110 documentation coding auditor jobs found

Job DescriptionDepartment / Unit :Health Information ManagementWork Shift :Day (United States of America)Salary Range :$60,367.47 - $90,551.20Professional Coding Auditor will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding / charging / denials follow-up.Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes.Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines.Provide education, instruction and training to providers and coding staff.This position is remote but does require onsite education to providers as needed.This position has remote opportunityThis position requires a CPC Certification - Upon HireTwo years or more prior experience in professional fee coding - requiredEssential...

Job Title: Inpatient Coder with Coding & Review Experience Location: Remote Work Arrangement: Remote (Must work fixed shift 8:00 AM – 5:00 PM EST) Employment Type: Contract Duration: 7+ Months Domain: Healthcare | Hospital & Health Systems Pay Rate: $ 33.68/Hourly Application Deadline: July 29, 2026 SKILLS REQUIRED Primary (Must-Have): Active AHIMA Credential (CCS, RHIT, or RHIA). Minimum 3 years of Inpatient (IP) coding experience specifically within an Academic or Level 1 Trauma medical facility. Hands-on proficiency with APR-DRG methodology and electronic encoder applications. Comprehensive knowledge across all inpatient clinical service types and complex medical admissions. Proven track record of maintaining a 98% or greater coding accuracy rate . Ability to pass a mandatory pre-employment Coding Assessment with a score of 80% or higher. Secondary (Good to Have): Prior experience conducting Peer Reviews and data auditing for health information management teams. Strong...

Location Miramar, Florida Summary Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities Enhances and maintains coding knowledge and skills. Reviews all appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding. Reviews medical record documentation to determine all appropriate diagnosis (including HCC Coding Hierarchical Condition Category), procedural and modifier code assignments. For hospital coding, reviews medical record documentation (i.e., provider orders); may code outpatient diagnostic and therapeutic encounters requiring minimal procedural coding. Submits daily productivity report to HIM manager by defined deadline....

This is a remote based position. Applicants can be located nationwide Back 1d Outpatient Coding Auditor #2814 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? 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...

Clinical Coding Auditor & Trainer Remote (U.S.) Must be willing to travel to New York twice annually Position Type: Full Time The Clinical Coding Auditor & Trainer is responsible for conducting clinical documentation and coding audits to ensure compliance with federal regulations, payer requirements, and company policies. This position focuses on DRG validation, inpatient medical record auditing, and education/training for clinical and coding teams. The role is primarily remote, with occasional travel to New York twice a year for onsite meetings or training sessions. The ideal candidate will possess strong analytical and clinical expertise, proficiency in medical coding standards, and exceptional written communication skills to ensure audit accuracy and compliance across departments. Key Responsibilities: Conduct DRG validation and inpatient coding audits to ensure medical record accuracy and compliance. Provide training and education to clinical, coding, and quality...

Performing concurrent and retrospective medical coding audits, the full-time Medical Coding Auditor will ensure coding accuracy, regulatory compliance, and documentation quality while collaborating with stakeholders to drive continuous improvement, all in a remote work environment. Key responsibilities Conduct concurrent and retrospective chart audits to validate coding accuracy and adherence to guidelines Analyze audit trends and lead quality improvement initiatives to enhance coding practices Communicate audit findings and provide coaching to coders and internal partners Required qualifications 2+ years of experience in medical chart auditing or quality in the healthcare field Active certification from AAPC and/or AHIMA (e.g., CPC, CRC, CCS) Advanced proficiency in coding guidelines and regulations Strong knowledge of ICD-10-CM/PCS coding guidelines Ability to pass a comprehensive background check upon hire and throughout employment

Coding Auditor - Professional Coder Auditor-Professionals are responsible for auditing of coding assignment with providers and coders, training of coding professional staff, pro-fee based coding includes the assignment of Assigns ICD-CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations. Department: Physician coding Hours: Full-Time, 40 hours a week required Required: High School Diploma, CPC, CEMA within 6 months of hire, CPMA within 1 year of hire Pay: Based on experience, starting at $23.87/hour Location: Remote or onsite: At this time, you must reside in one of the following locations: Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas Responsibilities Assists coders with coding questions., Conducts the...

Working remotely from anywhere in the U.S., the full-time Outpatient Coding Compliance Auditor will perform audits of outpatient facility coding to ensure compliance with ICD-10-CM diagnoses, CPT/HCPCS codes, and billing standards while effectively communicating findings to stakeholders. Key responsibilities: Perform coding compliance and quality audits in support of the Compliance Program and client expectations Independently analyze clinical documentation from medical records and validate coding accuracy for outpatient facilities Identify audit findings and calculate billing error rates, providing follow-up validation for corrective action plans Required qualifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Outpatient Coder (COC) 5+ years of Outpatient Facility coding experience, including knowledge of NCCI/OCE billing edits 5+ years of Outpatient Facility audit experience, including familiarity with Medicare regulations and OPPS...

