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1077 certified coding auditor jobs found

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NM
Certified Coding Auditor (Remote)
NAPA Management Services Corporation Melville, NY
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...

May 11, 2026
NH
Senior Certified Coding Auditor and Trainer
Novant Health Urgent Cares LLC Columbia, SC
Title: Senior Certified Coding Auditor and Trainer Location: Columbia, SC Status: Full-Time Who Are We? Part of the Novant Health family based in North Carolina, Novant Health Urgent Care (formerly Doctors Care) provides exceptional healthcare through our network of more than 50 urgent care centers and 20 physical therapy facilities across South Carolina. Our Columbia-based headquarters delivers non-medical management and administrative services to support these locations. For decades, we have been committed to delivering exceptional, convenient, and affordable healthcare experiences to families and communities throughout the Palmetto State. What Do We Offer? Competitive wages Generous PTO that increases with tenure 403B Health, dental, vision insurance Flexible Spending Account Short term and Long term Disability Whole and Term Life Insurance Rewarding Careers What Are We Looking For? Novant Health Urgent Cares is currently seeking a...

May 05, 2026
SJ
Certified Coding Auditor
St. Joseph’s Healthcare System Paterson, NJ
Job Description The Certified Professional Coder (CPC) serves as the primary liaison between the medical group and the external coding vendor. This role ensures consistent communication, accurate and compliant coding practices, timely issue resolution, and alignment with organizational policies and payer requirements. The Coding Liaison supports documentation integrity, monitors vendor performance, and acts as a subject matter expert for coding-related inquiries. This role works closely with providers, clinical staff, and revenue cycle teams to review medical records, validate documentation completeness, apply correct CPT®, ICD-10-CM, and HCPCS codes, and educate providers on documentation best practices. Key Responsibilities Coding and Documentation Accuracy Serve as the primary point of contact between the medical group and the outsourced coding vendor Review, monitor, and validate coding accuracy and consistency between internal standards and vendor deliverables...

May 05, 2026
NM
Certified Medical Coding Auditor – Anesthesia Denials & Compliance
NAPA Management Services Corporation Melville, NY
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

May 11, 2026
NA
Certified Coding Auditor (Remote)
North American Partners in Anesthesia Melville, NY
Job Posting 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...

May 07, 2026
SJ
Certified Coding Auditor
St. Joseph?s Health Paterson, NJ
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...

May 01, 2026
Va
Certified Medical Coding Auditor
Valenz Phoenix, AZ
Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. About This Opportunity As a Certified Medical Coding Auditor (Clinical Bill Review Analyst), you’ll review claims upfront and take a deeper dive to catch billing discrepancies, unbundled charges, and other errors based on standard billing practices and coding guidelines. You’ll...

May 12, 2026
Va
Remote Certified Medical Coding Auditor & Revenue Saver
Valenz Phoenix, AZ
Valenz is seeking a Certified Medical Coding Auditor (Clinical Bill Review Analyst) to identify billing discrepancies and provide actionable insights to internal teams. The role requires 3+ years of experience and certification (CPC/CIC). Responsibilities include reviewing medical bills, analyzing claims, and collaborating with the Negotiation team. This fully remote position offers extensive benefits and an inclusive work environment, emphasizing growth and support for all associates. #J-18808-Ljbffr

May 11, 2026
VH
Certified Medical Coding Auditor
Valenz Health United States
Certified Medical Coding Auditor (Clinical Bill Review Analyst) Vālenz ® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. About This Opportunity: As a Certified Medical Coding Auditor (Clinical Bill Review Analyst), you'll review claims upfront and take a deeper dive to catch billing discrepancies, unbundled charges, and other...

May 07, 2026
NH
Senior Medical Coding Auditor & Training Leader
Novant Health Urgent Care (Formerly Doctors Care) Columbia, SC
A healthcare organization based in Columbia, SC is seeking a Senior Certified Coding Auditor and Trainer. This role involves educating staff on medical coding and documentation, overseeing coding vendor performance, and conducting chart audits to ensure accuracy. Candidates should have relevant degrees and licensure in medical coding, along with a deep knowledge of ICD10-CM and medical terminology. The position offers competitive wages, generous PTO, and benefits including health insurance and a 403B plan. #J-18808-Ljbffr

May 11, 2026
Da
Senior Profee Coding Auditor | CPC Certified
Datavant Jefferson City, MO
Datavant is seeking a Profee Auditing Specialist in Jefferson City, Missouri. This role involves conducting professional fee coding audits, providing education on coding standards, and ensuring compliance. Candidates must have over 5 years of experience in fee coding and be a Certified Professional Coder (CPC). Benefits include comprehensive training, healthcare, a 401(k), and paid time off. Join Datavant to contribute to transformative change in healthcare through accurate data solutions. #J-18808-Ljbffr

May 12, 2026
PH
Nurse Inpatient Coding Auditor, (Remote) CIC or CCS certified
ProgenyHealth LLC Plymouth Meeting, PA
Job Description Job Description Description: Job Role The Clinical RN Chart Reviewer will perform clinical reviews of medical records and other documentation to validate issues of claims coding accuracy, medical necessity, and the appropriateness of treatment settings and services delivered. The Clinical RN Chart Reviewer will report to the Payment Assurance Manager and support a culture and work environment that promotes and inspires an active, continuous improvement philosophy regarding products and services in line with our company mission. This role requires certified coding expertise and a strong understanding of DRG validation, medical necessity, and regulatory guidelines. Requirements: Responsibilities will include: Audits and analyzes neonatal intensive care unit (NICU) claims according to ICD-10 coding principles and clinical guidelines. Analysis of claims data to optimize reimbursement by ensuring that the diagnosis codes, procedure codes, and supporting...

