2550 coding auditor jobs found

Job Description Job Description   PYA is seeking an experienced Inpatient/Outpatient Facility Coding Auditor to join our nationally recognized  Revenue and Compliance Advisory team. As a trusted advisor to leading healthcare organizations, you will apply your expertise in coding, reimbursement, compliance, and documentation to help clients improve revenue integrity and reduce risk. WHAT YOU'LL DO Perform inpatient and outpatient facility coding audits and reimbursement reviews, including:  ICD-10-CM/PCS, CPT, and HCPCS coding validation MS-DRG and APC validation Charge capture and revenue integrity reviews Clinical documentation improvement (CDI) assessments Third-party payer compliance evaluations Deliver high-quality client reports, recommendations, and presentations  Manage multiple engagements while maintaining exceptional quality and compliance standards  Collaborate with PYA's consulting, compliance, and executive teams to deliver comprehensive...

Dahl Consulting is seeking a Risk Adjustment Coding Auditor for a remote contract (6 months) with a nonprofit health organization. You will review medical records, validate CMS-HCC coding, and advise on documentation gaps to ensure accurate reimbursement and regulatory compliance. Ideal candidates have 7+ years of risk adjustment experience, 5+ years in HCC coding and auditing, CRC or equivalent certification, and strong analytics with MS Office proficiency. #J-18808-Ljbffr

Title: Risk Adjustment Coding Auditor Location: Remote Job Type: Contract (6 months) Compensation: $35.00 – $38.00 per hour Industry: Health Insurance About the Role Our firm is partnering with a leading nonprofit health insurance organization that serves members across commercial, Medicare, and Medicaid health plans. We are seeking an experienced Risk Adjustment Coding Auditor to help ensure the accuracy, integrity, and compliance of clinical coding and documentation used in risk adjustment programs. In this role, you will support accurate reimbursement and regulatory compliance by conducting detailed coding audits, identifying documentation gaps, and providing expert guidance on risk adjustment coding practices. This position is ideal for a coding professional with strong HCC auditing experience who is passionate about data accuracy, compliance, and continuous improvement. Job Description As a Risk Adjustment Coding Auditor, you will evaluate coded clinical data to ensure...

Job Description Job Description Professional Coding Auditor WellStreet Urgent Care is redefining the urgent care experience through patient-focused service, high-quality care, and strong partnerships with health systems. As a rapidly growing healthcare organization, we are building a national network of urgent care facilities and creating opportunities for talented professionals to make a meaningful impact. If you’re an experienced medical coder who enjoys digging into documentation, identifying coding opportunities, and helping providers and coding teams improve accuracy, this could be a great opportunity to join our team. About the Role The Professional Coding Auditor reviews clinical documentation and coding to ensure accuracy, completeness, compliance, appropriate charge capture, and alignment between documentation and assigned CPT and ICD-10 codes. This role goes beyond identifying errors—you’ll help educate providers and coders, identify trends, and partner with...

Coding Auditor The Coding Auditor reviews/audits patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment, as applicable, according to established guidelines. This position issues the coding "report card" quarterly to all coders. This position provides coding training and education. This position may audit accounts for ER Charging accuracy and perform RAC and other third party audit appeals. Responsibilities Reviews patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment according to established guidelines and scores appropriately, if applicable. Works with CDIS on DRG assignment and educates on missed Query opportunities. Works with staff on coding guidelines and correct code assignment Informs manager of any activities which do not meet federal or state coding and billing requirements Appeals RAC DRG review charts. Receives requests from business office on issues relating to coding and responds...

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...

Coding Quality Audit ReviewerExperience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized.Schedule: Monday-Friday Day Shift HoursCandidate must have Inpatient Facility Coding and DRG Validation experienceJob Summary and QualificationsAs a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal...

