1340 coding compliance auditor educator jobs found

University of Michigan Flint is seeking a Coding Compliance Auditor to perform outpatient coding quality audits (CPT/HCPCS, ICD-10-CM) and ensure alignment with CMS guidelines, AMA, and AHA policies. The role includes delivering education to coders and acting as a subject matter expert for outpatient coding. Responsibilities include chart reviews, training, and developing educational programs, with opportunities to participate in process improvements and policy updates within the Revenue Cycle #J-18808-Ljbffr

Work Shift Day (United States of America) Job Summary: Under the direction of the Coding Compliance Manager, conducts independent audits of professional fee coding. Assures appropriate and accurate coding assignments in accordance with federal coding regulations and guidelines. Prepares written reports of findings and leads meetings with providers to review the audit findings and recommend ways to improve when indicated. Also responsible for providing assistance with coding inquiries from providers, coding, staff, etc. This position requires knowledge of applicable regulations for Medicaid and Medicare, as well as the principles of physician documentation, coding, and billing in a variety of settings and specialties. Also required is advanced knowledge of CPT, ICD-10-CM, and HCPCS coding systems. Responsibilities also include providing ICD-10-CM and EMR documentation training to physicians. Core Responsibilities and Essential Functions: Performs Audits a.Independently conduct...

Creating Life Better Here starts with you. At San Juan Regional Medical Center, we’re more than a healthcare provider—we’re a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community. The Compliance Analyst/Auditor serves as a regulatory clinical specialist within the Office of Compliance and Privacy at SJRMC, to help manage inquiries on a variety of compliance topics by: gathering additional details on the questions/issues and conducting relevant research. The Compliance Analyst/Auditor assists with the ongoing implementation and maintenance of SJRMC’s compliance program efforts; including, but not limited to: policy and procedure development, risk assessment, auditing and monitoring, training and education initiatives, and compliance programmatic developments and enhancements. This position will have a focus on auditing and monitoring, analyzing and reporting trends to identify...

Join WellstarHow would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.Work ShiftDay (United States of America)Job Summary:Under the direction of the Coding Compliance Manager, conducts independent audits of professional fee coding. Assures appropriate and accurate coding assignments in accordance with federal coding regulations and guidelines. Prepares written reports of findings and leads meetings with providers to review the audit findings and recommend ways to improve when indicated. Also responsible for providing assistance with coding inquiries from providers,...

UT Southwestern Medical Center in Dallas, TX seeks an experienced professional to develop outpatient coding education and conduct complex audits. You will validate code assignment against official guidelines and payer rules, while delivering training to coders and auditors across departments. The role requires extensive experience in hospital outpatient coding, audits, and education delivery, with credentials in CPC/CPMA/CEMC/CPC-I and ARRT registration for eligible imaging/radiology staff. #J-18808-Ljbffr

Wellstar Health System is seeking a Medical Coding Compliance Auditor to perform independent audits of professional fee coding under the direction of the Coding Compliance Manager. You will assess documentation and ensure compliance with federal regulations, guidelines, and coding systems. Responsibilities include presenting findings to providers, training physicians on proper documentation, and assisting with coding inquiries across departments. #J-18808-Ljbffr

Privia Health in the United States is seeking an experienced audit professional to baseline, routine, and focused audits, ensuring documentation aligns with CPT/HCPCS and ICD-10-CM codes. The role involves preparing audit reports and communicating findings to providers, with CPC certification required and CPMA preferred; remote work is eligible with comprehensive benefits. Candidates with 5+ years in audits and provider education are encouraged to apply. #J-18808-Ljbffr

Compliance Coding Auditor-Educator Trinity Health IHA Medical Group is looking for a customer-focused Compliance Coding Auditor-Educator to join our team. In this role, you will serve as the subject matter expert and as a point of contact for IHA offices and Revenue Department for proper coding procedures and workflow for existing medical services. Provides professional expertise and education in CPT, ICD and HCC coding. What You'll Do: Develops and leads audit projects for medical record integrity. Reports audit results utilizing a standard reporting process. Identifies new errors while performing audits, investigates and assesses root cause. Performs one-on-one Audit meetings and provides for corrective educational guidance. Maintains complete knowledge and complies with all relevant insurance, CPT coding and diagnosis guidelines. Provides training for IHA staff and providers on CPT, ICD10 and HCC coding standards and procedures. General Requirements:...

