123 compliance coding auditor jobs found

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

Desert Oasis Healthcare and Family Hospice Care is seeking a Coding Auditor to review documentation and medical records to ensure accurate coding of services and diagnosis. This role will collaborate with providers to improve clinical documentation and ensure compliance with governmental and regulatory requirements. Responsibilities include serving as a subject matter expert for the coding team, completing annual provider documentation validation audits, and performing concurrent chart reviews. #J-18808-Ljbffr

Coding Compliance Auditor Opportunities for you! Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek Free Continuing Education and certification Tuition reimbursement, education programs and scholarships Vacation time starts building on Day 1, and builds with your seniority Free money toward retirement with a 403(b) and matching contributions Great food options with on-demand ordering Free parking and electric charging Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. Responsibilities 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...

Coding Compliance AuditorOpportunities for you!Consecutively recognized as a top employer by Forbes, and in 2025 by NewsweekFree Continuing Education and certificationTuition reimbursement, education programs and scholarshipsVacation time starts building on Day 1, and builds with your seniorityFree money toward retirement with a 403(b) and matching contributionsGreat food options with on-demand orderingFree parking and electric chargingCommitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page.ResponsibilitiesThe 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...

Sharp HealthCare in San Diego seeks an experienced coding and documentation auditor to ensure accurate reporting of services by clinical providers. You will support and facilitate correct coding standards set by SHC Corporate Compliance in line with CMS/MAC requirements. The role requires auditing and reporting, developing training materials, and presenting findings to management and providers to improve coding accuracy and compliance. This is an on-site position in San Diego. #J-18808-Ljbffr

Physician Compliance AuditorAlign with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company's Workplace of the Year. We provide an outstanding benefit package that includes paid vacation, wellness initiatives and a 403(b). Join us! Discover why U.S. News & World Report has named us one of America's Best Hospitals.What you will be doing in this role:The Physician Compliance Auditor is responsible for reviewing and auditing claims, medical records, and charges to ensure compliance with applicable documentation, coding, and billing requirements. Works closely with providers and staff to educate and train or provide audit results feedback through the use of Teams or other remote meeting platforms. The Physician Compliance Auditor identifies issues and/or risks associated...

For questions regarding this position, please contact the Recruiter listed in the Supplemental Information section. About The Position 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...

Signature Performance, Inc. is seeking an Outpatient Coding Auditor for a remote, nationwide role. You will review and audit outpatient coding accuracy, coordinate with department managers, and deliver actionable feedback to coding staff to improve documentation and reimbursement outcomes. The role requires strong knowledge of ICD-10-CM/PCS, CPT-4/HCPCS, and PPS/DRG systems, plus 5+ years of coding experience and AHIMA/AAPC credentials. #J-18808-Ljbffr

Sprinter Health is seeking a Medical Coding Auditor to perform routine and focused audits of medical coding to ensure CMS, payer, and organizational standards are met. The role focuses on education for coders and providers to improve documentation and coding accuracy, in a fully remote setting. The ideal candidate has 3+ years of coding experience with audit exposure, strong knowledge of CPT/ICD-10-CM/HCPCS, and the ability to work independently to support audit prep and reporting. #J-18808-Ljbffr

Professional Fee Coding Auditor / Claims Edit Specialist This position may be performed onsite or remotely; however, onsite work is preferred based on business needs. Preference will be given to qualified candidates who are able to work onsite and are located within a reasonable commuting distance. This position is open to candidates located within the continental United States. Due to state-specific employment requirements and workers' compensation regulations, we are unable to support remote work arrangements in the following locations: Washington, Ohio, Wyoming, North Dakota, Puerto Rico, and the U.S. Virgin Islands. At Northbay Health, the Professional Fee Coding Auditor / Claims Edit Specialist is responsible for auditing professional fee coding across all service lines (Ambulatory/Hospitalist, Surgery, and Emergency Medicine), resolving pre-billing coding edits, and reviewing post-billing coding-related denials. This role ensures coding accuracy, documentation integrity,...

Medical Coding Auditor Top Healthcare company is hiring Medical Coding Auditors to work Remotely! The Coding Auditor conducts risk-based prospective and retrospective audits across professional coding and billing workflows. Responsibilities include validating code assignment, documentation, medical necessity, modifier usage, E/M coding, bundling, and payer-specific requirements. The auditor will use Epic workflows and MD audit reporting tools to identify coding and compliance risks.

Indigenous Pact PBC, Inc. seeks a Senior Coding Quality Auditor to ensure coding accuracy and compliance across Tribal Care programs. The role collaborates with the Revenue Cycle Management team to review coding quality, research complex requirements, and provide authoritative guidance to coders. The position involves remote work with approximately 25% travel to clinic locations, and requires an experienced auditor with knowledge of ICD-10-CM, CPT, and HCPCS, plus strong communication skills to #J-18808-Ljbffr

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...

