2514 compliance coding auditor jobs found

Sound Physicians is seeking an Associate Compliance Coding Auditor to perform routine coding and documentation audits using established methodologies and tools. The role emphasizes accuracy, regulatory alignment, and timely documentation across CPT, ICD-10-CM, HCPCS, and modifiers. The candidate should have 2–3 years of healthcare coding experience and active credentials (CPC/CCS/CCS-P/RHIT/RHIA). A strong attention to detail and collaboration with cross-functional teams are essential. #J-18808-Ljbffr

Compliance Coding Auditor-EducatorTrinity Health IHA Medical Group is looking for a customer-focused Compliance Coding Auditor-Educator to join our team. In this role, you will serve as the subject matter expert and as a point of contact for IHA offices and Revenue Department for proper coding procedures and workflow for existing medical services. Provides professional expertise and education in CPT, ICD and HCC coding.What You'll Do:Develops and leads audit projects for medical record integrity.Reports audit results utilizing a standard reporting process.Identifies new errors while performing audits, investigates and assesses root cause.Performs one-on-one Audit meetings and provides for corrective educational guidance.Maintains complete knowledge and complies with all relevant insurance, CPT coding and diagnosis guidelinesProvides training for IHA staff and providers on CPT, ICD10 and HCC coding standards and procedures.General Requirements:EDUCATION: Bachelor's degree or...

Associate Compliance Coding Auditor United States ATS: UKG Category: Compliance About Sound Founded in 2001 and headquartered in Nashville, TN, Sound Physicians is a nationally respected, physician-led medical group practicing in 400+ hospitals across 45 states. Our team of 4,000+ clinicians and 1,000+ business professionals across the country is united by one mission: to build exceptional clinical partnerships that unlock quality, affordable, dignified care for everyone - no matter who they are or where they live . With physician-led clinical teams and more than two decades of operational expertise, we've refined what it takes to consistently deliver exceptional care in hospital medicine, emergency medicine, critical care, anesthesia, and telemedicine. Why join us? A remote-first culture that values flexibility and collaboration Opportunities to grow your career while making a real impact A team that champions inclusivity,...

Pay or shift range: $22.50 USD to $27 USD The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons. Description About Sound Founded in 2001 and headquartered in Nashville, TN, Sound Physicians is a nationally respected, physician-led medical group practicing in 400+ hospitals across 45 states. Our team of 4,000+ clinicians and 1,000+ business professionals across the country is united by one mission: to build exceptional clinical partnerships that unlock quality, affordable, dignified care for everyone – no matter who they are or where they live . With physician-led clinical teams and more than two decades of operational expertise, we’ve refined what it takes to consistently deliver exceptional care in hospital medicine, emergency medicine, critical care, anesthesia, and telemedicine. remote-first culture that values flexibility...

About Sound Founded in 2001 and headquartered in Nashville, TN, Sound Physicians is a nationally respected, physician-led medical group practicing in 400+ hospitals across 45 states. Our team of 4,000+ clinicians and 1,000+ business professionals across the country is united by one mission: to build exceptional clinical partnerships that unlock quality, affordable, dignified care for everyone - no matter who they are or where they live . With physician-led clinical teams and more than two decades of operational expertise, we've refined what it takes to consistently deliver exceptional care in hospital medicine, emergency medicine, critical care, anesthesia, and telemedicine. Why join us? A remote-first culture that values flexibility and collaboration Opportunities to grow your career while making a real impact A team that champions inclusivity, innovation, and excellence Whether working virtually or onsite at one of our practices, you'll be part of a...

Join to apply for the Compliance Coding Auditor , ATM role at Advanced Medical Management, Inc. Your actual pay will be based on your skills and experience. Talk with your recruiter to learn more. Base pay range: $75,000 to $80,000 per year. Role Overview As a member of AMM’s Compliance and Ethics team, the Compliance Coding Auditor is an important driver of our mission. They are responsible for supporting the Company’s Compliance & Ethics Program (the Program) auditing, tracking, and monitoring initiatives. Robust auditing, testing, and monitoring capabilities are essential to fulfilling the expectations of AMM’s key stakeholders, including patients, families, and government agencies. The Program is led by AMM’s Chief Compliance & Ethics Officer, who reports to the CEO and the Board, and oversees the AMM Compliance Committee. This role requires sound, risk‑aware judgment, productive collaboration across the Company, and demonstrated success in performing audits to...

A leading healthcare management firm is seeking a Compliance Coding Auditor to support its Compliance & Ethics Program. The role involves auditing and monitoring compliance in healthcare practices, ensuring accurate coding and billing processes. Candidates should have 5-10 years of relevant experience in healthcare along with necessary certifications. The position offers comprehensive benefits including a full employer-paid HMO, generous PTO, and tuition reimbursement. #J-18808-Ljbffr

Trinity Health IHA Medical Group is seeking a Compliance Coding Auditor-Educator to serve as the subject matter expert for CPT, ICD and HCC coding across IHA offices. You will lead audits, report results, and provide corrective educational guidance to staff and providers. The role requires a bachelor’s degree and coding credentials (CPC or RHIT), with at least two years of experience in coding, reimbursement analysis, and medical record auditing. #J-18808-Ljbffr

