50 compliance coding auditor jobs found

Location: Eden Prairie, Minnesota, United StatesCompany: UnitedHealth GroupPosted: 2026-09-07UnitedHealth Group is seeking a healthcare coding compliance auditor to conduct independent audits of providers and clinical practices. This role focuses on documentation, CPT/ICD-10 accuracy, and CMS policy adherence.You must have CPC/COC/CCS/CCS-P and 5+ years of outpatient coding and regulatory compliance experience, with strong Excel and EHR familiarity. Telecommuting options are available within the U.S.#J-18808-Ljbffr

UnitedHealth Group is seeking a Medical Coding Auditor to verify claims accuracy by comparing to medical records, performing code reviews, and ensuring compliance across state and federal guidelines. You’ll telecommute from anywhere in the U.S. and join a team focused on waste and error reduction, detailed narratives, and high-quality documentation while meeting strict production metrics. #J-18808-Ljbffr

UnitedHealth Group is seeking a Medical Coding Auditor to verify CPT/HCPCS coding accuracy and review medical records remotely from anywhere in the United States. You will analyze claims, determine service levels, and draft detailed narratives while ensuring compliance with policies and regulatory guidelines. The role requires AHIMA or AAPC credentials with 2+ years of coding and chart review experience and a track record in waste & abuse investigations. #J-18808-Ljbffr

Optum, part of UnitedHealth Group, seeks a Medical Coding Auditor to verify claims against medical records in a telecommuting role. You will review CPT/HCPCS codes, determine coding accuracy, and provide narratives on outcomes while ensuring compliance with policies. Candidates should hold AHIMA/AAPC credentials with multiple years of coding and medical record review experience. Strong communication and a team-oriented, metric-driven mindset are essential. #J-18808-Ljbffr

UnitedHealth Group is seeking a Medical Coding Auditor to verify claims accuracy by comparing to medical records, performing code reviews, and ensuring compliance across state and federal guidelines. You’ll telecommute from anywhere in the U.S. and join a team focused on waste and error reduction, detailed narratives, and high-quality documentation while meeting strict production metrics. #J-18808-Ljbffr

UnitedHealth Group is seeking a healthcare coding compliance auditor to conduct independent audits of providers and clinical practices. This role focuses on documentation, CPT/ICD-10 accuracy, and CMS policy adherence. You must have CPC/COC/CCS/CCS-P and 5+ years of outpatient coding and regulatory compliance experience, with strong Excel and EHR familiarity. Telecommuting options are available within the U.S. #J-18808-Ljbffr

UnitedHealth Group is seeking a Medical Coding Auditor to verify CPT/HCPCS coding accuracy and review medical records remotely from anywhere in the United States. You will analyze claims, determine service levels, and draft detailed narratives while ensuring compliance with policies and regulatory guidelines. The role requires AHIMA or AAPC credentials with 2+ years of coding and chart review experience and a track record in waste & abuse investigations. #J-18808-Ljbffr

OrthoVirginia Inc is seeking a Medical Auditor (Billing & Coding) to audit coding and documentation for providers and educate clinicians on documentation requirements and billing compliance. The role works under the Billing & Coding Compliance Manager with travel to regional offices. The successful candidate will review audits, prepare reports, and stay current with E/M guidelines while supporting the organization’s compliance program. #J-18808-Ljbffr

UnitedHealth Group is seeking a Medical Coding Auditor to verify the accuracy of claims by comparing them with medical records. The role requires in-depth coding knowledge and the ability to interpret complex policies in a remote work setup across the United States. You will analyze CPT/HCPCS coding, document detailed case outcomes, and ensure adherence to payer and government requirements while maintaining productivity and quality metrics in a production-driven environment. #J-18808-Ljbffr

UnitedHealth Group is seeking a Medical Coding Auditor to verify the accuracy of claims by comparing them with medical records. The role requires in-depth coding knowledge and the ability to interpret complex policies in a remote work setup across the United States. You will analyze CPT/HCPCS coding, document detailed case outcomes, and ensure adherence to payer and government requirements while maintaining productivity and quality metrics in a production-driven environment. #J-18808-Ljbffr

Solventum is seeking a Senior Medical Auditor to enable safer healthcare through rigorous audits, education, and collaboration. This remote role involves staying current with coding guidelines and supporting clients worldwide. ideal candidates will have a strong auditing background, ICD-10-CM/PCS/CPT expertise, relevant certifications, and a proven eye for detail. Remote work with up to 10% travel may apply. #J-18808-Ljbffr

Location: Saint Paul, Minnesota, United StatesCompany: SolventumPosted: 2026-09-07Location: Saint Paul, Minnesota, United StatesCompany: SolventumPosted: 2026-09-04Location: Saint Paul, Minnesota, United StatesCompany: SolventumPosted: 2026-08-31Location: Saint Paul, Minnesota, United StatesCompany: SolventumPosted: 2026-08-28Senior Medical AuditorAt Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue.We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy....