Presbyterian Healthcare Services is seeking a Remote CPMA Educator & Auditor to support coding compliance, auditing, and education across the organization. The role involves implementing policies, performing on-site and remote audits, and developing tools for ongoing education and compliance. You will train staff, review records for accurate coding, and help address underpayments or denials with corrective actions, while traveling to PHS/PMG sites as needed. #J-18808-Ljbffr

Trinity Health IHA Medical Group is seeking a Compliance Coding Auditor-Educator to serve as the subject matter expert for CPT, ICD and HCC coding across IHA offices. You will lead audits, report results, and provide corrective educational guidance to staff and providers. The role requires a bachelor’s degree and coding credentials (CPC or RHIT), with at least two years of experience in coding, reimbursement analysis, and medical record auditing. #J-18808-Ljbffr

Trinity Health Mid-Atlantic is seeking a remote Coding Auditor and Educator to oversee medical record audits, validate diagnoses and procedures, and ensure proper coding according to CMS guidelines. The role emphasizes education of providers and coders to improve accuracy and compliance. The position supports flexible schedules with competitive pay, tuition reimbursement, and employee discounts, reporting to Provider Revenue Operations. #J-18808-Ljbffr

Location: Baltimore, Maryland, United StatesCompany: TEKsystemsPosted: 2026-10-12Location: Baltimore, Maryland, United StatesCompany: TEKsystemsPosted: TEKsystems seeks a Medical Coding Auditor in Baltimore, hybrid (1-2 days in office weekly). The role focuses on independent physician coding reviews, CMS/CPT/ICD-10 compliance, and training to improve documentation accuracy.Responsibilities include auditing, reporting findings, and developing education programs for providers, with a compensation range typically aligned to the posted salary and located in Baltimore, MD.#J-18808-Ljbffr

Memorial Hermann Health System in Houston, TX seeks an experienced clinical coder to ensure accuracy and completeness of coding for reimbursement and data integrity. Reports to Coding Compliance Manager. Requires four years of hospital coding/auditing, ICD-10-CM/CPT expertise, and AHIMA/AAPC certifications. You will design audits, educate staff, and stay current with guidelines to support safe, efficient care. #J-18808-Ljbffr

Location: Baltimore, Maryland, United StatesCompany: TEKsystemsPosted: TEKsystems seeks a Medical Coding Auditor in Baltimore, hybrid (1-2 days in office weekly). The role focuses on independent physician coding reviews, CMS/CPT/ICD-10 compliance, and training to improve documentation accuracy.Responsibilities include auditing, reporting findings, and developing education programs for providers, with a compensation range typically aligned to the posted salary and located in Baltimore, MD.#J-18808-Ljbffr

UnityPoint Health is seeking a skilled coder to assess clinical documentation for compliance with AMA and CMS guidelines and to validate documentation against charges to ensure billing accuracy. You will identify audit areas and provide one-on-one education to providers. A high school diploma is required, with an AAS in Health Information Management preferred, and AHIMA or AAPC certification within 12 months. #J-18808-Ljbffr

Job Description Job Description Company Description More Than Just Care, It’s Community   Imagine doing meaningful work in a place where people vacation. That’s life at Munson Healthcare - northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties.   If you want a career in healthcare and a lifestyle most people only dream about – with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be  Munson Material.  To us, that means teammates who live by our values of  excellence, teamness, positivity, creativity,  and a commitment to creating  exceptional experiences  for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country. Invested in You   Grow:  Tuition reimbursement, in-person and online development, and access to our career hub to...

ABOUT THE ROLE The Coding Auditor / Educator is responsible for conducting coding and documentation audits to evaluate compliance with federal and state regulations, payer requirements, and organizational policies. As a member of the Legal & Compliance Department, this individual contributor role supports the effectiveness of the organization’s compliance program by identifying coding risks, monitoring documentation accuracy, validating reimbursement integrity, and recommending corrective actions. This role ensures accurate risk adjustment coding, HCC capture, and E/M documentation in a full-risk, value-based care environment. The position supports compliance with CMS-HCC risk adjustment guidelines, OIG audit expectations, and RADV preparedness. Working closely with providers, clinical leadership, revenue cycle, population health, and compliance teams, the Coding Auditor / Educator performs retrospective and prospective audits, analyzes coding trends, supports regulatory...

