Coding documentation compliance auditor jobs

Coding & Documentation Compliance Auditor

Hartford HealthCare Bridgeport, CT

Coding & Documentation Compliance Auditor Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. The Coding & Documentation Compliance Auditor contributes to the success of the Office of Compliance and Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The Coding & Documentation Compliance Auditor performs independent reviews to assess compliance with federal, state and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional, facility (inpatient and outpatient), home health and skilled nursing facilities. Responsibilities include but, are not limited to the following: Conducts audits in accordance with the approved Revenue Compliance Work...

HH

Coding & Documentation Compliance Auditor

Hartford HealthCare Enfield, CT

Coding & Documentation Compliance Auditor Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: pride in what we do, knowing every moment matters here. We invite you to become part of Connecticuts most comprehensive healthcare network. The Coding & Documentation Compliance Auditor contributes to the success of the Office of Compliance and Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The Coding & Documentation Compliance Auditor performs independent reviews to assess compliance with federal, state and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional, facility (inpatient and outpatient), home health and skilled nursing facilities. Responsibilities include but, are not limited to the following: Conducts audits in accordance with the approved Revenue Compliance Work Plan...

Full Time

HIM Professional Billing Coding Manager (Hybrid)

El Camino Health Hybrid (Mountain View, CA)

Lead Coding. Drive Revenue Integrity. Shape Provider Performance. El Camino Health is seeking a highly experienced HIM Professional Billing Coding Manager to lead coding operations across its medical network. This is a critical leadership role directly tied to revenue cycle performance, compliance, and provider documentation excellence. If you bring deep expertise in professional billing (PB) coding, auditing, and provider education , this is your opportunity to make a meaningful impact within a respected, nonprofit health system. About El Camino Health El Camino Health is an integrated, nonprofit health system known for delivering high-quality, patient-centered care across its communities. With a strong commitment to innovation, compliance, and clinical excellence, the organization plays a vital role in driving healthcare outcomes and access across the region. This position is onsite in Mountain View, CA 2 days a week, with 3 days available for remote work....

Full Time

Physician Coding Auditor

MedKoder Remote

About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding for health systems, providers, and payers. MedKoder delivers accurate, efficient, and ethical coding, aiming to ensure accurate payment and financial peace for clients. With a team of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote-work flexibility, and a positive workplace culture, earning high employee satisfaction ratings and awards with Best Places to Work in Modern Healthcare and City Business Best Places to Work. Position Location: 100% Remote This is a full-time, remote position that offers a flexible schedule. Description: Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable...

Contract

Experienced Orthopedic Surgical Auditor or Coder

Welter Healthcare Partners Remote

For over 30 years, Welter Healthcare Partners has collaborated with healthcare organizations across the US on the business of healthcare. Healthcare is complicated and ever-changing, and our services, solutions, highly specialized and collaborative teams are focused on helping drive results for the long-term success of our clients! We are looking for new team members that share the same passion for success! We are looking for a 1099 Surgical Coding Expert, primarily Orthopedics, who seeks ownership of their craft, asserts their interpretation of guidelines and rules and who is extremely particular about the highest level of quality of their coding work! Skilled auditor preferred; however, a skilled and detail-oriented coder with the desire to transition to auditing will be highly considered. We offer up to $4,000 flat fee per month and are flexible for more depending on the ability to organize and facilitate volume, but quality over quantity. Opportunity...

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Full Time

Healthcare Coding Compliance Auditor

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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Medical Coder

Connect Search, LLC IL

Job Title: Senior Coding Educator Location: Chicagoland Type: Remote Pay: target salary $65,000-90,000 Job Type: Permanent Benefits: Medical, dental, vision, and 401(k) for eligible employees About the Opportunity Our client is a top-tier, fully integrated healthcare system serving the Chicagoland area and surrounding suburbs , known for delivering high-quality, patient-centered care across a broad network of hospitals and outpatient facilities. With a large regional footprint and strong reputation for clinical excellence, this organization offers stability, growth, and the opportunity to make a meaningful impact . They are seeking a Coding Educator to support coding excellence, provider documentation improvement, and compliance initiatives across the system. Position Overview The Coding Educator is responsible for developing and delivering education programs that enhance coding accuracy, documentation quality, and regulatory compliance....

