1112 healthcare coding auditor jobs found

Baptist Health is the region's leading not-for-profit healthcare system providing extensive coding education and auditing expertise. The role focuses on continuous staff education, audits of coded data, and expert guidance on outpatient and inpatient PPS, APC, ASC, and DRG accuracy. Responsibilities include reviewing records for coding quality, preparing education materials, and partnering with HIM management to improve documentation and reimbursement workflows. #J-18808-Ljbffr

Commence is seeking a part-time Coding Specialist to support clinical documentation reviews and coding audits. The role involves remote and office work with healthcare data, ensuring accuracy and compliance while communicating findings clearly to hospitals and clients. Ideal candidates have 2+ years in outpatient coding/audit roles, familiarity with ICD-10-CM/PCS, CPT/HCPCS, and DRG/APRDRG, and a Bachelor’s degree with relevant licensure or credentials such as RHIA/RHIT/CCS. #J-18808-Ljbffr

Ardent Health is seeking a Hospital Auditor to review inpatient and outpatient records for accuracy, completeness, and regulatory compliance. The role involves identifying documentation gaps, validating coding accuracy, and assessing hospital practices to strengthen documentation quality and safeguard reimbursement integrity. The position requires strong MS DRG/APR DRG experience, ICD-10-CM/PCS expertise, and the ability to communicate findings effectively to providers and leadership. #J-18808-Ljbffr

Baylor Scott & White Health in Hartford, CT is seeking a Coding Auditor 1 to perform coding quality audits using ICD-10-CM/PCS, HCPCS, CPT and other references. You will ensure accurate code assignment and support internal customers with compliant documentation. The role requires 5 years of coding experience with one year as a coding auditor and professional certifications (RHIA/RHIT/CCS/CCS-P/CPC/COC/CIC/CIRCC). #J-18808-Ljbffr

Baylor Scott & White Health is seeking a Coding Auditor 1 to conduct coding quality reviews using ICD-10-CM/PCS, HCPCS, CPT and other references. You will provide feedback to coders and ensure accurate classification and MS-DRG/APC groupings, collaborating with Clinical Documentation Specialists to improve documentation. Ideal candidates bring 5 years in coding with applicable certifications (CCS, RHIA, RHIT, CPC, etc.) and at least 1 year as a coding auditor, with strong knowledge of HIPAA and #J-18808-Ljbffr

Baylor Scott & White Health in Dallas is seeking a Coding Auditor I to perform coding quality audits, advise coders, and ensure accurate ICD‑10, HCPCS, and CPT coding. This role emphasizes collaboration with Clinical Documentation Specialists to improve documentation quality and compliance. The position requires 5 years of coding experience with at least 1 year as an auditor and certification in RHIA/RHIT/CCS/CCS‑P/CPC/COC/CIC/CIRCC. On-site role with comprehensive benefits plan. #J-18808-Ljbffr

Ardent Health Services is seeking a Hospital Auditor to review inpatient and outpatient records for accuracy and regulatory compliance. You’ll identify documentation gaps, validate coding accuracy, and support education to strengthen reimbursement integrity and patient care quality. Responsibilities include conducting comprehensive audits, analyzing findings, and delivering detailed reports to stakeholders, with strong emphasis on CMS guidelines and coding standards. #J-18808-Ljbffr

Ardent Health Services is seeking a Hospital Auditor to review inpatient and outpatient records for accuracy and regulatory compliance. You’ll identify documentation gaps, validate coding accuracy, and support education to strengthen reimbursement integrity and patient care quality. Responsibilities include conducting comprehensive audits, analyzing findings, and delivering detailed reports to stakeholders, with strong emphasis on CMS guidelines and coding standards. #J-18808-Ljbffr

CoxHealth is seeking a Coding Auditor to ensure accuracy in hospital and professional coding. You will work with inpatient and outpatient coders, auditing documentation and applying official guidelines to improve coding quality. The role requires high school completion and preferably 1 year in hospital or professional coding. AHIMA or AAPC credentials are valued; CoxHealth offers a diverse benefits package and strong career growth. #J-18808-Ljbffr

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...

