Medical coder audit specialist jobs

Remote Behavioral Health Medical Coder & Audit Specialist

RADcube Indianapolis, IN

RADcube, a Carmel-based technology firm, seeks a Certified Medical Coder/Medical Record Audit Specialist focused on Behavioral Health to support a state Medicaid engagement. This remote role includes occasional travel to Downtown Indianapolis, IN (expenses covered). You will audit records, identify issues, and prepare work-papers and reports in line with CMS, AHIMA, and Indiana Medicaid standards. Active CCS/CPC/CPMA certification and 2–3 years in medical coding or audits are required. #J-18808-Ljbffr

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Remote Behavioral Health Medical Coder & Audit Specialist

RADCUBE | Rapid Technology Solutions Indianapolis, IN

RADcube, a Carmel-based technology firm, seeks a Certified Medical Coder/Medical Record Audit Specialist focused on Behavioral Health to support a state Medicaid engagement. This remote role includes occasional travel to Downtown Indianapolis, IN (expenses covered). You will audit records, identify issues, and prepare work-papers and reports in line with CMS, AHIMA, and Indiana Medicaid standards. Active CCS/CPC/CPMA certification and 2–3 years in medical coding or audits are required. #J-18808-Ljbffr

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Medical Coder - Audit Specialist

Briljent Indianapolis, IN

Brijlent is seeking a detail-oriented Certified Medical Coder / Medical Record Audit Specialist to support coding accuracy, medical record review, and billing compliance activities for Indiana Medicaid programs. This role is responsible for reviewing medical records and claims-related documentation for coding accuracy, identifying billing and compliance issues, preparing audit documentation and reports, and supporting appeals activities. The ideal candidate brings strong coding knowledge, regulatory awareness, and analytical and writing skills. This is a remote position with occasional travel required within Indiana. While this position is remote, Indiana residents encouraged to apply. Key Responsibilities Review medical records and related documentation to assess coding accuracy and compliance with Indiana Health Coverage Programs, CMS, AMA, and other applicable standards and regulations. Conduct coding and documentation reviews independently and provide preliminary findings...

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Remote Medical Coder & Audit Specialist - Indiana Medicaid

RADCUBE | Rapid Technology Solutions Carmel, IN

Rad Cube Llc seeks a detail-oriented Certified Medical Coder / Medical Record Audit Specialist to support coding accuracy, medical record review, and billing compliance for Indiana Medicaid programs. You will review records and claims documentation, identify discrepancies, and prepare audit reports while staying current with CPT/HCPCS/ICD-10-CM guidelines. The role requires 2-3 years in medical coding or related reimbursement work, strong analytical and writing skills, and proficiency in #J-18808-Ljbffr

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Remote Medical Coder & Audit Specialist

ADP Saint Joseph, LA

InclusivCare is seeking a Medical Coder (Remote) to provide coding, audit, and compliance support for all clinical services. The role ensures accurate code assignment and adherence to FQHC billing requirements, Medicare, Medicaid, and payer policies while supporting risk mitigation through provider education. Minimum three years of professional medical coding experience with an AAPC certification is required; experience in an FQHC or community health center is preferred. #J-18808-Ljbffr

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FQHC Medical Coder & Audit Specialist

ADP Saint Joseph, LA

ADP, Inc. is seeking a Medical Coder to provide coding, audit, and compliance support for clinical services in Avondale, LA. You will ensure accurate CPT/HCPCS/ICD-10-CM coding and assist with payer policy adherence. The role requires the AAPC coding certification and at least three years of experience, with familiarity in FQHC settings and Athena EHR. You will collaborate with billing staff and providers to reduce denials and improve reimbursement. #J-18808-Ljbffr

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FQHC Medical Coder & Audit Specialist

