1816 documentation coding auditor jobs found

Documentation & Coding Auditor Performs medical billing coding and documentation quality audits; provides feedback to coding and reimbursement specialists, coders, and educates them. This job has no supervisory responsibilities. Travel Required: Up to 25% Pay Basis: Hourly Location: Amarillo Shift: Day Major/Essential Functions Current and active professional medical billing coding certification required from an accredited organization. Billing and coding experience in a multi‑specialty group practice and/or academic practice setting is preferred. Five or more years of health care items/services. Managerial/supervisory and program management implementation experience strongly preferred. Ability to initiate administrative activities as necessary. Excellent oral and written communication skills. Ability to write and present ideas and information in a concise manner. Ability to work collaboratively with all individuals. Professional bearing, sound business judgment...

Position Description Performs coding and documentation quality audits, provides feedback to coding and reimbursement specialists, coders, and educates them. This job has no supervisory responsibilities. Major/Essential Functions This position is based in Lubbock; however, weekly travel to and from Amarillo will be required for training. Plan and perform proactive compliance activities, including risk-based audits, pre-bill or concurrent reviews, data monitoring, targeted education, policy or template reviews, and department consultations. Identify and address billing compliance risks before issues escalate by using audit trends, payer updates, denial patterns, regulatory changes, stakeholder feedback, and risk assessment results. Partner with departments before new services, workflows, locations, provider groups, or documentation tools are implemented to assess and reduce billing, coding, documentation, supervision, and reimbursement risks. Maintain or...

Coding And Documentation Quality Auditor Performs coding and documentation quality audits, provides feedback to coding and reimbursement specialists, coders, and educates them. This job has no supervisory responsibilities.

Coding And Documentation Quality AuditorPerforms coding and documentation quality audits, provides feedback to coding and reimbursement specialists, coders, and educates them. This job has no supervisory responsibilities.

WellStreet Urgent Care is seeking a Professional Coding Auditor to ensure accuracy in documentation and CPT/ICD-10 coding across our expanding urgent care network. You will audit provider documentation, evaluate support for diagnoses and procedures, identify coding errors, and provide constructive feedback while educating providers and coders. Collaborate with leadership to drive improvements in documentation quality, charge capture, and reimbursement, staying current with CMS/state regulations #J-18808-Ljbffr

WellStreet Urgent Care is seeking a Professional Coding Auditor to review clinical documentation and coding for accuracy, compliance, and proper charge capture. You’ll educate providers and coders, identify trends, and partner with leadership to improve reimbursement. Responsibilities include auditing CPT/ICD-10 codes, ensuring documentation supports diagnoses, and addressing charge-capture issues while staying current with regulations and quality standards. #J-18808-Ljbffr

WellStreet Urgent Care is seeking a Professional Coding Auditor to review clinical documentation and coding for accuracy, compliance, and proper charge capture. You will educate providers and coders, analyze trends, and partner with leadership to improve coding quality and reimbursement. Responsibilities include auditing provider documentation, ensuring alignment with CPT/ICD-10, and delivering constructive feedback. #J-18808-Ljbffr

Ardent Health seeks a Hospital Auditor to review inpatient and outpatient records for accuracy, completeness, and regulatory compliance. The role identifies documentation gaps, validates coding accuracy, and strengthens billing integrity to support reimbursement and patient care quality. The candidate should have 3+ years MS DRG/APR DRG experience, Epic proficiency, and coding certifications (RHIA, RHIT, CCS, CIC, CCDS, CDIP or CPC). Strong communication and analytical skills are essential. #J-18808-Ljbffr

Prime Healthcare is seeking an Inpatient Coder Auditor to review documentation for inpatient visits, ensuring accurate ICD-10-CM, CPT, and HCPCS coding. The role finalizes coding with proper DRG validation and supports CDS and staff to improve documentation quality. The ideal candidate holds a CCS or equivalent, with clinical experience in acute care and strong communication and analytical skills. Full-time, day shift, with a comprehensive benefits package. #J-18808-Ljbffr

St.-Joseph is seeking a documentation and coding auditor to review internal records for compliance with coding regulations and guidelines. The role supports rebuttals to CMS/payor denials and helps improve physician documentation education and correct coding practices. The position involves assisting with EMR template creation to enhance capture of accurate documentation for E&M levels and responding to government and payer records requests. #J-18808-Ljbffr

The Texas Tech University Health Sciences Center is seeking a Documentation & Coding Auditor to conduct medical billing coding and documentation quality audits. In this role, you will provide essential feedback to coding specialists and work collaboratively within the team. This position requires strong problem-solving skills and an active professional coding certification. An ideal candidate will have at least five years of experience in medical billing coding and reimbursement, along with knowledge in CPT, ICD-CM, and related coding systems. You will also be responsible for participating in compliance symposiums and conducting annual risk assessments. #J-18808-Ljbffr

Compliance Auditor We are seeking an experienced Compliance Auditor to join a healthcare compliance team in Brooklyn, New York. The Compliance Auditor will apply advanced regulatory knowledge and analytical judgment to conduct risk assessments, perform independent compliance audits, and support the development and execution of the annual compliance audit plan. This role is responsible for evaluating compliance with governmental, contractual, and regulatory requirements while identifying systemic risks and supporting effective, sustainable remediation. Compensation: $40-50 per hour Schedule Monday–Friday 8:30 AM–5:30 PM 40 hours per week Key Responsibilities Assist with enterprise-wide compliance risk assessments and contribute to the development and execution of the annual compliance audit plan. Design and implement comprehensive, risk-based audit programs to assess compliance with governmental, contractual, and regulatory requirements. Perform...

