61 quality coding auditor jobs found

10 Sarah Bush Lincoln Health Center seeks a Coding Auditor - Professional to ensure proper coding for clinic services. This full-time role involves assisting coders, conducting audits, and maintaining high accuracy in documentation. Ideal candidates will have a high school diploma and relevant certifications like CPC and CEMA. The position offers remote or hybrid work opportunities within specific states. Benefits include tuition reimbursement and comprehensive health coverage. #J-18808-Ljbffr

Huron is seeking a Coding Auditor for ambulatory/professional coding auditing to ensure accuracy standards across client teams and payers. The role involves auditing coders and auditors, reviewing documentation, and communicating findings by phone, email, and instant messaging. It reports to Huron Managed Services Domestic Coding team and requires 95%+ accuracy and collaboration with HIM and PFS teams. #J-18808-Ljbffr

Huron seeks an Inpatient Coding Auditor to review inpatient coders and offshore auditors, ensuring coding accuracy and compliant practices. You will interact with client teams and payers, producing audit reports and prioritizing improvements. Responsibilities include monitoring 95% DRG and coding accuracy, coordinating calibration sessions, and presenting actionable insights to leadership while staying current on coding guidelines. #J-18808-Ljbffr

Zing Health is seeking a Senior Risk Adjustment Coding Auditor to ensure accurate, compliant coding across Medicare Advantage programs. You will lead audits, validate records, and support RADV activities, driving quality and regulatory compliance. The role requires strong analytical skills and proficiency in Excel and coding platforms. Join a mission-driven team focused on member-centered care, data integrity, and continuous improvement within a fast-paced, innovative environment in Illinois. #J-18808-Ljbffr

Description COMPANY OVERVIEW Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health aims to return the physician and the member to the center of the health care equation. Members receive individualized assistance to make their transition to Zing Health as easy as possible. Zing Health offers members the ability to personalize their plans, access to facilities designed to help them better meet their healthcare needs and a dedicated care team. For more information on Zing Health, visit www.myzinghealth.com. SUMMARY DESCRIPTION The Senior Risk Adjustment Coding Auditor is a highly experienced coding professional responsible for ensuring compliant, accurate, and high-quality risk adjustment coding across Medicare Advantage programs. This role is critical...

DRG Coding Auditor - MS-DRG and APR-DRGSign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service.Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients....

DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development . Alternate locations may be considered if candidates reside within a commuting distance from an office Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate...

Location: Chicago, Illinois, United StatesCompany: Huron Consulting GroupPosted: 2026-09-06Location: Chicago, Illinois, United StatesCompany: Huron Consulting Group Inc.Posted: 2026-08-31Huron Consulting Group Inc. in Chicago is seeking an Inpatient Coding Auditor to review inpatient coders and offshore auditors, ensuring DRG accuracy of at least 95% and coding quality.You will communicate findings via phone, email, and instant messaging with client teams and payers, and report to the Huron Managed Services Domestic Coding team. Responsibilities include audits, quality checks, calibration sessions, and preparing reports with clear, actionable feedback.#J-18808-Ljbffr

Coding AuditorOSF HealthCare is dedicated to provide Mission Partners with a comprehensive and market-competitive total rewards package that includes benefits, compensation, recognition and well-being offerings that focus on the whole person and engage with their current stage of life and career. Expected pay for this position is $29.01 - $34.13/hour. Actual pay will be determined by experience, skills and internal equity. This is an Hourly position.Position SummaryThe Coding Auditor is responsible for performing coding and documentation reviews to ensure the quality and integrity of coding data captured for OSF services. Provides validation of accurate and compliant coding and charging to ensure adherence to established coding guidelines of ICD-10, CPT, governmental and third-party payers; ensuring coding quality standards are achieved and maintained. Responds to external coding audits and DRG billing denials, writing appeals, documenting coding rationale and defends OSF coded...

Coding Auditor - Professional Department: Physician coding Hours: Full-Time (40 hours per week) Location: Remote or onsite. Must reside in one of the following states: Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas. Pay: Starts at \$23.87/hour, based on experience. Estimated compensation range \$23.87 - \$37.00. Responsibilities Assist coders with coding questions. Conduct collection and reporting of provider and coder audit results and education. Work with coders and providers to ensure appropriate documentation for clinic services. Report results to Coding Supervisor – Professional. Demonstrate ability to code all types of encounters. Maintain 95% accuracy in diagnoses and procedures coding. Ensure data quality and optimum reimbursement under federal and state payment systems. Identify and refer trend patterns of coding and...

Coder Auditor-Professionals are responsible for auditing coding assignments with providers and coders, training coding professional staff, and pro‑fee based coding which includes the assignment of ICD‑CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. They interact with medical staff, nursing, ancillary departments, provider offices, and outside organizations. At this time, we are only able to consider applicants who reside in the following states: 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 collection and reporting of provider and coder audit results and education. Works with coders and providers to ensure appropriate documentation for clinic services. Reports results to Coding Supervisor - Professional. Demonstrates ability to code all...

