Coding auditor jobs | Healthcare Careers

Full Time

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...

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...

RM

Medical Coding Auditor

R3 Management Services Montgomery, AL

Job Description Job Description Salary: Medical Coding Auditor Position Overview The Medical Coding Auditor performs detailed audits of both outpatient and inpatient medical records to ensure coding accuracy, compliance, and consistency with regulatory and payer standards. This role identifies errors, provides corrective feedback, and supports quality assurance and revenue integrity. Key Responsibilities Conduct audits of outpatient and inpatient medical records for coding accuracy, completeness, and compliance. Review cases against ICD-10-CM, CPT, and HCPCS coding standards, including DRG assignments for inpatients. Identify coding discrepancies, documentation deficiencies, and compliance issues. Provide detailed audit reports and actionable recommendations. Collaborate with coders and providers to improve coding accuracy and documentation practices. Track audit findings and maintain records for management and regulatory review. Support compliance initiatives and...

MV

Coding Auditor and Educator - Full Time - Days

Mohawk Valley Health System Utica, NY

Job Summary The Medical Group Coding Auditor and Educator is responsible for auditing clinical documentation and coding practices to ensure accuracy, compliance, and adherence to national standards. The role involves educating medical coders, providers, and staff on coding best practices, documentation requirements, and payer‑specific guidelines. The auditor applies expertise in coding principles, identifies areas for improvement, and provides training to enhance the skills of coders and healthcare providers. Core Job Responsibilities Perform thorough reviews of coded claims, ensuring compliance with ICD‑10, CPT, HCPCS, HIPAA, HITECH and other coding standards and payer‑specific requirements. Identify coding errors, documentation inconsistencies and discrepancies in claims submitted for reimbursement. Coach and educate coders and providers. Conduct detailed audits on medical records and clinical documentation to assess coding accuracy and completeness. Assess compliance with...

EH

Inpatient DRG Coding Auditor

Emory Healthcare/Emory University Atlanta, GA

Overview Be inspired. Be valued. Belong. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, leadership programs...and more! Work Location: REMOTE Description We are seeking an experienced Inpatient DRG Coding Auditor to extract data from patient encounters ensuring the accuracy of DRGs. This individual will: Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA,...

UH

Professional Coding Auditor & Educator

University Hospitals Atlanta, GA

The Professional Coding Auditor & Educator 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...

NA

Coding Auditor/Trainer (Coding Coordinator)

NACBA Portland, OR

Coding Auditor/Trainer (Coding Coordinator) US-OR-Portland Department Overview The Coding Trainer is responsible for constructing and implementing coding training programs for coding specialists. Creates presentations, develops learning material, handbooks and other training materials as needed. Conducts regular audits to ensure understanding and retention of basic and advanced coding concepts. Represents Enterprise Coding as coding expert in specialty projects. Function/Duties of Position Trains and instructs coders on CPT, Diagnosis, modifiers, CCI edits and documentation requirements as appropriate regarding all industry standards for each clinical department across OHSU. Reviews, develops, modifies, and/or adapts relevant training materials, presentations and curriculum. Audits medical record documentation to identify under‑coded and up‑coded services; prepares reports of findings and meets with coders and leadership to provide education and training on accurate coding...

NA

Coding Auditor & Training Specialist

NACBA Portland, OR

Coding Auditor/Trainer (Coding Coordinator) US-OR-Portland Requisition ID: 2026-38487 Position Category: Hospital/Clinic Support Job Type: AFSCME union represented Position Type: Regular Full-Time Posting Department: FA.Enterprise Coding Posting Salary Range: $44.02 - $60.45 per hour, with offer based on experience, education and internal equity Posting FTE: 1.00 Posting Schedule: Monday - Friday HR Mission: Central Services Drug Testable: No LinkedIn Job Code: LI-JG1 Department Overview The Coding Trainer is responsible for constructing and implementing coding training programs for coding specialists. Creates presentations, develops learning material, handbooks and other training materials as needed. Conducts regular audits to ensure understanding and retention of basic and advanced coding concepts. Represents Enterprise Coding as coding expert in specialty projects. Function/Duties of Position Trains and instructs coders on CPT, Diagnosis, modifiers, CCI edits and...

MJ

Inpatient Medical Coding Auditor

Minnesota Jobs Saint Paul, MN

Inpatient Medical Coding Auditor - PPI Coding Disputes Become a part of our caring community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/PCS coding assignments for accuracy within the coding disputes team from a variety of medical records. The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG) Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner. Leverages advanced auditing expertise to make coding decisions based on standard industry...

