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873 coding documentation compliance auditor jobs found

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HH
Coding & Documentation Compliance Auditor
Hartford HealthCare Hartford, CT, USA
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 Plan or as requested by the Manager or Director. ·...

Mar 10, 2026
HH
Coding & Documentation Compliance Auditor
Hartford HealthCare at Home Hartford, CT, USA
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 Plan or as requested by the Manager or...

Mar 10, 2026
HH
Coding & Documentation Compliance Auditor
Hartford HealthCare Enfield, CT, USA
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...

Mar 10, 2026
GH
Medical Auditor Clinical Documentation Coding Compliance
Greenlife Healthcare Staffing Jericho, NY, USA
Medical Auditor (Clinical Documentation & Coding Compliance) - Jericho, NY (\#R10259) Location: Jericho, New York Employment Type: Full-Time Hourly Rate: $47.00/hour About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: Conduct comprehensive coding and documentation audits to ensure compliance with industry standards, regulations, and payer rules. Why Join Us? Competitive Compensation: $47.00/hour Work Schedule: Full-time, Monday–Friday Comprehensive Benefits: Comprehensive benefits package Professional Growth: Advance in healthcare compliance and auditing Impactful Work: Ensure coding...

Mar 10, 2026
GH
Medical Auditor (Clinical Documentation & Coding Compliance)
Greenlife Healthcare Staffing Jericho, NY, USA
About the Job Medical Auditor (Clinical Documentation & Coding Compliance) - Jericho, NY (#R10259) Location: Jericho, New York Employment Type: Full-Time Hourly Rate: $47.00/hour Position Overview: Conduct comprehensive coding and documentation audits to ensure compliance with industry standards, regulations, and payer rules. Why Join Us? Competitive Compensation: $47.00/hour Work Schedule: Full-time, Monday-Friday Comprehensive Benefits: Comprehensive benefits package. Professional Growth: Advance in healthcare compliance and auditing. Impactful Work: Ensure coding accuracy and regulatory compliance. Qualifications: Job qualifications & certifications: CPC, CPMA, CCS, or related credential. 3+ years of coding/auditing experience. Strong understanding of coding compliance and documentation standards. Ideal for individuals with both coding expertise and regulatory audit experience. Skills: Strong...

Mar 10, 2026
GH
Medical Auditor (Clinical Documentation & Coding Compliance)
Greenlife Healthcare Staffing Jericho, NY, USA
Medical Auditor (Clinical Documentation & Coding Compliance) - Jericho, NY Location: Jericho, New York Employment Type: Full-Time Hourly Rate: $47.00/hour About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: Conduct comprehensive coding and documentation audits to ensure compliance with industry standards, regulations, and payer rules. Why Join Us? Competitive Compensation: $47.00/hour Work Schedule: Full-time, MondayFriday Comprehensive Benefits: Comprehensive benefits package Professional Growth: Advance in healthcare compliance and auditing Impactful Work: Ensure coding accuracy and regulatory compliance Key Responsibilities:...

Mar 10, 2026
RU
Full Time
 
Healthcare Coding Compliance Auditor
Riverside University Health System Medical Center Hybrid (Riverside, CA, USA)
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...

Mar 04, 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
AC
Full Time
 
System Professional Coding Provider Review and Education Manager
Anonymous Company Hybrid
Job Title: Manager Location: System Business Office Department Name: HIM - Professional Req #: 0000207266 Status: Salaried Shift: Day Pay Range: $110,681.00 - $156,337.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: The  System Professional Coding Provider Review and Education Manager  is responsible for onboarding, educating, and reviewing medical record documentation and coding processes of the Medical Group physicians, APNs and other billing providers across all medical centers within the RWJBH enterprise. This includes onboarding education, medical record reviews, targeted education to physician groups and individual physicians, annual and quarterly...

Jan 08, 2026
Ex
Inpatient Coder
Experis Maplewood, MN, USA
Our client, a leading healthcare organization, is seeking an Inpatient Hospital Coding Professional to join their team. As an Inpatient Hospital Coding Professional, you will be part of the Clinical Documentation and Coding Department supporting inpatient coding operations. The ideal candidate will demonstrate attention to detail, analytical thinking, and a commitment to accuracy, which will align successfully in the organization. Job Title DRG Auditor Location Maplewood, MN Pay Range 25-30/hr Hours 8-40 hours a week (As needed basis). Work as needed. What's the Job? Perform clinical validation and coding of inpatient diagnoses and procedures using ICD-10-CM/PCS coding standards. Apply MS-DRG and APR DRG methodology to ensure accurate reimbursement and reporting. Utilize knowledge of Elixhauser, Hospital Acquired Conditions (HACs), and Patient Safety Indicators (PSIs) to enhance clinical documentation. Collaborate with clinical staff to improve documentation accuracy and...

