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983 medical coder audit specialist jobs found

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medical coder audit specialist
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Br
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...

Nov 06, 2026
RR
Remote Medical Coder & Audit Specialist - Behavioral Health
RADCUBE | Rapid Technology Solutions Indianapolis, IN
RADCUBE | Rapid Technology Solutions is seeking a Certified Medical Coder/Medical Record Audit Specialist with Behavioral Health coding experience. This fully remote role audits records and claims for correctness against CMS, AHIMA, and Indiana Medicaid standards, with occasional travel to Indianapolis for key reviews. You will conduct independent reviews, prepare workpapers, and respond to audit requests, keeping up-to-date with CPT/HCPCS/ICD-10-CM guidelines and state regulations. #J-18808-Ljbffr

Nov 03, 2026
TE
Remote Senior Medical Coder & Audit Specialist
The Elevance Health Companies, Inc. United States
Elevance Health is seeking a Coding Auditor Senior to audit diagnosis data from physician and hospital records to ensure proper ICD-9/ICD-10 coding and compliance with risk adjustment requirements. The role supports hybrid/virtual work with in-person training sessions and requires at least a high school diploma with 3 years of medical coding experience and a certified coder credential. Strong communication and knowledge of Medicare Advantage are preferred. #J-18808-Ljbffr

Nov 06, 2026
SN
Medical Coder & Audit Specialist
Southwest Network Company Brand Phoenix, AZ
Southwest Network is hiring a Medical Coding Auditor to review charts and clinical records, ensuring all diagnostic and procedural codes and modifiers are strictly accurate and compliant. You will identify trends in improper coding that could lead to denials or audits and collaborate with rendering providers to clarify ambiguities. In this role you will provide targeted education and direct coaching, translate audit findings into actionable training, and work with IT/EHR teams to improve charge #J-18808-Ljbffr

Nov 06, 2026
DS
Florida Medical Coder & Audit Specialist Deposition Ready
Dane Street West Palm Beach, FL
Dane Street, a fast-paced medical auditing firm, seeks an experienced CPC-certified medical coder in Florida to perform coding audits, utilization reviews, and related support for litigation, including deposition and testimony when needed. The candidate must have 5+ years of professional coding experience, with at least 3 years in Florida, and thorough knowledge of Florida Medicaid guidelines. The role demands independent work and meticulous documentation and reporting. #J-18808-Ljbffr

Nov 06, 2026
DS
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

Nov 02, 2026
EH
Remote Medical Coding Auditor | Compliance & Audits
Emory Healthcare Virginia Beach, VA
Emory Healthcare is seeking a qualified Medical Coder/Audit specialist to ensure accurate coding and compliant documentation. The role reviews records, identifies discrepancies, and collaborates with providers, coders, and compliance teams to support proper reimbursement. Candidates should hold CCS/P CPC or RHIA/RHIT certification, with at least two years in medical billing or coding and familiarity with EHR systems. #J-18808-Ljbffr

Nov 09, 2026
CH
SIU Medical & Behavioral Health Coder & Audit Specialist
CVS Health Phoenix, AZ
CVS Health Corporation is seeking a Certified Professional Coder (CPC) for the Special Investigations Unit to perform medical claim reviews ensuring coding accuracy and documentation alignment. The role requires 3+ years of coding and record review experience, CPC certification, and ability to articulate findings to multiple stakeholders. Travel may be required. The position offers full-time hours and a comprehensive benefits package. #J-18808-Ljbffr

Nov 10, 2026
TT
Medical Coder II - Audit & Compliance Specialist
Texas Tech University Health Sciences Center Lubbock, TX
Texas Tech University Health Sciences Center seeks a Medical Coder II to abstract clinical information and assign ICD/CPT codes, ensuring accuracy and coding compliance within a busy healthcare setting. Under limited guidance, you will perform audits, contribute to documentation review, and collaborate with coding leadership to improve processes and education, while maintaining a high standard of data quality. #J-18808-Ljbffr

Nov 06, 2026
Ra
Medical Coder & FWA Audit Specialist
Randstad Boston, MA
Randstad USA is seeking a Program Integrity Coder- FWA Auditor to verify itemized claim reviews for payment, coding, and billing guidance. The role involves working with SIU Investigators, analyzing medical records, and abstracting codes. You will maintain current coding knowledge and provide SME support while ensuring Privacy and Security standards are met. Applicants should have 1–2 years of experience in medical record auditing, and hold an active certified coder credential. #J-18808-Ljbffr

