76 compliance coding auditor jobs found

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...

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...

3B Staffing LLC is seeking a remote Coding Compliance Auditor to support a Medical Center contract role. You will design chart reviews, test billing/documentation, and work closely with the CDI team to reconcile and improve coding compliance. Required are coding credentials and 3–5 years of senior audit experience, with EPIC/Solventum Encoder/3M and SmarterDx familiarity. Strong communication and regulatory knowledge are essential. #J-18808-Ljbffr

## Coding Compliance Auditor - HospitalApply: Chicago, IL: Full time: Posted Today: JR-1065754Shirley Ryan AbilityLab is the global leader in physical medicine and rehabilitation for adults and children with the most severe, complex conditions. By joining our team, you’ll be part of our life-changing mission and vision. You’ll contribute to an innovative, multifaceted culture that is second to none — one that embraces collaboration, excellence, discovery and compassion. You’ll play a role in something that’s never been done before as we integrate science and clinical care to help patients achieve better, faster outcomes — as we Advance Human Ability, together.## ## **Job Description Summary**The Coding Compliance Auditor - Hospital, utilizing a strong coding background and clinical knowledge, will code diagnoses and procedures for admission and discharge claims in order to prevent loss of revenue, optimize charge capture, and adhere to all compliance standards. Assist with...

Pyramid Consulting is seeking a Coding Compliance Auditor for a 6-month contract, remote in the US. The role focuses on accurate coding, auditing and ensuring compliance with CMS guidelines while supporting healthcare providers and facilities. The ideal candidate holds an associate degree or 2 years in health insurance, plus national coding certification (CPC/CCS-P/RHIA/RHIT) and proficiency in Word/Excel/Outlook. Apply for a long-term opportunity with full benefits and professional growth. #J-18808-Ljbffr

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

Shirley Ryan AbilityLab is seeking a Coding Compliance Auditor to review inpatient/outpatient records, ensure compliant ICD-10 and CPT coding, and support audit initiatives across the hospital. The role emphasizes accuracy, training, and collaboration with the Medical Records team in Chicago. The position requires AHIMA or AAPC certification and at least two years of coding experience, with strong knowledge of billing guidelines and reporting. #J-18808-Ljbffr

Shirley Ryan AbilityLab is seeking a Coding Compliance Auditor to review inpatient/outpatient records, ensure compliant ICD-10 and CPT coding, and support audit initiatives across the hospital. The role emphasizes accuracy, training, and collaboration with the Medical Records team in Chicago. The position requires AHIMA or AAPC certification and at least two years of coding experience, with strong knowledge of billing guidelines and reporting. #J-18808-Ljbffr

Emory Healthcare is seeking a skilled Medical Coding Auditor to ensure accurate professional coding and compliant documentation across remote engagements. You will review records, identify coding discrepancies, and collaborate with clinicians and compliance teams to improve accuracy and reimbursement. Candidates should hold coding certifications and have experience in medical billing or revenue cycle, with strong knowledge of ICD-10 and CPT guidelines, and a commitment to HIPAA and regulatory #J-18808-Ljbffr

Coding Compliance AuditorImmediate need for a talented Coding Compliance Auditor. This is a 06 Months Contract opportunity with long-term potential and is located in US (Remote). Please review the job description below and contact me ASAP if you are interested.Job ID:26-28929 Pay Range: $35 - $40/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).Key Responsibilities:This position is responsible for the accurate coding of claims by providers.Under supervision, this position is responsible for researching and analyzing the itemized bills and/or medical records for facility and inpatient claims validating the coding.This position audits itemized bills and/or medical records to ensure compliance with the organization's coding procedures and standards according to the CMS Coding Guidelines and Official ICD10 Coding Guidelines and recommends coding corrections.Key Requirements...

Ensemble Health Partners is seeking a Senior Coding Compliance Auditor to lead comprehensive coding audits and develop an Annual Compliance Workplan. You will mentor auditors, prepare detailed reports, and drive actions to mitigate compliance risks. Responsibilities include auditing, MAP development, and analytics to identify trends. Travel up to 10% to client sites or offices is required, with remote coordination from the home office. #J-18808-Ljbffr

Position Title: Coding Compliance Auditor Primary Location: Remote Position Type: Contract OVERVIEW Looking for a Coding Compliance Auditor to support the Medical Center in a fully remote capacity. This person will design and perform chart reviews, test the appropriateness of billing and documentation, and partner closely with the CDI team on reconciliation efforts. The role requires hands-on experience with EPIC, Solventum Encoder/3M, and SmarterDx software, along with the judgment to identify risk, drive corrective action, and serve as a trusted resource on coding and compliance across the organization. WHAT YOU BRING TO THE ROLE High School Diploma or GED required Coding certification required (e.g., RHIA, RHIT, and/or CCS) Three to five years of senior-level coding audit experience, or five years of coding experience Experience with CDI reconciliation and comfort collaborating with the CDI team Ability to interpret and analyze electronic medical...

