540 coding auditor senior jobs found

Select how often (in days) to receive an alert: Date: Aug 26, 2026 Location: Any city, TX, 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 an Inpatient Coding Auditor, Senior Associate who is responsible for performing coding reviews of inpatient medical records and/or other documentation to determine correct coding, as defined by review methodologies specific to the contract for...

Summary: HCC Coding Auditor Senior will perform code audits and abstraction using the Official Coding Guidelines for ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). This is an onsite position with a remote option. Responsibilities: Perform Medical Record reviews and audits based on organizational priorities. These can include both prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing. Review and audits may lead to the addition, deletion, adjustment, or confirmation of diagnoses for risk adjustment. Perform code...

Location: New York, United StatesCompany: GainwellPosted: 2026-09-04Location: New York, United StatesCompany: Gainwell TechnologiesPosted: 2026-09-01Gainwell 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 benefits.#J-18808-Ljbffr

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

Select how often (in days) to receive an alert: Date: Aug 26, 2026 Location: Any city, TX, 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 an Inpatient Coding Auditor, Senior Associate who is responsible for performing coding reviews of inpatient medical records and/or other documentation to determine correct coding, as defined by review methodologies specific to the contract for which...

Select how often (in days) to receive an alert: Date: Aug 26, 2026 Location: Any city, TX, 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 an Inpatient Coding Auditor, Senior Associate who is responsible for performing coding reviews of inpatient medical records and/or other documentation to determine correct coding, as defined by review methodologies specific to the contract for which...

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

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

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

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

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Senior most coding auditor who evaluates medical records to determine the accuracy of coding, billing and documentation related to DRG, OPPS and outpatient claims. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, process changes and risk reduction. Provides guidance to System entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Interacts with external consultants regarding, billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in accordance with federal and state regulations and guidelines. ESSENTIAL RESPONSIBILITIES Audits and reports on the documentation, coding and billing performed at System entities. (25%) Reviews, develops and delivers training programs and educational materials which address...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Senior most coding auditor who evaluates medical records to determine the accuracy of coding, billing and documentation related to DRG, OPPS and outpatient claims. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, process changes and risk reduction. Provides guidance to System entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Interacts with external consultants regarding, billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in accordance with federal and state regulations and guidelines. ESSENTIAL RESPONSIBILITIES Audits and reports on the documentation, coding and billing performed at System entities. (25%) Reviews, develops and delivers training programs and educational...

Location: 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

Company Allegheny Health Network Job Description GENERAL OVERVIEW: Senior most coding auditor who evaluates medical records to determine the accuracy of coding, billing and documentation related to DRG, OPPS and outpatient claims. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, process changes and risk reduction. Provides guidance to System entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Interacts with external consultants regarding, billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in accordance with federal and state regulations and guidelines. ESSENTIAL RESPONSIBILITIES Audits and reports on the documentation, coding and billing performed at System entities. (25%) Reviews, develops and delivers training programs and educational materials which address deficiencies...

CHRISTUS Health is seeking a Senior HCC Coding Auditor to perform audits, abstractions, and quality reviews aligned with ICD-10-CM and CMS HCC guidelines. This onsite role offers a remote option within a hybrid structure, supporting Commercial and Medicare Advantage risk adjustment programs. The ideal candidate will have 3+ years of hospital coding/audit experience, AHIMA or AAPC certification, and strong communication skills to educate providers on documentation and coding best practices. #J-18808-Ljbffr

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: HumanaPosted: 2026-09-04Location: New York, United StatesCompany: HumanaPosted: 2026-09-01Humana Inc. is seeking a Senior Medical Coding Outpatient Auditor to lead coding-focused audit activities, validate coding accuracy, and ensure compliance with outpatient coding and reimbursement guidelines. You will report to the Manager, Payment Integrity.The role involves researching claims anomalies, applying CPT/HCPCS guidelines, and collaborating with clinical and analytics teams to improve audit strategies. Remote work with occasional travel is possible.#J-18808-Ljbffr

About Plutus Health Inc. is a healthcare revenue cycle management firm that has been in the industry for 15 years. We offer end-to-end business solutions to healthcare providers in the United States, ensuring that all our services are fully compliant with HIPAA regulations. Our team has extensive experience in the field, and we leverage cutting-edge technology to ensure that your medical billing and collections processes run smoothly. Along with being SOC-certified and HIPPA-compliant, we have: Full-Cycle RCM: We handle everything from medical coding and credentialing to denial management and patient collections. Tech-Driven Efficiency: Our team of 1000+ experts, each with their unique expertise, is backed by 70+ RPA bots for automation, ensuring accuracy and speed. Flexibility: We offer billing software, financial dashboards, and patient portals, and we integrate seamlessly with your existing systems. We have Centers of Excellence worldwide to effectively...

Carle Health in Champaign, IL seeks a Laboratory Coding Auditor/Educator to oversee coding audits and deliver targeted education to the Laboratory Billing & Coding Representatives, Pathologists, and applicable departments. This role partners with Laboratory leadership to ensure regulatory compliance and accurate code assignment, serving as a senior coding resource and trainer for new staff. Proficiency with EPIC and billing workflows is essential. #J-18808-Ljbffr

DaMar Staffing seeks a Senior Medical Coding Auditor (CPC) to join our multi-specialty practice, focusing on primary care and gynecology. You will review provider notes pre-submission, validate E/M levels, CPT/ICD-10-CM coding, and ensure documentation supports all billed services. You will collaborate with clinicians and billing to reduce denials, enhance reimbursement, and maintain compliance with AMA/CMS guidelines. Flexible hybrid/remote options may be considered. #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,...

Highmark Health is seeking a senior coding auditor to evaluate medical records for accuracy of DRG, OPPS and outpatient billing. You will generate findings, train staff, and guide improvements across system entities. You will interact with external auditors and consultants, ensuring compliance with HIPAA and CMS guidelines. The role requires deep knowledge of DRGs, CPT and ICD coding, plus strong analytical and communication skills. #J-18808-Ljbffr

AdventHealth Corporate in Tampa, Florida is seeking a senior coder auditor to validate post-bill coding accuracy. You will review DRG assignments, IPPS/OPPS guidelines, and CPT/HCPCS usage, delivering clear feedback to improve documentation and reimbursement outcomes. You will collaborate with education teams to support onboarding audits and ongoing training, ensuring compliance with CMS rules and enterprise standards. This role emphasizes accuracy and timely performance. #J-18808-Ljbffr

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and...