Nov 06, 2026
TT
Medical Coder II – Audit & Compliance Specialist
Texas Tech University Health Sciences Center Lubbock, TX
Texas Tech University Health Sciences Center in Lubbock seeks a Medical Coder II to abstract clinical data and assign ICD/CPT codes for various encounters. The role includes documentation review for accuracy and collaboration with Coding leadership and staff. Major duties include planning and performing coding audits, maintaining tracking tools, and presenting findings to staff. This full‑time, day‑shift position is based in Texas and is paid hourly with a disclosed range and institutional pay #J-18808-Ljbffr

Nov 04, 2026
My
CPC Certified Medical Coder - QA & Audit Specialist
Mysemg New York, NY
Mysemg is seeking a Certified Medical Coder to review medical records and ensure accurate billing codes. You will participate in audits to verify code accuracy and help drive QA improvements. A CPC certification and solid medical terminology knowledge are essential. Ideal candidates have at least one year of medical billing experience and excellent communication skills, with the ability to work well in a fast-paced team environment and meet deadlines. #J-18808-Ljbffr

Nov 03, 2026
Horizon Health
Full Time
 
CODING AND REVENUE INTEGRITY MANAGER
Horizon Health Paris, IL
The Manager of Coding & Revenue Integrity is responsible for the performance, accuracy, compliance, and accountability of hospital and professional coding, charge capture processes, and chargemaster (CDM) governance across the organization. Responsibilities span all organizational service lines and reimbursement methodologies, including Critical Access Hospital (CAH), Rural Health Clinic (RHC), Emergency Medical Services (EMS), hospital-based (HB), professional-based (PB), and other provider-based services, as applicable. This role ensures accurate and timely code assignment, complete and compliant charge capture, and effective CDM governance to support accurate reimbursement, reduce denials, and prevent revenue leakage while maintaining compliance with federal, state, payer, and organizational requirements. Working in a Critical Access Hospital environment, the Manager balances coding and revenue integrity operations with financial performance and regulatory compliance...

Nov 10, 2026
The Cardiovascular Care Group
Full Time
 
Coding Manager
The Cardiovascular Care Group Springfield, NJ
Coding Manager – Vascular Surgery Position Overview We are seeking a highly analytical, solutions-oriented Coding Manager with a strong background in vascular surgery coding, proven people-management skills, and the ability to improve processes that drive coding quality, operational efficiency, and revenue performance. The Coding Manager will lead the professional coding team for a high-volume, multi-specialty vascular surgery practice encompassing hospital-based procedures, ambulatory surgery centers (ASCs), office-based laboratories (OBLs), office visits, imaging, and other vascular services. This position combines technical coding expertise with hands-on operational leadership. The Coding Manager will be responsible for managing and developing the coding team, establishing performance standards, identifying and resolving operational problems, conducting coding audits, improving provider documentation, and implementing initiatives that improve charge...

Oct 28, 2026
CHLA Medical Group
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...

Aug 19, 2026
Valley Medical Center
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...

Aug 14, 2026
LH
Medical Billing & Coding Specialist ( IN PERSON)
Lumera Healthcare Paducah, KY
Job Description Job Description Medical Billing & Coding Specialist Position Summary The Medical Billing & Coding Specialist is responsible for managing insurance billing, claims processing, coding accuracy, and collection activities. This role ensures timely reimbursement, maintains compliance with coding guidelines, identifies documentation gaps, and works collaboratively with clinical and administrative teams to support accurate billing practices. This is an on-site position and is not remote. Education, Experience, and Certification Requirements High school diploma, GED, or equivalent required. Associate degree, bachelor’s degree, or relevant experience in medical records, healthcare administration, billing, or claims processing preferred. Experience with Kentucky Medicaid, medical billing, coding, insurance claims, or revenue cycle management preferred. Certification preferred: Certified Coding Associate (CCA) through AHIMA Certified Coding Specialist...

Nov 10, 2026
BH
Hospital Coding Auditor
Baptist Health Care Pensacola, FL
Coding Auditor The Coding Auditor reviews/audits patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment, as applicable, according to established guidelines. This position issues the coding "report card" quarterly to all coders. This position provides coding training and education. This position may audit accounts for ER Charging accuracy and perform RAC and other third party audit appeals. Responsibilities Reviews patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment according to established guidelines and scores appropriately, if applicable. Works with CDIS on DRG assignment and educates on missed Query opportunities. Works with staff on coding guidelines and correct code assignment Informs manager of any activities which do not meet federal or state coding and billing requirements Appeals RAC DRG review charts. Receives requests from business office on issues relating to coding and responds...

