844 internal coding auditor jobs found

Compliance Auditor-Educator This position plays a dual role in supporting the organization's compliance program and ensuring accurate clinical documentation and coding practices. This position is responsible for conducting audits, providing educational feedback to the providers from audited batches to ensure compliance with coding and billing requirements established by the payors, and supporting the development and implementation of compliance initiatives that align with federal and state regulations, payer requirements, and internal policies. This position keeps Supervisor and Manager informed of daily progress and issues related to hospital and professional coding and compliance issues. Responsible for obtaining information for billing staff to follow-up on outstanding claims or recording of charges. Minimum Education, Experience, Training, and Licensures Required: High School Diploma or GED required Bachelor's degree preferred Certified Professional Coder CPC...

Professional Fee Compliance Auditor and Educator Company: University of Maryland Medical System Location: Linthicum Heights, MD Employment Type: Full Time Date Posted: 03/29/2026 Job Categories: Accounting/Auditing, Education, Government and Policy, Information Technology, Legal, Executive Management This is a hybrid scheduled position. Job Description Conduct independent compliance audits and review on the adequacy of medical record documentation to support provider and coder selected codes. Verify compliance with CMS guidelines, CPT, HCPCS, and ICD-10 standardized code sets, and internal coding and billing policies via documentation and coding review audits. Assist with reporting audit results, trending, and tracking regulatory updates; respond to compliance inquiries; prepare education materials; and provide compliance educational support and training to providers and/or coders. Perform compliance documentation and coding audits using the department’s MDaudit...

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. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews Maintain strict patient and physician...

Job Type Full-time Description Job Title: Provider Coding Educator / Auditor Department: Revenue Integrity & Compliance Employer: Southeast Primary Care Partners / Southeast Medical Group, P.C. FLSA Status: Non-Exempt (Hourly) Position Summary The Provider Coding Educator/Auditor is responsible for driving accurate clinical documentation, compliant coding, and revenue integrity across Southeast Primary Care Partners' ambulatory practices. The role combines prospective and retrospective E/M, procedural and risk-adjustment auditing with in-person and virtual provider education. Up to 50 % regional travel is required to meet with physicians on flexible schedules, including early-morning huddles and occasional after-hours sessions. This is an hourly, non-exempt position governed by the Fair Labor Standards Act (FLSA) overtime provisions and subject to Occupational Safety and Health Administration (OSHA) workplace safety standards. Requirements Essential...

Become a part of our caring community and help us put health first 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. 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...

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. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews Maintain strict patient and physician...

Coder Professional-3 page is loaded## Coder Professional-3remote type: On-Site or Remotelocations: Remote Office - ILtime type: Full timeposted on: Posted Yesterdayjob requisition id: JR103776**Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.**Coder Professional-3**Job Description**Coder – Professionals are responsible for professional coding includes the assignment of ICD-CM, CPT, and HCPCS codes, modifiers, and evaluation and management (E/M codes) provider audits. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.Department: Physician Coding Hours: Full-Time, 40 hours a weekRequired: High School Diploma and CCA, CPC, RHIT, RHIA OR CCS within in 6 months of hire.Pay: Based on experience, starting at $22.72**Currently, we are accepting applications from the following states:**Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa,...

Coding Auditor - Professional page is loaded## Coding Auditor - Professionalremote type: On-Site or Remotelocations: Sarah Bush Lincoln Health Centertime type: Full timeposted on: Posted Todayjob requisition id: JR103873**Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.**Coding Auditor - Professional**Job Description**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 codingHours: Full-Time, 40 hours a week requiredRequired: High School Diploma, CPC, CEMA within 6 months of hire, CPMA within 1 year of hirePay: Based one experience, starting at...

Western Growers Health Western Growers Health, a part of Western Growers Family of Companies, provides employer-sponsored health benefit plans to meet the needs of those working in the agriculture industry. The unmatched benefit options provided by Western Growers Health stem from the core mission of Western Growers Association (est. 1926) to support the business interests of employers in the agriculture industry. Our mission at Western Growers Health is to deliver value to employers by offering robust health plans that meet the needs of a diverse workforce. By working at Western Growers Health, you will join a dedicated team of employees who care about offering quality health benefits and excellent customer service to plan participants. If you want to start making a difference working in the health care industry, then apply to Western Growers Health today! Compensation: $46,669.19 - $65,668.50 with a rich benefits package that includes profit-sharing. This is a remote...

Certified Coder If you believe healthcare is a right, that everyone deserves high quality care so they can enjoy their highest level of health and wellbeing, and you value each person's individual story consider joining us at Neighborhood! As a coder, you'll play an important role in the success of the organization by using your attention to detail, coding knowledge, communication and collaboration skills. You'll use your teamwork skills and training as you review patient medical records, including physician notes, lab results, and procedure details and translate that information into standardized medical codes used for billing insurance companies and maintaining accurate medical records. Responsibilities include: Assigns appropriate medical codes using coding guidelines and reference manuals for diagnoses and procedures Verifies accuracy of coded data by checking for consistency and compliance with coding regulations and insurance standards Communicates with healthcare...