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 in an acute care hospital...

Cape Cod Healthcare is seeking a Coding and Billing Compliance Auditor to ensure accuracy, integrity, and regulatory compliance of clinical documentation, coding, and billing across the health system. The role conducts audits, identifies discrepancies, and educates staff to reduce risk and optimize reimbursement. You'll collaborate with Revenue Cycle, HIM, CDI, and Compliance teams, prepare audit reports, and present findings to leadership, driving continuous improvement in coding standards and #J-18808-Ljbffr

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

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

Healthcare Fraud Shield is seeking a Coding Auditor to perform routine coding reviews and ensure medical records align with billed codes. The role requires strong coding knowledge and meticulous attention to accuracy, with supervision by SIU management. The ideal candidate will review claims, abstract codes, and prepare written summaries while maintaining up-to-date knowledge of coding guidelines and privacy standards. The position emphasizes quality, accuracy, and adherence to regulations. #J-18808-Ljbffr

A leading healthcare management firm is seeking a Compliance Coding Auditor to support its Compliance & Ethics Program. The role involves auditing and monitoring compliance in healthcare practices, ensuring accurate coding and billing processes. Candidates should have 5-10 years of relevant experience in healthcare along with necessary certifications. The position offers comprehensive benefits including a full employer-paid HMO, generous PTO, and tuition reimbursement. #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

Healthcare Fraud Shield is seeking a Coding Auditor to perform routine coding reviews and ensure medical records align with billed codes. The role requires strong coding knowledge and meticulous attention to accuracy, with supervision by SIU management. The ideal candidate will review claims, abstract codes, and prepare written summaries while maintaining up-to-date knowledge of coding guidelines and privacy standards. The position emphasizes quality, accuracy, and adherence to regulations. #J-18808-Ljbffr

Inpatient Facility Medical Coder (40h Day) Remote Clackamas, OR Candidates must reside either in Washington or Oregon to be considered for this position. To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding...

Thompson Health in Canandaigua, NY seeks a Billing/Compliance Specialist with CPC-A certification to oversee coding, billing, and regulatory compliance. You will audit medical records, develop reports, and interact with patients, payers, and staff throughout the health system. Strong EMR skills and knowledge of RBRVS are essential. 3–5 years healthcare billing experience is preferred; CPC-CPC-H is a plus. Excellent communication and MS Office proficiency are required. #J-18808-Ljbffr

A community healthcare provider in Hillsboro seeks a Coding Compliance Specialist to ensure organizational compliance with coding standards. Responsibilities include reviewing medical records, conducting audits, and assisting with provider education on billing practices. The role requires a high school diploma, coding certification, and experience with Electronic Health Records. Excellent interpersonal skills and bilingual proficiency in Spanish are desirable. Join us in our mission to provide culturally appropriate healthcare to underserved populations. #J-18808-Ljbffr

A healthcare organization in New York seeks an experienced individual to safeguard revenue and reputation through auditing and compliance activities. Responsibilities include conducting medical record audits, developing formal reports for senior management, and coordinating education sessions for over 500 health professionals. The ideal candidate must have a Bachelor's degree, at least 5 years of relevant experience in billing and coding, and excellent communication skills. #J-18808-Ljbffr

Dana‑Farber Cancer Institute in Brookline, MA is seeking a Billing Compliance Reviewer to plan and execute risk-based audits of medical necessity and coding accuracy. You will analyze documentation, ensure compliance with CMS, OIG, and payer requirements, and suggest corrective actions to reduce compliance risk. The role collaborates with Coding, HIM, Billing, and clinical teams to remediate findings, develop internal controls, and support ongoing improvement in charge capture and documentation #J-18808-Ljbffr