WellMed Optum Florida is seeking a Coding Auditor / Educator to perform prospective and retrospective coding audits, ensure ICD-10-CM and HCC accuracy, and educate providers and staff in CMS guidelines. You will support RADV readiness and coordinate with clinical, revenue cycle, and compliance teams across Florida clinics. Travel to clinic sites across Florida will be required to deliver targeted training, perform audits, and guide corrective actions. #J-18808-Ljbffr

Medical Coder Educator - USFTGP RCOServes as the coding reviewer and documentation educator for USFTGP Revenue Cycle Operations. Collaborate extensively with compliance; utilizing approved coding industry tools and approved internal documentation. This position is responsible for providing coding literacy and awareness using adult methodologies to revenue cycle, coding professionals, department managers, medical staff and others, ensuring proficiency is accurate and within compliant coding practices for billing. Analyze and report review findings indicating documentation gaps reimbursement and data internation, inpatient, outpatient and professional service coded. Report to compliance focused areas of improvements, recommendations and actions taken to improve medical staff knowledge and coding accuracy. Conduct individual and group coding and documentation support instructions as assigned and acts as an internal coding expert resource. Qualifications High School Diploma or...

Saint Alphonsus Health System is seeking an experienced coding auditor/educator to support complex services by reviewing documentation, ensuring CPT/ICD-10/HCPCS alignment, and driving education across providers and coders. The role emphasizes accuracy, compliance, and continuous process improvement. The incumbent will lead audits, provide feedback to leadership, and develop training materials to improve quality, reduce risk, and enhance revenue integrity within the organization. #J-18808-Ljbffr

Job Description Medical Coder Educator - USFTGP RCO - ( 250004UJ ) Overview Serves as the coding reviewer and documentation educator for USFTGP Revenue Cycle Operations. Collaborate extensively with compliance; utilizing approved coding industry tools and approved internal documentation. This position is responsible for providing coding literacy and awareness using adult methodologies to revenue cycle, coding professionals, department managers, medical staff and others, ensuring proficiency is accurate and within compliant coding practices for billing. Responsibilities Analyze and report review findings indicating documentation gaps, reimbursement and data inaccuracies across inpatient, outpatient and professional service coded. Report to compliance focused areas of improvements, recommendations and actions taken to improve medical staff knowledge and coding accuracy. Conduct individual and group coding and documentation support instructions as assigned and acts as an...

Coding Auditor And Educator (Remote) Employment Type: Full-Time Shift: Days Position Highlights: Competitive pay Additional benefits: tuition reimbursement, free parking, employee discounts Quality of life: flexible work schedules Advancement: professional growth within the organization Location: Holy Cross Health has two hospitals and four healthcare centers all a short driving distance from Washington DC and Baltimore, MD. Description: Monday-Friday The Professional Coding Auditor Educator performs medical record audits including but not limited to analysis of medical record documentation, validation of primary and secondary diagnoses and procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS). Responsibilities: Monitors accuracy of centralized coders' charge capture and coding with proper ICD-10, CPTs, as well as proper modifiers, adhering to local...

Job Title: Coding Auditor and Educator (Remote - WA Residents Only) Req: 2026-0713 Location: VMC Main Campus Department: Health Information Mgmt Shift: Days Type: Full Time FTE: 1 Hours: 8:00 - 4:30 City State: Renton, WA Category: Professional ( NCNM) Salary Range: Min $32.39 - Max $46.96/hourly DOE JOB DESCRIPTION The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization. TITLE: Coding Auditor and Educator JOB OVERVIEW: The Coding Auditor and Educator plays a key role in the orientation, auditing, and education of all healthcare providers involved in professional fee coding and documentation at Valley Medical Center. This position conducts both new and routine physician coding and documentation audits, delivers targeted education, and...