236 coding auditor jobs found in New York, NY

Sierra7 is seeking a Medical Coding Auditor to support the Department of Veterans Affairs. The auditor will be an expert in ICD, CPT, and HCPCS, performing audits of encounters to identify non-compliance in coding. This is a part-time remote role with 20+ hours per week, scheduled at your discretion. Minimum qualifications include an associate degree or higher in health care, 5+ years of coding/auditing, and VA/government experience; VIRR/WebVIRR experience and AHIMA/AAPC certifications are #J-18808-Ljbffr

About the job Clinical Coding Auditor & Trainer We are looking for a 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. Position Purpose: Responsible for developing and conducting training and quality auditing programs for the Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. Responsibilities: Conducts auditing of work performed by staff and present findings and recommendation for areas of improvement to management Under minimal supervision responsible for all aspects of auditing projects that are broad in nature and require originality and/or ingenuity Assists with revisions to Policy and Procedure and/or work process development Conducts training needed analysis to determine specific training needs for clinical and coding staff Identifies, selects, or develops appropriate training...

Cognizant is seeking an Inpatient Medical Coding Auditor to audit consultant inpatient records and mentor clients in coding, billing, and compliance. This remote role is open to qualified applicants in the United States, collaborating with stakeholders and teams to ensure accuracy and regulatory compliance. Requirements include CCS/RHIT/RHIA (AHIMA) certification, APR DRG experience, 5+ years of facility-based auditing, and knowledge of federal/state payer regulations. #J-18808-Ljbffr

Work Model: REMOTE About the role As an Inpatient Medical Coding Auditor, you will make an impact by auditing consultant inpatient records. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and teams. In this role, you will: Review inpatient records for diagnostic and procedural coding accuracy and compliance Review physician documentation to verify diagnoses and procedures Identify accurate ICD-10-CM and ICD-10-PCS codes utilizing an electronic encoder application, Solventum (3M), in accordance with practice policy and regulatory guidelines Complete reports as requested Provide ICD-10-CM and ICD-10-PCS education and mentoring to Company’s clients in coding, billing and compliance Perform Peer Reviews of Company Health Information Management coding auditors and coders Assure that services provided to Clients of Company are current and up to date with industry standards Conduct other reviews, audits and other tasks at the direction of...

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 guidelines and best practices Manages multiple priorities, collaborates with...

Job DescriptionDepartment / Unit :Health Information ManagementWork Shift :Day (United States of America)Salary Range :$60,367.47 - $90,551.20Professional Coding Auditor will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding / charging / denials follow-up.Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes.Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines.Provide education, instruction and training to providers and coding staff.This position is remote but does require onsite education to providers as needed.This position has remote opportunityThis position requires a CPC Certification - Upon HireTwo years or more prior experience in professional fee coding - requiredEssential...

Phoebe Putney Health System in Georgia seeks an experienced Acute Inpatient Coding Auditor to review facility-based inpatient coding, DRG assignment, and ICD-10-CM/PCS accuracy. The role focuses on documentation review, payer compliance, and education of physicians and coders to ensure complete, compliant coding and auditing practices. Candidates should have 4–5 years of acute inpatient coding experience and CCS certification; RHIT/RHIA are preferred. #J-18808-Ljbffr

Sprinter Health seeks an Associate Medical Coding Auditor to conduct audits ensuring CMS and payer compliance, and to educate coders and providers to improve documentation quality. You will uphold HIPAA and privacy standards in a remote environment. Responsibilities include reviewing ICD-10-CM, CPT, HCPCS, and modifier assignments, preparing audit reports, and tracking accuracy metrics. Requires active CPC or CCS certification and 3+ years of medical coding experience. #J-18808-Ljbffr

Montefiore Health System seeks a Senior Coding Auditor in Tarrytown, New York. The role involves auditing medical cases for coding accuracy and ensuring compliance with regulations. Candidates need a Bachelor’s degree in a relevant field and at least 2 years of experience. Proficiency in hospital systems, coding methodologies, and strong analytical skills are essential. The position operates on a weekday schedule, 8:30 AM to 5 PM, offering a salary range of $76,632.04 to $95,790.05. #J-18808-Ljbffr