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Medical Auditor/Educator - West Jordan - FT - Prior Industry Experience Required

Granger Medical Clinic Taylorsville, UT

Medical Auditor/Educator - West Jordan - FT - Prior Industry Experience Required Granger Medical Clinic has an immediate opening for a Full Time Medical Auditor/Educator at our Taylorsville headquarters location. We are seeking candidates with relevant professional experience who can contribute quickly and effectively in this role. Essential Functions and Duties: Supports and implements the organization's vision, mission, and values. Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies as necessary or required. Effectively communicates with providers/Coders to clarify diagnoses, procedure coding and documentation requirements, including proper sequencing. Monitors all coding accuracy at various levels of detail and maintains coding quality as needed. Tracks coding issues and reviews coding inaccuracies to highlight areas of...

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Medical Coding and Billing Compliance Auditor

CommuniCare Health Services Blue Ash, OH

Medical Coding and Billing Compliance Auditor Location: Remote Division: Coding Compliance About the Role: The Medical Coding Auditor is a detail-oriented position responsible for reviewing medical coding accuracy, documentation integrity, ensuring compliance with federal and state regulations, payer guidelines, and internal policies. The ideal candidate will bring strong analytical skills, extensive coding knowledge, and a passion for maintaining the highest standards of quality and compliance. The candidate will demonstrate a strong background in Microsoft Office applications including PowerPoint, Word, Excel, Outlook, TEAMS, and SharePoint. The Medical Coding Auditor will have a background in physician feedback and education on documentation integrity and coding accuracy. The ideal candidate will have extensive knowledge of CPT coding, ICD-10-CM coding, E/M coding, HCC methodologies, modifiers, telehealth, and HCPCS coding. The candidate will understand and know where to access...

GM

Medical Auditor/Educator - West Jordan - FT - Prior Industry Experience Required

Granger Medical Clinic Salt Lake City, UT

Medical Auditor/Educator - West Jordan - FT - Prior Industry Experience Required Granger Medical Clinic has an immediate opening for a Full Time Medical Auditor/Educator at our Taylorsville headquarters location. We are seeking candidates with relevant professional experience who can contribute quickly and effectively in this role. Essential Functions and Duties: Supports and implements the organization's vision, mission, and values. Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies as necessary or required. Effectively communicates with providers/Coders to clarify diagnoses, procedure coding and documentation requirements, including proper sequencing. Monitors all coding accuracy at various levels of detail and maintains coding quality as needed. Tracks coding issues and reviews coding inaccuracies to highlight areas of improvement....

Remote Coding Auditor & Compliance Educator

Presbyterian Healthcare Services Santa Fe, NM

Presbyterian Healthcare Services is hiring a Profee Remote Auditor/Educator to join their team. This full-time role, based remotely in New Mexico, involves supporting coding and documentation quality assurance while ensuring compliance with regulatory standards. Responsibilities include conducting audits, training staff, and managing documentation. Candidates should have a high school diploma or GED, relevant licenses, and at least 3 years of coding and auditing experience. The position offers a comprehensive benefits package including medical, dental, and vision coverage. #J-18808-Ljbffr

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Compliance Auditor II - Compliance

Christus Health Irving, TX

Summary The Compliance Auditor II will assist in the overall quality, compliance, and auditing activities to ensure compliance of standard operating procedures, corporate policies, industry standards, and applicable federal and state laws. Conducts audit activities, reporting and communicates audit findings. Works in conjunction with Compliance Director on compliance work plans, internal and external audits and reviews, and provides assurance that the organization is operating in an efficient and effective manner. Responsibilities Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Manages compliance audit activities pertaining to compliance and coordinates with Corporate Compliance Director and Senior Leadership as it relates to such audits. Responsible for answering inquiries related to professional documentation, coding, and billing regulatory requirements. Work with VP/Senior/Manager/Director on more complex...