Professional Fee Coding AuditorWork Location Requirement: This position may be performed onsite or remotely; however, onsite work is preferred based on business needs. Preference will be given to qualified candidates who are able to work onsite and are located within a reasonable commuting distance.Remote Work Eligibility: This position is open to candidates located within the continental United States. Due to state-specific employment requirements and workers' compensation regulations, we are unable to support remote work arrangements in the following locations: Washington, Ohio, Wyoming, North Dakota, Puerto Rico, and the U.S. Virgin Islands.At Northbay Health the Professional Fee Coding Auditor is responsible for auditing professional fee coding across all service lines (Ambulatory/Hospitalist, Surgery, and Emergency Medicine), resolving pre-billing coding edits, and reviewing post-billing coding-related denials.This role ensures coding accuracy, documentation integrity, and...

Job Description Job Description   PYA is seeking an experienced Inpatient/Outpatient Facility Coding Auditor to join our nationally recognized  Revenue and Compliance Advisory team. As a trusted advisor to leading healthcare organizations, you will apply your expertise in coding, reimbursement, compliance, and documentation to help clients improve revenue integrity and reduce risk. WHAT YOU'LL DO Perform inpatient and outpatient facility coding audits and reimbursement reviews, including:  ICD-10-CM/PCS, CPT, and HCPCS coding validation MS-DRG and APC validation Charge capture and revenue integrity reviews Clinical documentation improvement (CDI) assessments Third-party payer compliance evaluations Deliver high-quality client reports, recommendations, and presentations  Manage multiple engagements while maintaining exceptional quality and compliance standards  Collaborate with PYA's consulting, compliance, and executive teams to deliver comprehensive...

Location: Austin, Texas, United StatesCompany: Addison GroupPosted: Addison Group is partnering with a leading healthcare organization to hire a Professional Coding Auditor/Educator. This fully remote role supports coding quality, provider education, and compliance initiatives as a subject matter expert in professional fee coding and surgical auditing.The ideal candidate has 5+ years of professional fee coding experience, strong surgical coding expertise, and proven ability to educate physicians and coding staff across specialties.#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...

Parkridge Medical Center is seeking a work-from-home Inpatient Coding Auditor to perform internal quality assessments of HSC coders, ensuring compliance with national coding guidelines and company policies for accurate reimbursement and data integrity.You will lead quality reviews for inpatient and outpatient coding across multiple HSCs, support adherence to guidelines, and apply expert coding knowledge. A strong track record in coding auditing and RHIA/RHIT/CCS is preferred.J-18808-Ljbffr

Job Description Job Description Position Summary: The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through pre and post payment medical records review and appeal records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines, coverage policies and regulatory and contract requirements. Qualifications:  Medical Coder certification from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) required. Prior experience in Medicaid claims role and/or post payment medical coding auditor role preferred. Knowledge of Medicaid rules, claims processing, medical terminology and coding principles and practices. Knowledge of auditing, investigation, and research. Knowledge of...

HCA Healthcare, Parallon, is seeking a remote Inpatient Coding Auditor to perform internal quality assessments on coders across Health Information Management services. The role ensures complete, accurate coding for appropriate reimbursement and data integrity. You will review outcomes with the HSC team to improve accuracy, physician documentation, and coding consistency, while maintaining high productivity and accuracy. #J-18808-Ljbffr

Orlando Health, Inc. is seeking a Physician Coding Auditor to perform auditing of professional coding across service lines and ensure compliance with payor guidelines. You will review medical records, identify improvement opportunities, and collaborate with education teams to enhance physician documentation and coding accuracy. The role requires 5+ years of clinical coding auditing experience, CPT/ICD-10-CM/PCS mastery, and proficiency in EPIC. #J-18808-Ljbffr

Humana Inc. is seeking a Medical Coding Auditor to review outpatient facility claims, ensuring accurate CPT/HCPCS coding and alignment with medical records. You will analyze documentation, apply coding guidelines, and contribute to cost reduction while safeguarding patient privacy. In this remote role, you will verify codes, review operative reports, and support process improvements. Travel to Humana offices for training may be required; typical hours are 40 per week with strong emphasis on #J-18808-Ljbffr

