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754 certified physician coding auditor jobs found

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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
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
IS
Certified Professional Coder
InstantServe LLC Dover, DE
divh2Coding and Billing Auditor/h2pPerforms data quality reviews on provider records to validate the ICD-10 codes, CPT codes and clinical documentation. Audits provider (physician and midlevel providers) records for accuracy of principal and secondary diagnosis and/or procedures and ensures compliance with all reporting and documentation requirements. Educates providers, coders and charge entry personnel on coding guidelines and documentation requirements. Provides coding support to BHMG coding and billing staff./pp1. Audits medical records for accurate CPT coding assignment. Compiles reports with an analysis of findings from the medical record audits. Ensures the selected CPT code supports the clinical documentation contained in patient record. Consistently meets established productivity targets for record audits./pp2. Audits all establish provider medical records on by annual basis:/ppa. Audits medical records for accurate CPT coding assignment./ppb. Maintains audit lodge for...

May 17, 2026
Sa
Coding Auditor - Professional
Sarahbush Lincoln, NE
Coding Auditor - Professional page is loaded## Coding Auditor - Professionalremote type: On-Site or Remotelocations: Sarah Bush Lincoln Health Centertime type: Full timeposted on: Posted Todayjob requisition id: JR103873**Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.**Coding Auditor - Professional**Job Description**Coder Auditor-Professionals are responsible for auditing of coding assignment with providers and coders, training of coding professional staff, pro-fee based coding includes the assignment of Assigns ICD-CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.Department: Physician codingHours: Full-Time, 40 hours a week requiredRequired: High School Diploma, CPC, CEMA within 6 months of hire, CPMA within 1 year of hirePay: Based one experience, starting at...

May 17, 2026
IH
Professional Billing Compliance Auditor
Intermountain Health Salt Lake City, UT
Job Description: Professional Billing Compliance Auditor (Physician Billing) Bring your compliance expertise to a role that helps protect patients, caregivers, and the integrity of a complex healthcare system. As a Senior Compliance Consultant , you will partner with leaders across the organization to identify, assess, and address medium-complexity compliance risks , with a strong focus on physician billing and reimbursement . You'll translate risk assessment findings into clear, actionable recommendations, support corrective action planning, and deliver education that strengthens a culture of compliance and ethical decision-making. What you'll bring Extensive knowledge of physician billing within a hospital system. Certified Professional Coder (CPC) national professional coding certification (highly preferred). 3+ years of experience in coding and reimbursement (highly preferred). Working knowledge of healthcare regulations and the...

May 17, 2026
LH
Medical Coding Auditor
LMH Health Lawrence, KS
Join LMH Health You can't define it, but you know it when you see it: the difference between an average life and the good life. When your cup is full with joy, purpose and lifelong health it shows. At LMH Health, we are all about healthy people, healthy communities and healthy futures, and that makes us your destination for an exceptional career. From flexible, work-life harmony to competitive pay and great advancement potential, find everything you're looking for at LMH Health. You'll find everything you're looking for at LMH Health: Join a team that cares about the community Tuition reimbursement to support continuing education Professional development and recognition Excellent benefits Job Description The Medical Coding Auditor is responsible for conducting prospective and retrospective compliance reviews of documentation supporting codes reported by providers or facility coding to ensure accuracy in billing, maximize charge capture, and comply with Federal, State,...

May 17, 2026
SS
Medical Coding Auditor/Compliance
South Shore Health Weymouth, MA
If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-22463 Facility: LOC0006 - 780 Main Street780 Main StreetWeymouth, MA 02190 Department Name: SHS Compliance Status: Part time Budgeted Hours: 32 Shift: Day (United States of America) 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)...

May 17, 2026
BC
Quality Assurance Coder/Auditor - Hybrid
Blue Cross Blue Shield of Arizona Phoenix, AZ
Quality Assurance Coder/Auditor Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions. At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements: Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week Hybrid 2 (Operational Roles such as but not...

May 17, 2026
BP
Certified Medical Auditor
Beyond Podiatry New Baltimore, MI
Job Description Job Description Description: A Certified Professional Medical Auditor is responsible for reviewing and auditing medical documentation, including patient records, charts, and clinical notes, to ensure accuracy, compliance with regulations, and adherence to industry standards. This role is crucial in maintaining the integrity of medical records, billing processes, and healthcare facilities' compliance with applicable laws and regulations. Requirements: Key Responsibilities: Medical Documentation Review: Conduct thorough audits of patient medical records, including physician notes, progress notes, discharge summaries, and other relevant documentation. Examine medical records to verify their completeness and conformity with established standards, ensuring they accurately reflect the patient's condition, diagnosis, treatment, and other pertinent information. Verify that documentation adheres to established coding guidelines, such as ICD-10 and CPT, and...