A prominent healthcare provider in Los Angeles is seeking a Coding Auditor to review coding accuracy and compliance. The ideal candidate has a minimum of 3 years in coding audit and possesses relevant certifications. Responsibilities include performing audits, providing feedback and reports, and facilitating educational sessions. With a reputation for excellence and a diverse work environment, this position comes with a competitive salary range of $44.98 - $71.97 per hour and outstanding employee benefits. #J-18808-Ljbffr

Providence Medical Foundation is seeking a Coding Auditor to review patient care documentation for CPT/ICD coding accuracy and compliance with payer policies. The role requires AHIMA/AAPC certifications and 3+ years of coding and billing experience across multiple specialties. The position is based in California with a hybrid work arrangement and an emphasis on accurate data and documentation improvement. You will collaborate with providers and care teams to ensure compliant, efficient coding #J-18808-Ljbffr

The Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines. Verify that all ICD-10-CM codes are correctly captured. Verify that physician is correctly abstracted. Keeps abreast of coding guideline changes by self-study, assigned education, coding meeting attendance or related in-services. Participates in internal and external quality review meetings. Performs other duties as assigned. Job Description The Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external...

Escalate concerns/issues to department management. Description The Coding Auditor is responsible for reviewing documentation and medical records to ensure accurate coding of services and diagnosis. This role will collaborate with providers to improve clinical documentation and ensure compliance with governmental and regulatory requirements. Professional Duties Serve as a resource and subject matter expert for the coding team and providers to ensure the highest level of coding and documentation specificity. Complete annual provider documentation validation audits, which includes but is not limited to: record requests, documentation review, provider report cards, and management reports. Complete concurrent chart review for assigned providers. Report findings to department management and appropriate provider. Collaborate with departmental management to coordinate Health Plan and Risk Adjustment Data Validation (RADV) audits to validate the accuracy of coding submitted by...

NorthBay Health is seeking a Professional Fee Coding Auditor to oversee auditing of professional fee coding across Ambulatory/Hospitalist, Surgery, and Emergency Medicine. You will resolve pre-billing edits and review post-billing denials to ensure coding accuracy and payer compliance. Your role includes education for coders and physicians and collaboration with leadership to strengthen workflows. Candidates should have extensive coding experience, certification (CPC/CCS-P/CPMA), and strong #J-18808-Ljbffr

Work Location Requirement: This position may be performed onsite or remotely; however, onsite work is preferred based on business needs. Preference will be given to qualified candidates who are able to work onsite and are located within a reasonable commuting distance. Remote Work Eligibility: This position is open to candidates located within the continental United States. Due to state-specific employment requirements and workers’ compensation regulations, we are unable to support remote work arrangements in the following locations: Washington, Ohio, Wyoming, North Dakota, Puerto Rico, and the U.S. Virgin Islands. At Northbay Health, the Professional Fee Coding Auditor / Claims Edit Specialist is responsible for auditing professional fee coding across all service lines (Ambulatory/Hospitalist, Surgery, and Emergency Medicine), resolving pre‑billing coding edits, and reviewing post‑billing coding‑related denials. This role ensures coding accuracy, documentation integrity, and...

UCI Health is seeking an Outpatient Coding Auditor who reports to the Outpatient Coding Manager. You will conduct rigorous departmental and interdepartmental coding audits to ensure compliance with Federal and State regulations and identify discrepancies in acute care outpatient services. You will review records, discuss findings with physicians and staff, provide feedback and education, help develop policies, and stay current with CPT, HCPCS, ICD-10-CM and outpatient regulations. #J-18808-Ljbffr

Risk Adjustment Coding AuditorHuntington Beach Office - Huntington Beach, CA 92647OverviewSalary Range $72,800.00 - $80,000.00 Salary Position Type Full TimeDescriptionAre you ready to make a lasting impact and transform the healthcare space? We are one of Southern California's fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth.Clever Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans combine Western medicine with holistic Eastern practices, offering benefits that align with our members' culture and values.Why Join Us? We're on a mission! Our rapid growth reflects our commitment to making healthcare accessible for underserved communities. At Clever Care, you'll have the opportunity to make a real difference, shape the future of healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation.Job SummaryThe Risk Adjustment Coding...

Job DescriptionPrimary Duties And ResponsibilitiesThe Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines.Verify that all ICD-10-CM codes are correctly captured. Verify that physician is correctly abstracted. Keeps abreast of coding guideline changes by self-study, assigned education, coding meeting attendance or related in-services. Participates in internal and external quality review meetings.Performs other duties as assigned.Medical Coding - Hoag HospitalIn addition to the above, the coder resolves billing related errors and assists with workflow changes and process improvement projects. Meets ongoing...

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2972 United States Apply X Facebook LinkedIn Email Copy Work Schedule 8 hours daily between 6:00a - 6:00p Eastern Time Monday - Friday Compensation Range $28.00 - $30.00/Hour Position Type Full Time 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. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you...