Medical auditor jobs | Healthcare Careers

Beyond Podiatry New Baltimore, MI, USA

Job Description Job Description Description: A Certified Professional Medical Auditor is responsible for reviewing and auditing medical documentation, including patient records, charts, and clinical notes, to ensure accuracy, compliance with regulations, and adherence to industry standards. This role is crucial in maintaining the integrity of medical records, billing processes, and healthcare facilities' compliance with applicable laws and regulations. Requirements: Key Responsibilities: Medical Documentation Review: Conduct thorough audits of patient medical records, including physician notes, progress notes, discharge summaries, and other relevant documentation. Examine medical records to verify their completeness and conformity with established standards, ensuring they accurately reflect the patient's condition, diagnosis, treatment, and other pertinent information. Verify that documentation adheres to established coding guidelines, such as ICD-10 and CPT, and...

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Medical Auditor Clinical Documentation Coding Compliance

Greenlife Healthcare Staffing Jericho, NY, USA

Medical Auditor (Clinical Documentation & Coding Compliance) - Jericho, NY (\#R10259) Location: Jericho, New York Employment Type: Full-Time Hourly Rate: $47.00/hour About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: Conduct comprehensive coding and documentation audits to ensure compliance with industry standards, regulations, and payer rules. Why Join Us? Competitive Compensation: $47.00/hour Work Schedule: Full-time, Monday–Friday Comprehensive Benefits: Comprehensive benefits package Professional Growth: Advance in healthcare compliance and auditing Impactful Work: Ensure coding...

GH

Medical Auditor (Clinical Documentation & Coding Compliance)

Greenlife Healthcare Staffing Jericho, NY, USA

About the Job Medical Auditor (Clinical Documentation & Coding Compliance) - Jericho, NY (#R10259) Location: Jericho, New York Employment Type: Full-Time Hourly Rate: $47.00/hour Position Overview: Conduct comprehensive coding and documentation audits to ensure compliance with industry standards, regulations, and payer rules. Why Join Us? Competitive Compensation: $47.00/hour Work Schedule: Full-time, Monday-Friday Comprehensive Benefits: Comprehensive benefits package. Professional Growth: Advance in healthcare compliance and auditing. Impactful Work: Ensure coding accuracy and regulatory compliance. Qualifications: Job qualifications & certifications: CPC, CPMA, CCS, or related credential. 3+ years of coding/auditing experience. Strong understanding of coding compliance and documentation standards. Ideal for individuals with both coding expertise and regulatory audit experience. Skills: Strong...

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Certified Medical Auditor

Beyond Podiatry Chicago, IL, USA

Job Type Full-time Description A Certified Professional Medical Auditor is responsible for reviewing and auditing medical documentation, including patient records, charts, and clinical notes, to ensure accuracy, compliance with regulations, and adherence to industry standards. This role is crucial in maintaining the integrity of medical records, billing processes, and healthcare facilities' compliance with applicable laws and regulations. Requirements Key Responsibilities: Medical Documentation Review: Conduct thorough audits of patient medical records, including physician notes, progress notes, discharge summaries, and other relevant documentation. Examine medical records to verify their completeness and conformity with established standards, ensuring they accurately reflect the patient's condition, diagnosis, treatment, and other pertinent information. Verify that documentation adheres to established coding guidelines, such as ICD-10 and CPT, and...

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Quality Medical Auditor

Spectraforce Technologies Columbia, SC, USA

Role Name: Quality Medical Auditor Location: Columbia, SC 29223 Work Environment: Remote (Preferred Onsite) Schedule: Mon - Fri, 8AM-4:30PM Contract length: 4 months assignment with possible conversion Job Summary Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events (inexcusable outcomes in a healthcare setting) for all lines of business. Coordinates rate adjustments with claims areas. Provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues. Coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department. Day to Day 75% Determines methodology to identify cases for validation review. Conducts validation reviews/coordinates rates adjustments with appropriate claims area. Creates monthly/quarterly reports to present to each line of business providing information on records review, outcomes, trends, and savings that directly...

Full Time

Medical Coder and Auditor

CNY Family Care, LLP Hybrid (Initial training onsite. Hybrid schedule once/week in offce.)

