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1071 certified coding auditor jobs found

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ec
Certified Coding Auditor
eCommunity.com Indianapolis, IN, USA
Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered - and we couldn't do it without you. Make a Difference The Certified Coding Auditor conducts internal coding audits with a primary focus on diagnosis and procedure coding accuracy. This role enhances documentation, specificity, and coding precision to ensure continuity of care and clean claims for appropriate reimbursement. Responsibilities include reviewing coding accuracy, applying coding updates, ensuring...

Mar 17, 2026
MG
Certified Coding Auditor Behavioral Health
Marwood Group New York, NY, USA
The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for a Certified Coding Auditor to work in its New York office or remotely. Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payers. Researching...

Mar 16, 2026
NM
Certified Coding Auditor (Remote)
NAPA Management Services Corporation Melville, NY, USA
Certified Coding Auditor page is loaded## Certified Coding Auditorlocations: Melville Corporatetime type: Full timeposted on: Posted Todayjob requisition id: JR11503Melville,NY - USA**Position Requirements**Use coding skills to review clinical documentation to accurately code for anesthesia services. Retrieve information from hospital EMR systems to resolve coding questions to support offshore vendors. To work daily tasks/edits in billing system.PRIMARY RESPONSIBILITIES* Review medical record documentation to identify correct coding based on billing and payor guidelines.* Research, analyze and respond to inquiries regarding compliance and inappropriate coding denials.* Retrieve missing patient documentation required for accurate billing.* Work task queues within various systems.* Support offshore vendor coding questions.* Recommend vendor education based on tasks reviewed.REQUIRED QUALIFICATIONS* Minimum of 2 years’ professional medical coding experience.* CPC or CCS-P...

Mar 14, 2026
MG
Full Time
 
Certified Coding Auditor - Primary Care
Marwood Group Hybrid (New York, NY, USA)
The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for a Certified Coding Auditor to work in its New York office or remotely.   Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payers....

Feb 27, 2026
NM
Certified Medical Coding Auditor – Anesthesia Denials & Compliance
NAPA Management Services Corporation Melville, NY, USA
A healthcare services provider based in Melville, NY is seeking a Certified Coding Auditor to review clinical documentation and ensure accurate coding for anesthesia services. The ideal candidate has a minimum of 2 years' medical coding experience and holds a CPC or CCS-P certification. This position offers competitive hourly pay, health benefits, paid time off, and opportunities for professional development. The role supports offshore vendor coding inquiries and improves documentation accuracy. #J-18808-Ljbffr

Mar 13, 2026
SJ
Certified Coding Auditor
St. Joseph’s Healthcare System Hawthorne, NJ, USA
Job Description Responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives. Performs data entry of required abstracted patient information into the system. Queries physicians when appropriate. Qualifications High School diploma, general equivalency diploma (GED), and/or GED equivalent programs. Certified Professional Coder with Minimum of two to three year of coding for professional services Strong understanding of physiology, medical terms and anatomy. Proficiency in computer skills including typing speed and accuracy. Excellent written and verbal communication skills. Proficient computer skills including but not limited to Microsoft Office Must be able to achieve and maintain appropriate coding...

Mar 17, 2026
NA
Certified Coding Auditor (Remote)
North American Partners in Anesthesia Melville, NY, USA
Position Requirements Use coding skills to review clinical documentation to accurately code for anesthesia services. Retrieve information from hospital EMR systems to resolve coding questions to support offshore vendors. To work daily tasks/edits in billing system. Primary Responsibilities Review medical record documentation to identify correct coding based on billing and payor guidelines. Research, analyze and respond to inquiries regarding compliance and inappropriate coding denials. Retrieve missing patient documentation required for accurate billing. Work task queues within various systems. Support offshore vendor coding questions. Recommend vendor education based on tasks reviewed. Required Qualifications Minimum of 2 years' professional medical coding experience. CPC or CCS-P certification. Proficient computer skills Desired/Preferred Qualifications Insurance billing knowledge Excel Knowledge of CMS guidelines Total Rewards Generous benefits...

Mar 17, 2026
NA
Certified Coding Auditor (Remote)
North American Partners in Anesthesia USA
Position Requirements Use coding skills to review clinical documentation to accurately code for anesthesia services. Retrieve information from hospital EMR systems to resolve coding questions to support offshore vendors. To work daily tasks/edits in billing system. Primary Responsibilities Review medical record documentation to identify correct coding based on billing and payor guidelines. Research, analyze and respond to inquiries regarding compliance and inappropriate coding denials. Retrieve missing patient documentation required for accurate billing. Work task queues within various systems. Support offshore vendor coding questions. Recommend vendor education based on tasks reviewed. Required Qualifications Minimum of 2 years' professional medical coding experience. CPC or CCS-P certification. Proficient computer skills Desired/Preferred Qualifications Insurance billing knowledge Excel Knowledge of CMS guidelines Total Rewards...