FP

Senior Clinical Coding Auditor & Trainer-Remote

Fox Point Recruitment New York, NY

Senior Clinical Coding Auditor & Trainer-Remote New York, New York, United States About the Job The Senior Clinical Coding Auditor & Trainer will conduct audits of inpatient coding processes for Fiscal care and assist in development of training and audit tools. Location: The Senior Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation on an annual basis. Candidates must be willing to travel to New York twice a year to be considered for the position. Pay Range: $68,700.00 - $123,700.00 per year Responsibilities: Develop and maintain complex audit processes and audit tools related to inpatient coding Develop and conduct clinical education courses for existing and new employees Audit established guidelines for medical necessity Analyze training needs and identify, select, or develop appropriate training programs including training aids and materials Audit staff in accordance with established auditing processes, work...

VS

Clinical Coding Auditor & Trainer

Veracity Solutions New York, NY

Clinical Coding Auditor & Trainer Location: Remote (U.S.) Must be willing to travel to New York twice annually Position Type: Full Time The Clinical Coding Auditor & Trainer is responsible for conducting clinical documentation and coding audits to ensure compliance with federal regulations, payer requirements, and company policies. This position focuses on DRG validation, inpatient prospective payment system (IPPS) compliance, and ICD-10-CM/PCS coding accuracy.

PU

Professional Coding Auditor & Educator

Piedmont Urgent Care Atlanta, GA

Professional Coding Auditor & Educator The Professional Coding Auditor & Educator 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...

ES

Outpatient Coding Auditor

E-Solutions Chicago, IL

Outpatient Coding Auditor Review outpatient medical records and clinical documentation to provide accurate coding and billing information.

ES

Inpatient Coding Auditor

E-Solutions Irving, TX

Inpatient Coding Auditor Location: Irving, TX / Remote Mandatory Skills: 2+ years previous experience as an inpatient coding auditor.

Hu

Inpatient Coding Auditor — DRG & Denials Specialist

Huron Chicago, IL

A healthcare consulting firm in Chicago seeks an Inpatient Coding Auditor to perform coding audits and ensure compliance with accuracy standards. Applicants should have 2+ years as a coding auditor, current U.S. work authorization, and experience with various coding guidelines. This role requires strong analytical and communication skills, alongside proficiency in Microsoft Office. The position offers a salary range of $26.44 – $36.06 per hour. #J-18808-Ljbffr

RH

Profee Physician/Coding Auditor and Educator

RCM Health Care Services

Profee Physician/Coding Auditor and Educator Location: Remote Schedule: Full-Time, Flexible Why work for RCM? Since 1975, RCM Health Care Services has proven to be a leading consulting and staffing firm matching expert talent to the nation's top healthcare institutions. RCM provides a range of revenue cycle and health information management solutions to improve outcomes and mitigate disruption from gaps in staffing. Requirements: Certified through AHIMA or AAPC Minimum 3 years’ experience Experience working remotely Experience coding/auditing on the processional fee side for large academic or level one trauma centers highly preferred Must have recent experience auditing multi specialty professional fee charts for a larger health system or medical group Must have recent experience providing education to physicians/coders Must have denials experience, experience working with complex specialty surgeries, and RHC / Critical Access (preferred) Experience with reporting, compiling data,...

VH

Outpatient Coding Auditor (HIM), Full Time, Day shift

Valley Health System Ridgewood, NJ

Position Summary The Outpatient Coding Auditor is responsible for auditing coded outpatient medical records to ensure compliance with official coding guidelines, regulatory agencies, and internal policies. This role supports coding accuracy, education, and process improvement through detailed review of encounters, identification of trends and variances, and communication with coding staff and leadership. This position also collaborates with external vendors to monitor performance and incorporate industry best practices into audit feedback and education. Education High school diploma or equivalent required. Experience Minimum of 5 years of experience in hospital auditing or education experience ICD-10-CM and Outpatient CPT-4, HCPCs coding experience required. Knowledge of Medical Necessity APC,OCE, LCD, and NCD edits required. 3M Encoder experience, Meditech, EPIC, or CERNER preferred. Skills CCS or COC, CPC, RHIT, RHIA required. Knowledge of ICD-10-CM, CPT-4 and HCPCs coding,...

