Internal coding auditor jobs | Healthcare Careers

Plan Coder

Western Growers Irvine, CA

Western Growers Health — a part of Western Growers Family of Companies — provides employer-sponsored health benefit plans to meet the needs of those working for 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 position and can reside...

RM

HCC Risk Adjustment Coder, Sr.

Regal Medical Group Los Angeles, CA

We are looking for experienced HCC Risk Adjustment Auditors/Coders to join our team! Position Summary: The HCC Risk Adjustment/Auditor is responsible for maintaining and monitoring the Quality Assurance auditing plan for outpatient clinical data. This position works to improve the quality of coding documentation and data in the medical record and HCC database. The HCC Risk Adjustment/Auditor reports on the accuracy and consistency of the data in accordance with accepted and established standards. Risk Adjustment Auditors collaborate with the Manager to provide expertise in the use and application of coding classifications, such as ICD-9-CM and/or ICD-10-CM. Auditors also record documentation to ensure compliance in the collection of outpatient diagnoses and services. Essential Duties and Responsibilities include the following: Works as an integral member of the Finance Department. Code review super bills and patient medical records for proper use of diagnosis and...

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Medical Coding Auditor

Centerwell Sacramento, CA

Become a part of our caring community The 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 audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

Co

Healthcare Coding Compliance Auditor - RUHS

County of Riverside Riverside, CA

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 including physicians and other staff. The ideal candidate will have at least five years of progressive experience in an acute care...

RC

Healthcare Coding Compliance Auditor - RUHS

Riverside County, CA Riverside, CA

Salary : $101,536.34 - $139,533.58 Annually Location : Riverside Job Type: Regular Job Number: 26-74191-01 AL Department: RUHS-Medical Center Opening Date: 03/03/2026 Closing Date: Continuous 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...

KM

Coding Compliance Auditor - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

Keck Medicine of USC Los Angeles, CA

Coding Compliance Auditor In accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded accounts to ensure appropriate CPT, ICD-10-CM, and HCPCS assignments and accuracy and completeness of all ICD-10-CM, CPT, and HCPCS codes assigned by professional revenue coders and providers. All assigned codes must be supported by professional documentation contained within the medical record and must be in compliance with federal coding compliance regulations, Official Coding Guidelines, AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding accuracy rates, compliance rates, denial analytics, etc. Recommend education topics based on audit findings and assist in the continuing education of professional coders and providers. Understands coding/billing computer systems...

Hu

Inpatient Medical Coding Auditor

Humana Sacramento, CA

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...

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Sr Risk Adjustment Coder

Stanford Health Care - ValleyCare Stanford, CA

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America)**This is a Stanford Health Care - University Healthcare Alliance job.** **A Brief Overview** The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare Advantage Risk Adjustment. **Locations** Stanford Health Care - University Healthcare Alliance **What you will do****Education Qualifications*** High school diploma or GED equivalent.* Bachelor's Degree preferred.**Experience Qualifications*** 5+ years of work experience in a risk...

DG

Facility Outpatient Coding Auditor (Full & Part-Time, Remote)

Default GeBBS Healthcare Solutions CA

Job DescriptionJob DescriptionDescription :Facility Outpatient Coding AuditorJob Type :Full-Time or Part-Time Remote Medical Coding Audit Outpatient Coding Facility CodingGrow Your Career with a National Leader in Outpatient Medical Coding & Auditing - Work from Home!Are you a certified outpatient medical coding auditor with experience in surgical coding, emergency department (ED) coding, interventional radiology , or facility outpatient services ? Join GeBBS Healthcare Solutions , an award-winning provider of HIM (Health Information Management) and RCM (Revenue Cycle Management) services.We are expanding and seeking experienced Remote Outpatient Facility Coding Auditors to support our national client base.Position Summary :As a Remote Outpatient Coding Auditor , you'll conduct quality assurance audits on coded outpatient medical records.Your audits will focus on multiple service areas including :Outpatient SurgeriesObservationsInterventional RadiologyCardiac...

