359 coding auditor jobs found in Newark, NJ

Coding Auditor (ICD-10) A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Position: Coding Auditor (ICD-10) Duration: Full-Time Location: Newark/Wall NJ Job Summary: This position is responsible for conducting on site audits of hospital billing and coding practices and desk audits; forms development, profiling and tracking institutional audit trends. Performs and finalizes multiple per diem, bill verification, DRG Validation (utilization review audits) and credit balance. Additionally provides guidance/instruction to various stakeholders on ICD9- CM,...

Location: Newark, New Jersey, United StatesCompany: Integrated ResourcesPosted: 2026-09-07Coding Auditor (ICD-10) A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Position: Coding Auditor (ICD-10) Duration: Full-Time Location: Newark/Wall NJ Job Summary: This position is responsible for conducting on site audits of hospital billing and coding practices and desk audits; forms development, profiling and tracking institutional audit trends. Performs and finalizes multiple per diem, bill verification, DRG Validation (utilization review audits) and credit...

Coding Auditor (ICD-10) A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Position: Coding Auditor (ICD-10) Duration: Full-Time Location: Newark/Wall NJ Job Summary: This position is responsible for conducting on site audits of hospital billing and coding practices and desk audits; forms development, profiling and tracking institutional audit trends. Performs and finalizes multiple per diem, bill verification, DRG Validation (utilization review audits) and credit balance. Additionally provides guidance/instruction to various stakeholders on...

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...

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

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

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

DaMar Staffing is seeking a Remote Coding Auditor to conduct complex audits of clinically coded data and provide ongoing education to coding staff. The role runs 8 AM to 4:30 PM ET and focuses on improving documentation and reimbursement processes. Responsibilities include auditing outpatient and inpatient data, delivering training to clinical departments, and preparing reports that track trends to optimize reimbursements. #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,...

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

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 state and payer...

The Marwood Group, a healthcare advisory services firm based in New York City with offices in DC and London, is seeking a Certified Coding Auditor to join our New York office or work remotely. You will perform remote billing and coding audits to ensure coding practices meet government and commercial payer regulations. The ideal candidate holds CPC/CCS-P with 5+ years in healthcare coding/auditing, understands E/M, CPT, HCPCS, ICD-10, and demonstrates strong knowledge of coding compliance and #J-18808-Ljbffr

Tufts Medicine is seeking a Professional Coding Auditor And Educator - Remote to support revenue cycle operations, focusing on billing, collections, and accurate documentation of ICD-10-CM and CPT codes. The role involves chart reviews, physician education, denials evaluation, and collaboration with billing teams to improve charge capture. The ideal candidate holds an Associate degree in Medical Record Technology, professional coding certification, and at least four years of coding experience #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

Elevance Health seeks a DRG Coding Auditor to audit inpatient records and generate high-quality recoverable claims for all lines of business. You will perform clinical reviews to assess coding accuracy and DRG assignments, specializing in DRG coding via medical records and physician statements from acute care hospitals. You will analyze claims, utilize ICD-10 coding guidelines, and contribute to audit findings letters. #J-18808-Ljbffr

Clinical Coding Auditor & TrainerWe are looking for a Clinical Coding Auditor & Trainer position that 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 PurposeResponsible for developing and conducting training and quality auditing programs for the Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care.ResponsibilitiesConducts auditing of work performed by staff and present findings and recommendation for areas of improvement to managementUnder minimal supervision responsible for all aspects of auditing projects that are broad in nature and require originality and/or ingenuityAssists with revisions to Policy and Procedure and/or work process developmentConducts training needed analysis to determine specific training needs for clinical and coding staffIdentifies, selects, or develops appropriate training programs, including...

Senior Clinical Coding Auditor & Trainer-RemoteThe 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 yearResponsibilities:Develop and maintain complex audit processes and audit tools related to inpatient codingDevelop and conduct clinical education courses for existing and new employeesAudit established guidelines for medical necessityAnalyze training needs and identify, select, or develop appropriate training programs including training aids and materialsAudit staff in accordance with established auditing processes, work with staff to identify and resolve errors, and present findings and...

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...

Location: New York, United StatesCompany: HumanaPosted: 2026-09-04Location: New York, United StatesCompany: Humana IncPosted: 2026-08-31Humana Inc. is seeking an experienced Certified Inpatient Medical Coding Auditor to review inpatient hospital claims, assign ICD-10-CM, ICD-10-PCS and DRG codes, and ensure accurate reimbursement.You will audit coding quality, resolve provider disputes, and collaborate across teams to improve payment accuracy while supporting cost reduction. Remote work with occasional travel to Humana offices; hours are standard 40 per week.#J-18808-Ljbffr

Location: New York, United StatesCompany: HumanaPosted: 2026-09-07Humana Inc. is seeking a Medical Coding Auditor for its Outpatient Facility/APC Coding Team. This remote role reviews claims, ensures CPT/HCPCS compliance, and interprets medical records to support accurate payments. Occasional travel to Humana offices may be required for training or meetings.The ideal candidate holds a CPC/COC/CCS/ROCC/RHIA/RHIT certification with at least 3 years of post-certification experience, and has strong CPT/HCPCS knowledge and experience with operative reports.#J-18808-Ljbffr

Clinical Coding Auditor & Trainer We are looking for a Clinical Coding Auditor & Trainer position that 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...

Senior Clinical Coding Auditor & Trainer-Remote 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 with staff to identify and resolve errors, and...

Location: New York, United StatesSalary: $92,880 - $160,218Company: ElevancehealthPosted: 2026-09-07Location: New York, United StatesSalary: $92,880 - $160,218Company: ElevancehealthPosted: 2026-09-04Location: New York, United StatesSalary: $92,880 - $160,218Company: ElevancehealthPosted: 2026-08-31Location: New York, United StatesSalary: $92,880 - $160,218Company: Elevance HealthPosted: 2026-08-29DRG Coding Auditor - MS-DRG and APR-DRGSign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service.Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.The DRG Coding Auditor is...

Location: New York, United StatesCompany: GainwellPosted: 2026-09-07Location: New York, United StatesCompany: GainwellPosted: 2026-09-04Location: New York, United StatesCompany: Gainwell TechnologiesPosted: 2026-09-01Gainwell Technologies is seeking an experienced Senior Associate Inpatient Coding Auditor to perform audits of inpatient medical records and other documentation to determine correct coding per contract-specific methodologies.The role requires extensive ICD-10 coding knowledge, MS-DRG/APR-DRG expertise, and AHIMA or AAPC credentials, with opportunities for training, advancement, and remote work within the U.S.#J-18808-Ljbffr