CNY Family Care's commitment to excellence sets us apart and guides us as we provide care for our community. The Medical Coder and Auditor will be responsible to conduct prospective audits of coding and billing; analyze physician and provider documentation in outpatient office health records; correct evaluation and management (E/M) service levels, appropriate procedure codes, and any necessary modifiers. Medical Coder and Auditor Responsibilities: Navigate the patient health record, office visit notes, and procedure reports in the determination of diagnoses, reason for visit, procedures, and modifiers to be coded. Code outpatient records utilizing coding books, online tools, and references, in the assignment of ICD, CPT, and HCPCS codes and modifiers. Document individual encounter audit findings and communicates results to providers. Access charge work queues to validate and assign charges. Perform all required EMR functions as efficiently as possible and according...

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Medical Coding Auditor

Exceptional Healthcare Dallas, TX, USA

Data Quality Auditor Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc. Job Responsibilities/Duties: Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or MS-DRG assignment. Adheres to...

EH

Medical Coding Auditor

Exceptional Healthcare Inc. Dallas, TX, USA

Job Description Job Description Job Summary: Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc. Job Responsibilities/Duties: · Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or...

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Medical Coding Auditor

Mountain View Hospital Idaho Falls, ID, USA

Mountain View Hospital is looking for a Medical Coding Auditor to join our team! JOB SUMMARY: Medical Record Auditor will be responsible for assisting/ conducting audits of medical records, coding and billing information. The auditor will look at both departments inside the hospital, outside departments and physician records and billing. Auditors will put together informational reports of finding and relay the information to the appropriate source. Reporting will be generated to help track which providers, locations or target areas need to be audited. The medical auditor will assist in putting together appeals/ rebuttals for external auditing sources. Auditor should have audits completed within a timely manner that is set up with the supervisor/ manager. Auditor will be provided as education as directed by the Auditing Integrity Department manager. Works collaboratively with the unit-specific educators, department manager, department supervisor, the DON and the compliance...

PF

Medical Coding Auditor - Remote

Patient Financial Concepts Burlington, VT, USA

Job Type Full-time Description Required: 3-5 years of experience in professional (profee) medical coding auditing or compliance Location: Remote Job Summary The Medical Coding Auditor is responsible for performing coding audits and coding review activities to ensure accurate code assignment, documentation integrity, and compliance with regulatory and payer requirements. This role has a primary focus on professional fee (ProFee) coding and auditing, with facility coding/auditing experience preferred. The position supports continuous quality improvement through audit findings, education, feedback, and collaboration with internal teams. Occasional travel may be required for audits or meetings. Responsibilities Conduct audits and reviews of medical records for coding accuracy, documentation compliance, and reimbursement integrity, with a primary focus on ProFee coding (ICD-10-CM, CPT, HCPCS, modifiers). Perform or support hands-on coding as...

DC

Certified Medical Coder / Clinical Chart Auditor (AAPC certified)

DNA Comprehensive Therapy Services LLC Fort Myers, FL, USA

Position Summary Elite DNA Behavioral Health is seeking a detail-oriented Certified Medical Coder / Clinical Chart Auditor (AAPC certified) to support our internal compliance and quality assurance program. This role focuses on chart auditing, documentation review, and provider education , with an emphasis on CMS, Florida Medicaid, and behavioral health documentation standards . This position goes beyond CPT coding alone. The Auditor will review each element of the medical record-including assessments, treatment plans, progress notes, and billing documentation-to ensure services meet regulatory, payor, and internal compliance requirements. The Auditor will also provide constructive feedback and education to providers to improve documentation accuracy and reduce audit risk. This is an excellent opportunity for early-career coders (0-3 years experience) looking to build expertise in healthcare compliance and auditing. Essential Duties and Responsibilities Conduct...

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Medical Coder and Auditor

CNY Family Care LLP Syracuse, NY, USA

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. Description Medical Coder and Auditor - Family Care Practice Full-Time Monday - Friday Flexible Schedule $22.00 -$28.00 per hour (depending on experience) Medical Coder and Auditor Benefits: Annual performance review, performance-based merit increase Health, dental and vision benefits available with coverage effective the first of the month following date of hire Full complement of voluntary benefits $1,000 annual employer HSA contribution for employees enrolled in CNYFC high deductible health plan Free office visits with NP or PA employees who are patients of the practice and enrolled in CNYFC high deductible health plan Waiver program for health benefits ($3,000...