ADP, Inc. Avondale, LA

ADP, Inc. is seeking a Medical Coder to provide coding, audit, and compliance support for clinical services in Avondale, LA. You will ensure accurate CPT/HCPCS/ICD-10-CM coding and assist with payer policy adherence. The role requires the AAPC coding certification and at least three years of experience, with familiarity in FQHC settings and Athena EHR. You will collaborate with billing staff and providers to reduce denials and improve reimbursement. #J-18808-Ljbffr

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Senior Inpatient Medical Coder & Audit Specialist

DaMar Staffing Myrtle Point, OR

DaMar Staffing is seeking a Senior Coding Auditor who will translate clinical information into coded data using ICD-10-CM/PCS, HCPCS/CPT guidelines. You will assign principal diagnoses and procedures, validating CAC for dual coding and ensuring CMS compliance. Proficiency with EpicCare, CBCT, and EncoderPRO is required. The role emphasizes accuracy, productivity, and staying current with coding regulations, with work focused on inpatient records. #J-18808-Ljbffr

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Nevada CPC Medical Coder & Audit Specialist

Dane Street Nevada, IA

Dane Street seeks an experienced, Nevada-based medical coder with CPC certification to perform coding audits, utilization reviews, and audit defense. The role supports deposition and testimony services as needed, with emphasis on medical necessity and payer policy compliance. Required are 5+ years of coding experience (3+ in Nevada) and strong knowledge of Nevada Medicaid guidelines. This position may be part‑time and requires residency in Nevada. #J-18808-Ljbffr

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Certified Medical Coder & Audit Specialist

DaMar Staffing Huntington, WV

DaMar Staffing seeks a healthcare coder with CPC certification to Abstract, code, and audit medical records in a healthcare setting in Huntington, WV. The role handles billing questions, supports reimbursement processes, and participates in professional development. Applicants should have at least one year of medical billing experience, strong CPT-4 and ICD-10 knowledge, and familiarity with Medicare/Medicaid. On-site work with internal audits and committee involvement is expected. #J-18808-Ljbffr

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Remote Medical Coder & Audit Specialist

ADP United States

InclusivCare is seeking a Medical Coder (Remote) to provide coding, audit, and compliance support for all clinical services. The role ensures accurate code assignment and adherence to FQHC billing requirements, Medicare, Medicaid, and payer policies while supporting risk mitigation through provider education. Minimum three years of professional medical coding experience with an AAPC certification is required; experience in an FQHC or community health center is preferred. #J-18808-Ljbffr

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Remote Medical Coder & Audit Specialist

ADP, Inc. Avondale, LA

InclusivCare is seeking a Medical Coder (Remote) to provide coding, audit, and compliance support for all clinical services. The role ensures accurate code assignment and adherence to FQHC billing requirements, Medicare, Medicaid, and payer policies while supporting risk mitigation through provider education. Minimum three years of professional medical coding experience with an AAPC certification is required; experience in an FQHC or community health center is preferred. #J-18808-Ljbffr

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Certified Medical Coder

Virtual Vocations Inc United States

Seeking a detail-oriented Indiana Certified Medical Coder - Audit Specialist, the full-time remote position will conduct coding audits, analyze claims data, and ensure compliance with healthcare regulations while occasionally traveling within Indiana. Key responsibilities Review medical records and claims to evaluate coding accuracy and compliance with relevant regulations Utilize Microsoft Excel to organize, analyze, and report audit findings and trends Research and interpret Indiana Medicaid policies and maintain internal coding guidance repositories Required qualifications Current coding certification such as CCS, CPC, CPMA, or equivalent Minimum of one year of experience in medical coding, coding audits, or related activities Strong proficiency in Microsoft Excel, including data analysis and reporting Ability to work independently while managing multiple priorities in a fast-paced environment Strong analytical thinking and technical writing skills

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Indiana Certified Medical Coder