RU

Full Time

Healthcare Coding Compliance Auditor

Riverside University Health System Medical Center Hybrid (Riverside, CA)

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 including physicians and other staff. The ideal candidate will have at least five years of progressive experience in an acute care hospital...

Fa

Medical Biller II (Bilingual Spanish or Vietnamese Required)

Familiestogetheroc Tustin, CA

Description Job Title: Medical Biller II Salary: $25hr-$28hr DOE Location: Tustin, CA Openings: 1 Position Purpose: The Medical Billing Specialist II supports the revenue cycle team by independently performing a broad range of billing functions with moderate complexity. This role is responsible for accurate insurance verification, charge entry, claim submission, payment posting, and resolution of routine denials to ensure compliance with payer requirements and timely reimbursement. Core Duties and responsibilities, include but are not limited to: Insurance & Eligibility Verification Verify complex insurance coverage (Medi-Cal, Medicare, Managed Care, Commercial, PPO/HMO). Research and resolve discrepancies in patient coverage or eligibility. Document eligibility outcomes in the EHR/PM system. Charge Entry & Coding Support Perform charge entry and apply CPT, ICD-10, and HCPCS codes. Review encounter forms for accuracy; flag missing or incorrect documentation for...

RR

Certified Professional Coder/Biller

Redding Rancheria Tribal Health Center Redding, CA

***This position is open through Friday, May 8, 2026*** The Redding Rancheria is seeking a Certified Professional Coder/Biller. The preferred schedule for this position is Monday - Friday, 8:00 AM - 5:00 PM. JOB SUMMARY: Perform all coding relating to Medical, Dental and accounts receivable. Coding for diagnosis, procedures and services performed by providers of the clinic. Audit for accuracy of billing for all 3rd Party Payers, Medi-Cal (including Medi-cal, Share of Cost) Medicare and Private Insurance meeting all payer, state and federal regulations. REQUIREMENTS/MINIMUM QUALIFICATIONS: Must have current experience in Medical and/or Dental. Certified Professional Coder BS in Health Care Administration or equivalent years Coding/Billing experience Must pass pre-employment drug screening. Indian preference. ESSENTIAL JOB DUTIES: Ensure coding, insurance and Alternate Resource Information is complete, current and determine eligibility. Read patient...

WM

Supervisor Plant I - Medical Waste

Waste Management , Inc. Stockton, CA

Job Description Stericycle is now part of WM. To learn more about WM's acquisition of Stericycle, CLICK HERE to read the press release. Shift: Monday - Friday; 2:00 PM Starts; Occassional Saturdays Work What is the value of a WM job? The value of a WM job is more than a paycheck. It's a way to create opportunities for you and your family. We Are Stable: Our WM team is home every day, and our team members perform essential and meaningful work. We Are Committed to Growth: Annual Education Assistance Benefit available for team members. We Are Investing in You: Amazing Medical, Dental & Vision, 401K with match, discounted stock options, dependent day care, and more. Who are we? #WeAreWM Ready to roll with us? Click Apply to join the WM (formerly Waste Management) team today. I. Job Summary Establish, monitor, and maintain a high level of productivity and efficiencies on each of the operating shifts at the plant. Monitors and maintains regulatory...

MH

Medical Coder

MedHQ Tracy, CA

Position Overview We are seeking a meticulous and detail-oriented Medical Coder specializing in professional services, experience coding General and Orthopedic surgery with emphasis on spine and sports medicine. The ideal candidate will possess a strong understanding of coding guidelines, regulations, and reimbursement methodologies relevant to professional services in healthcare. Responsibilities Accurately assign CPT, HCPCS, and ICD-10 codes for professional services. Review medical documentation to ensure coding compliance with regulatory and organizational guidelines. Collaborate with healthcare providers and coding auditors to resolve coding discrepancies or documentation issues. Maintain proficiency in current coding practices, regulations, and industry updates to ensure accurate and up-to-date coding. Support internal teams by providing coding insights, education, and training on best practices related to professional services coding. Identify and...