Trend Health Partners is seeking a Nurse Coding Auditor to review medical records and itemized bills for accurate CPT/HCPCS/revenue code usage on hospital claims. The role emphasizes CMS guideline adherence, documentation review, and audit accuracy in a dynamic, tech-enabled environment. Applicants should hold an active coding certification and strong Excel skills; RN license preferred. Competitive pay and robust benefits accompany a collaborative, growth-focused team. #J-18808-Ljbffr

3 days ago Be among the first 25 applicants About Performant At Performant, we’re focused on helping our clients achieve their goals by providing technology-enabled services which identify improper payments and recoup or prevent losses due to errant billing practices. We are the premier independent healthcare payment integrity company in the US and a leader across several markets, including Medicare, Medicaid, and Commercial Healthcare. Our mission is to offer innovative payment accuracy solutions that allow our clients to focus on quality of care and healthier lives for all. Medical Coding Auditor – Inpatient (Remote) Location: Remote. Full‑time. Salary: $70,000 – $85,000 per year. Key Responsibilities Audit medical records to ensure accurate coding of diagnoses, procedures, and services using ICD‑10, CPT, and HCPCS codes. Ensure coding practices comply with federal, state, and payer‑specific regulations and guidelines, including HIPAA and CMS standards. Detect discrepancies...

RCM Healthcare Services seeks an Inpatient Coding Auditor to support healthcare organizations by performing quality reviews of inpatient coding to ensure compliance, accuracy, and consistency in complex hospital environments. Remote position with a flexible schedule and 40 hours per week. The role requires AHIMA certification, 5+ years of inpatient auditing experience, and strong knowledge of ICD-10-CM/PCS, DRG methodologies, and EMR/CAC tools. #J-18808-Ljbffr

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. This is a remote position. The MRA Coding Auditor supports departmental Quality Assessment audits of internal Coding Analyst team and vendors to ensure accurate and complete data is submitted to CMS. Assists in Risk Adjustment related data audits (RAF, prevalence, clinical documentation improvement, P360, process) audits to identify areas of...

A healthcare organization is seeking a Clinical Coding Auditor & Trainer to develop training programs and conduct audits primarily remotely. Candidates must be attentive to quality and have significant experience in auditing within healthcare. The position requires a willingness to travel to New York twice a year. Full-time applicants are preferred, ideally with relevant certifications and clinical experience. #J-18808-Ljbffr

Job Summary The Senior Coding Auditor performs detailed audits of medical cases to ensure accuracy of assigned codes, charges, availability of documented medical records, medical accounts, and compares the cases with the itemized bill and overall procedures. The Senior Coding Auditor reviews and audits current and retro accounts, and reports audit outcomes regarding charge errors, percentage of savings or losses for the facility, data processing errors, the performance of the hospital charging system as well as documentation and justification within the medical record and itemized bill. Works cooperatively with the Associate Directors/Director in the identification of process improvement initiatives related to the coding and charging of hospital services. The Senior Coding Auditor provides guidance and support to the Coding Auditors as requested or required. The Senior Coding Auditor also assists with quality assurance reviews, data analysis, workload monitoring and distribution,...

6 days ago Be among the first 25 applicants This range is provided by TalentPlug LLC. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $55,100.00/yr - $99,000.00/yr Direct message the job poster from TalentPlug LLC Job Title Clinical Coding Auditor & Trainer Job Location Remote (Candidates must be residents of New York) Summary The 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. Position Purpose Responsible for developing and conducting training and quality auditing programs for the Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. Applicants must be willing to travel to New York twice a year. Responsibilities Conducts auditing of work performed by staff and present findings and recommendation for areas...

