223 hybrid medical coding auditor jobs found

Location: Baltimore, Maryland, United StatesCompany: TEKsystemsPosted: University of Maryland Medical System is seeking a Medical Coding Auditor for a hybrid role in Baltimore, MD. The position focuses on independent physician coding and auditing reviews to ensure documentation supports codes selected by providers and coders.You will assist with CMS guidelines, CPT, HCPCS, and ICD-10 compliance, and deliver training to improve coding accuracy and documentation quality across the organization.#J-18808-Ljbffr

TEKsystems seeks a Medical Coding Auditor in Baltimore, hybrid (1-2 days in office weekly). The role focuses on independent physician coding reviews, CMS/CPT/ICD-10 compliance, and training to improve documentation accuracy. Responsibilities include auditing, reporting findings, and developing education programs for providers, with a compensation range typically aligned to the posted salary and located in Baltimore, MD. #J-18808-Ljbffr

TEKsystems in Baltimore, MD is seeking a Medical Coding Auditor to conduct physician coding and compliance audits, evaluate documentation accuracy, and ensure CMS/CPT/HCPCS/ICD-10 adherence. The role educates providers, delivers training, and reports audit findings to leadership. Hybrid work with 1 onsite day weekly, local travel to provider locations as needed. Requires 5+ years of medical coding, CPC certification, and ProFee experience; strong CMS guidelines knowledge. #J-18808-Ljbffr

TEKsystems in Baltimore, MD seeks a Medical Coding Auditor to conduct independent physician coding reviews, ensuring accuracy and CMS compliance. This hybrid role requires 1-2 days in the office weekly and offers direct placement with TEKsystems. You will use MDaudit to document findings, educate providers, and support audit readiness across the organization. Candidates should have CPC/CCS certifications and 5 years coding experience including auditing. #J-18808-Ljbffr

OrthoVirginia is seeking a Medical Auditor (Billing & Coding) to conduct coding and documentation audits across assigned providers, educate clinicians on documentation requirements, and ensure compliance with billing regulations. This full-time, hybrid role requires travel to regional offices, CPT/ICD knowledge, and certifications such as CPC/CCS-P, RHIA or RHIT. You will prepare audit reports and support the compliance program under the Billing & Coding Compliance Manager. #J-18808-Ljbffr

Encova Insurance is seeking a Medical Bill Adjuster to research, audit and process moderately complex to complex medical bills for payment across all locations. This role determines the appropriateness of coding and services that require prior approval, and processes bills accordingly in a hybrid setup. The ideal candidate has at least three years of medical billing/coding experience, a relevant degree, and a preferred medical coding certification. #J-18808-Ljbffr

Clinical Coding Auditor & Trainer We are looking for a Clinical Coding Auditor & Trainer position that is primarily remote with a small travel expectation on an annual basis. Candidates must be willing to travel to New York twice a year to be considered for the position. Position Purpose: Responsible for developing and conducting training and quality auditing programs for the Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. Responsibilities: Conducts auditing of work performed by staff and present findings and recommendation for areas of improvement to management Under minimal supervision responsible for all aspects of auditing projects that are broad in nature and require originality and/or ingenuity Assists with revisions to Policy and Procedure and/or work process development Conducts training needed analysis to determine specific training needs for clinical and coding staff Identifies, selects, or develops appropriate...

Community Care Plan is seeking a Medical Coding Auditor to conduct audits across pre- and post-payment records, ensuring accurate coding on claims and maintaining support for any identified fraud, waste, or abuse. The role requires Medicaid knowledge, coding certification, and experience with audits, investigations, and documentation. A hybrid work schedule is available with focus on compliance and accuracy. #J-18808-Ljbffr

We are an independent, Florida-focused organization with a long-standing commitment to delivering high-quality care to seniors and the communities we serve. Our work centers on improving health outcomes, enhancing the patient experience, and supporting value-based care models. As part of WellMed Optum Florida, team members collaborate across clinical and operational functions to support older adults with compassionate, coordinated care. We foster a culture of integrity, continuous improvement, and respect, offering opportunities for professional growth while making a meaningful impact. Our focus on seniors’ health drives innovation in care delivery, risk adjustment, and provider support across the Greater Tampa Bay Area and beyond. LOCATION The Risk Adjustment Coding Auditor & Provider Educator is a full-time hybrid role based in the Greater Tampa Bay Area, with a mix of onsite visits and some work-from-home flexibility. ABOUT THE ROLE The Coding Auditor / Educator is...

Medical Coding Auditor Hybrid (1 - 2 days in office per week) Baltimore, MD 21201 Compensation $66k-$92k Direct Placement Description Responsible for conducting independent physician coding and auditing reviews to ensure the accuracy, completeness, and compliance of medical record documentation supporting codes selected by providers and/or coders. This role ensures compliance with CMS guidelines, CPT, HCPCS, and ICD-10 code sets, while supporting providers through ongoing physician coding education, auditing feedback, compliance guidance, and training initiatives. This position plays a key role in physician documentation improvement, coding compliance, audit readiness, and provider education across the organization. Core Responsibilities Physician Coding, Auditing, Compliance & Education Conduct independent physician coding and auditing reviews to assess the adequacy of medical record documentation supporting codes selected by providers and/or coders. Perform detailed...