Location Ann & Robert H. Lurie Children's Hospital of Chicago Job Summary Conducts retrospective audit of ambulatory and inpatient physician documentation to ensure billing accuracy and compliance. Accounts for concurrent inpatient billing accuracy and compliance for selected Divisions. Provides physician education on coding and documentation guidelines. Essential Job Functions Reviews and audits physicians’ documentation in the medical record and the level of CPT code selection to verify accuracy through a concurrent coding program. Determines visit, procedure and diagnosis code(s) based on documentation. Initiates corrections and resolves discrepancies. Confers with the physicians to communicate and educate when deficiencies in documentation and code selection are identified. Meets with Division Heads and Clinical Practice Directors or designees to present statistical data on audit findings, provides useful recommendations and documentation tools. Keeps informed on...

Ann & Robert H. Lurie Children’s Hospital of Chicago is seeking a Medical Coder and Auditor to review physicians’ documentation, assign CPT/ICD-9 codes, and ensure accurate billing. The role requires at least three years of coding experience, CPC/CCS-P/CPMA certification, and proficiency with EPIC, Word, Excel, and PowerPoint. You will collaborate with physicians, division leaders, and billing teams to resolve discrepancies and improve coding quality. #J-18808-Ljbffr

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...

The Coding Auditor – ambulatory/professional coding/profee will be responsible for auditing coders and coding auditors to ensure coding accuracy standards are met. The role requires frequent and effective communication via phone, email, and instant messaging with various client teams and payers. The Coding Auditor will report to the Huron Managed Services Domestic Coding team. Key Responsibilities Demonstrates Huron’s Vision and Values in all behaviors. Functions as Coding Auditor Ensure coding accuracy of ≥95% through audit of coders and auditors. Perform quality checks and calibration audits on visits coded per client SOP. Suggest improvements, schedule calibration sessions with offshore counterparts and leaders. Assist in preparing audit reports and provide direct feedback to coders and auditors. Firm understanding of clinical documentation guidelines. Monitor compliance of coding guidelines and correct identified errors before claims rebill. Conduct analysis and...

Overview Ann & Robert H. Lurie Children’s Hospital of Chicago is the largest pediatric provider in the region with a 140‑year legacy of excellence and is ranked in all 10 specialties by U.S. News & World Report. We provide superior pediatric care and a patient‑centred environment that incorporates the newest medical technology, research and family‑friendly design. Job Description Summary: Conduct retrospective audit of ambulatory and inpatient physician documentation to ensure billing accuracy and compliance. Account for concurrent inpatient billing accuracy and compliance for selected divisions and provide physician education on coding and documentation guidelines. Responsibilities Review and audit physicians’ documentation in the medical record and the level of CPT code selection to verify accuracy through a concurrent coding program. Determine visit, procedure and diagnosis code(s) based on documentation. Initiate corrections and resolve discrepancies. Confer with...

Pediatric Coding AuditorAnn & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.Location: Ann & Robert H. Lurie Children's Hospital of ChicagoJob Description:Conducts retrospective audit of ambulatory and inpatient physician documentation to ensure billing accuracy and compliance. Accounts for concurrent inpatient billing accuracy and compliance for selected Divisions. Provides physician education on coding and documentation guidelines.Essential Job Functions:Reviews and audits physicians' documentation in the medical record and the level of CPT code selection to...

Huron Consulting Group Inc. in Chicago is seeking an Inpatient Coding Auditor to review inpatient coders and offshore auditors, ensuring DRG accuracy of at least 95% and coding quality. You will communicate findings via phone, email, and instant messaging with client teams and payers, and report to the Huron Managed Services Domestic Coding team. Responsibilities include audits, quality checks, calibration sessions, and preparing reports with clear, actionable feedback. #J-18808-Ljbffr

Coding Quality Auditor and Specialist, HB Coding, Full-time, Days (Remote) At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As part of our team, you’ll have the opportunity to contribute to better health care across the Northwestern Medicine system. We offer competitive benefits including tuition reimbursement and loan forgiveness, 401(k) matching, and lifecycle benefits. The Coding Quality Auditor and Specialist reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and regulatory standards. This role is the expert in clinical documentation and coding, working with the Clinical Documentation Team to ensure quality metrics meet high standards for NM Health System. The Coding Quality Auditor and...

Inpatient Coding AuditorHuron 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 evolve and adapt to the rapidly...

## Physician Billing Coder IIIApplylocations: Streeterville, Chicago, ILtime type: Full timeposted on: Posted Yesterdayjob requisition id: JR2026-1798Ann & Robert H. Lurie Children’s Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children’s Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.**Location**Ann & Robert H. Lurie Children's Hospital of Chicago**Job Description****Summary:**Conducts retrospective audit of ambulatory and inpatient physician documentation to ensure billing accuracy and compliance. Accounts for concurrent inpatient billing accuracy and compliance for selected Divisions. Provides physician education on coding and...

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, 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. As an Inpatient Coding Auditor, you will audit inpatient coders and offshore inpatient coding auditors to...

Elevance Health is seeking a DRG Coding Auditor to audit inpatient medical records and generate recoverable claims across lines of business, ensuring accurate DRG assignment with MS-DRG and APR-DRG methodologies. You will apply ICD-10 guidelines and clinical documentation principles in medical record reviews, supporting high-quality recoveries and audit findings while collaborating with hospitals and internal teams. The role offers hybrid/remote work with required in-person training. #J-18808-Ljbffr

Job description Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties: Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to...