1984 coding compliance auditor jobs found

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels (ACEP or client-specific). This role reviews coding for alignment with medical record documentation and established guidelines, ensuring compliance with applicable laws, regulations, and billing standards while...

UnitedHealth Group is seeking an Outpatient Facility Coding Compliance Auditor to perform audits of OPPS coding, validate ICD-10-CM and CPT coding accuracy, and communicate findings to stakeholders. The role includes QA oversight, root-cause analysis, and development of corrective actions. Candidates should have CPC/CCS/COC and 5+ years of outpatient facility coding and audit experience, with strong communication skills. Telecommuting is available nationwide in the U.S. #J-18808-Ljbffr

Job Description Job Description Description: GeBBS Healthcare Solutions Full-Time | Remote Help Shape the Future of Coding Accuracy and Healthcare Compliance Are you passionate about coding integrity, regulatory excellence, and helping healthcare organizations maintain the highest standards? GeBBS Healthcare Solutions is seeking an experienced Coding Compliance Auditor to join our growing team of industry experts. In this role, you'll leverage your extensive coding knowledge to evaluate documentation accuracy, identify compliance risks, and provide meaningful education that improves coding quality across complex healthcare environments. If you enjoy analyzing trends, influencing best practices, and partnering with coding professionals to drive continuous improvement, we'd love to hear from you. What You'll Do Perform comprehensive audits of inpatient and outpatient medical records to validate accurate ICD-10-CM, ICD-10-PCS, CPT,...

Imagine Pediatrics is looking for a Coding Compliance Auditor in Nashville, TN. This role involves ensuring accurate coding while collaborating with clinical and compliance teams. Responsibilities include reviewing medical records, conducting audits, and preparing reports. The ideal candidate has over 5 years of experience in fee coding and auditing, with a strong understanding of HEDIS measures. A bachelor’s degree in healthcare management is preferred, and familiarity with EMR software is essential. #J-18808-Ljbffr

Ensemble Health Partners is seeking a Senior Coding Compliance Auditor to lead and perform detailed coding audits, develop action plans, and prepare high‑quality audit reports. The role emphasizes training, monitoring quality, and collaboration with leadership to improve compliance programs. The candidate will stay current with ICD‑10, DRG, CPT, and HCPC guidelines, mentor auditors, and support continuous process improvement across the organization, with up to 10% travel as needed. #J-18808-Ljbffr

Coding Compliance Auditor, Revenue Cycle Management, Amazon One Medical Job ID: 10452620 | Amazon.com Services LLC Application deadline: Jul 18, 2026 As a key member of the Amazon One Medical Revenue Cycle team, the Coding Compliance Auditor will support Clinical and Revenue Cycle teams in managing and optimizing compliant healthcare revenue cycle operations. The role requires autonomy, strategic thinking, and problem‑solving skills to perform detailed reviews of medical coding practices, ensuring accuracy, compliance with regulatory requirements, and adherence to organizational policies. Key Responsibilities Conduct regular audits to verify accuracy of ICD-10-CM, CPT, HCPCS, and modifier medical codes. Review documentation to verify appropriate code assignment. Ensure coding reflects clinical documentation and meets medical necessity requirements. Identify coding inaccuracies and opportunities for improvement. Track and report coding errors and findings. Maintain detailed...

To support the Coding Audit and Compliance team, the fully remote Certified Coding Compliance Auditor will conduct documentation and coding reviews, provide education and training to internal and external stakeholders, and manage client projects while ensuring adherence to productivity and quality standards. Key responsibilities Conduct detailed analysis of medical records and assign diagnostic codes according to regulatory guidelines Develop audit reports and corrective action plans based on findings, ensuring timely delivery of client projects Provide education and training sessions to both internal teams and clients on coding, documentation, and compliance matters Required qualifications High School Diploma; Bachelor's degree preferred Minimum of 3 years of CPT and ICD-10 medical coding and auditing experience Certified Risk Coder (CRC) certification and/or significant HCC coding experience required AHIMA - Certified Coding Specialist-Physician (CCS-P) or AAPC - CPC...