May 17, 2026
TM
Medical Coding Compliance Specialist - Remote
Theoria Medical Novi, MI
Job Description Job Description Why Professionals Love Theoria Medical At Theoria Medical, accuracy, integrity, and collaboration matter. Our compliance and coding professionals play a critical role in supporting quality patient care while ensuring our clinical and billing practices remain aligned with evolving industry standards and regulations. We believe meaningful work should come with flexibility, support, and opportunities for growth. Our teams are empowered with advanced technology, collaborative leadership, and a mission-driven culture that values expertise and innovation. Build a career where your knowledge drives impact across a growing national healthcare organization. About Theoria Theoria Medical is leading the charge in healthcare innovation and quality of care — offering a unique blend of medical excellence and technological advancement, serving the post-acute sector. Our network includes multispecialty physician services covering skilled nursing...

May 17, 2026
SI
Revenue Cycle Coding Auditor/Trainer (5032)
Southern Illinois University School of Medicine Springfield, IL
Salary: $25.89 - $28.48 Hourly Location : Springfield, IL Job Type: Civil Service Job Number: 2401379 Department: SIU HealthCare Coding-SMS Division: Administration Opening Date: 04/24/2026 Closing Date: 5/18/2026 3:30 PM Central FLSA: Non-Exempt Bargaining Unit: Non-Represented Shift: Days ExemptorNon_Exempt: Non-Exempt We recommend using the following browsers to complete the application: Desktop: Google Chrome, Edge with Chromium Mobile: Google Chrome, Safari Description The Revenue Cycle Coding Auditor will perform reviews for employees in the Coding department. Audits will include, but are not limited to; employee productivity and quality based on proper documentation, accuracy and coding guidelines. The Auditor will also provide feedback and support relating to departmental/role specific productivity and quality expectations. The incumbent for this position will utilize a high level of in-depth knowledge of the coding role to perform...

May 16, 2026
SV
Integrity and Compliance Auditor - Integrity & Compliance - FT - Day
Stormont-Vail HealthCare Topeka, KS
Auditor Position Completes internal healthcare audits for compliance or medical coding, including documentation, billing and regulatory review. Assists with coordination of annual physician reviews with department leaders and third-party vendor. Performs operational and financial audits to identify and correct internal control weaknesses, cost saving situations, and wasteful expenditures. Conducts or assists in health care fraud, waste and abuse investigations when necessary. Education Qualifications Bachelor's Degree Accounting or related field. Required Master's Degree Preferred Experience Qualifications 3 years Experience in accounting and/or auditing with focus on revenue cycle, healthcare coding, billing and documentation. Required Internal audit (financial, process audits) related experience. Preferred Skills and Abilities Has a detailed understanding of all third-party, Medicare, Medicaid and other federal health insurance programs rules, regulations, policies...

May 16, 2026
UH
Coding Compliance Auditor (2223)
US Heart and Vascular Franklin, TN
Coding Compliance Auditor Fully Remote Overview Position Type Full Time Education Level High School Diploma/GED Category Other Positions Description US Heart and Vascular is in need of a Remote Coding Compliance Auditor to join our team. The Coding Compliance Auditor performs internal medical record audits and prepares compliance auditing reports, subsequent educational materials and training as directed by the Compliance and Privacy department. Audits include regular compliance medical record audits or focused review projects for ongoing review of coding and documentation for cardiovascular specialties to support compliance with coding and documentation rules and regulations. Responsibilities: Performs coding audits reviewing for compliance and accuracy with CPT, ICD-10, HCPCS and corporate coding policy and follows up for timely completion within designated time period. Maintains excellent documentation of all reviews, methodologies employed, results, corrective...

May 16, 2026
NH
Coding Auditor (Inpatient Hospital experience)
Northwell Health Physician Partners Great Neck, NY
Coding Auditor Required: Coding Auditor with inpatient hospital experience Experience coding and auditing ICD-10-PCS. Job Description Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes. Job Responsibility Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. Demonstrates effective skills in validation; provides ad-hoc education to the coding staff. Able to communicate effectively with coders and CDI staff. Demonstrates knowledge of coding policy and procedures. Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies. Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing. Reviews potential reassignments; demonstrates accurate and timely review of all reassignments....

May 16, 2026
He
Coder I
Health eCareers Los Angeles, CA
Complexity of Work: Requires critical thinking skills, effective communication skills, decisive judgment, and the ability to work independently with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Proficient in basic computer skills. Ability to perform job duties using an electronic medical record system. Strong knowledge of anatomy, physiology and medical terminology. Knowledge of coding classification systems and procedures. Required Work Experience: For HIM coder, one (1) year hospital-based outpatient coding experience. For Physician Billing Coder, one (1) year diagnostic/procedural office coding experience with surgical coding experience or six (6) months working within the Memorial Health System. Other Information: For HIM: Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) or Certified Coding Associate (CCA).For Physician Billing:...