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Remote Medical Billing Compliance Auditor

Yale Cancer Center New Haven, CT

Overview Coordinate and conduct medical billing audits for the Yale Medicine Administration. Evaluate medical billing, coding and documentation for 18 clinical departments under the direction of the Compliance Officer. Provide training and feedback to physicians and departmental personnel who have responsibilities with billing activities. This opportunity is currently remote (work from home, in or outside CT) for a position located in CT. CPC required. If the candidate does not currently hold a CPC certification, it is expected to be obtained within 6 months to 1 year after hire. Required Skills and Abilities Demonstrated knowledge of ICD-10 and CPT-4 coding and billing practices. Ability to interpret operative and procedural reports. Well-developed oral and written communication skills. Strong attention to detail with the ability to analyze data. Proficient in Microsoft Word, Excel, and Access. Preferred Skills and Abilities CPC credentials preferred. Computer skills...

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Facility Inpatient Coding Auditor

Default GeBBS Healthcare Solutions East Haven, CT

Job Description Job Description Description: Full-Time, Remote The Facility Inpatient Coding Auditor is responsible for auditing inpatient facility coding with a focus on OB/NB, CAH, & Rehab auditing, for accuracy, compliance, and quality, while providing education and feedback to coding and QA team members. This role ensures adherence to official coding guidelines, regulatory requirements, and organizational standards, and supports continuous improvement through targeted education, data analysis, and collaboration. Coding Audit & Compliance Conduct comprehensive audits of inpatient facility coding, including MS-DRGs, ICD-10-CM/PCS, POA indicators, discharge disposition, and quality-related data elements Ensure compliance with official coding guidelines, CMS regulations, payer requirements, and internal policies Identify coding errors, trends, and root causes impacting reimbursement, quality metrics, and compliance risk Validate documentation supports...

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Outpatient Coding Auditor

Nuvance Health Danbury, CT

Nuvance Health Coding Position Position at Nuvance Health Must reside in the following states: AZ, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, OK, PA, SC, TN, TX, and VA Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State's largest private employer with over 104,000 employees including members of Northwell Health Physician Partners who are working to change health care for the better. Summary Purpose: Provides clinician practice coding, billing, and documentation auditing for professional coding at Nuvance Health. Conducts routine quality assurance (QA)...

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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,...

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Medical Coding Auditor-Inpatient

Performant Healthcare, Inc. Richmond, VA

3 days ago Be among the first 25 applicants About Performant At Performant, we’re focused on helping our clients achieve their goals by providing technology-enabled services which identify improper payments and recoup or prevent losses due to errant billing practices. We are the premier independent healthcare payment integrity company in the US and a leader across several markets, including Medicare, Medicaid, and Commercial Healthcare. Our mission is to offer innovative payment accuracy solutions that allow our clients to focus on quality of care and healthier lives for all. Medical Coding Auditor – Inpatient (Remote) Location: Remote. Full‑time. Salary: $70,000 – $85,000 per year. Key Responsibilities Audit medical records to ensure accurate coding of diagnoses, procedures, and services using ICD‑10, CPT, and HCPCS codes. Ensure coding practices comply with federal, state, and payer‑specific regulations and guidelines, including HIPAA and CMS standards. Detect...

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Professional Fee Coding Auditor & Educator

University of California , San Francisco San Francisco, CA

Fully Remote | Professional Fee Coding Auditor | 3-Month Contract with Strong Extension Potential Openings: 6 The Patient Records Abstractor 4 fulfills a role as a Medical Coder for UCSF's physician practices. This position reviews patient records, discharge summaries, operative reports, and other clinical documentation to assign standardized codes for diagnoses, procedures, and services. The role applies national and international coding classifications to ensure records accurately reflect the care delivered, supporting compliant reimbursement and reliable clinical data. This position also serves as a Coding Educator responsible for providing education and training for physicians, staff, and other providers on professional fee coding and clinical documentation standards. Responsibilities include conducting coding quality reviews, analyzing findings, and providing follow-up education to coding staff and providers. The incumbent outlines and annotates applicable laws and...