Location: Baltimore, Maryland, United StatesCompany: TEKsystemsPosted: TEKsystems seeks a Medical Coding Auditor in Baltimore, MD to conduct physician coding and compliance audits, evaluate documentation accuracy, and ensure adherence to CMS, CPT, HCPCS, and ICD-10 guidelines. The role also educates providers through training and feedback.This permanent, hybrid position requires CPC certification, ProFee experience, and 5+ years in medical coding, with travel to provider locations as needed and occasional additional onsite days.#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 (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows...

AdventHealth in Orlando, FL is hiring a Coding Auditor to perform post-bill coding audits across inpatient and/or outpatient services. You will validate DRG assignments, MCC/CC integrity, modifiers, and APCs while ensuring compliance with coding guidelines. The role requires 5+ years of acute care coding, CCS/RHIA/RHIT/CPC/CIRCC credentials, and strong analytical skills. Excellent communication and time management are essential. #J-18808-Ljbffr

Position Summary Department : Patient Accounting- Physicians Status: Full Time Shift :Remote Location : Orlando, FL Title : Physician Coding Auditor Summary: The Physician Coding Auditor performs coding related audits to monitor professional coding to ensure optimal efficiency and follow the controlling compliance guidelines with governmental and private payers. The Physician Coding Auditor is responsible for analyzing Physician and Coder charges for Surgical, procedural and E/M based coding. Forbes has named Orlando Health as one of America's Best-In-State Employers. Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible, so that you can be present for your passions. “Orlando Health Is Your Best Place to Work” is not just something we...

Coding Auditor Evaluates coding based on Coding Guidelines. Reviews records for all care settings. Identifies high volume, high risk coding, and reimbursement and quality problems. Responsible for accurate assessment, analysis and summary of findings for coding validation. Provide auditing and feedback that is incorporated into training education programs. This role offers a hybrid work option. Initial training will take place at a Norton Healthcare facility, and you must be available to come onsite for business needs as required. Employees in this position must reside in Kentucky or Indiana. Required: One year coding in healthcare setting One of: CCA or CCS or CPC Desired: Diploma Certified Coding Associate OR Certified Coding Specialist OR Certified Professional Coder

Coding Auditor Conducts post-bill coding audits to assess coding accuracy, documentation alignment, and reimbursement integrity across inpatient and/or outpatient service lines. Performs coding validation activities, including DRG assignment, MCC/CC integrity review, modifier validation, and APC assignment review. Applies knowledge of IPPS, OPPS, DRG, APC, ICD-10CM/PCS, CPT/HCPCS, modifier usage, and coding guidelines during audit reviews. Identifies trends related to coding accuracy, documentation quality, service capture, and reimbursement outcomes. Provides detailed audit findings and feedback to support accuracy improvement and standardization of coding practices. Collaborate with the education team to translate audit results into targeted education and training initiatives. Supports onboarding audits and competency validation for new coders. Reinforces adherence to coding guidelines, regulatory requirements, and enterprise standards. Participates in...

Norton Healthcare in Louisville, KY, is seeking a Coding Auditor to evaluate coding against Coding Guidelines, review records across care settings, and identify high‑volume, high‑risk coding and reimbursement issues. This role requires accurate assessment, analysis and concise findings for coding validation, plus auditing and feedback that informs training education programs. It is offered as a fully remote position, with state residency required in KY, IN, MO, OH, TN, AL, VA, MS, NC or SC. #J-18808-Ljbffr

Select how often (in days) to receive an alert: Date: Sep 9, 2026 Location: Any city, TN, US, 99999 Work Mode: Virtual (Exception only) It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary We are seeking a talented individual for aSenior Coding Auditor, Itemized Bill Reviewer who is responsible for performing itemized bill review, chart review, and coding validation to ensure that billed services were ordered, allowable, and accurately documented in the patient record....