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Medical Group Compliance Auditor Senior - HYBRID

Cone Health Greensboro, NC, USA

The Medical Group Compliance Auditor Senior is responsible for providing audit, coding support and guidance to physicians, APPs, residents and support staff. This role ensures that all coding, billing and documentation complies with federal and/or state regulations, private payer health care program requirements as well as the Compliance and Operations Policies of the organization. This job assists with the development and implementation of educational and training programs as well as coding tools and resources to help achieve organization?s goal of consistent, complete and accurate coding and documentation. Essential Job Function Capable of working independently to conduct regularly scheduled compliance reviews for assigned providers, practices, and focused review areas within designated time frames. Provides mentorship and guidance to the more junior Medical Group Compliance Auditor during the audit completion process. Performs Reviews clinical documentation to...

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Remote Medical Coding Auditor (CPC, CCS-P, or CPMA)

Crossroads SC, USA

Crossroads Treatment Centers is an equal opportunity employer.We celebrate diversity and are committed to creating an inclusive environment for all employees.Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder.Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery.This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery.We are committed to bringing critical services to communities across the U.S.to improve access to treatment for over 26,500 patients.Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and...

UM

Medical Coding Auditor - Must have a NM Residence

UNM Medical Group, Inc. Albuquerque, NM, USA

UNM Medical Group, Inc. is hiring for a Medical Coding Auditor to join our Compliance Team. This opportunity is a REMOTE, full-time, day shift opening located in Albuquerque, New Mexico. *This is a work from home position that requires the selected candidate to have a permanent address and live in New Mexico or be willing to relocate to New Mexico* *This position requires extensive knowledge and experience with E/M coding. *$4,000 Sign-on Bonus* Minimum $56,173 - Midpoint $70,217* *Salary is determined based on years of total relevant experience. *Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE. Summary: Under indirect supervision, audits medical charts and records for compliance with federal coding regulations and guidelines. Uses knowledge of UNM Medical group billing systems procedures to provide a review of evaluation and management codes, medical...

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Medical Coding Auditor

LMH Health Lawrence, KS, USA

Medical Coding Auditor The Medical Coding Auditor is responsible for conducting prospective and retrospective compliance reviews of documentation supporting codes reported by providers or facility coding to ensure accuracy in billing, maximize charge capture, and comply with Federal, State, payer, and institutional requirements. This role involves analyzing medical records, ensuring the accuracy of ICD-10-CM diagnosis coding and CPT/HCPCS coding, and compliance with regulations. The specialist communicates results, makes recommendations, and provides training and education to staff on appropriate documentation, coding, and billing practices. Essential Job Responsibilities: Conduct coding and auditing of technical and professional components of services and procedures to ensure accuracy. Perform audits of new physicians on coding and documentation requirements for E/M services and procedures. Track coding issues by provider and present necessary education and training to...

EH

Medical Coding Auditor

Exceptional Health Care Dallas, TX, USA

Job Summary: Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc. Job Responsibilities/Duties: • Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or MS-DRG assignment. Adheres to...

PF

Remote Medical Coding Auditor

Patient Financial Concepts USA

Job Type Full-time Description Required: 3-5 years of experience in professional (profee) medical coding auditing or compliance Location: Remote Job Summary The Medical Coding Auditor is responsible for performing coding audits and coding review activities to ensure accurate code assignment, documentation integrity, and compliance with regulatory and payer requirements. This role has a primary focus on professional fee (ProFee) coding and auditing, with facility coding/auditing experience preferred. The position supports continuous quality improvement through audit findings, education, feedback, and collaboration with internal teams. Occasional travel may be required for audits or meetings. Responsibilities Conduct audits and reviews of medical records for coding accuracy, documentation compliance, and reimbursement integrity, with a primary focus on ProFee coding (ICD-10-CM, CPT, HCPCS, modifiers). Perform or support hands-on coding as needed,...

OM

Medical Coding Auditor (Remote)

Optima Medical AZ, USA

About Optima Medical :Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130medical providers, who care for more than 200,000 patients statewide.Our mission is to improve the quality of life throughout Arizona by helping communities Live Better, Live Longer through personalized healthcare, with a focus on preventing the nation's top leading causes of death.We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services.We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard.This position requires an initial 60-day training period at our corporate office in Scottsdale, Arizona.Upon successful completion of training, the position will transition to a fully remote role.Job Responsibilities :Audit Medical Records...