DD

Dermatology Biller & Coder

DEHESA DERMATOLOGY INC Clovis, CA

Job Description Job Description Description: The Dermatology Medical Biller & Coder is responsible for accurately coding clinical services, submitting claims, posting payments, and ensuring timely reimbursement. This role plays a critical part in optimizing revenue cycle performance while maintaining compliance with payer guidelines, including Medicare and commercial insurance plans. Requirements: Medical Coding Assign accurate CPT, ICD-10, and HCPCS codes for dermatology services Review provider documentation to ensure coding accuracy and completeness Apply appropriate modifiers (e.g., -25, -59, -LT/RT ) Ensure compliance with NCCI edits and payer-specific policies Identify documentation gaps and communicate with providers Charge Entry Enter charges into the practice management system (e.g., EMA) Verify services align with documentation and scheduled visit type Ensure correct provider, location, and insurance selection Claims Submission...

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Physician Leader Associate Director of Medical Operations

Concentra Fresno, CA

Job Description Job Description Overview Associate Medical Director Opportunity! $100K Hiring Incentive! Plus Monthly and Quarterly Bonus Incentives! Fresno County is the heart of California! Fresno offers outdoor adventures, family-friendly activities, and farm to table dining. The sun shines for more than 300 days of the year, creating the perfect environment to enjoy Concentra’s work life Balance. We look forward to speaking with you! Through our evidenced based medicine approach, Concentra’s goal is to provide quality patient care while treating everyone with friendliness, skill, and respect. We strive daily to promote a diverse environment of acceptance and compassion for our colleagues and cultivate a welcoming atmosphere where our patients can heal. As we’ve grown, we’ve expanded into urgent care, wellness services, administration, onsite health and wellness centers, and telemedicine. All these services together make achieving health easier and more...

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Certified Interventional Radiology Cardiovascular Coder (CIRCC) Project Lead, Auditor

Savista Hollister, CA

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Company Overview Savista partners with healthcare providers to improve their financial strength by implementing integrated revenue cycle solutions that help control cost, improve margins and cash flow, increase regulatory compliance, and optimize operational efficiency. Job Purpose The Audit Project Lead oversees a designated client’s audit, which is ongoing in nature and spans several hospital and/or clinic sites. This colleague coordinates project managing a designated client’s audit with a designated colleague(s) from the Audit...

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Creative Coder

META Los Angeles, CA

Creative Audio is a centralized team that touches every product Meta produces, making our team integral to the company. We collaborate with product and creative teams across Meta to design audio for video, post-production audio, final mixing and mastering, audio field recording, sound effects, and large scale content projects across a wide range of software and hardware, including but not limited to your phone, glasses, VR headsets a mix of Augmented Reality/Mixed Reality across these devices. We're a team of over 60 audio experts who design the experiences that connect people through the power of sound. The Creative Audio team is seeking a Creative Coder for the Tech & Prototypes department. This role collaborates closely with Engineering and Product Design to define sound functionality and deliver advanced audio systems. It involves developing advanced audio solutions, optimizing performance, refining tools, and solving complex technical challenges. As a key contributor to...

JS

Remote Medical Coder

JM Services and Consulting, LLC Santa Fe Springs, CA

Remote Company Overview: JM Services and Consulting, LLC is a leading healthcare consulting firm that provides revenue cycle management services to healthcare providers across the United States. We specialize in coding, billing, and compliance services for medical practices of all sizes. Our team of experienced professionals is dedicated to helping our clients maximize their revenue and ensure compliance with all industry regulations. Job Description: We are seeking a skilled and detail‑oriented Remote Medical Coder to join our team. The ideal candidate will have a strong understanding of medical coding guidelines and regulations, as well as experience with various coding systems such as ICD‑10, CPT, and HCPCS. This is a full‑time, remote position that offers a competitive salary and benefits package. Key Responsibilities: Review and analyze medical records to accurately assign codes for diagnoses, procedures, and services Ensure all codes are in compliance with coding...