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Remote Medical Coding Auditor (CPC, CCS-P, or CPMA)

Crossroads Services Greenville, SC

Remote Medical Coding Auditor (CPC, CCS-P, or CPMA) Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. Day in the Life of a Medical Coding Auditor Conducting audits of claims and patient records to identify incorrect coding. Audits will be performed for both provider and coder coding accuracy with required documentation in accordance with current coding guidelines. Developing, implementing, and coordinating corrective action proposals and plans. Tracking completion of internal and external Plans of...

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Remote Medical Coding Auditor (CPC, CCS-P, or CPMA)

Crossroads Greenville, SC

Remote Medical Coding Auditor (CPC, CCS-P, or CPMA)Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery.Day in the Life of a Medical Coding AuditorConducting audits of claims and patient records to identify incorrect coding. Audits will be performed for both provider and coder coding accuracy with required documentation in accordance with current coding guidelines.Developing, implementing, and coordinating corrective action proposals and plans.Tracking completion of internal and external Plans of Correction.Preparing...

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Compliance and Coding Auditor

CaroMont Health Gastonia, NC

Job Summary: Assists with implementing and maintaining a system-wide effective compliance program through performance of compliance and coding quality audits. Under indirect supervision, assures appropriateness and accurate coding assignments in accordance with federal coding regulations and guidelines. Evaluates the effectiveness of internal controls designed to ensure that processes and practices lead to appropriate execution of regulatory requirements and guidelines related to professional and facility fee documentation, coding and billing, including CMS and OIG compliance standards. Leads meetings with providers to review the audit findings and recommend ways to improve when indicated. Prepares written reports of findings. Also responsible for providing assistance with coding inquiries from providers, coders, billing staff, etc. Monitors relevant resources and publications related to high-risk compliance areas. Serves as an audit software system administrator as assigned....

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Physician Coding Auditor

MedKoder Mandeville, LA

About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding for health systems, providers, and payers. MedKoder delivers accurate, efficient, and ethical coding, aiming to ensure accurate payment and financial peace for clients. With a team of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote-work flexibility, and a positive workplace culture, earning high employee satisfaction ratings and awards with Best Places to Work in Modern Healthcare and City Business Best Places to Work. Position Location: 100% Remote This is a full-time, remote position that offers a flexible schedule. Description: Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and...

VC

Health Careers- Workforce Development Non-Credit Instructor- Adjunct (Medical Coder/Auditor)

Virginia's Community College System Suffolk, VA

Health Careers- Workforce Development Non-Credit Instructor- Adjunct (Medical Coder/Auditor) Tidewater Community College's Workforce Solutions Department seeks an experienced Medical Coder/Auditor to lead a hands-on Certified Professional Medical Auditor (CPMA) exam–preparation course. This position is an adjunct instructor position in the college's non-credit program under Workforce Solutions. This program includes both continuing education for professional development and industry recognized credential attainment, which may be offered Asynchronously, at TCC campuses and other convenient locations throughout the community. The CPMA instructor will prepare students to audit medical records and ensure coding accuracy and compliance. Emphasis is placed on healthcare regulations, documentation review, and revenue integrity. The candidate will deliver engaging CPMA-focused instruction using real-world coding scenarios, chart reviews, and denial analysis. The instructor must be...

PC

Remote Inpatient Coding Auditor | DRG & Compliance Expert

Professional Credit Service is a New York, NY

Professional Credit Service is hiring an experienced Inpatient Medical Coding Auditor to perform audits of acute inpatient medical records. This role ensures coding accuracy and compliance with coding guidelines, while providing feedback and insights to improve documentation practices. Ideal candidates will possess active AHIMA or AAPC certification and have 3-5 years of auditing experience. This full-time position offers remote work, competitive pay, and excellent benefits including health insurance and a 401k plan. #J-18808-Ljbffr

794 coding documentation compliance auditor jobs found