Sound Physicians is seeking an Associate Compliance Coding Auditor to perform routine coding and documentation audits using established methodologies and tools. The role emphasizes accuracy, regulatory alignment, and timely documentation across CPT, ICD-10-CM, HCPCS, and modifiers. The candidate should have 2–3 years of healthcare coding experience and active credentials (CPC/CCS/CCS-P/RHIT/RHIA). A strong attention to detail and collaboration with cross-functional teams are essential. #J-18808-Ljbffr

Compliance Coding AuditorPerforms a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara's patients, and also assures that the coding practices fall within established compliance guidelines.Both ICD and CPT coding methodologies are used in the internal audit activity. The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment methodology, including the impact on Relative Value Unit (RVU) value related to Non-Physician Practitioner (NPP) services, Provider Based Billing (PBB) locations, and all other complex coding protocols within one year.All queries arising from the audit process are managed...

OverviewThis position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff.This position will support the implementation of changes to the CPT, CDT, HCPCS and ICD-10 codes on an annual basis.ResponsibilitiesEssential Duties :Conduct prospective and retrospective chart reviews (i.e.baseline, routine periodic, monitoring, and focused) comparing medical and / or dental record notes to reported CDT, CPT, HCPCS, and ICD codes with consideration of applicable FQHC and payer / title / grant coding requirements.Identify coding discrepancies and formulate suggestions for improvement.Communicate audit results / findings to providers and / or ancillary staff and share improvement ideas.Work with the Office of the CMO and provider leadership to identify and assist providers with coding.Report findings and recommendations to Compliance...

Appalachian Regional Healthcare (ARH) is seeking a Compliance Specialist – Coding and Billing to design and execute risk-based audits aligned with the annual plan. Collaborate with the Director of Coding and Billing Compliance and the Chief Compliance and Privacy Officer to strengthen ARH’s internal audits, controls, and governance in line with federal and state healthcare laws. You will develop audit plans, analyze data, generate reports, and present findings to management, while maintaining #J-18808-Ljbffr

Trinity Health IHA Medical Group is seeking a Compliance Coding Auditor-Educator to serve as the subject matter expert for CPT, ICD and HCC coding and to be a key contact for IHA offices and the Revenue Department. You will develop and lead audit projects, report results through a standard process, identify errors, conduct one‑on‑one audit meetings, and provide corrective education. You will train staff and providers on coding standards to support accurate, compliant medical documentation. #J-18808-Ljbffr

About Ensemble Thank you for considering a career at Ensemble!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!O.N.E Purpose:Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Thank you for considering a career at Ensemble! 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 recognise 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! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving...

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. 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. Customer Obsession: Bonus Incentives Tuition Reimbursement By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. 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 maintains...

Thank you for considering a career at Ensemble! 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 recognise 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! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving...

Thank you for considering a career at Ensemble! 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! O.N.E Purpose Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving...

Thank you for considering a career at Ensemble! 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! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Asante seeks a Compliance & Integrity Auditor and Analyst for a remote, U.S.-based role. The incumbent will audit medical records and billing documentation, ensuring compliance with CPT/ICD-10-CM/HCPCS, HIPAA, and related laws. They will develop corrective actions, train staff, and support annual risk assessments. The position requires 3 years in ambulatory coding and strong knowledge of health information management and revenue cycle processes, with MS Office proficiency. #J-18808-Ljbffr

Trinity Health Mid-Atlantic is seeking a remote Coding Auditor and Educator to oversee medical record audits, validate diagnoses and procedures, and ensure proper coding according to CMS guidelines. The role emphasizes education of providers and coders to improve accuracy and compliance. The position supports flexible schedules with competitive pay, tuition reimbursement, and employee discounts, reporting to Provider Revenue Operations. #J-18808-Ljbffr

Signature Performance, Inc. is seeking an experienced Outpatient Coding Auditor to ensure accuracy in medical coding and documentation. You will conduct quality reviews, generate actionable audit findings, and guide coders and managers toward improved compliance with policies and standards. Ideal candidates have 5+ years in professional medical coding, AHIMA/AAPC credentials, and familiarity with ICD-10-CM/PCS, CPT-4, HCPCS, and reimbursement systems. #J-18808-Ljbffr

Documentation & Coding Auditor - Billing Compliance Performs coding and documentation quality audits, provides feedback to coding and reimbursement specialists, coders, and educates them. This job has no supervisory responsibilities. High School graduate or equivalency and five (5) years of coding and reimbursement experience of which one (1) year may be as a coding auditor. Additional job-specific education may substitute for the experience. Active professional coding certification from an accredited organization, e.g., American Association of Professional Coders (AAPC), American Health Information Management Association (AHIMA). Certification to remain current during term of employment. Knowledge of CPT, ICD-CM, ICD-10, and HCPCS nomenclature. Experience conducting risk-based and retrospective documentation and coding audits. Experience in an academic medical center, physician group practice, hospital, or other complex healthcare organization. Experience...

Emory Healthcare is seeking a Remote Medical Coding Auditor to ensure accuracy, completeness, and regulatory compliance of professional coding services. You will review records, collaborate with providers and compliance staff, and support accurate reimbursement. Role emphasizes auditing, chart reviews, and ongoing education on coding standards to mitigate risks and improve documentation quality. Remote within eligible US states with strong attention to detail required. #J-18808-Ljbffr