345 coding auditor jobs found in Newark, NJ

Location: Newark, New Jersey, United StatesCompany: Integrated ResourcesPosted: Location: Newark, New Jersey, United StatesCompany: Integrated ResourcesPosted: 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...

Integrated Resources, a premier staffing firm, is seeking a Coding Auditor (ICD-10) for on-site Newark, NJ assignments. The role conducts hospital billing and coding audits, performs DRG validation, and provides guidance on ICD-9-CM/ ICD-10 practices to stakeholders. Ideal candidates have a Bachelor's in Health Information Management or an RN with CCS, at least 3 years in a hospital medical records setting, and RHIA/RHIT or CCS certification. Travel up to 85–90% is required. #J-18808-Ljbffr

Location: Newark, New Jersey, United StatesCompany: Integrated ResourcesPosted: 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....

Coding Auditor (ICD-10) 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, ICD-10, DRG assignment payment and auditing. Responsibilities: • Identifies and presents billing discrepancies found during audit and coordinates referral of improper claim payments through the appropriate channels. • Identifies error trends as they relate to medical record and or billing documentation or misinterpretation of provider contract stipulations. • Compiles statistics and other audit information to present to accounts, regulatory agencies, and internal...

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...

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 an outpatient 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 payors. Researching state...

The Marwood Group is seeking an outpatient Certified Coding Auditor to join our New York office or work remotely. The role involves remote audits to ensure compliant coding practices for government and commercial payors, with a need to interpret HIPAA and payor rules. Candidates should hold CPC/CCS-P credentials with 5+ years of outpatient coding/auditing experience, strong analytical and communication skills, and familiarity with UB-04 and CMS 1500 data. #J-18808-Ljbffr

Location: New York, United StatesCompany: GainwellPosted: Location: New York, United StatesCompany: GainwellPosted: Location: New York, United StatesCompany: GainwellPosted: Location: New York, United StatesCompany: GainwellPosted: Location: New York, United StatesCompany: GainwellPosted: Location: New York, United StatesCompany: Gainwell TechnologiesPosted: Gainwell 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

Location: New York, United StatesCompany: Gainwell TechnologiesPosted: Gainwell Technologies seeks an Outpatient Coding Auditor, Senior Associate to audit medical records for correct ICD-10/PCS/CPT coding, documenting findings in proprietary systems. The role emphasizes accurate diagnosis and procedure coding, adherence to guidelines, and regulatory compliance.The ideal candidate has 2+ years of outpatient coding or auditing experience, AHIMA or AAPC credentials, and solid knowledge of ICD-10, APC, ASC and CPT guidelines; remote work within the US is supported.#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

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 StatesSalary: $92,880 - $160,218Company: Elevance HealthPosted: DRG 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.Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality...

Senior Clinical Coding Auditor & Trainer-RemoteNew York, New York, United StatesAbout the JobThe 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...

Location: New York, United StatesCompany: GainwellPosted: Location: New York, United StatesCompany: GainwellPosted: Location: New York, United StatesCompany: GainwellPosted: Location: New York, United StatesCompany: GainwellPosted: Location: New York, United StatesCompany: GainwellPosted: Location: New York, United StatesCompany: GainwellPosted: Location: New York, United StatesCompany: GainwellPosted: Location: New York, United StatesCompany: GainwellPosted: Location: New York, United StatesCompany: Gainwell TechnologiesPosted: Gainwell Technologies is seeking an Inpatient Coding Auditor, Senior Associate to perform accurate reviews of inpatient medical records and documentation. You will determine correct coding for diagnoses and procedures, supported by DRG assignments and regulatory guidelines, using proprietary audit systems.The role requires knowledge of ICD-10-CM/PCS, DRG/APC frameworks, and ongoing CEU maintenance. Remote within the U.S. with growth opportunities and robust...

Location: New York, United StatesCompany: Gainwell TechnologiesPosted: Gainwell Technologies seeks a Senior Coding Auditor, Itemized Bill Reviewer to perform itemized bill review, chart review, and coding validation ensuring billed services were ordered, allowable, and accurately documented in patient records.Responsibilities include verifying line items, coding accuracy, and reimbursement; using auditing systems to document findings; and ensuring compliance with coding standards. This remote role offers travel up to 10% and strong career development opportunities.#J-18808-Ljbffr

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...

The Marwood Group, a New York-based healthcare advisory firm, is hiring an outpatient Certified Coding Auditor for its New York office or remote work. The role focuses on remote audits, researching regulations, and ensuring accurate coding and documentation across diverse payer types. Candidates should have CPC/CCS-P with 5+ years in outpatient coding/auditing, familiarity with EHR/EMR systems, and knowledge of HIPAA and fraud regulations. Hybrid schedule; equal opportunity employer. #J-18808-Ljbffr

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...

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,...

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

Position Summary The Coding Auditor conducts quality audits to ensure that medical diagnostic codes submitted to CMS (Centers for Medicare and Medicaid Services), New York State Department of Health (NYSDOH), and other entities are accurate based on the practitioners' medical record documentation of Healthfirst members' health conditions. Duties & Responsibilities Audits data, claim submissions, and member medical records for completeness, accuracy, and compliance with Healthfirst policy and documents findings per departmental procedure Identifies patterns of under-performance, noncompliance, and inconsistencies and recommends resolutions Evaluates the quality of medical coding and notifies management of discrepancies, as needed. Conducts internal audits of medical record reviews performed by colleagues Collaborates with other departments to improve compliance with coding conventions and clinical practice guidelines Supports continuous improvement and quality initiatives to...

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

DaMar Staffing seeks an experienced Professional Fee Coding Auditor & Educator to partner with physicians and APPs on coding accuracy, documentation improvement, compliance, and provider education. Must hold CPC and CPMA and have deep knowledge of E/M coding and ICD-10-CM/CPT guidelines. Responsibilities include chart reviews, provider education, auditing for denials, and collaboration with billing to maximize compliant revenue. Remote position in the US, Eastern time zone preferred. #J-18808-Ljbffr

Healthfirst is seeking a Coding Auditor to ensure accurate diagnostic coding for CMS, NYSDOH, and related entities, based on patient records and guidelines. The role involves auditing data and medical records, identifying discrepancies, and collaborating with departments to improve coding practices and overall quality. The position supports continuous improvement and adheres to Healthfirst policies. #J-18808-Ljbffr