Virtual Vocations Inc United States

Seeking a detail-oriented Indiana Certified Medical Coder - Audit Specialist, the full-time remote position will conduct coding audits, analyze claims data, and ensure compliance with healthcare regulations while occasionally traveling within Indiana. Key responsibilities Review medical records and claims to evaluate coding accuracy and compliance with relevant regulations Utilize Microsoft Excel to organize, analyze, and report audit findings and trends Research and interpret Indiana Medicaid policies and maintain internal coding guidance repositories Required qualifications Current coding certification such as CCS, CPC, CPMA, or equivalent Minimum of one year of experience in medical coding, coding audits, or related activities Strong proficiency in Microsoft Excel, including data analysis and reporting Ability to work independently while managing multiple priorities in a fast-paced environment Strong analytical thinking and technical writing skills

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Medical Coder - HCC & RADV Audit Specialist

Axelon Newark, NJ

Location: Newark, New Jersey, United StatesCompany: AxelonPosted: 2026-09-06Location: Newark, New Jersey, United StatesCompany: AxelonPosted: 2026-09-01Axelon Services Corporation is seeking a skilled medical coder in Newark, NJ. This role involves reviewing and analyzing medical record documentation for accuracy and compliance with ICD-9/ICD-10 guidelines.Applicants should possess RHIT certification or similar credentials along with at least two years of experience in medical coding. Strong knowledge of coding systems and excellent communication skills are essential. Join a team focused on continuous improvement and quality assurance in healthcare documentation.#J-18808-Ljbffr

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Medical Coder – HCC & RADV Audit Specialist

Axelon Services Corporation Newark, NJ

Axelon Services Corporation is seeking a skilled medical coder in Newark, NJ. This role involves reviewing and analyzing medical record documentation for accuracy and compliance with ICD-9/ICD-10 guidelines. Applicants should possess RHIT certification or similar credentials along with at least two years of experience in medical coding. Strong knowledge of coding systems and excellent communication skills are essential. Join a team focused on continuous improvement and quality assurance in healthcare documentation. #J-18808-Ljbffr

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Remote Certified Medical Coder - HCC & Audit Specialist

Altegra Health United States

Altegra Health is seeking a Remote Certified Coder to review medical records and apply appropriate ICD-9-CM codes per QA standards. This role requires a nursing license or a coding certification, alongside at least one year of coding experience. The successful candidate will abstract information from patient records, ensuring accurate coding while adhering to strict deadlines. Strong attention to detail and aptitude for managing chronic illness data are essential. This is a temporary remote position. #J-18808-Ljbffr

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Remote Certified Medical Coder - HCC & Audit Specialist

Altegra Health New York, NY

Altegra Health is seeking a Remote Certified Coder to review medical records and apply appropriate ICD-9-CM codes per QA standards. This role requires a nursing license or a coding certification, alongside at least one year of coding experience. The successful candidate will abstract information from patient records, ensuring accurate coding while adhering to strict deadlines. Strong attention to detail and aptitude for managing chronic illness data are essential. This is a temporary remote position. #J-18808-Ljbffr

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Remote Certified Medical Coder – HCC & Audit Specialist

Altegra Health New York, NY

Altegra Health is seeking a Remote Certified Coder to review medical records and apply appropriate ICD-9-CM codes per QA standards. This role requires a nursing license or a coding certification, alongside at least one year of coding experience. The successful candidate will abstract information from patient records, ensuring accurate coding while adhering to strict deadlines. Strong attention to detail and aptitude for managing chronic illness data are essential. This is a temporary remote position. #J-18808-Ljbffr

Full Time

Coding Manager

CHLA Medical Group Hybrid (Los Angeles, CA)

Primary Purpose of the Position: The Revenue Cycle Coding Manager provides strategic and operational leadership for professional coding and charge capture. The Manager is accountable for coding quality, productivity, inventory, compliance remediation, workforce planning, vendor performance, physician and division engagement, and coding-related revenue integrity. The position establishes clear standards, analyzes trends, and develops corrective action plans to support accurate, timely, and compliant claim submission. Essential Duties of the Position May Include the Following: Leads day-to-day and long-range coding operations, including staffing, workload allocation, coverage planning, production priorities, and escalation management. Owns the coding operating model and clearly defines responsibilities among the Coding Manager, Coding Supervisor, internal coders, and external coding vendors. Establishes, monitors, and reports key performance indicators for...