Sarah Bush Lincoln in Mattoon, IL is seeking a Coding Auditor-Professional to audit coding assignments, train staff, and manage E/M and modifier coding. You will work with providers, coders, nursing and external organizations to ensure accurate documentation and compliant coding. Hours are full-time (40 hours per week). Requirements include High School Diploma; CPC, CEMA within 6 months; CPMA within 1 year. Compensation starts at $23.87/hour, with a range up to $37.00/hour based on experience. #J-18808-Ljbffr

Description: BASIC FUNCTION This position is responsible for the accurate coding of claims by providers. Under supervision, this position is responsible for researching and analyzing the itemized bills and/or medical records for facility and inpatient claims validating the coding. This position audits itemized bills and/or medical records to ensure compliance with the organization's coding procedures and standards according to the CMS Coding Guidelines and Official ICD10 Coding Guidelines and recommends coding corrections. JOB REQUIREMENTS Associate Degree OR 2 years of experience working in the health insurance industry; 2 years medical coding through medical record abstraction; National coding certification from AAPC or AHIMA to include one or more of the following:Certified Professional Coder (CPC), Certified Coding Specialist Physician (CCS P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT); PC experience and skills...

W3R Consulting is seeking a detail-oriented Medical Coder to accurately code provider claims, review itemized bills and medical records for facility and inpatient claims, and ensure compliance with CMS Coding Guidelines and ICD-10 guidelines. Under supervision, you will audit documents, recommend coding corrections, and maintain documentation that supports coding procedures and standards. CPC/CCS/P/RHIA/RHIT certifications are preferred, with an Associate or Bachelor degree as a potential path. #J-18808-Ljbffr

The Professional Coding Compliance Specialist provides revenue cycle support to Riverside Medical Group and its coding team by regularly auditing provider documentation and corresponding coding to ensure correct, complete and compliant practices that fully support diagnoses reported and charges submitted for services rendered, meet regulatory and payor-specific requirements, and accurately describe the patient encounter; providing feedback and education to providers and coders based on audit results, regulatory changes, and industry trends; assisting with orientation of new providers, residents/fellows, and new members of the coding team. Essential Duties Completes timely audits of assigned providers and coders for accurate, complete, and compliant ICD-10-CM and CPT/HCPCS code assignment, ensuring that documentation supports the diagnoses reported, E/M level selected, and CPT/HCPCS codes submitted for services rendered during the episodes of care reviewed Reviews audit findings...

Carle Health in Champaign, IL seeks a Laboratory Coding Auditor/Educator to oversee coding audits and provide targeted education for Laboratory Billing & Coding Representatives, Pathologists, and related departments. You will collaborate with Laboratory leadership to ensure regulatory compliance and accurate code assignment within EPIC. The role serves as a senior coding resource, conducts workflow and charge integrity audits, and trains new staff while remaining current on coding regulations #J-18808-Ljbffr

This position is 100% remote Job Description The Risk Adjustment Coding Auditor ensures the accuracy and completeness of coded clinical data to support compliant reporting and appropriate reimbursement across risk adjustment programs. The role strengthens organizational performance by identifying coding and documentation gaps, mitigating financial and regulatory risk, and improving data integrity. It provides subject matter expertise to support consistent application of coding standards and enables informed decision-making across the enterprise. Your Responsibilities Evaluates risk adjustment codes to ensure accuracy, consistency, and alignment with coding standards and best practices Protects patient records and audit information by ensuring compliance with HIPAA, privacy, security, and regulatory requirements Performs Retrospective and Prospective chart reviews to ensure accurate risk adjustment reporting Verifies and ensures the accuracy, completeness, specificity and...

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 (HCPCS)....

TEKsystems is seeking a Risk Adjustment Coding Auditor to ensure accuracy and integrity of coded clinical data across risk adjustment programs. The role focuses on identifying gaps, mitigating regulatory risk, and supporting compliant reporting. Primarily remote with contract flexibility. The candidate will review CMS HCC categories, perform chart reviews, and ensure HIPAA and privacy compliance while aligning with coding standards. #J-18808-Ljbffr

NorthShore University HealthSystem is seeking a Senior Auditor for Billing Compliance to conduct audits, analyze coding and billing documentation, and support investigations across the medical group and system facilities. The role requires strong knowledge of ICD-10-CM/PCS, CPT/HCPCS, and Medicare/Medicaid rules, with EPIC experience highly preferred. Hybrid work arrangement (Evanston, IL and remote) with flexible hours and opportunity for professional growth within a leading health system. #J-18808-Ljbffr

Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: PB Revenue Integrity Work Type: Full Time (Total FTE 1.0) Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits). Pay Range: $32.00 - $52.08 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary: As a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of EMR documentation of patient encounters to ensure coding...

ANTHEM INSURANCE COMPANIES INC is seeking a DRG Coding Auditor to audit inpatient medical records and generate high-quality, recoverable claims across lines of business. The role requires expertise in MS-DRG, AP-DRG, APR-DRG and clinical chart review for coding accuracy. The position offers virtual work with in-person training sessions. Flexibility for alternate locations within commuting distance may apply, with compliance to hybrid/virtual policies. #J-18808-Ljbffr

Overview The Laboratory Coding Auditor/Educator assists with oversight of coding audits and delivers targeted education for the Laboratory Billing & Coding Representatives, Pathologists, and applicable departments. This role works closely with and supports Laboratory leadership to ensure regulatory and compliance requirements are met for appropriate code assignment, while serving as a senior coding resource for the department. The Auditor/Educator conducts billing workflow and charge integrity audits to ensure laboratory orders and charges accurately transmit to EPIC. The Auditor/Educator adheres to all duties of the Laboratory Billing & Coding Representative. Qualifications Certifications: Registered Health Information Technician (RHIT) - American Health Information Management Association(AHIMA); Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Education: , Work Experience: Coding Responsibilities Must be able to perform essential job...