Jo

Medical Billing Specialist

Jobot Los Angeles, CA

A bit about us: We are a long-standing nonprofit treatment provider with over five decades of service in the recovery community. For over 40 years, we've helped more than 50,000 individuals overcome health challenges through compassionate, evidence-based care. With 300+ residential beds and a dedicated team of 150+ staff, interns, and volunteers, we offer comprehensive services that promote long-term sobriety and personal growth. Why join us? Medical Dental Vision 401K Growth Options Job Details The billing specialist ensures accurate and timely billing for services provided. This role is responsible for preparing, reviewing, and submitting claims, resolving denied or unpaid claims, and maintaining compliance with local, state, and federal billing regulations. The ideal candidate is detail-oriented, tech-savvy, and experienced in medical billing systems and procedures. Key Responsibilities Daily Billing Operations Reconcile billing records for accuracy,...

OC

Billing Medical Coder

One Community Health Sacramento, CA

Billing Medical Coder The Billing Medical Coder is responsible for the day-to-day coding and billing operations for all services billable under grants, federal, state, and county programs including Medicare, Medi-Cal, managed care and private insurances. Starting Bonus : $5,000 Location: This role is located in Midtown - Sacramento, CA (95811). This role allows a hybrid schedule requiring 1-2 days per week on site. Training Period : 4-6 weeks onsite, 5 days per week ESSENTIAL FUNCTIONS Review and adjudicate coding of services from documentation in a timely manner. Code physician/provider visit procedure notes to identify appropriate ICD10 and CPT4 codes for charge processing. Ensures that all diagnosis ICD10 codes and procedure CPT, HCPCS codes are identified, sequenced, and coded in an accurate and ethical manner for optimized reimbursement. Assigns Evaluation and Management codes and key concepts/elements documented in the patient note,...

Da

Inpatient Medical Coder - FT - Up to $5,000 Sign on Bonus

Datavant Sacramento, CA

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

KP

Supervisor, Medical Staff Office

Kaiser Permanente Los Angeles, CA

Supervisor, Medical Staff Office Supervises team to review and request primary source information and verifications. Proactively identifies, suggests improvements to, and provides resolution for complex gaps in vendor relationships. Serves as an escalation point of contact for external queries regarding practitioner status. Evaluates applications and supporting highly complex documents. Guides team to conduct improvements to credentialing and privileging processes. Guides and supervises team to evaluate complex practitioner sanctions. Participates in surveys and audits of credentialing entities. Facilitates and implements strategic initiatives cost-effective due process. Identifies and provides leadership to resolve adverse actions/issues. Leads and evaluates audits of data between different departments. Conducts and supervises the facilitation and orientation and training to newly appointed physician leaders. Develops highly complex informational documents. Maintains working...

RT

Manager, Quality System Compliance Auditor (Remote)

RTX Sacramento, CA

Position Details Date Posted: 2026-02-26 Country: United States of America Location: US-CA-REMOTE Position Role Type: Remote U.S. Citizenship Requirement: U.S. citizenship is required, as only U.S. citizens are authorized to access information under this program/contract. Security Clearance: DoD Clearance: Secret (Active and existing security clearance required after day 1) RTX Corporation is an Aerospace and Defense company that provides advanced systems and services for commercial, military and government customers worldwide. It comprises three industry‑leading businesses – Collins Aerospace Systems, Pratt & Whitney, and Raytheon. Its 185,000 employees enable the company to operate at the edge of known science as they imagine and deliver solutions that push the boundaries in quantum physics, electric propulsion, directed energy, hypersonics, avionics and cybersecurity. The company, formed in 2020 through the combination of Raytheon Company and the United...

53 internal coding auditor jobs found