1352 compliance coding auditor jobs found

Compliance Coding Auditor Performs a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara's patients, and also assures that the coding practices fall within established compliance guidelines. Both ICD and CPT coding methodologies are used in the internal audit activity. The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment methodology, including the impact on Relative Value Unit (RVU) value related to Non-Physician Practitioner (NPP) services, Provider Based Billing (PBB) locations, and all other complex coding protocols within one year. All queries arising from the audit process are...

OverviewThis position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff.This position will support the implementation of changes to the CPT, CDT, HCPCS and ICD-10 codes on an annual basis.ResponsibilitiesEssential Duties :Conduct prospective and retrospective chart reviews (i.e.baseline, routine periodic, monitoring, and focused) comparing medical and / or dental record notes to reported CDT, CPT, HCPCS, and ICD codes with consideration of applicable FQHC and payer / title / grant coding requirements.Identify coding discrepancies and formulate suggestions for improvement.Communicate audit results / findings to providers and / or ancillary staff and share improvement ideas.Work with the Office of the CMO and provider leadership to identify and assist providers with coding.Report findings and recommendations to Compliance...

Overview This position reports to the Director of Healthcare Compliance. Responsibilities include conducting billing and coding audits, and communicating results and recommendations to providers, management, and executive administration. This role will provide training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, HCPCS and ICD-10 codes on an annual basis. Responsibilities Essential Functions: Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical record notes to reported CPT/HCPCS and ICD codes with consideration of applicable payer coding requirements. Identify coding discrepancies and formulate suggestions for improvement. Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. Work with medical staff department to identify and assist providers with coding. Report findings and recommendations...

Overview This position reports to the Director of Healthcare Compliance. Responsibilities include conducting billing and coding audits, and communicating results and recommendations to providers, management, and executive administration. This role will provide training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, HCPCS and ICD-10 codes on an annual basis. Responsibilities Essential Functions: Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical record notes to reported CPT/HCPCS and ICD codes with consideration of applicable payer coding requirements. Identify coding discrepancies and formulate suggestions for improvement. Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. Work with medical staff department to identify and assist providers with coding. Report findings and recommendations...

Overview This position reports to the Director of Healthcare Compliance. Responsibilities include conducting billing and coding audits, and communicating results and recommendations to providers, management, and executive administration. This role will provide training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, HCPCS and ICD-10 codes on an annual basis. Responsibilities Essential Functions: Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical record notes to reported CPT/HCPCS and ICD codes with consideration of applicable payer coding requirements. Identify coding discrepancies and formulate suggestions for improvement. Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. Work with medical staff department to identify and assist providers with coding. Report findings and...

A healthcare service organization is seeking a Medical Coding and Billing Compliance Auditor to perform coding audits and ensure compliance with regulations. The role requires extensive coding knowledge, analytical skills, and a strong background in Microsoft Office applications. Applicants should have a current coding credential and a minimum of three years of outpatient coding experience. This is a full-time remote position. #J-18808-Ljbffr

Coding Compliance Auditor Primary Location Wailuku, Hawaii Facility Name Maui Memorial Medical Center Schedule Full-time Shift Day Salary $79500 - $93500 / year Job Number 1367157 Date Posted 06/09/2026 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...

A healthcare organization in Wisconsin is seeking a coding auditor to conduct billing and coding audits, provide training, and ensure compliance with regulations. The ideal candidate has extensive experience in procedural and diagnostic coding, with relevant certifications. Strong attention to detail and communication skills are essential. This position offers a chance to work within a collaborative environment focused on compliance and accurate reporting. #J-18808-Ljbffr

BlueCross BlueShield of Tennessee, Inc. is looking for a Coding Auditor to join their Facility Audit Department in Chattanooga, TN. This role involves reviewing hospital claims to ensure compliance and appropriate reimbursement. Candidates must have a Bachelor's degree and at least 2 years of coding/auditing experience, along with an active AHIMA certification or the willingness to obtain one. The position supports the use of Enterprise-AI tools and includes responsibilities such as communicating audit results and developing audit policies. This is a remote-first role with potential relocation assistance available. #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 Compliance...

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. 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. Provides for day to day supervision and instruction for the auditors which includes audit assignments, problem solving, monitoring productivity and scheduling. Manages time and attendance approvals....

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...

Dormont Manufacturing Co is seeking a Compliance Auditor to enhance the quality of clinical and financial documentation. This role involves auditing clinical documentation, ensuring compliance with billing codes, and collaborating with personnel to recommend process improvements. The ideal candidate should have a Bachelor’s degree in Health Information Management, relevant certifications, and a minimum of three years of experience in coding and compliance audits. A comprehensive benefits package is offered. #J-18808-Ljbffr

Coding Compliance Auditor (Remote) Pride Health is hiring a Coding Compliance Auditor for one of its clients in Maryland. This is a 3-month contract with possible Temp to Hire, with competitive pay and benefits. There is a Remote role, but it must be based in EST or CST hours. Job Title: Coding Compliance Auditor Pay range: $35 - $38 an Hour on a W2 Location: Remote (Linthicum Heights, MD) Duration: 3 months of contract (Possible Temp to Hire) Shift: The core business hours are 6 a.m.- 6 p.m. Shift hours can be flexible and discussed with the manager. Notes: - Assessment will be given to qualified candidates identified by the client. Assessment will need to be completed and scored before proceeding with interview. Job Summary Seeking an experienced Coding Compliance Auditor to review and audit inpatient and outpatient medical records for coding accuracy, regulatory compliance, and appropriate reimbursement. This role serves as a coding subject matter expert, provides education...

