1658 coding auditor jobs found

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

A leading healthcare provider is seeking a remote Medical Coding Auditor to review medical claims and ensure correct coding practices. The role requires auditing clinical documentation and making independent decisions while maintaining patient confidentiality. Candidates should have at least 3 years of experience in coding outpatient specialty surgeries and relevant certifications. This position offers a flexible work schedule and competitive compensation ranging from $59,300 to $80,900 per year. #J-18808-Ljbffr

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews Maintain strict patient and physician...

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...

Texas Health Resources seeks a Clinical Coding Auditor to join their remote team. This position requires a Bachelor's or Associate's Degree in Health Information or equivalent experience. Candidates must have at least 5 years of experience in acute care inpatient coding and possess relevant certifications like RHIA or CCS. The role includes auditing medical records, data reporting, and managing coding resources. Benefits include 401k, PTO, and a supportive work environment conducive to personal growth. #J-18808-Ljbffr

Clinical Coding Auditor Are you looking for a rewarding career with an award-winning company? We're looking for a qualified Clinical Coding Auditor like you to join our Texas Health family. Work location: Remote Work hours: Monday through Friday (full time hours) HIMS/CCDI Department Highlights 100% remote work Flexible hours/scheduling Terrific work/life balance Here's What you Need Education Bachelor's Degree Health Information or related field preferred or Associate's Degree Health Information or related field REQUIRED or H.S. Diploma or Equivalent 5 Years Years of acute care and/or relevant experience may be substituted in lieu of degree REQUIRED Experience 5 Years Acute care inpatient or CPT surgical level coding REQUIRED and 1 Year Performing coding and documentation audits preferred Licenses and Certifications RHIA - Registered Health Information Administrator 12 Months REQUIRED or RHIT - Registered Health Information Technician 12 Months REQUIRED or CCS -...

Humana Inc is hiring for the role of Inpatient Medical Coding Auditor. This position involves extracting clinical information from medical records and assigning appropriate codes. Candidates should have essential certifications (RHIA, RHIT, CCS) and at least 4 years of relevant experience. The role is primarily remote, with some flexibility, and typical work hours are Monday-Friday. Competitive compensation of $71,100 - $97,800 annually is offered, along with comprehensive benefits including healthcare and paid time off. #J-18808-Ljbffr

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...

A leading healthcare company is looking for a Medical Coding Auditor to review claims and ensure compliance with coding guidelines. This remote position requires strong experience in outpatient specialty surgeries and relevant certifications. The role mandates independent decision-making and adherence to strict confidentiality. The compensation ranges from $59,300 to $80,900 annually, plus bonus opportunities. Additionally, the company offers comprehensive benefits supporting well-being for you and your family. #J-18808-Ljbffr

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews Maintain strict patient and physician...

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...

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

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...

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....

Job Description Job Description Hi, we're Oscar. We're hiring a Senior Specialist, Coding Auditor to join our Payment Integrity. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: You will support issue resolution in the Oscar claim environment. You will be responsible for the end-to-end claims repayment quality, process improvement and supporting root cause analysis . You will report into the VP, Payment Integrity. Work Location: This is a remote position, open to candidates who reside in: Tempe, Arizona; Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; New York City, New York; Philadelphia, Pennsylvania; Salt Lake City, Utah. While your daily work will be completed from your...

Certified Coding Auditor, responsible for reviewing and verifying the accuracy of Medicare and Medicare Advantage claims data using a web-based AI tool in a temporary remote position. Key Responsibilities Auditing claims and data for accuracy using the Innovaccer platform Reviewing documentation to support coding decisions and making final determinations on code accuracy Managing daily reviews of 50 to 80 cases and utilizing various coding tools and electronic medical records Required Qualifications 1+ years of experience in risk adjustment coding, HCC coding, or outpatient diagnosis coding Active coding certification such as CPC, CRC, CPMA, CDEO, CCS, CCS-P, RHIA, RHIT, or CCDS Experience with high-volume daily reviews using Innovaccer Proficiency with 3M coding tool and electronic medical records like Epic, Athena, and Cerner Ability to work remotely in a dedicated environment

A company is looking for an Outpatient Coding Auditor - Surgical Specialty. 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 Required Qualifications 3+ years of outpatient coding audit experience with a focus on surgical specialties Strong knowledge of CPT (Surgery section), ICD-10-CM, and modifier usage Experience auditing operative reports and post-operative documentation Familiarity with CMS guidelines, NCCI edits, and payer-specific rules Ability to clearly document audit findings and recommendations

A company is looking for an Inpatient Coding Auditor, remote based in the US. Key Responsibilities Conduct regular audits of medical records and coding to ensure compliance with guidelines and regulations Identify coding errors and collaborate with the coding team to provide education and implement corrective actions Maintain audit records and generate reports on coding accuracy and compliance for management review Required Qualifications High school diploma or equivalent (Bachelor's degree preferred) Certified Professional Coder (CPC) or other coding certification required Minimum of 3 years of coding experience in a healthcare setting Strong knowledge of coding guidelines (e.g., ICD-10, CPT, HCPCS) and regulatory requirements Familiarity with coding software and electronic health record (EHR) systems

A company is looking for a Physician Coding Auditor. Key Responsibilities Conduct internal audits and analyze professional coding for service lines to ensure accuracy and compliance Review medical records for coding accuracy and provide feedback to physicians and staff on improvement opportunities Collaborate with the Physician Coding Education Team to maintain coding accuracy and compliance with payor guidelines Required Qualifications, Training, and Education High School diploma or equivalent Exceptional knowledge in Microsoft Office Suite Five (5+) years of professional coding experience in multiple specialties Must maintain one nationally recognized coding certification (e.g., CPMA, AHIMA, AAPC) Thorough knowledge of official coding guidelines as per AMA, AHCA, and CMS

A company is looking for a Facility Inpatient Coding Auditor. Key Responsibilities Conduct comprehensive audits of inpatient facility coding for accuracy and compliance Identify coding errors and trends, providing feedback and coaching to team members Ensure adherence to coding guidelines, regulatory requirements, and organizational standards Required Qualifications Active coding credential: RHIA, RHIT, CCS (required) Minimum 3 years of inpatient facility auditing experience Expert knowledge of ICD-10-CM/PCS, MS-DRGs, and POA indicators Strong understanding of CMS regulations and compliance standards Experience working with global or remote coding teams

A company is looking for a Certified Medical Coding Auditor. Key Responsibilities Review medical bills to identify appropriate billing, coding, and savings opportunities Analyze and resolve claim discrepancies requiring deeper expertise Collaborate with the Negotiation team to address complex claim issues and secure savings Required Qualifications and Education 3+ years of auditing, claims review, and/or billing experience within a healthcare organization CPC and/or CIC certification Working knowledge of industry coding, including ICD-10, CPT, and HCPCS Revenue codes Knowledge of CMS guidelines

A company is looking for a Registered Nurse Coding Auditor - HCS-D, COS-C - Full Time. Key Responsibilities Validates Acute Inpatient coded charts for accurate diagnostic information and compliance Conducts coding audits and reviews Medicare/non-Medicare charts to ensure adherence to coding guidelines Communicates coding changes and rationale to coding and CDI staff, ensuring proper documentation Required Qualifications Graduate from an accredited School of Nursing Bachelor's Degree in Nursing or equivalent combination of education and experience Current License to practice as a Registered Professional Nurse in New York State Specialized certifications such as HCS-D and COS-C are required Prior CHHA Nursing experience is strongly preferred