Remote Oncology Coding Auditor & Provider Educator Addison Group is partnering with a respected healthcare organization seeking an experienced Coding Auditor and Provider Educator to support oncology and specialty physician practices. This position offers the opportunity to work closely with providers, improve documentation quality, and lead coding education initiatives across multiple practice locations. The Coding Auditor & Provider Educator will conduct provider documentation audits, identify coding and compliance opportunities, develop educational content, and deliver training to physicians and clinical staff. This role requires a strong background in auditing, provider education, and specialty coding, along with the confidence to present findings and recommendations to large physician groups. Perform routine coding and documentation audits for physician services and specialty practices. Evaluate coding accuracy, documentation quality, and compliance with regulatory...

Job Description Phys Financial LLC is a leading Medical Coding and Billing organization located in Lexington, KY, dedicated to providing exceptional services to our clients. We are seeking highly skilled and detail-oriented Medical Coders to join our team. The successful candidate will play a crucial role in accurately assigning diagnoses and procedures for inpatient stays and outpatient encounters. As a key member of our team, you will ensure compliance with coding and billing guidelines while maintaining high-quality standards. Responsibilities Review and interpret medical record documentation to identify relevant diagnoses and procedures, and assign appropriate ICD-10, CPT, HCPCS codes and modifiers. Ensure timely and accurate coding, charging, and abstraction of accounts for assigned specialty areas. Stay updated on coding guidelines through participation in seminars and continuous study. Maintain current certification and CEU's. Review and apply payer specific guidelines...

COMPLIANCE AUDITOR page is loaded## COMPLIANCE AUDITORremote type: On-sitelocations: NY Brooklyn / Prospect Place - 3rd Floortime type: Full timeposted on: Posted 2 Days Agojob requisition id: R2026-6185**JOB PURPOSE:**The Compliance Auditor will foster an environment that enhances and promotes compliance and adherence to all relevant federal, state, and local laws, rules and regulations applicable PACE, Part D, LHCSA and Article 28 requirements, etc., through audits. The Compliance Auditor is responsible for performing internal and external auditing functions for the Compliance Department of C2Q Health Solutions. **JOB RESPONSIBILITIES:**The Compliance Auditor applies advanced regulatory knowledge and analytical judgment to proactively conduct effective risk assessments and assist in preparing annual audit plan. Key responsibilities include:* Assist in conducing enterprise‐wide risk assessments and actively contribute to the development and execution of the annual compliance audit...

The Compliance Auditor will support the compliance functions at SJ/C. The auditor is expected to conduct independent compliance audits and monitor revenue cycle and related processes as identified in the annual compliance plan. Completes audits to ensure revenue cycle and related process compliance with Health System policies, third party payer contracts and government regulations. Prepares detailed reports on audit results and provides education related to billing and coding as well as other compliance requirements. Works with all employees of SJ/C to enhance the efficiency and effectiveness of the billing process at SJ/C and all other SJ/C Affiliates. Education Completion of relevant continuing education related to recent changes in coding, health care billing, medical terminology and reimbursement - Preferred Experience 3-5 Years combination of school and work experience - Required Recent work experience in revenue cycle which may include billing, outpatient coding, denials...

Providing expert analysis and education, the full-time remote Certified Coding Auditor and Educator will conduct comprehensive audits, deliver targeted training, and ensure compliance with coding standards in professional services. Key responsibilities Conduct comprehensive audits of coding and documentation for accuracy and compliance with regulatory guidelines Provide actionable feedback to improve documentation quality and coding accuracy for providers and coders Develop and deliver education and training programs based on audit findings and regulatory updates Required qualifications Associate degree in Health Information Management or a related field, or equivalent education and experience Comprehensive knowledge of ICD-10, HCPCS, CPT, and HCC guidelines, as well as medical terminology and regulatory guidelines Three to five years of professional coding or auditing experience Certification as a Registered Health Information Technician (RHIT), Registered Health Information...

To support a growing pediatric practice, the remote Coding Compliance Auditor will ensure accurate and compliant coding by reviewing medical records, conducting audits, and collaborating with clinical and compliance teams in a high-growth environment. Key responsibilities Review medical records and clinical documentation to ensure compliance with coding standards and regulations Conduct routine and focused coding audits to identify discrepancies and compliance risks Communicate audit findings and provide education to providers and coding staff to enhance documentation practices Required qualifications 5+ years of experience in professional fee coding and auditing, with a focus on E/M and outpatient coding Knowledge of medical terminology and coding systems such as CPT, HCPC, ICD-10, and DRG Prior coding or auditing experience in a Medicaid environment Bachelor's degree in healthcare management or related field preferred CPC, CCS, and CPMA certifications required

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 high-performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that...

At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.Summary:Responsible for auditing physician evaluation and management and procedures coding and billing to ensure they meet the official coding guidelines, medical necessity and compliance with regulatory requirements.Responsibilities:Prepare formal audit report of audit background, steps and findings to presentation to executive leadership and the Board of Commissioners.Participates in investigations and responds to questions, issues, reports and formal inquiries by federal and state agencies of possible violations or non- compliance matters raised by employees, patients, physicians and the public.Monitor and assess compliance with state and federal laws and the System's policies and procedures to identify deviations and...