Full Time

Risk Adjustment Auditor & Physician Educator - Remote

Valley Medical Center Remote

Risk Adjustment Auditor and Physician Educator Health Information Management | Full-Time | Renton, Washington Help Improve Clinical Documentation and Support Better Patient Care Valley Medical Center is seeking an experienced Risk Adjustment Auditor and Physician Educator to join our Health Information Management team. This role combines clinical documentation expertise, risk adjustment auditing, coding knowledge, data analysis, and physician education to help ensure the accurate and complete capture of patient conditions and the clinical complexity of the care we provide. The ideal candidate brings strong experience in Medicare risk adjustment, medical record auditing, ICD-10-CM coding, and physician education , along with the ability to translate complex coding and documentation requirements into practical guidance for providers. This is an opportunity to play a meaningful role in improving documentation quality, supporting value-based care initiatives, and...

Full Time

Billing Compliance Curriculum Development Specialist

Dana-Farber Cancer Institute Remote (Boston, MA)

Billing Compliance Curriculum Development Specialist Dana-Farber Cancer Institute Boston, MA Full Time, Remote (Occasional Onsite) Overview Reporting to the Manager of Billing Compliance, the Billing Compliance Curriculum Development Specialist is responsible for designing, implementing, and maintaining a comprehensive billing compliance education and awareness program that supports adherence to federal and state regulations and aligns with industry standards. This role develops and delivers training for billing providers, including physicians and advanced practice providers, and provides post-review education and feedback in collaboration with Billing Compliance Reviewers and Senior Billing Compliance Reviewers, as needed. The Specialist creates, updates, and manages instructional materials such as presentations, tip sheets, slide decks, and other training resources, and tracks training completion and effectiveness. The position also supports the...

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Full Time

Risk Adjustment Compliance Specialist, Principal

Blue Shield of Calfornia Hybrid

Your Role The Risk Adjustment Compliance Specialist, Principal is responsible for ensuring organizational compliance with laws related to Risk Adjustment across our Marketplace (ACA), Medicaid and Medicare Advantage lines of business. This role involves auditing, monitoring, and evaluating risk adjustment processes, identifying areas of non-compliance, and recommending corrective actions. The Principal collaborates with internal teams and external partners to maintain the integrity of risk adjustment data and supports the development and implementation of compliance programs. Responsibilities Your Work In this role, you will: Conduct regular audits and reviews of risk adjustment data submissions to ensure compliance with regulatory requirements (e.g., CMS, OIG, HHS). Monitor changes in risk adjustment guidelines, policies, and regulations, and communicate updates to relevant stakeholders. Analyze risk adjustment...

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Full Time

Director of Documentation Integrity and Coding

Vistec Partners NY

The goal is this position is to educate providers on proper use of CPT codes, ICD10 codes, modifiers and audit activities related to health plan operations, risk adjustment, payer audits and regulatory requirements. This role ensures accurate medical coding, documentation integrity, and adherence to federal, state, and payer-specific guidelines. The ideal candidate will possess advanced CPC coding expertise, strong analytical skills, and extensive experience supporting compliance initiatives within a managed care or health plan environment. This is a full-time position, on site, 5 days a week. Responsibilities: • Serve as subject matter expert on CPT, HCPCS, ICD10 and modifier coding for physicians and coders. • Ensure provider documentation and coding practices comply with CMS, Medicare, Medicaid, commercial payer, and applicable federal and state regulatory requirements. • Conduct coding compliance audits to identify...

842 medical coder audit specialist jobs found