Seeking a full-time Coding Compliance Auditor to work remotely, this position involves performing comprehensive audits of medical records, ensuring compliance with regulatory requirements, and providing education to improve coding quality across healthcare environments. Key responsibilities Conduct thorough audits of inpatient and outpatient medical records for accurate coding assignments Identify compliance risks and opportunities for improvement through detailed analysis of documentation trends Develop and deliver educational materials and reports to enhance coding practices and documentation quality Required qualifications 4+ years of acute care inpatient and outpatient coding experience, including compliance auditing Active credentials such as CCS, RHIA, RHIT, CPC, or CIC Strong knowledge of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding systems Understanding of Medicare reimbursement methodologies and federal coding guidelines Proficiency with EHR Epic

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...

Coding Compliance Auditor United States (Remote) Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity. What You'll Do The Coding Compliance Auditor partners cross-functionally with clinical leadership, revenue cycle, and compliance teams to ensure accurate, complete, and timely coding for a first-of-its-kind pediatric risk-bearing provider. This highly visible role supports ongoing compliance and operational excellence by ensuring all coding activities align with national coding standards, regulatory requirements, and Imagine Pediatrics'...

Job Type Full-time Description GeBBS Healthcare Solutions Full-Time | Remote Help Shape the Future of Coding Accuracy and Healthcare Compliance Are you passionate about coding integrity, regulatory excellence, and helping healthcare organizations maintain the highest standards? GeBBS Healthcare Solutions is seeking an experienced Coding Compliance Auditor to join our growing team of industry experts. In this role, you'll leverage your extensive coding knowledge to evaluate documentation accuracy, identify compliance risks, and provide meaningful education that improves coding quality across complex healthcare environments. If you enjoy analyzing trends, influencing best practices, and partnering with coding professionals to drive continuous improvement, we'd love to hear from you. What You'll Do Perform comprehensive audits of inpatient and outpatient medical records to validate accurate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS code assignment....

Application deadline: Aug 2, 2026 As a key member of the Amazon One Medical Revenue Cycle team the Coding Compliance Auditor will be responsible for supporting Amazon One Medical Clinical and Revenue Cycle teams in managing and optimizing compliant healthcare revenue cycle operations. Demonstrating increased autonomy and strategic thinking and problem-solving skills, this role will perform detailed reviews of medical coding practices to ensure accuracy, compliance with regulatory requirements and adherence to organizational policies and procedures. This role reports into the Coding Compliance Auditing Manager, Revenue Cycle. As someone who naturally enjoys finding ways to improve the status quo, you adeptly identify and create processes necessary to get work done. You comfortably interact with your team members as well as other teams and easily tailor your message and communication style to different audiences. You have a high accountability bar and know how to motivate others,...

South Shore Health System is seeking a Coding & Compliance Auditor to ensure medical coding accuracy and compliance. The role involves establishing audit processes, conducting training for clinical staff, and monitoring regulatory changes. Applicants should have at least 5 years of coding experience in an acute care setting, extensive knowledge in coding standards, and relevant certifications. Join a team committed to quality healthcare standards. #J-18808-Ljbffr

Ensemble Health Partners seeks a Senior Coding Compliance Auditor to develop and execute the Annual Compliance Workplan, lead audits, MAPs, and high-quality reports. You will coach auditors and maintain the Audit the Auditor program with minimal supervision. This remote role serves healthcare clients nationwide; up to 10% travel to client sites may be required. ICD-10, DRG, CPT, HCPCs coding knowledge and Epic/Cerner/Meditech experience are required. #J-18808-Ljbffr

Coding Compliance Auditor The Coding Compliance Auditor is a member of the Compliance Office and contributes to the Community Health System's mission to better the lives of all those we serve. As a Coding Compliance Auditor, you will be responsible for conducting coding and documentation audits to ensure accurate code assignment, appropriate billing, integrity of the medical record, and compliance with federal and state healthcare program requirements. The role requires a highly confident coder who can audit both facility coding and professional fees for partners, as well as audit other coders and physicians. Education Associate's Degree in Business, Information Systems, Nursing, Health Care, or a related field required Bachelor's Degree in Business, Information Systems, Nursing, Health Care, or a related field preferred Experience Experience performing medical record and billing audits/reviews, including clinical documentation, medical terminology, codes (CPT, HCPCS,...