Join a Team Where Your Expertise Impacts Lives: Medical Coding Specialist Camber Mental Health, a subsidiary of KVC Health Systems, is seeking a dedicated Medical Coding Specialist to serve as our resident subject matter expert. If you are a certified professional looking to apply your skills in a high-impact behavioral health setting, we invite you to join an organization that prioritizes authenticity, compassion, and innovation. At KVC and Camber, we believe the heart of our work is helping people. Our commitment to our staff is reflected in our Indeed Work Wellbeing score of 83, demonstrating our dedication to a supportive and fulfilling professional environment. The Role As the Medical Coding Specialist, you will ensure the integrity of patient records by accurately assigning diagnostic and procedural codes. Your work is vital to maintaining regulatory compliance and ensuring proper insurance reimbursement, directly supporting our ability to provide high-quality care...

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...

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

Job Description Job Description Position Summary: The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through pre and post payment medical records review and appeal records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines, coverage policies and regulatory and contract requirements. Qualifications: Medical Coder certification from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) required. Prior experience in Medicaid claims role and/or post payment medical coding auditor role preferred. Knowledge of Medicaid rules, claims processing, medical terminology and coding principles and practices. Knowledge of auditing, investigation, and research. Knowledge of word processing...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Coding Auditor Full Time Staff South Florida Community Care Network, LLC, Sunrise, FL, US 3 days ago Requisition ID: 1202 Position Summary: The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through pre and post payment medical records review and appeal records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines, coverage policies and regulatory and contract requirements. Qualifications: Medical Coder certification from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) required. Prior experience in...

South Florida Community Care Network, LLC in Sunrise, Florida is seeking a Medical Coding Auditor to conduct audits of pre- and post-payment records, ensuring compliant coding and identifying potential fraud, waste, abuse, and overpayments. The role requires maintaining documentation and regulatory adherence. The position involves reviewing medical records, preparing summaries for committees, and generating reports; it supports a hybrid work schedule with duties spanning regulatory and contract #J-18808-Ljbffr

Job Description Job Description 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....

The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for an outpatient Certified Coding Auditor to work in its New York office or remotely. Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payors....

Coding Auditor And Educator Join our team as a day shift, full time, hybrid, Coding Auditor and Educator at INTEGRIS Health in Oklahoma City, OK. INTEGRIS Health, Oklahoma's largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives. Benefits of being an INTEGRIS Health caregiver include front-loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more. Take the first step toward growing your career by joining us. Qualifications REQUIRED QUALIFICATIONS 4+ year coding experience EDUCATION: High School Diploma or GED LICENSE/CERTIFICATIONS: AHIMA-RHIA (Registered Health Information Administrator) OR AHIMA-RHIT (Registered Health Information Technician) OR AHIMA-CCS (Certified Coding Specialist) OR AAPC-CIC (Certified Inpatient Coder) OR AAPC-CPC (Certified Professional...

SIU ICD10 Professional Coder - Healthcare Fraud, Waste and Abuse Department - Hybrid 2 days in office SIU ICD10 Professional Coder - Healthcare Fraud, Waste and Abuse Department - Hybrid 2 days in office Location US-MA-Worcester Job ID 8406 # Positions 1 Category Professionals Location US-MA-Worcester Job ID 8406 # Positions 1 Category Professionals Overview About us: Fallon Health is a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability,...

MetroPlus is seeking a Clinical Coder to join its Special Investigations Unit in New York City. The candidate will review medical records and claims for compliance, conduct audits, and participate in investigations of suspected fraud. A Bachelor's degree in Nursing and AAPC Coding certification are required, along with 5+ years of relevant experience. Strong analytical skills and attention to detail are essential for success in this role. The position allows for hybrid work arrangements, promoting both collaboration and work-life balance. #J-18808-Ljbffr

Physician Coding and Auditing SpecialistResponsible for conducting independent physician coding and auditing reviews to ensure the accuracy, completeness, and compliance of medical record documentation supporting codes selected by providers and/or coders. This role ensures compliance with CMS guidelines, CPT, HCPCS, and ICD-10 code sets, while supporting providers through ongoing physician coding education, auditing feedback, compliance guidance, and training initiatives.This position plays a key role in physician documentation improvement, coding compliance, audit readiness, and provider education across the organization.Hybrid Work Expectations:To ensure collaboration, provider engagement, and training effectiveness, this position follows a hybrid work model with the following expectations:Onsite Expectations:Mandatory in-office presence at least 1 day per week (Wednesday).Additional in-office days may be required for:Training sessionsProvider meetingsDepartment meetingsSome...

Clinical Coding Auditor & TrainerWe are looking for a Clinical Coding Auditor & Trainer position that is primarily remote with a small travel expectation on an annual basis. Candidates must be willing to travel to New York twice a year to be considered for the position.Position PurposeResponsible for developing and conducting training and quality auditing programs for the Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care.ResponsibilitiesConducts auditing of work performed by staff and present findings and recommendation for areas of improvement to managementUnder minimal supervision responsible for all aspects of auditing projects that are broad in nature and require originality and/or ingenuityAssists with revisions to Policy and Procedure and/or work process developmentConducts training needed analysis to determine specific training needs for clinical and coding staffIdentifies, selects, or develops appropriate training programs, including...

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...