May 09, 2026
TU
CPC-Certified Medical Coding Auditor
TaskUs Austin, TX
A healthcare compliance company is seeking a Certified Professional Coder (CPC) to ensure accurate clinical documentation for outpatient behavioral health services. Responsibilities include reviewing medical records, auditing charts for ICD-10 and CPT code assignment, and collaborating with teams for claim submissions. Candidates must hold a CPC certification and have at least 2 years of medical coding experience, demonstrating strong attention to detail and proficiency with EMR systems. This role supports a diverse work environment. #J-18808-Ljbffr

May 11, 2026
Sierra7, Inc.
Part Time
 
Medical Coders (Part-Time, Flexible Hours)
Sierra7, Inc. Remote
Sierra7 is look for experienced Medical Coding professionals to join our team! If you have recent VA coding experience and want a flexible, part-time opportunity, we’d love to hear from you. Open Positions: Outpatient Medical Coder Inpatient Medical Coder Profee Medical Coder Outpatient Medical Coder Auditor Inpatient Medical Coding Trainer Outpatient Medical Coding Trainer Requirements: Recent medical coding experience with the VA Proficiency in WebVIRR (VIRR) Strong attention to detail and coding accuracy Able to work a minimum of 20-25 hours per week.  If you're seeking a flexible, part-time role supporting veterans through your coding expertise, this is your chance to make an impact. Apply today and join the Sierra7 team!

May 11, 2026
C2Q Health Solutions
Full Time
 
Medical Coding and Billing Analyst
C2Q Health Solutions Hybrid (NY)
JOB PURPOSE: Responsible for supervising, evaluating, and consistently improving the day-to-day operations of Medical Practice. This role is responsible for accurate and timely billing of insurance claims and patient statements across multiple sites, implements accurate medical coding policies, and enhances operational processes. It involves acting as a liaison between coding operations and clinical staff, training and coaching medical personnel on coding guidelines, and ensuring the accuracy and timeliness of clinical documentation. Additionally, the role includes analyzing and optimizing diagnosis data submission processes, presenting performance results to leadership, and supporting HCC/RAF optimization strategies. The role will also oversee the training of Medical Practice Assistants, Physician and IDT disciplines in ICD-9/ICD-10 guidelines. JOB RESPONSIBILITIES: Responsible to deliver accurate and timely billing of insurance claims and patient statements for all...

Apr 15, 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
 
Professional Coding Auditor and Educator
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 to ensure clinical documentation in high-risk areas is consistent and complete Identifies inconsistencies in medical reports and works with healthcare...

Mar 16, 2026
Gainwell Technologies
Full Time
 
Clinical DRG Auditor – Remote
Gainwell Technologies Remote (United States)
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
TT
Full Time
 
coding and documentation auditor
Texas Tech University Health Sciences Center Hybrid (Amarillo, TX)
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)
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
AAPC
Contract
 
Multi-Specialty Professional Coder - Contractor
AAPC Remote
AAPC is seeking a highly motivated and dedicated coding professional to join our team as a Contract Coder. This position is a fully remote contract role. The ideal candidate must have at least 5 years of coding experience for physician practices, with various surgical specialties as well as E/M. The position requires one to be resourceful, organized, and extremely driven. The ideal candidate will possess the following: Minimum 5 years of coding experience Extensive coding in multiple specialties including: all primary care specialties, anesthesia, general surgery, dermatology, and orthopedics. Excellent written and verbal communication skills Detail oriented and deadline driven attitude Sound knowledge of medical terminology Strong computer skills (Excel, Word, and internet) Ability to multitask and keep a sense of urgency Excellent customer service skills Strong time management, organization skills, and work ethic Job Duties:...

Oct 09, 2023
SS
Medical Coding Auditor/Compliance
South Shore Health Weymouth, MA
Coding & Compliance Auditor The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders. The Coding & Compliance Auditor monitors external regulatory and internal process changes and provides support to colleagues in adhering to Federal, State and local requirements. Compensation Pay Range: $73,000.00 - $104,400.00 Job Responsibilities Establishes, implements, and maintains a formalized review process for coding compliance, including a formal review (audit) process. Responsible for conducting both routine and targeted audits to ensure clinical documentation supports accurate CPT, HCPC's, PCS and ICD-10-CM codes. Perform prospective and retrospective audits to validate medical necessity and documentation supportive of code selection. Analyzes data to identify...

May 13, 2026
SS
Coding & Compliance Auditor
South Shore Health Boston, MA
Job Description Summary The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders. The Coding & Compliance Auditor monitors external regulatory and internal process changes and provides support to colleagues in adhering to Federal, State and local requirements. Job Description Job Responsibilities: Establishes, implements, and maintains a formalized review process for coding compliance, including a formal review (audit) process. Responsible for conducting both routine and targeted audits to ensure clinical documentation supports accurate CPT, HCPC’s, PCS and ICD-10-CM codes. Perform prospective and retrospective audits to validate medical necessity and documentation supportive of code selection. Analyzes data to identify deficiencies, prepare reports to deliver provider education...

May 13, 2026
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