GeBBS Healthcare Solutions is seeking an experienced Coding Compliance Auditor to join our remote team. You will audit inpatient and outpatient records for accurate ICD-10-CM/PCS, CPT and HCPCS coding, ensuring alignment with CMS and other regulatory guidelines. Responsibilities include identifying trends, producing actionable audit reports, and educating coders and staff to improve documentation quality. A strong background in Medicare reimbursement (MS-DRGs/IPPS/OPPS) and Epic EHR is highly #J-18808-Ljbffr

Coding Compliance Auditor In accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded accounts to ensure appropriate CPT, ICD-10-CM, and HCPCS assignments and accuracy and completeness of all ICD-10-CM, CPT, and HCPCS codes assigned by professional revenue coders and providers. All assigned codes must be supported by professional documentation contained within the medical record and must be in compliance with federal coding compliance regulations, Official Coding Guidelines, AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also, provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding accuracy rates, compliance rates, denial analytics, etc. Recommend education topics based on audit findings and assist in the continuing education of professional coders and providers. Understands coding/billing computer systems...

South Shore Health seeks a Coding & Compliance Auditor to evaluate medical record documentation and coding accuracy. The role designs and delivers training for clinical staff and coders while monitoring regulatory changes to ensure adherence to Federal, State, and local requirements. The incumbent will support multiple departments, maintain training tools, and report program effectiveness. Requires AHIMA/AAPC certifications and ongoing licensure. #J-18808-Ljbffr

Priority One Staffing Services is seeking a Coding Compliance Auditor for a remote/hybrid position in Baltimore, Maryland. The role involves auditing hospital visits for appropriate reimbursement and ensuring compliance with federal and state regulations. Candidates should have a minimum of 2 years in ICD-10-CM and ICD-10-PCS, along with inpatient auditing experience. Relevant certifications such as CCS, RHIT, or CIC are required. This is an excellent opportunity for professionals seeking to leverage their coding expertise. #J-18808-Ljbffr

Coding Compliance Auditors (Administrative Services Manager I) Riverside University Health System (RUHS) is seeking two skilled Coding Compliance Auditors to support the Health System's Compliance Department. Key responsibilities of this role include conducting thorough reviews of medical records to ensure compliance with coding regulations, while providing feedback and education to coders and physicians to enhance coding accuracy and documentation quality. The position involves performing annual, periodic, and focused audits of physician, inpatient, and outpatient coding as requested. It also requires effective communication with all RAC stakeholders to ensure timely and accurate responses to inquiries. Additionally, the role supports ongoing program development through training initiatives and process improvements, delivers coding presentations to diverse audiences including physicians and other staff. The ideal candidate will have at least five years of progressive...

The University of Iowa is seeking a Senior Compliance Inpatient Auditor to perform comprehensive inpatient coding and documentation audits, ensuring adherence to CMS, Medicare/Medicaid, and payor requirements. You will review ICD-10-CM/PCS coding, MS-DRG assignments, and POA indicators to identify education and risk mitigation opportunities. You will prepare detailed audit reports, collaborate with HIM, Coding, CDI, and Revenue Integrity teams, and participate in education sessions to improve #J-18808-Ljbffr

Job Summary: HIM Coding auditor/trainer will coordinate, monitor, and audit documentation and coding of inpatient and/or outpatient services in all applicable health care settings. Audits will focus on correct assignment of CPT, ICD-10, ICD-9- CM, HCPSC codes and clinician documentation to ensure that Kaiser Permanente is compliant with all regulatory guidelines and internal controls. Audits will encompass internal practitioners, contracted practitioners, coders, internal facilities and contracted facilities. The auditor will analyze audit results, identify patterns, trends or variations in coding and documentation practices and make recommendations for improvement. When necessary, this position will initiate corrective action plan to ensure resolution of problem areas identified during auditing and monitoring activity. This position will serve as a liaison with HIM staff, Revenue Cycle, External and Internal practitioners, and other regional departments as appropriate including...

Auditing Team Lead Under direct supervision, the Auditing Team Lead provides day to day supervision and instruction of the auditors. The Auditing Team Lead oversees the internal and external auditing function and assists Director Inpatient Coding, Coding Audits, and Education in developing reports specific to audit findings and assists with implementing action plans. The Auditing Team Lead ensures internal audits are accurate, complete and reported on a timely basis and serves in an advisory and educator role for Coding Specialists. Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. 1. Provides for day to day supervision and instruction for the auditors which includes audit assignments, problem solving, monitoring productivity and...

A healthcare provider in San Diego is seeking a Coding Auditor to conduct audits and ensure compliance with coding standards. The role requires strong knowledge of CPT and ICD-10 codes, exceptional communication skills, and the ability to train clinical staff. The ideal candidate has 3 years of experience in a healthcare setting and holds a CPC or CCS-P certification. Competitive hourly rate offered. #J-18808-Ljbffr