May 16, 2026
Co
Healthcare Coding Compliance Auditor - RUHS
County of Riverside Riverside, CA
Position Summary 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, delivering coding presentations to diverse audiences including physicians and other staff. Schedule & Location Schedule: 9/80 work schedule - hybrid Location: 7898...

May 16, 2026
IS
Certified Professional Coder
InstantServe LLC Dover Base Housing, DE
Coding and Billing Auditor Job is fully onsite. General Summary: Performs data quality reviews on provider records to validate the ICD-10 codes, CPT codes and clinical documentation. Audits provider (physician and midlevel providers) records for accuracy of principal and secondary diagnosis and/or procedures and ensures compliance with all reporting and documentation requirements. Educates providers, coders and charge entry personnel on coding guidelines and documentation requirements. Provides coding support to BHMG coding and billing staff. Responsibilities: 1. Audits medical records for accurate CPT coding assignment. Compiles reports with an analysis of findings from the medical record audits. Ensures the selected CPT code supports the clinical documentation contained in patient record. Consistently meets established productivity targets for record audits. 2. Audits all establish provider medical records on by annual basis: a. Audits medical records for...

May 15, 2026
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 15, 2026
TR
Ambulatory Coding Auditor Educator
Tift Regional Health System Tifton, GA
DEPARTMENT: Physician Practice Management FACILITY: Medical Office Building WORK TYPE: Full Time SHIFT: Daytime SUMMARY: Assess the educational needs of coding specialists and providers regarding coding and documentation and direct development of effective regularly scheduled educational programs that meet the needs of the health system. Serve as the primary resource to physicians for documentation and coding issues. Conduct ongoing coding and billing training programs for billing and coding specialists and providers. Creates presentations, develops learning material, handbook, and other training materials. Conducts coding and data quality reviews and prepares complex reports as required. Ensures all education activities comply with clinical billing standards and government regulation with concentration on hospital inpatient procedures, ambulatory, and specialty physician services. RESPONSIBILITIES: * Keeps abreast of pertinent federal, and state regulations...

May 15, 2026
DH
Certified Professional Coder, PAM
DRH Health Duncan, OK
Certified Professional Coder, PAM DRH Business Center (CBO and CWS) - Duncan, OK 73533 Overview Position Type Full Time Job Shift Day Shift Education Level Certification Travel Percentage None Category Administrative Description This position is responsible for reviewing a patient's medical records after a Clinic visit and translating the information into codes that insurers use to process claims for patients. Duties include confirming treatments with medical staff, identifying missing information, and submitting information to insurers for reimbursement. Responsibilities (Essential Functions): Accurately assigns and sequences codes (ICD-10-CM, CPT, HCPCS/modifiers as necessary) for each patient encounter, following proper coding guidelines and legal requirements to ensure compliance with federal and state regulations. Ensures professional/physician billing CPT codes/ICD-10 codes are assigned correctly and sequenced appropriately as per government and insurance...

May 15, 2026
CS
Coding Auditor & Educator Lead
CommonSpirit Health Greenwood Village, CO
Job Summary and Responsibilities This is an advanced level team lead position reporting to the HB Manager Coding Auditor/Educator. Under direct supervision of the HB Manager Coding Auditor/Educator, directs the coding audit and education operations to include personnel management, training and education, productivity, work assignments, quality reviews, and report management. Facilitates and promotes standardization of coding operations across CommonSpirit Mountain Region and in alignment with the system. Responsible for facilitating training, education, and support to hospital coders which may be based on detailed analysis of general or coder-specific trends, focus recommendations edits, or support teams. S/he provides support all areas of Management, internal Coding and Billing. Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states: Alabama- Arizona- Arkansas- Colorado Florida- Georgia- Idaho- Indiana...

May 15, 2026
VH
Medical Records Technician (Coder) Auditor (Outpatient and Inpatient)
Veterans Health Administration Beckley, WV
Summary This position is located in the Health Information Management (HIM) section at the Beckley VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Learn more about this agency Duties Help Total Rewards of a Allied Health Professional Major duties: Complete and accurate diagnostic and procedural coded data are necessary for research, epidemiology, outcomes and statistical analysis, financial and strategic planning, reimbursement, evaluation of quality of care, and communication to support the patient's treatment. Diagnoses and procedures will be coded utilizing the current edition of International Classification of Diseases (ICD) Clinical Modification (CM) and Procedure Coding System (PCS), Current Procedural Terminology (CPT), and/or Healthcare Common...

May 15, 2026
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