Inpatient/Outpatient Facility Coding Auditor Full Time PYA Atlanta, Atlanta, GA, US 30+ days ago Requisition ID: 1017 PYA is seeking an experienced Inpatient/Outpatient Facility Coding Auditor to join our nationally recognized Revenue and Compliance Advisory team. As a trusted advisor to leading healthcare organizations, you will apply your expertise in coding, reimbursement, compliance, and documentation to help clients improve revenue integrity and reduce risk. WHAT YOU'LL DO Perform inpatient and outpatient facility coding audits and reimbursement reviews, including: ICD-10-CM/PCS, CPT, and HCPCS coding validation MS-DRG and APC validation Charge capture and revenue integrity reviews Clinical documentation improvement (CDI) assessments Third-party payer compliance evaluations Deliver...

Emory HealthcareBe inspired. Be valued. Belong. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:Comprehensive health benefits that start day 1Student Loan Repayment Assistance & Reimbursement ProgramsFamily-focused benefitsWellness incentivesOngoing mentorship, development, leadership programsAnd moreLOCATION: RemoteThis position is remote; however, applicants must be physically located and authorized to work in one of the following states: Alabama, Arkansas, Florida, Georgia, Illinois, Louisiana, Michigan, New Hampshire, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, WisconsinJob DescriptionJOB DESCRIPTION:Responsible for implementing and maintaining a compliance plan for outpatient coding and reimbursement. The...

Outpatient Coding AuditorCGI is one of the largest global IT and business consulting services firms, helping clients achieve meaningful outcomes through technology, expertise, and innovation. With a global presence and a collaborative, ownership-driven culture, CGI empowers its professionals to deliver impactful solutions that make a difference for clients and the communities they serve.CGI is seeking an experienced Outpatient Coding Auditor to join our Healthcare Compliance Audit Team. In this role, you will leverage your outpatient coding, clinical documentation, and reimbursement expertise to conduct comprehensive medical record audits and identify potential improper payments, including overpayments and underpayments. You will review claims across outpatient hospitals, ambulatory surgical centers, physician practices, and other healthcare settings, delivering accurate, well-supported, and thoroughly documented audit findings.This is a fully remote position open to candidates...

Lead Medical Coder and Auditor [PR0001D] Full‑time ProSidian is looking for “Great People Who Lead” at all levels in the organization. Are you a talented professional ready to deliver real value to clients in a fast‑paced, challenging environment? ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. Linking strategy to execution, ProSidian assists client leaders in maximizing company return on investment capital through design and execution of operations core to delivering value to customers. Visit www.ProSidian.com or follow the company on Twitter at www.twitter.com/prosidian for more information. ProSidian Seeks a...

PYA Atlanta is seeking an experienced Inpatient/Outpatient Facility Coding Auditor to join our Revenue and Compliance Advisory team. You will apply your expertise in coding, reimbursement, and documentation to help clients improve revenue integrity and reduce risk. Primary responsibilities include inpatient and outpatient facility coding audits, delivering client reports and presentations, and collaborating with consulting, compliance, and executive teams to deliver comprehensive solutions. #J-18808-Ljbffr

This is a remote based position. Applicants can be located nationwide Outpatient Coding Auditor #2972 United States Remote/Nationwide Position Description About You You are a person who enjoys ensuring coding accuracy and solving documentation and compliance challenges. We need someone who demonstrates skills in organization, prioritization, professionalism, and coaching others. In the role of Outpatient Coding Auditor, you will be responsible for quality reviews and audits and coordinating with department managers to ensure standards are met in accordance with department and organization policies. Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), Procedural Coding System (PCS), Current Procedural Terminology (CPT-4 and Healthcare Common Procedure Coding System...