LT

INPATIENT MEDICAL CODING AUDITOR/TRAINER - LEAD

Laredo Technical Services, Inc. Bethesda, MD

Job Description Job Description Inpatient Medical Coding Auditor/Trainer- Lead (ON-SITE) Walter Reed National Military Medical Center ABOUT US: Laredo Technical Services, Inc. provides staffing services to federal Government agencies all over the world. LTSi connects the right opportunities to the right people. With our experience in placing our Team Members throughout the United States and overseas, we excel at providing experienced, professional personnel for a wide range of Professional and Office Administration as well as Medical Services. Our goal is to provide the highest quality professionals in the industry. LTSi’s culture delivers a strong work ethic while going above and beyond with a sense of urgency. We are an employee-driven company. We strive for excellence every day, which is what sets us apart from all the other government contractors. As a Certified Service-Disabled Veteran Owned Small Business (SDVOSB) Minority Business...

SC

Outpatient Coding Auditor - Surgical Specialty

Sage Clinical RCM, LLC St. Petersburg, FL

Job Description Job Description Description: Sage Clinical RCM, LLC is seeking an experienced Outpatient Coding Auditor with a strong background in surgical coding. This role is responsible for auditing outpatient surgical encounters to ensure accurate code assignment, compliance with regulatory guidelines, and adherence to payer and client requirements. The ideal candidate has hands-on experience auditing complex outpatient surgical cases and providing clear, constructive feedback to coding staff. Key Responsibilities Perform audits of outpatient surgical encounters, including operative reports and related documentation Validate accurate assignment of CPT, ICD-10-CM, modifiers, and applicable APCs Ensure compliance with CMS, payer, and official coding guidelines Identify trends, risks, and educational opportunities based on audit findings Provide written audit feedback and coding education to support quality improvement Collaborate with coding leadership and...

Hu

Behavioral Health Outpatient Medical Coding Auditor

Humana Montpelier, VT

Become a part of our caring community Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Outpatient Behavioral Health Coding disputes and is part of the PPI Coding Disputes Team with Humana. The Outpatient Behavioral Health Coding Auditor on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. Will be an experienced medical coding auditor with in-depth experience in outpatient Behavioral Health coding disputes and expertise in CPT/HCPCS code...

Hu

Remote Inpatient Coding Auditor - MS-DRG Expert

Humana Cheyenne, WY

A leading healthcare company is seeking an Inpatient Medical Coding Auditor to analyze clinical data and ensure accurate coding for reimbursement. This remote position involves reviewing inpatient hospital claims, requiring RHIA, RHIT, or CCS certification. Ideal candidates will have experience in medical coding and demonstrate strong attention to detail. Competitive compensation between $71,100 and $97,800 annually, along with comprehensive benefits, including medical and retirement plans, is offered. #J-18808-Ljbffr

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: 10/02/2025 Closing Date: 4/20/2026 2:00 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...

CP

Outpatient Coding Auditor Remote Part Time or Full Time (20+ hrs/week) Flexible Schedule

Cedar Park Group Buffalo, NY

Outpatient Coding Auditor Cedar Park Group is hiring an Outpatient Coding Auditor for a remote, short-term summer assignment supporting annual outpatient audits across ED, Same Day Surgery (SDS), and Observation. If you're looking for flexible hours, competitive pay, and focused audit work with clear deliverables, this is a strong opportunity. Assignment length is 36 months with possible extension. Shift / Schedule Remote Flexible schedule Part-time to full-time Minimum 20 hours per week 36 month assignment (possible extension) Position Overview As an Outpatient Coding Auditor, you will lead annual outpatient coding audits, including chart review, scoring, rebuttals, and executive-level reporting. You'll analyze trends and error patterns, present findings to leadership, and deliver group and 1:1 education sessions to strengthen coding accuracy and documentation quality across ED, SDS, and Observation services. Responsibilities Complete annual outpatient coding...

MU

Coding Auditor-1

Medical University of South Carolina Charleston, SC

Job Description Summary Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type Regular Cost Center CC002307 SYS - Hospital Coding Pay Rate Type Hourly Pay Grade Health-26 Scheduled Weekly Hours 40 Work Shift Job Description The Coding Auditor performs provider audits and education per the OC compliance plan policy to ensure compliance with the Federal Documentation Guidelines. This role ensures that claims are coded accurately to optimize reimbursement and has responsibility for keeping physicians and physician assistants current on coding changes and updates. Must have at least one of the following credentials: RHIA, RHIT, CCS or CPC. CPMA preferred. 4 years minimum coding experience required. Additional Job Description Education: Bachelors Degree or equivalent Work Experience: 2-4 years If you like working with energetic enthusiastic individuals, you will enjoy your career with us! The...

1533 coding auditor jobs found