Central Health in Austin, Texas, is seeking a Compliance Auditor responsible for conducting billing and coding audits, as well as providing training to staff. The role requires expertise in CPT, HCPCS, and ICD-10 coding principles. Qualified candidates should have at least 5 years of experience in a medical environment, with certifications as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Strong attention to detail and excellent communication skills are essential. #J-18808-Ljbffr

OU Medicine is seeking an Inpatient Coding Auditor in Oklahoma to ensure quality and compliance in inpatient coding through audits and education. Ideal candidates will possess varying experience levels and must have a background in inpatient coding auditing. Responsibilities include conducting coding quality reviews, responding to coding inquiries, and training staff. Candidates must have a relevant diploma or degree and specific certifications. Remote work is eligible for candidates in selected states. #J-18808-Ljbffr

Medical Coding and Billing Compliance Auditor Location: Remote Division: Coding Compliance About the Role: The Medical Coding Auditor is a detail-oriented position responsible for reviewing medical coding accuracy, documentation integrity, ensuring compliance with federal and state regulations, payer guidelines, and internal policies. The ideal candidate will bring strong analytical skills, extensive coding knowledge, and a passion for maintaining the highest standards of quality and compliance. The candidate will demonstrate a strong background in Microsoft Office applications including PowerPoint, Word, Excel, Outlook, TEAMS, and SharePoint. The Medical Coding Auditor will have a background in physician feedback and education on documentation integrity and coding accuracy. The ideal candidate will have extensive knowledge of CPT coding, ICD-10-CM coding, E/M coding, HCC methodologies, modifiers, telehealth, and HCPCS coding. The candidate will understand and know where to access...

A healthcare facility in Lawrence is seeking a Medical Coding Auditor responsible for conducting compliance reviews of medical documentation to ensure billing accuracy. The ideal candidate will have a CPC or CCS-P certification and five years of physician coding experience. This role requires strong communication and analytical skills, as well as a thorough understanding of coding regulations. The position offers competitive pay and benefits, focusing on community health and compliance education. #J-18808-Ljbffr

Mountain View Hospital in Idaho Falls is seeking a Medical Coding Auditor responsible for conducting audits of medical records, coding, and billing information. The role involves collaboration with various departments to ensure compliance and accuracy. Ideal candidates will have a High School Diploma, relevant certifications in coding, and experience in coding. The position guarantees competitive benefits including health insurance, retirement plans, and education reimbursement. #J-18808-Ljbffr

A non-profit health organization in Juneau seeks a Compliance Auditor to review health record documentation and ensure compliance with coding and billing regulations. Candidates should have a health-related degree and three years of relevant experience. This role involves conducting audits, analyzing data, and preparing detailed reports. Join us to make an impactful career in Southeast Alaska with competitive benefits and support for professional growth. #J-18808-Ljbffr

Presbyterian Healthcare Services is hiring a Profee Remote Auditor/Educator to join their team. This full-time role, based remotely in New Mexico, involves supporting coding and documentation quality assurance while ensuring compliance with regulatory standards. Responsibilities include conducting audits, training staff, and managing documentation. Candidates should have a high school diploma or GED, relevant licenses, and at least 3 years of coding and auditing experience. The position offers a comprehensive benefits package including medical, dental, and vision coverage. #J-18808-Ljbffr

US Oncology Inc. is looking for a skilled professional in Norfolk, Virginia, to perform medical record chart and coding audits under the supervision of the State Reimbursement Manager. This full-time, on-site role involves ensuring compliance with established guidelines and providing insight for procedural improvements. The ideal candidate will have at least nine years of experience in billing and coding, a CPC certification, and strong knowledge of ICD9, CPT4, and HCPCS codes. We offer a comprehensive benefits package including medical, dental, vision, 401(k), and more. #J-18808-Ljbffr

Sr Coding Compliance Auditor Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an emphasis on documentation, coding improvement, and revenue capture. Provides education to clinicians, clinic staff, and others as needed via face-to-face meetings, classroom settings, webinars, and online modules. Develops, maintains and presents coding and compliance educational materials to staff and clinicians. Collaborates with the coding team to support the needs of the organization. The...

The 100 Lawrence Memorial Hospital is looking for a Medical Coding Auditor responsible for conducting compliance reviews to ensure accuracy in billing. The role includes analyzing medical records and providing training for staff on coding practices. Qualified candidates should have strong communication skills and a minimum of five years experience in physician coding, with relevant certifications. This position aims to enhance charge capture and ensure compliance with industry regulations. #J-18808-Ljbffr