Coding Auditor – Ambulatory/Professional Coding/ProfeeHuron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.Joining the Huron team means you'll help our clients...

Medical Coding AuditorBecome a part of our caring communityThe 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 Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.Use your skills to make an impactAdditional Job DescriptionWork Style: Remote, work at home. While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Work Hours: Typical business hours are Monday-Friday, 8 hours/day, 5 days/week-- some flexibility might be possible, once training is complete and depending on business needs. Associates are expected to start each workday between 6AM-9AM EST, regardless of their home time zone.Required Qualifications – What it takes to SucceedCPC, COC, CCS, RHIA, or RHIT Certification...

Medical Coding AuditorBecome a part of our caring communityThe Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together. The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able to exercise...

UnitedHealth Group is seeking a Medical Coding Auditor to determine the accuracy of claims by comparing to medical records and to identify waste and errors in a telecommuting role across the U.S. The position requires AHIMA or AAPC certification and 2+ years in coding and medical record reviews. You will review CPT/HCPCS codes, ensure compliance, and produce clinical narratives. Strong data interpretation, communication, and collaboration skills are essential. #J-18808-Ljbffr

At OrthoVirginia, you're part of a team dedicated to delivering expert orthopedic and therapy care across the state. As Virginia's largest provider of musculoskeletal care, we offer full-time and part-time opportunities in a collaborative, team-oriented environment. With more than 159 physicians in over 35 locations - including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads - OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy. Our nationally recognized specialists treat a full range of musculoskeletal injuries and conditions, helping patients of all ages move, heal, and thrive. Join us and become part of a trusted network committed to excellence in orthopedic care. Medical Auditor (Billing & Coding) Responsible for conducting coding and documentation audits for assigned providers and consulting and educating providers on documentation requirements and other compliance issues related to...

Remote Chicago - 550 Van Buren North Carolina Nevada Virginia Texas Florida Maryland Tennessee New York-New York City Wyoming Idaho Massachusetts Michigan-Other West Virginia-Other Nebraska Maine West Virginia-Charleston Washington-Seattle Wisconsin Pennsylvania-Pittsburgh Colorado-Denver California-San Francisco Vermont Delaware-Wilmington Iowa Ohio-Other District of Columbia Georgia Missouri-St. Louis New Hampshire Indiana-Other Mississippi Pennsylvania-Philadelphia Minnesota Arkansas Utah Missouri-Kansas City Kentucky-Other Michigan-Detroit New Jersey Montana California-Los Angeles Alabama-Other New Mexico North Dakota South Carolina Rhode Island Full time JR-0015943 Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives,...

UnitedHealth Group is seeking a Medical Coding Auditor to determine the accuracy of claims by comparing to medical records and to identify waste and errors in a telecommuting role across the U.S. The position requires AHIMA or AAPC certification and 2+ years in coding and medical record reviews. You will review CPT/HCPCS codes, ensure compliance, and produce clinical narratives. Strong data interpretation, communication, and collaboration skills are essential. #J-18808-Ljbffr

UnitedHealth Group is seeking a Medical Coding Auditor to assess the accuracy of claims by comparing medical records, with a telecommuting arrangement across the U.S. The role supports compliance, coding policy interpretation, and clinical narrative development for complex payment decisions. The position requires AHIMA or AAPC certification and 2+ years in coding and medical record review, with strong analytical and independent work abilities, in a production-driven environment. #J-18808-Ljbffr

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together. The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able to exercise...

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

Join Minnesota Oncology Are you ready to take the next step in your professional journey? At Minnesota Oncology, we believe that our people are our greatest asset, and we are committed to fostering a diverse and inclusive workplace where everyone can thrive. We are constantly on the lookout for talented individuals who are passionate, driven, and eager to make a difference. Come join this dynamic team who is passionate about providing exceptional care to our patients. Why Work for Us? We offer a competitive benefits package that includes: Medical Dental Vision Free Life Insurance Generous Paid Time Off (PTO) Plan Free Short-term and Long-term Disability Coverage 401k plan with company contribution Wellness program that rewards your healthy lifestyle Tuition Reimbursement Employee Assistance Program and Discount Program to some of your favorite retailers Free Parking Career Growth and Development Supportive Team and Resources This position may...