Mar 11, 2026
PP
Professional Coding Auditor/Consultant
PYA P C Leawood, KS, USA
Job Description Job Description PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity team in a professional coding auditor role . RESPONSIBILITIES: Responsible for the accurate review of PYA clients’professional fee coding per industry coding audit standards, support of the management team with project management tasks, support of the verbal and written reporting to the client, and conducting provider coding and documentation education ( generally, conducted remotely ). Coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including...

Mar 11, 2026
CO
Risk Adjustment Coding Auditor, Sr
CareOregon Nevada, IA, USA
Working Conditions Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure The Coding Auditor, Senior performs code audits and is responsible for chart auditing processes as well as contributing to the education of providers and internal stakeholders on coding topics. The position is responsible for keeping up to date on the newest coding guidelines and best practices while promoting compliance with existing American Medical Association (AMA) and Centers for Medicare and Medicaid Services (CMS) guidelines. Specific approaches to job duties vary depending on the department. Estimated Hiring Range $81,000.00 - $99,000.00 Bonus Target Bonus - SIP Target, 5% Annual Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. Essential Responsibilities Perform and lead a variety of coding-related audits for providers and other entities. Review medical records to verify that complete and accurate...

Mar 11, 2026
CC
Compliance Auditor/Educator - Compliance Quality
Christie Clinic, LLC Champaign, IL, USA
Job Details Job Location : Clark St House (CMC) - Champaign, IL 61820 Position Type : Full Time Education Level : High School Salary Range : $26.69 - $36.69 Hourly Job Shift : 1st Shift Job Category : Coding/Compliance Christie Clinic's department of Compliance Quality is seeking a full‑time Compliance Auditor/Educator at our Clark Street location in Champaign from Monday‑Friday 8:00am‑5:00pm, with no night or weekend requirements. Duties include performing ongoing functions related to quality of care and compliance including government and clinic regulations and policies in support of the Christie Clinic Compliance System. Job Qualifications and Expectations JOB DUTIES: (This list may not include all of the duties assigned.) Screen, review, identify and document potential quality and compliance issues. Perform billing and coding audits with both random samples as well as provider and department specific samples; and as required. Meet with providers to share audit...

Mar 11, 2026
PP
Professional Coding Auditor/Consultant
PYA P C Knoxville, TN, USA
Job Description Job Description PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity team in a professional coding auditor role . RESPONSIBILITIES: Responsible for the accurate review of PYA clients’professional fee coding per industry coding audit standards, support of the management team with project management tasks, support of the verbal and written reporting to the client, and conducting provider coding and documentation education ( generally, conducted remotely ). Coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including...

Mar 11, 2026
MU
Coding Auditor-2
Medical University of South Carolina Charleston, SC, USA
Job Description Summary Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type Regular Cost Center CC002307 SYS - Hospital Coding Pay Rate Type Hourly Pay Grade Health-26 Scheduled Weekly Hours 40 Work Shift Job Description The Coding Auditor performs provider audits and education per the OC compliance plan policy to ensure compliance with the Federal Documentation Guidelines. This role ensures that claims are coded accurately to optimize reimbursement and has responsibility for keeping physicians and physician assistants current on coding changes and updates. Must have at least one of the following credentials: RHIA, RHIT, CCS or CPC. CPMA preferred. 4 years minimum coding experience required. Additional Job Description Education: Bachelors Degree or equivalent Work Experience: 2-4 years If you like working with energetic enthusiastic individuals, you will enjoy your career with us! The...

Mar 11, 2026
MH
Data Quality Senior Medical Coder - Remote
Munson Healthcare Lansing, MI, USA
Data Quality Senior Medical Coder - Remote Full-time Shift: Day Shift Status: Full Time More Than Just Care,It’sCommunity Imagine doing meaningful work in a place where peoplevacation. That’slife at Munson Healthcare - northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. If you want a career in healthcare and alifestylemost people only dream about – with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just beMunson Material. To us, that means teammates who live by our values of excellence,teamness, positivity, creativity,and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country. Invested in You Grow: Tuition reimbursement, in-person and onlinedevelopment,and access to ourcareer hubto help...

Mar 11, 2026
SF
Medical Coding Auditor
South Florida Community Care Network LLC Fort Lauderdale, FL, USA
Job Description Job Description Hybrid-Sunrise, Florida Position Summary: The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through post payment medical records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines and regulatory and contract requirements. Essential Duties and Responsibilities: Performs post payment medical record review audits of claims payments to identify potential fraud, waste, abuse and/or overpayment. Completes and maintains detailed documentation of audits including but not limited to coding guidelines reviewed, medical necessity documentation, decision methodology, and monetary discrepancies identified. Coordinates overpayment recoveries with the Fraud Investigative Unit Manager. Responsible for assisting the Fraud...