A healthcare provider is seeking a Compliance Auditor to safeguard revenue and reputation through various audit activities and compliance education. The role requires participation in government audits and development of educational programs for over 500 healthcare professionals. Candidates must possess at least a Bachelor's degree and 5+ years of experience in billing, coding, and documentation within a hospital setting. This position is crucial for maintaining regulatory compliance and ensures thorough audit reports are presented to management. #J-18808-Ljbffr

Position Title: Inpatient Coding Auditor Department: HIM Coders Remote Eligibility: Candidates must reside and work full-time in Arkansas, Kansas, Missouri, Oklahoma, or Texas before their first day of employment. This position may be filled as Levels I, II, or III, depending on individual experience, education, certification, and business need. Ideal candidate will have experience in complex inpatient coding at an academic medical center. General Description Ensures accurate, quality, and compliant inpatient facility coding through prebill and retrospective audits of coder work and providing targeted education to improve consistency and documentation quality. Essential Job Duties Performs all functions of coding quality reviews (routine monthly, focus pre‑bill, CDI reconciliations, second‑level review work queues) for inpatient coding across OUH. Performs peer‑to‑peer auditor reviews. Communicates with other teams and departments directly as needed to resolve immediate issues...

We’re Hiring: Nurse DRG Auditors (Payment Integrity) + Inpatient & RN Coders | Remote Limited openings - Interviewing this week Must be LPN or RN with 2+ years of recent DRG Quality Auditing experience Join a high-impact, fully remote opportunity where your clinical and coding expertise directly drives reimbursement accuracy and revenue integrity. If you’re an RN or LPN with DRG audit experience and a passion for precision, this is your chance to make a measurable difference while earning top-tier compensation. Directly influence reimbursement accuracy We’re growing and looking for detail-driven, high-impact healthcare professionals to join our team! If you’re passionate about coding accuracy, DRG validation, and revenue integrity, this is your opportunity to work with a collaborative, forward-thinking organization. Featured Role: Nurse DRG Auditor – Payment Integrity Salary: $95,000 – $105,000 Location: Remote What You’ll Do: Perform DRG validation and quality audits to...

The Medical Coding Auditor is responsible for conducting prospective and retrospective compliance reviews of documentation supporting codes reported by providers or facility coding to ensure accuracy in billing, maximize charge capture, and comply with Federal, State, payer, and institutional requirements. This role involves analyzing medical records, ensuring the accuracy of ICD-10-CM diagnosis coding and CPT/HCPCS coding, and compliance with regulations. The specialist communicates results, makes recommendations, and provides training and education to staff on appropriate documentation, coding, and billing practices. Essential Job Responsibilities Conduct coding and auditing of technical and professional components of services and procedures to ensure accuracy. Perform audits of new physicians on coding and documentation requirements for E/M services and procedures. Track coding issues by provider and present necessary education and training to improve coding. Demonstrate...

Job Description Job Schedule This role offers a hybrid schedule. You will need to visit two centers twice a week: one day at the Ocoee center and one day at the East Colonial center. These onsite visits are mandatory and non-negotiable. The remaining days of the week will be remote work. Job Summary The Medicare Coder Specialist facilitates modifications to clinical documentation through pre‑visit and post‑visit interaction with providers and other members of the healthcare team. She or he promotes capture of clinical severity (later translated into coded data) to support the level of service rendered to relevant patient populations, enhance evidence‑based medicine, promote continuity of care, and improve capturing chronic conditions. Responsible for coding all medical services procedures CPT and HCPCS codes, pharmaceuticals supplies, patients’ ICD‑10 diagnoses, signs, and symptoms when applicable, ensuring that all assigned ICD‑10‑CM codes are supported by proper clinical...

3 days ago Be among the first 25 applicants About Performant At Performant, we’re focused on helping our clients achieve their goals by providing technology-enabled services which identify improper payments and recoup or prevent losses due to errant billing practices. We are the premier independent healthcare payment integrity company in the US and a leader across several markets, including Medicare, Medicaid, and Commercial Healthcare. Our mission is to offer innovative payment accuracy solutions that allow our clients to focus on quality of care and healthier lives for all. Medical Coding Auditor – Inpatient (Remote) Location: Remote. Full‑time. Salary: $70,000 – $85,000 per year. Key Responsibilities Audit medical records to ensure accurate coding of diagnoses, procedures, and services using ICD‑10, CPT, and HCPCS codes. Ensure coding practices comply with federal, state, and payer‑specific regulations and guidelines, including HIPAA and CMS standards. Detect discrepancies...

MissionHires is seeking a Senior Clinical Coding Auditor & Trainer to enhance inpatient coding practices. This fully remote opportunity requires strong auditing skills and minimal travel to New York City. You will design training programs, develop audit tools, and evaluate staff performance in a managed care setting, driving clinical integrity and documentation accuracy across inpatient settings. #J-18808-Ljbffr

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...