Shell Lubricants Hub Hamburg is seeking a Physician Coding Auditor and Educator for a remote, full-time position. The ideal candidate will have certification through AHIMA or AAPC and a minimum of three years’ experience in coding and auditing. Responsibilities include auditing multi-specialty professional fee charts, providing education to physicians and coders, and compiling data for presentations. The role offers a flexible schedule along with comprehensive benefit programs. #J-18808-Ljbffr

Baptist Health South Florida, Inc. is seeking a full-time Remote Coding Auditor to conduct complex audits of clinical coded data for inpatient and outpatient services, ensuring accuracy and completeness while working 8 AM to 4:30 PM. You will provide ongoing education to coding staff and clinical departments on documentation improvement, and prepare reports on audit results, tracking trends to optimize reimbursement processes. #J-18808-Ljbffr

Inpatient Coding Auditor We are seeking an experienced Inpatient Coding Auditor to perform pre-bill and retrospective audits across multiple facilities. This role focuses on ensuring coding accuracy, compliance, and quality across complex inpatient cases in a large academic hospital setting. The ideal candidate will have strong inpatient auditing experience, knowledge of coding guidelines, and the ability to collaborate effectively with coding teams. Perform pre-bill reviews (100% audit of new inpatient coder charts) Conduct retrospective audits across inpatient cases Review PSI's, HAC's, diagnoses, DRGs, MCCs, and malnutrition documentation Ensure coders capture all appropriate diagnoses and procedures accurately Audit cases across multiple facilities within the system Provide feedback and support to coding teams to improve accuracy and compliance Track productivity and quality metrics using internal tools A minimum 5 years of Inpatient coding experience required A minimum of...

Job Number: 30780 Location: Remote - Georgia Street Address: Remote Address City, State: Remote, Georgia Zip Code: 31701 Department: PPHS HEALTH INFORMATION MANAGEMENT Shift: First Shift Job Type: Full time Posted Date: 2025-01-21 Job Description Summary: Description: We are seeking an experienced Acute Inpatient Coding Auditor with recent acute care hospital experience. This role is responsible for auditing facility-based inpatient coding, DRG assignment, ICD-10-CM/PCS coding accuracy, documentation review, and compliance. Candidates must have a strong background in acute inpatient hospital coding and auditing. This position focuses exclusively on facility (hospital) inpatient services and is not a professional fee/physician coding role. JOB SUMMARY: Audits medical record documentation and coding to extract data and determine appropriate ICD-10-CM/PCS and HCPCS codes for billing, internal and external reporting, and compliance with the Official Coding Guidelines for Coding and...

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....

A healthcare services provider is seeking an experienced coding auditor to perform quality audits and reviews on outpatient records. The role involves providing feedback to coding staff, extracting clinical information, and assisting in educational training. Candidates should have AHIMA or AAPC certification and 2–3 years of experience in facility outpatient audits. This position allows remote work on a PRN basis, offering full benefits and opportunities for professional growth. #J-18808-Ljbffr

Full-Time, RemoteTemporary Opportunity with Long-Term Potential The Facility Inpatient Coding Auditor is responsible for prebill audits for inpatient facility coders with a focus on accuracy, compliance, and quality, while providing education and feedback to coding and QA team members. This role ensures adherence to official coding guidelines, regulatory requirements, and organizational standards, and supports continuous improvement through targeted education, data analysis, and collaboration. Coding Audit & Compliance Conduct comprehensive audits of inpatient facility coding, including MS-DRGs, ICD-10-CM/PCS, POA indicators, discharge disposition, query opportunities, and quality-related data elements Ensure compliance with official coding guidelines, CMS regulations, payer requirements, and internal policies Identify coding errors, trends, and root causes impacting reimbursement, quality metrics, and compliance risk Validate documentation supports coded diagnoses and...

Inpatient Coding Auditor & Educator Our client is seeking an experienced Inpatient Coding Auditor & Educator to support coding quality, compliance, and education within an acute care hospital environment. This role focuses on auditing inpatient facility coding, identifying opportunities for improvement, and developing educational resources to enhance coding accuracy and regulatory compliance. Requirements 5+ years of coding/auditing experience, including hands-on coding experience. 3+ years of inpatient facility auditing in an acute care hospital. Experience with Level I Trauma Centers and multi-specialty inpatient coding. Strong background auditing hospital/facility coding (not professional/physician coding). Experience creating coder education and training materials. Advanced Excel and PowerPoint skills. One or more certifications required: RHIA, RHIT, CCS, CIC, COC, CPC, CCA, CCC, CIRCC, CCVTC, or another AAPC/AHIMA credential. Responsibilities Audit inpatient medical...