Mar 15, 2026
SJ
Certified Coding Auditor
St. Joseph?s Health Paterson, NJ, USA
Job Description Responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives. Performs data entry of required abstracted patient information into the system. Queries physicians when appropriate. Qualifications High School diploma, general equivalency diploma (GED), and/or GED equivalent programs. Certified Professional Coder with Minimum of two to three year of coding for professional services Strong understanding of physiology, medical terms and anatomy. Proficiency in computer skills including typing speed and accuracy. Excellent written and verbal communication skills. Proficient computer skills including but not limited to Microsoft Office Must be able to achieve and maintain appropriate coding quality and...

Mar 04, 2026
MG
Full Time
 
Coding Auditor Behavioral Health
Marwood Group Hybrid (New York, NY, USA)
The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for a  Certified Coding Auditor  to work in its New York office or remotely.   Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payers....

Mar 02, 2026
MG
Behavioral Health Coding Auditor (Remote)
Marwood Group New York, NY, USA
A healthcare advisory firm based in New York is looking for a Certified Coding Auditor to conduct billing and coding audits. The role requires a CPC certification and at least 5 years of experience in healthcare coding/auditing. Responsibilities include ensuring compliance with regulations and conducting audits in the behavioral health sector. The company offers a competitive compensation package, including full benefits and a flexible hybrid work schedule. Candidates can work remotely or in the New York office. #J-18808-Ljbffr

Feb 26, 2026
NA
CPC-Certified Medical Coding Auditor
NACBA Florida, NY, USA
A leading health services organization in New York seeks a Medical Record Coder to audit and abstract medical records for accurate coding submission. The role requires at least 1 year of experience in medical documentation review and a CPC or CCS-P certification. The ideal candidate will ensure compliance with guidelines and provide critical support in the risk adjustment processes. This position includes a competitive pay range of $18.50 - $38.82 per hour and offers various benefits, including a 401(k) plan and flexible work schedules. #J-18808-Ljbffr

Mar 07, 2026
HA
SIU-Certified Medical Coding Auditor
Hispanic Alliance for Career Enhancement Hartford, CT, USA
A leading health organization is seeking a dedicated individual to conduct medical record audits and ensure compliance with coding guidelines. The role requires at least 3 years of experience in medical coding or documentation auditing. Strong attention to detail, analytical skills, and proficiency in Microsoft Excel and Word are necessary. This full-time position offers a typical pay range of $43,888 to $93,574 annually, along with great benefits including a 401(k) plan and extensive wellness programs. #J-18808-Ljbffr

Mar 17, 2026
US
SIU-Certified Medical Coding Auditor
U.S. Bankruptcy Court - District of CT Frankfort, KY, USA
A healthcare organization is seeking a Medical Coding Auditor to conduct audits and ensure compliance with coding standards. The ideal candidate will have over 3 years of experience in medical coding and strong analytical skills. Responsibilities include identifying billing errors and providing summaries of findings. This position offers a base salary between $43,888 and $93,574 annually, plus excellent benefits, including flexible work schedules and a 401(k) plan. #J-18808-Ljbffr

Mar 15, 2026
NA
CPC-Certified Medical Coding Auditor
NACBA Florida, NY, USA
A leading healthcare provider in New York is looking for a Medical Records Coder to perform coding and auditing of medical records. The role demands compliance with regulations and accuracy in coding to ensure appropriate risk adjustment. A minimum of 1 year experience in medical documentation and coding certification (CPC or CCS-P) is required. Competitive pay and comprehensive benefits are offered, including health plans and retirement options. #J-18808-Ljbffr

Mar 07, 2026
NA
CPC-Certified Medical Coding Auditor
NACBA Florida, NY, USA
A leading healthcare provider in New York is looking for a medical coder to perform audits and abstraction of medical records for oversight of ICD submissions. Candidates should have at least 1 year of relevant experience and hold a CPC or CCS-P certification. Proficiency in Microsoft Office and adherence to regulatory standards are necessary. The role offers competitive pay and a comprehensive benefits package, including medical options and a 401(k) plan. #J-18808-Ljbffr

Mar 07, 2026
Welter Healthcare Partners
Contract
 
Experienced Orthopedic Surgical Auditor or Coder
Welter Healthcare Partners Remote
For over 30 years, Welter Healthcare Partners has collaborated with healthcare organizations across the US on the business of healthcare. Healthcare is complicated and ever-changing, and our services, solutions, highly specialized and collaborative teams are focused on helping drive results for the long-term success of our clients! We are looking for new team members that share the same passion for success!   We are looking for a 1099 Surgical Coding Expert, primarily Orthopedics, who seeks ownership of their craft, asserts their interpretation of guidelines and rules and who is extremely particular about the highest level of quality of their coding work! Skilled auditor preferred; however, a skilled and detail-oriented coder with the desire to transition to auditing will be highly considered.   We offer up to $4,000 flat fee per month and are flexible for more depending on the ability to organize and facilitate volume, but quality over quantity. Opportunity...