Mar 11, 2026
HI
Remote Nurse Auditor & Home Health Coding Specialist
Humana Inc Tallahassee, FL, USA
A healthcare company is seeking a Nurse Auditor 2 to support compliance in medical record documentation and coding. The position allows for remote work with occasional travel for training. Candidates must have a current U.S. RN license and at least one year of clinical experience, specifically with Home Health Care Payment models. Essential skills include judgment, communication, and proficiency in MS Office suite. The role offers a competitive salary and comprehensive benefits. #J-18808-Ljbffr

Mar 11, 2026
CO
Risk Adjustment Coding Auditor, Sr
CareOregon Madison, WI, USA
Working Conditions Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure The Coding Auditor, Senior performs code audits and is responsible for chart auditing processes as well as contributing to the education of providers and internal stakeholders on coding topics. The position is responsible for keeping up to date on the newest coding guidelines and best practices while promoting compliance with existing American Medical Association (AMA) and Centers for Medicare and Medicaid Services (CMS) guidelines. Specific approaches to job duties vary depending on the department. Estimated Hiring Range $81,000.00 - $99,000.00 Bonus Target Bonus - SIP Target, 5% Annual Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. Essential Responsibilities Perform and lead a variety of coding-related audits for providers and other entities. Review medical records to verify that complete and accurate...

Mar 11, 2026
Da
Inpatient Coding Auditor Specialist - PRN with Sign-On Bonus
Datavant Albany, NY, USA
Join Datavant and be a part of our mission to transform healthcare through our innovative data collaboration platform. We provide essential solutions to a wide range of organizations within the healthcare ecosystem, including providers, health plans, researchers, and life sciences companies. Our team's dedication to enhancing data connectivity is paving the way for improved health outcomes. As an Inpatient Auditor Specialist, you will have a vital role in supporting our consulting and educational efforts related to coding quality, compliance assessments, and coding workflow operations. Your insights will exceed customer expectations while addressing and resolving their challenges. This is a fully remote position with a flexible schedule, allowing you to shape the future of healthcare from the comfort of your workspace! Key Responsibilities: Conduct comprehensive inpatient facility coding audits according to the specified scope of work, onboarding, focused reviews, service...

Mar 11, 2026
Da
Inpatient Coding Auditor Specialist - PRN with Sign-On Bonus
Datavant Nashville, TN, USA
Join Datavant and be a part of our mission to transform healthcare through our innovative data collaboration platform. We provide essential solutions to a wide range of organizations within the healthcare ecosystem, including providers, health plans, researchers, and life sciences companies. Our team's dedication to enhancing data connectivity is paving the way for improved health outcomes. As an Inpatient Auditor Specialist, you will have a vital role in supporting our consulting and educational efforts related to coding quality, compliance assessments, and coding workflow operations. Your insights will exceed customer expectations while addressing and resolving their challenges. This is a fully remote position with a flexible schedule, allowing you to shape the future of healthcare from the comfort of your workspace! Key Responsibilities: Conduct comprehensive inpatient facility coding audits according to the specified scope of work, onboarding, focused reviews, service...

Mar 11, 2026
Da
Inpatient Coding Auditor - Flexible Schedule PRN
Datavant Nashville, TN, USA
Datavant is the data collaboration platform trusted for healthcare. Our mission is to make the world’s health data secure, accessible, and actionable, offering essential data solutions for a diverse array of healthcare entities, including providers, health plans, researchers, and life sciences companies. Whether fulfilling a single patient's request for their medical records or energizing the AI revolution in healthcare, our team at Datavant is dedicated to reshaping the future of health data connectivity and utilization. By joining Datavant, you will be part of a dynamic and collaborative team that is passionate about creating meaningful change in the healthcare landscape. As an Inpatient Coding Auditor, your expertise will be crucial in addressing various consulting and educational needs pertaining to coding quality, compliance assessments, external payer reviews, and coding education. This fully remote role offers you the flexibility to contribute to healthcare...

Mar 11, 2026
AF
Critical Care Certified Medical Coder
AFS New Bedford, MA, USA
Department Overview: Join our dynamic team within the Department of Anesthesia, Critical Care, and Pain Medicine as a Critical Care Certified Medical Coder. This is an exciting opportunity to work from home after completing an initial onsite training period. While the majority of your work will be remote, occasional onsite meetings and consultations with physicians will be necessary. About the Position: In this role, you will perform expert certified coding and provide essential administrative and project support within the department. You will analyze surgical and medical documentation to accurately assign ICD-10/CPT/HCPCS codes, while ensuring compliance and facilitating efficient reimbursement processes. Key Responsibilities: Analyze evaluation and management documentation, with a focus on critical care services and procedures. Utilize your coding expertise to correctly apply ICD-10/CPT/HCPCS codes based on operative notes. Review documentation to ensure...

Mar 11, 2026
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