1568 coding compliance auditor jobs found

Outpatient Coding Compliance Auditor 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,...

DaMar Staffing is seeking a Coding Compliance Auditor to perform in-depth coding audits of inpatient and outpatient encounters. The role requires applying official coding guidelines to validate code assignments and to ensure proper payment methodology based on clinical documentation. Qualified candidates will have an Associate degree or equivalent, five years of coding experience, and AHIMA/AAPC credentials with CCS preferred. #J-18808-Ljbffr

Job Description Job Description Overview Opportunities for you!   Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek  Free Continuing Education and certification   Tuition reimbursement, education programs and scholarships  Vacation time starts building on Day 1, and builds with your seniority  Free money toward retirement with a 403(b) and matching contributions  Great food options with on-demand ordering  Free parking and electric charging  Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.  We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page.    Responsibilities 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...

Crossroads Treatment Centers is seeking a skilled Medical Coding Compliance Auditor to join our team in South Carolina. You will conduct audits of provider and coder documentation to ensure correct ICD-10-CM, CPT, and HCPCS coding in line with current guidelines. As part of the compliance team, you will develop corrective action plans, prepare monthly and quarterly reports, and educate staff on coding policies while maintaining up-to-date knowledge of federal regulations. #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,...

Coding Compliance Auditor Riverside University Health System (RUHS) is seeking two skilled Coding Compliance Auditors (Administrative Services Manager I) 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 experience...

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...

USC is seeking a Coding Compliance Auditor to perform 2nd level reviews of professional coding across ICD-10-CM, CPT, and HCPCS, ensuring accuracy and compliance with official guidelines. The role involves auditing, reporting, and education to maintain high-quality documentation and clean claim release. Required qualifications include a high school diploma and 5 years of ICD coding/auditing experience, with CPC or CCS-P certification and applicable training in medical terminology and anatomy & #J-18808-Ljbffr

Wellstar is seeking an experienced Coding Compliance Auditor to independently audit professional fee coding under Medicare and Medicaid rules. You will lead reviews, prepare findings, and train physicians on documentation best practices. Responsibilities include scheduling provider meetings, updating coding references, and pursuing certifications. Strong communication and detail orientation are essential for success in this role based in Georgia. #J-18808-Ljbffr

Miami, FL Full-Time Health Information Management Jackson Health System Full Time Summary The HIM Coding Compliance Auditor 1 analyzes abstracted/coded data for the purpose of ensuring accuracy and timeliness as it relates to DNFB management, quarterly AHCA data submissions and PFS communication. Responsibilities Reviews quality of coded and abstracted data assuring coding compliance within the Jackson Health System. Performs target and focused MS-DRG, APC, CPT, Case mix and Medical Necessity reviews. Identifies monitors and corrects rejected claims due to HIM coding. Works as a liaison with PFS and other internal departments to serve as a communicator/problem-solver for hindrances that prevent reimbursement. Based on new coding requirements, audit findings, RACs, MACs, etc. prioritizes and supports develops training/education protocols for UHS hospital coders in ICD-9-CM, CPT-4, APCs, Emergency Room Evaluation and Management Coding, Level II coding guidelines, modifier...

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

GeBBS Healthcare Solutions is seeking a seasoned Coding Compliance Auditor to assess inpatient and outpatient records, verify ICD-10-CM/PCS, CPT and HCPCS coding, and identify compliance risks. You will educate coders and collaborate with cross-functional teams to improve documentation quality in a remote environment. The role requires 4+ years in acute care coding, active credentials, and strong understanding of Medicare methodologies. #J-18808-Ljbffr

Jackson Health System in Miami, FL is seeking an HIM Coding Compliance Auditor 1 to analyze abstracted and coded data for accurate DNFB management, AHCA data submissions and PFS communication. The role requires 5–7 years of related experience, strong analytical skills and the ability to collaborate with PFS and clinical staff to ensure coding compliance across ICD-9-CM, CPT-4 and related guidelines, while maintaining high professional standards. #J-18808-Ljbffr

GeBBS Healthcare Solutions is seeking a seasoned Coding Compliance Auditor to assess inpatient and outpatient records, verify ICD-10-CM/PCS, CPT and HCPCS coding, and identify compliance risks. You will educate coders and collaborate with cross-functional teams to improve documentation quality in a remote environment. The role requires 4+ years in acute care coding, active credentials, and strong understanding of Medicare methodologies. #J-18808-Ljbffr

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...

Application deadline: Aug 17, 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...

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...

Stanford Health Care seeks a Billing and Coding Compliance Auditor to conduct proactive audits, review documentation for regulatory compliance, and collaborate across departments to mitigate risks. The role involves evaluating ICD, CPT, HCPCS codes and E/M criteria, with a focus on accuracy and reimbursement integrity. Requirements include an Associate’s degree and at least four years of related experience; professional coding certifications are preferred and must be obtained within 180 days. #J-18808-Ljbffr

Ensemble Health Partners is seeking a Senior Coding Compliance Auditor to join our remote team. You will lead detailed coding audits, develop annual workplans, and implement action plans to improve compliance across inpatient and outpatient coding. The role requires 5–7+ years in healthcare coding and auditing, CHC or CPC certification, and willingness to travel up to 10%. You will train auditors, report findings, and stay current with ICD-10, CPT, HCPCS, and coding guidelines. #J-18808-Ljbffr

Ensemble Health Partners is seeking a Senior Coding Compliance Auditor to advance the annual compliance workplan with lead audits, MAPs, and audit-quality initiatives. The role requires independent work, mentoring staff, and strong analytical problem-solving to identify risk and improve processes. Ideal candidates have extensive healthcare coding knowledge (ICD-10, DRG, CPT,HCPCS) across inpatient and outpatient settings, plus auditing and travel readiness as needed. #J-18808-Ljbffr

County of Riverside seeks two Coding Compliance Auditors (Administrative Services Manager I) to lead auditing of inpatient and outpatient records for accurate ICD-10-CM/PCS, CPT, and HCPCS coding. The role requires extensive CMS/IPPS knowledge and experience with external audits. You will collaborate across CDI, HIM, and Revenue Cycle teams, deliver education to providers and staff, and support program development with risk-based audits and performance improvements. #J-18808-Ljbffr

How 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 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,...

Duke Health seeks a Compliance Specialist Auditor to perform coding quality audits of inpatient records per CMS guidelines, supporting PB coders and ensuring accurate code assignments. This 100% remote role requires CPC/RHIT/RHIA/CCS credentials, 4 years coding review experience, and knowledge of ICD-10-CM and CPT/HCPCS. A $10,000 sign-on bonus is offered and candidates must reside in one of the listed states. #J-18808-Ljbffr

Trinity Health IHA Medical Group is seeking a Compliance Coding Auditor-Educator to serve as a subject matter expert for CPT, ICD and HCC coding procedures. The role involves leading audits, reporting results, and educating providers and staff on compliant coding standards. The position requires a Bachelor's degree or equivalent, CPC or RHIT, and at least 2 years in coding, reimbursement analysis, or medical record auditing. #J-18808-Ljbffr