Mar 17, 2026
WellStreet Urgent Care
Full Time
 
Provider Education Auditor
WellStreet Urgent Care Remote (Alabama, Arkansas, Arizona, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Michigan, Missouri, Mississippi, North Carolina, Nebraska, New Jersey, New Mexico, New York, Ohio, Pennsylvania, South Carolina, Tenessee, Te)
The Provider Education Auditor works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to all patients, as well as ensuring compliant reimbursement of patient care services. Responsibilities: Responsible for reviewing and analyzing all aspects of the department clinical documentation and care to ensure timely, accurate, and compliant charge capture and submission Works as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these charges Collaborates with Coding Supervisor and Regional Medical director to ensure clinical documentation in high-risk areas is consistent and complete Duties include charge entry, ensuring...

Mar 16, 2026
Gainwell Technologies
Full Time
 
Clinical DRG Auditor – Remote
Gainwell Technologies Remote (USA)
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary: We are seeking a talented individual for a Clinical DRG Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to validate the conditions that were documented in the medical record, the ICD-10-CM/PCS code assignments and determine the accuracy of DRG assignment that is clinically supported as defined by review methodologies specific to the...

Mar 10, 2026
CNY Family Care, LLP
Full Time
 
Medical Coder and Auditor
CNY Family Care, LLP Hybrid (Initial training onsite. Hybrid schedule once/week in offce.)
CNY Family Care's commitment to excellence sets us apart and guides us as we provide care for our community. The Medical Coder and Auditor will be responsible to conduct prospective audits of coding and billing; analyze physician and provider documentation in outpatient office health records; correct evaluation and management (E/M) service levels, appropriate procedure codes, and any necessary modifiers.  Medical Coder and Auditor Responsibilities: Navigate the patient health record, office visit notes, and procedure reports in the determination of diagnoses, reason for visit, procedures, and modifiers to be coded. Code outpatient records utilizing coding books, online tools, and references, in the assignment of ICD, CPT, and HCPCS codes and modifiers. Document individual encounter audit findings and communicates results to providers. Access charge work queues to validate and assign charges. Perform all required EMR functions as efficiently as possible and according...

Mar 06, 2026
TT
Full Time
 
coding and documentation auditor
Texas Tech University Health Sciences Center Hybrid (Amarillo, TX, USA)
Position Summary Performs coding and documentation quality audits, providing feedback and education to coding and reimbursement specialists, coders, and providers.   Minimum Qualifications ·       High School graduate or equivalency and five years of coding and reimbursement experience of which 1 year may be as a coding auditor. ·       Additional job-specific education may substitute for the experience. ·       Active professional coding certification from an accredited organization, e.g., American Association of Professional Coders (AAPC), American Health Information Management Association (AHIMA). ·       Certification to remain current during term of employment. ·       Knowledge of CPT, ICD-CM, ICD-10, and HCPCS nomenclature.   Position Specific Qualifications •        Billing and coding experience in a multi-specialty group practice and/or academic practice setting is preferred. •        Five...

Mar 04, 2026
RU
Full Time
 
Healthcare Coding Compliance Auditor
Riverside University Health System Medical Center Hybrid (Riverside, CA, USA)
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...

Mar 04, 2026
Physicians Choice LLC
Full Time
 
Quality Analyst / Coding Auditor I
Physicians Choice LLC Remote
Physicians' Choice is currently seeking a highly proficient and seasoned Medical Coding Auditor specializing in Evaluation and Management (E/M) services, with a comprehensive understanding of Emergency Medicine, to join our esteemed team. If you possess extensive expertise in current E/M coding guidelines and have a strong background in auditing, we invite you to apply for this exceptional opportunity. Job Description:  As a Medical Coding Auditor you will play a vital role in ensuring accurate and compliant coding practices within our organization. You will be responsible for conducting detailed audits of medical records, coding documentation, and related billing processes to verify compliance with established coding guidelines, regulatory requirements, and internal policies. Responsibilities: Perform comprehensive audits of medical records, coding documentation, and billing processes. Evaluate the accuracy, completeness, and appropriateness of medical...

Feb 18, 2026
Mederva Health
Full Time Part Time
 
Fractional CoCM Billing Compliance & Audit Lead (CPMA required)
Mederva Health Remote
About the role We run a fast-growing care management program billed under partner clinic TINs across a mixed payer population. We need an expert to tighten CoCM billing yield while keeping documentation audit-proof as we scale from ~24 clinics to 100+. The right candidate will be able to convert this into a full-time role with equity, and grow with the company. Looking to hire ASAP. What you’ll own Design and audit CoCM and CCM billing workflows , including appropriate patient stratification between programs. Define clear, defensible criteria for assigning patients to CoCM vs CCM (and transitions over time). Build “gold standard” documentation templates and checklists for 99492/99493/99494, 99490, 99439 , and related codes as applicable. Design simple, audit-proof time capture and attribution workflows across care team members. Create and run a QA sampling plan with feedback loops for care teams and clinic billers. Partner with...

Feb 09, 2026
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