A leading healthcare organization is seeking a Medical Coding Auditor to review medical claims for compliance with coding guidelines. This remote position entails analyzing claims, confirming coding assignments, and handling internal requests for information. Ideal candidates will have 3+ years of experience, relevant coding certifications, and strong knowledge of inpatient coding procedures. Join a team dedicated to quality and detail, offering competitive pay and benefits. #J-18808-Ljbffr

Physician Coding Auditor The Physician Coding Auditor performs coding related audits to monitor professional coding to ensure optimal efficiency and follow the controlling compliance guidelines with governmental and private payers. The Physician Coding Auditor is responsible for analyzing Physician and Coder charges for Surgical, procedural and E/M based coding. Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible, so that you can be present for your passions. "Orlando Health Is Your Best Place to Work" is not just something we say, it's our promise to you. Orlando Health proudly embraces and honors the individuality of our team members. By sharing different ideas and perspectives and working together as a team, we are better able to relate to,...

Coding Compliance Auditor US Heart and Vascular is in need of a remote coding compliance auditor to join our team. The coding compliance auditor performs internal medical record audits and prepares compliance auditing reports, subsequent educational materials and training as directed by the compliance and privacy department. Responsibilities include performing coding audits reviewing for compliance and accuracy with CPT, ICD-10, HCPCS and corporate coding policy and following up for timely completion within designated time period. Maintains excellent documentation of all reviews, methodologies employed, results, corrective actions implemented, and monitoring. Assists in focused review projects including data analysis, reporting, and corrective action identification and referral to the coding education department. Reports findings of identified trends and risks to the director of billing and coding compliance. Participates in the departmental meetings and provides compliance...

A leading healthcare company is seeking a Medical Coding Auditor to review medical claims and maintain coding accuracy. The ideal candidate will have at least 3+ years of relevant experience and certifications like RHIA or CPC. Responsibilities include reviewing documentation for clinical indicators and responding to internal queries about medical information. This remote position requires strong attention to detail and the ability to work independently. Competitive salary and benefits are offered. #J-18808-Ljbffr

*Medical Coder - HCC Auditor/Coder* *Location:* Northridge, CA *Schedule:* Onsite *Compensation:* $25-$35/hr *Contract Duration:* 6 months (potential to extend) *About the Opportunity* Join a respected healthcare organization as a *Medical Coder (HCC Auditor/Coder)* where you'll play a key role in improving the accuracy of chronic condition reporting and driving highquality documentation for providers. This role is ideal for individuals passionate about coding accuracy, provider education, and contributing to better patient outcomes. You'll serve as an essential member of the Finance Department, auditing medical records, supporting providers, conducting coding reviews, and ensuring proper documentation aligned with HCC standards. *What You'll Do* *HCC Auditing & Coding* * Review super bills and medical records for accurate ICD, CPT, HCPCS, and HCC coding * Perform ongoing audits for primary care, specialty care, mental health, inpatient, outpatient, labs, ancillary...

Coding Auditor (ICD-10) A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description Position: Coding Auditor (ICD-10) Duration: Full-Time Location: Newark/Wall NJ Job Summary: This position is responsible for conducting on site audits of hospital billing and coding practices and desk audits; forms development, profiling and tracking institutional audit trends. Performs and finalizes multiple per diem, bill verification, DRG Validation (utilization review audits) and credit balance. Additionally provides guidance/instruction to various...

Hybrid Scheduled Position Job Description Conduct independent compliance audits and review on the adequacy of medical record documentation to support the codes selected by providers and/or coders. Verify compliance with CMS guidelines, CPT, HCPCS, and ICD-10 standardized code sets, and internal coding and billing policies via documentation and coding review audits. Assist with reporting audit results, trending and tracking regulatory updates, responding to compliance inquiries, preparing education materials, and providing compliance educational support and training to providers and/or coders. Perform compliance documentation and coding audits using department's MDaudit software. Analyze documentation and/or coding patterns by a provider, division, or department that poses a compliance risk and provide recommendations to mitigate risks. Present audit findings and recommendations to key stakeholders including but not limited to individual providers, provider groups, and...

Auditing Team Lead Under direct supervision, the Auditing Team Lead provides day to day supervision and instruction of the auditors. The Auditing Team Lead oversees the internal and external auditing function and assists Director Inpatient Coding, Coding Audits, and Education in developing reports specific to audit findings and assists with implementing action plans. The Auditing Team Lead ensures internal audits are accurate, complete and reported on a timely basis and serves in an advisory and educator role for Coding Specialists. The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. 1. Provides for day to day supervision and instruction for the auditors which includes audit assignments, problem solving, monitoring productivity and scheduling. Manages time and attendance...

Coding Auditor/Trainer (Coding Coordinator) US – Remote Requisition ID: 2025-34528 Position Category: Hospital/Clinic Support Job Type: AFSCME union represented Position Type: Regular Full-Time Posting Department: Enterprise Coding Posting Salary Range: $44.02 - $60.45 per hour, with offer based on experience, education and internal equity Posting FTE: 1.00 Posting Schedule: Monday - Friday HR Mission: Central Services Drug Testable: No Department Overview Empower coders. Elevate accuracy. Transform the future of coding excellence. We’re hiring a Coder Auditor/Trainer to help elevate coding excellence across OHSU. If you’re an experienced profee coding auditor and trainer who loves diving into complex cases, shaping coder development, and raising the bar for accuracy and compliance, this role puts your expertise exactly where it belongs — at the center of organizational impact. As a Coder Auditor/Trainer at OHSU, you’ll be the go‑to authority for some of the most...

A leading healthcare company in the United States is seeking a Medical Coding Auditor with a minimum of 3+ years of experience and specific coding certifications. This remote position entails reviewing medical claims, assessing correct coding guidelines, and managing multiple priorities. The successful candidate will work independently, handle internal queries, and maintain confidentiality. Benefits include competitive health coverage and a bonus incentive plan. Join us to make a meaningful impact in healthcare. #J-18808-Ljbffr