Nov 10, 2026
RH
Certified Medical Coding Specialist (Kankakee)
Riverside Healthcare Kankakee, IL
The Professional Coding Compliance Specialist provides revenue cycle support to Riverside Medical Group and its coding team by regularly auditing provider documentation and corresponding coding to ensure correct, complete and compliant practices that fully support diagnoses reported and charges submitted for services rendered, meet regulatory and payor-specific requirements, and accurately describe the patient encounter; providing feedback and education to providers and coders based on audit results, regulatory changes, and industry trends; assisting with orientation of new providers, residents/fellows, and new members of the coding team. Essential Duties Completes timely audits of assigned providers and coders for accurate, complete, and compliant ICD-10-CM and CPT/HCPCS code assignment, ensuring that documentation supports the diagnoses reported, E/M level selected, and CPT/HCPCS codes submitted for services rendered during the episodes of care reviewed Reviews audit findings...

Nov 10, 2026
NB
Professional Fee Coding Auditor Claims Edit Specialist (On-Site, Hybrid, Remote)
NorthBay Health Fairfield, CA
Professional Fee Coding Auditor / Claims Edit Specialist This position may be performed onsite or remotely; however, onsite work is preferred based on business needs. Preference will be given to qualified candidates who are able to work onsite and are located within a reasonable commuting distance. This position is open to candidates located within the continental United States. Due to state-specific employment requirements and workers' compensation regulations, we are unable to support remote work arrangements in the following locations: Washington, Ohio, Wyoming, North Dakota, Puerto Rico, and the U.S. Virgin Islands. At Northbay Health, the Professional Fee Coding Auditor / Claims Edit Specialist is responsible for auditing professional fee coding across all service lines (Ambulatory/Hospitalist, Surgery, and Emergency Medicine), resolving pre-billing coding edits, and reviewing post-billing coding-related denials. This role ensures coding accuracy, documentation integrity,...

Nov 10, 2026
NB
Ambulatory Professional Fee and Hospitalist Coder (On-Site, Hybrid, Remote)
NorthBay Health Fairfield, CA
Coder Position This position may be performed onsite or remotely; however, onsite work is preferred based on business needs. Preference will be given to qualified candidates who are able to work onsite and are located within a reasonable commuting distance. This position is open to candidates located within the continental United States. Due to state-specific employment requirements and workers' compensation regulations, we are unable to support remote work arrangements in the following locations: Washington, Ohio, Wyoming, North Dakota, Puerto Rico, and the U.S. Virgin Islands. At Northbay Health, the Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner in the hospital setting. Our ideal candidate is a dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. Can...

Nov 10, 2026
CH
HIM Cert Coder Pro Fee - Experience with multiple specialties including Radiology or Emergency
Carle Health Champaign, IL
HIM Certified Coder The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM coder uses Carle electronic medical record systems to review clinical encounters. Qualifications: Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC) Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA) Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) Registered Health Information Technician (RHIT) -...

Nov 10, 2026
dI
HIM Specialty Coder II at Billings Clinic in Billings, Montana
disABLEDperson Inc Billings, MT
About Billings Clinic HIM Specialty Coder IIYou'll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006. And you'll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine! You can make a difference here.Billings Clinic is a community-owned, not-for-profit, physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization...

Nov 10, 2026
HG
Perm - Remote - Hospital Inpatient Coder OOJ - 35267
Hatch Global Search Mishawaka, IN
Perm - Remote - Hospital Inpatient Coder As a permanent, remote Hospital Inpatient Coder, you will be responsible for accurately coding inpatient medical records, ensuring compliance with coding guidelines, and collaborating with healthcare professionals to maintain data integrity, all while working from home. Essential Job Functions: Assign ICD10CM and PCS codes to hospital inpatient visits Reviews and analyzes the content of medical records and the autosuggested computer assisted codes (CAC) for the appropriate assignment of ICD diagnosis/procedure codes, present on admission indicators, hierarchical condition categories, complication and comorbidities in the proper sequence in accordance with official coding resources resulting in an accurate DRG assignment. Meets 95% accuracy rate in audits Maintains productivity of 2.75 charts per hour after release from training period. Data Analysis- Hospital Inpatient Coding Accurately reviews and codes patient records in the...

Nov 10, 2026
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