Location: Miami, FL (On-site preferred; Hybrid/Remote may be considered) Employment Type: Part-Time (25-35 hours per week) About the Position We are seeking an experienced Senior Medical Coding Auditor (CPC) to join our growing multi-specialty medical practice specializing in Primary Care and Gynecology. The ideal candidate will be responsible for reviewing clinical documentation before claims are submitted to ensure accurate coding, appropriate E/M level selection, documentation compliance, and optimal reimbursement while maintaining full regulatory compliance. This position works closely with providers, clinical staff, and the billing department to improve documentation quality, reduce claim denials, maximize appropriate reimbursement, and ensure coding accuracy. Primary Responsibilities Review approximately 300 provider notes per week for coding accuracy and documentation compliance prior to claim submission. Validate appropriate Evaluation & Management (E/M) level...

Northwell Health is seeking a Registered Nurse CDI Auditor to validate acute inpatient coded charts and ensure documentation substantiates diagnostic information. This remote position in New York requires a NY RN license, a BSN, and strong knowledge of coding guidelines. You will audit DRG assignments, communicate changes to CDI staff, and ensure compliance with federal and state regulations. #J-18808-Ljbffr

Medical Coder II, CertifiedRemoteRemote working after on-site training (2-4 weeks). Flexible hours -- any 8 hours between 6:00 AM and 6:00 PM.This is an experienced coding position focused on review of documentation and coding. This position will ensure accurate coding and claim submission and conformity to applicable guidelines and regulations.Essential Responsibilities:· Perform documentation and coding reviews within work queues across various specialties as assigned. Utilize available coding tools and knowledge to assist in appropriate assignment of coding.· Maintain current knowledge to ensure that KPNW coding and documentation meets regulatory guidelines and audit standards. Escalate trends and identified issues through appropriate department channels. Continued development of coding knowledge and regulatory guidelines with maintenance of certification.· Performs other duties as requested to include complex coding issues and project work as assignedQualifications:Basic...

Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

Coding AuditorThe Coding Auditor is responsible for performing comprehensive coding audits to ensure accuracy, compliance, and consistency across all professional services at VMG. This role supports service-line transitions, vendor oversight, and quality validation.Each Coding Auditor will be aligned to a Coding Educator to ensure coordinated education and quality improvement efforts.EducationHigh school diploma or equivalent required.ExperienceMinimum of 5 years of professional coding experienceCertified Professional Coder (CPC) – AAPC required or equivalentMulti-specialty experience in professional codingStrong presentation and communication skillsCPC-H (Hospital Outpatient) preferredCPMA (Certified Professional Medical Auditor) preferredSkillsAdvanced knowledge of coding guidelines.Strong understanding of professional fee coding, reimbursement methodologies, and revenue cycle operations.Demonstrated expertise in conducting audits and evaluating physician documentation for coding...

In an environment of continuous quality improvement, the Coding Auditor will assist in the review of medical records documentation to ensure completeness, accuracy, and compliance with applicable federal and state regulations and guidelines. The Coding Auditor will also be responsible for all documentation and coding education that is provided to the coding staff and providers. Exhibits the Standards of Excellence and exercises strict confidentiality at all times.Job Functions:Manages quality improvement audits and training of designated coding staff and providers.Researches, analyzes, and responds to internal and external inquiries regarding compliance, inappropriate coding, denials, and billable services.Acts as expert coding resource to coders, clinical documentation improvement, providers, and other departments within the hospital or provider clinics.Provides technical support regarding coding compliance documentation; electronic medical records, regulatory provisions, and...

Overview Ardent Health is a leading provider of healthcare in growing mid-sized urban communities across the U.S. With a focus on people and investments in innovative services and technologies, Ardent is passionate about making healthcare better and easier to access. Through its subsidiaries, Ardent delivers care through a system of 30 acute care hospitals, 24,000+ team members and more than 280 sites of care with over 1,800 affiliated providers across six states. Position Summary The Hospital Auditor is responsible for reviewing hospital (inpatient and outpatient) to ensure accuracy, completeness, and compliance with regulatory guidelines and coding standards. This role supports the team’s broader mission by identifying documentation gaps, validating coding accuracy, and assessing the effectiveness of hospital practices. Through targeted feedback and education, the Hospital Auditor helps strengthen documentation quality, promote compliant billing, and safeguard reimbursement...

Location: Newark, New Jersey, United StatesCompany: Integrated ResourcesPosted: Coding Auditor (ICD-10) A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Position: Coding Auditor (ICD-10) Duration: Full-Time Location: Newark/Wall NJ Job Summary: This position is responsible for conducting on site audits of hospital billing and coding practices and desk audits; forms development, profiling and tracking institutional audit trends. Performs and finalizes multiple per diem, bill verification, DRG Validation (utilization review audits) and credit balance....