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Remote Medical Coding Auditor

The Arora Group MD, USA

Currently recruiting an REMOTE Medical Coding Auditor to provide support to Active Duty heroes, their families, and retirees.The full-time position is Monday-Friday, 8 hours shifts between 7:30am and 4:30pm.DUTIES OF THE MEDICAL CODING AUDITOR:Verifies the accuracy of the diagnosis, procedure, supply codes, modifiers, and sequencing for the professional and institutional (facility) components of inpatient, ambulatory, and outpatient encounters.Provides second-level review of coding assignment to ensure compliance with legal and procedural policies to ensure optimal reimbursements while adhering to regulation prohibiting unbundling and other questionable practices.Examines records for proper sequence of documents, presence of authorized signatures, and sufficient data is documented that supports diagnosis, treatment administered, and results obtained.When assigned to perform Data Quality Management Control (DQMC) audits, provides each assigned MTF with coding audit accuracy data...

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Medical Coding Auditor

Modernizing Medicine, Inc. Boca Raton, FL, USA

At **ModMed**, we’re not just building software—we’re reimagining the healthcare experience. Founded in 2010 by a practicing physician and a successful tech entrepreneur, we took a radically different approach: **we hired doctors and taught them how to code.** This "for doctors, by doctors" philosophy has allowed us to create an AI-enabled, specialty-specific cloud platform that places patients at the center of care.* Responsible for analyzing, reviewing and providing feedback when performing quality assurance activities and completing QA audits, including but not limited to: + Ensuring all federal and state coding guidelines and regulations are met as well as payer guidelines + Provide effective feedback to the global coding teams to aid in their successful coding of BOOST clients + Maintaining a communication log to show successful training of the global coding team when coding trends or issues are found + Report all coding trends and issues to the department lead as they are...

LM

Medical Coding Auditor

Lawrence Memorial Hospital Lawrence, KS, USA

Medical Coding Auditor page is loaded## Medical Coding Auditorlocations: Lawrence, KStime type: Full timeposted on: Posted Todayjob requisition id: JR100689# Something special starts here.You can’t define it, but you know it when you see it: the difference between an average life and the good life. When your cup is full – with joy, purpose and lifelong health – it shows. At LMH Health, we are all about healthy people, healthy communities and healthy futures, and that makes us your destination for an exceptional career. From flexible, work-life harmony to competitive pay and great advancement potential, find everything you’re looking for at LMH Health.You'll find everything you’re looking for at LMH Health:* Join a team that cares about the community* Tuition reimbursement to support continuing education* Professional development and recognition* Excellent benefits**We’re looking for you.**# Job Description**Job Summary**The Medical Coding Auditor is responsible for...

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RN Clinical Reviewer & Medical Coding Auditor (CPC/CPMA)

Optum USA

A healthcare organization in San Juan is seeking a professional to perform clinical case reviews, ensure compliance, and maintain high levels of data integrity. You will need a coding certification or nursing license and proficiency in both English and Spanish. This role offers a supportive work environment with a focus on health equity. If you have experience with medical claims platforms and a strong understanding of coding rules, we want to hear from you! #J-18808-Ljbffr

UM

Medical Coding Auditor

UNM Medical Group, Inc. Albuquerque, NM, USA

Medical Coding Auditor - Must have a NM Residence UNM Medical Group, Inc. is hiring for a Medical Coding Auditor to join our Compliance Team. This opportunity is a REMOTE, full-time, day shift opening located in Albuquerque, New Mexico. *This is a work from home position that requires the selected candidate to have a permanent address and live in New Mexico or be willing to relocate to New Mexico* *This position requires extensive knowledge and experience with E/M coding. *$2,000 Sign-on Bonus* Minimum $56,173 - Midpoint $70,217* *Salary is determined based on years of total relevant experience. *Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE. Summary Under indirect supervision, audits medical charts and records for compliance with federal coding regulations and guidelines. Uses knowledge of UNM Medical group billing systems procedures to provide a review of evaluation and...

1869 medical auditor jobs found