Professional Coding AuditorWellStreet Urgent Care is redefining the urgent care experience through patient-focused service, high-quality care, and strong partnerships with health systems. As a rapidly growing healthcare organization, we are building a national network of urgent care facilities and creating opportunities for talented professionals to make a meaningful impact.If you're an experienced medical coder who enjoys digging into documentation, identifying coding opportunities, and helping providers and coding teams improve accuracy, this could be a great opportunity to join our team.The Professional Coding Auditor reviews clinical documentation and coding to ensure accuracy, completeness, compliance, appropriate charge capture, and alignment between documentation and assigned CPT and ICD-10 codes.This role goes beyond identifying errors—you'll help educate providers and coders, identify trends, and partner with leadership to improve coding quality and reimbursement.What...

Become a part of our caring community 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. Where you Come In 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 accuracy of...

We are seeking an experienced Acute Inpatient Coding Auditor with recent acute care hospital experience. This role is responsible for auditing facility-based inpatient coding, DRG assignment, ICD-10-CM/PCS coding accuracy, documentation review, and compliance. Candidates must have a strong background in acute inpatient hospital coding and auditing. This position focuses exclusively on facility (hospital) inpatient services and is not a professional fee/physician coding role. JOB SUMMARY Audits medical record documentation and coding to extract data and determine appropriate ICD-10-CM/PCS and HCPCS codes for billing, internal and external reporting, and compliance with the Official Coding Guidelines for Coding and Reporting, payer regulations, and hospital policy. Educates physicians and clinical personnel to ensure complete documentation in the medical record and queries physicians to resolve incomplete or conflicting information to ensure compliant coding and billing practices....

The Compliance Auditor will support the compliance functions at SJ/C. The auditor is expected to conduct independent compliance audits and monitor revenue cycle and related processes as identified in the annual compliance plan. Completes audits to ensure revenue cycle and related process compliance with Health System policies, third party payer contracts and government regulations. Prepares detailed reports on audit results and provides education related to billing and coding as well as other compliance requirements. Works with all employees of SJ/C to enhance the efficiency and effectiveness of the billing process at SJ/C and all other SJ/C Affiliates. Education Completion of relevant continuing education related to recent changes in coding, health care billing, medical terminology and reimbursement - Preferred Experience 3-5 Years combination of school and work experience - Required Recent work experience in revenue cycle which may include billing, outpatient coding, denials...

Phoebe Putney Health System in Albany, GA seeks an experienced Acute Inpatient Coding Auditor with hospital inpatient coding and auditing background. The role focuses on facility-based coding, DRG assignment, ICD-10-CM/PCS coding accuracy, documentation review, and compliance. Responsibilities include auditing records, educating physicians and staff to ensure complete documentation, and handling queries and education to improve coding accuracy and reimbursement. #J-18808-Ljbffr

DEPARTMENT: Physician Practice Management FACILITY: Medical Office Building WORK TYPE: Full Time SHIFT: Daytime SUMMARY: Assess the educational needs of coding specialists and providers regarding coding and documentation and direct development of effective regularly scheduled educational programs that meet the needs of the health system. Serve as the primary resource to physicians for documentation and coding issues. Conduct ongoing coding and billing training programs for billing and coding specialists and providers. Creates presentations, develops learning material, handbook, and other training materials. Conducts coding and data quality reviews and prepares complex reports as required. Ensures all education activities comply with clinical billing standards and government regulation with concentration on hospital inpatient procedures, ambulatory, and specialty physician services. RESPONSIBILITIES: * Keeps abreast of pertinent federal, and state regulations...

Lead Medical Coder and Auditor ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. ProSidian Seeks a Lead Medical Coder and Auditor (Full-Time) in CONUS - Fort Stewart, GA to support an engagement for a branch of the United States Armed Forces' Regional Health Command who's mission is to provide a proactive and patient-centered system of health with the focus on the medical readiness of all Soldiers and for those entrusted to the care for a medically-ready force. The Armed Forces' overall mission is "to fight and win our Nation's wars, by providing prompt, sustained, land dominance, across the full range of military...

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...