17 medical coding auditor jobs found in Jackson, MS

Humana is seeking a Medical Coding Auditor to review outpatient CPT/HCPCS coding, analyze medical records, and ensure accuracy in payer systems. You will use encoders, perform CPT/HCPCS reviews, conduct peer reviews, and maintain confidentiality under HIPAA. Remote position with occasional travel to Humana offices. Typical hours Monday–Friday, 40 hours/week; requires CPC/COC/CCS/ROCC/RHIA/RHIT certifications and 3+ years post-certification experience. #J-18808-Ljbffr

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows...

Become a part of our caring community Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Outpatient Behavioral Health Coding disputes and is part of the PPI Coding Disputes Team with Humana. The Outpatient Behavioral Health Coding Auditor on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. Will be an experienced medical coding auditor with in-depth experience in outpatient Behavioral Health coding disputes and expertise in CPT/HCPCS...

Select how often (in days) to receive an alert: Date: Sep 3, 2026 Location: Any city, MS, US, 99999 Work Mode: Virtual (Exception only) It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary We are seeking a talented individual for an Inpatient Coding Auditor, Senior Associate who is responsible for performing coding reviews of medical records and/or other documentation to determine correct coding as defined by review methodologies specific to the contract for which review...

Gainwell Technologies LLC is seeking an Inpatient Coding Auditor, Senior Associate to perform coding reviews of medical records and other documentation to determine correct coding per contract-specific methodologies. The role requires access to proprietary systems to audit records and document findings, with emphasis on MS-DRG, AP-DRG, APR-DRG, ASC and APC payment systems. The ideal candidate has extensive experience in facility-based inpatient coding or outpatient coding edits, with thorough #J-18808-Ljbffr

CorroHealth, Inc. is seeking a Facility Outpatient Coding Quality Specialist (Auditor) for a remote role open to candidates in the United States. The role focuses on retrospective analysis of medical records to ensure compliant coding and optimal reimbursements. You will review diagnoses and procedures, mentor staff, and align coding practices with AHIMA/AAPC guidelines while maintaining privacy and security standards. #J-18808-Ljbffr

CorroHealth, Inc. seeks a Facility Outpatient Coding Quality Specialist (Auditor) for a REMOTE role that can be performed from anywhere in the United States. You will perform retrospective analyses of medical record documentation to identify coding and billing errors, ensuring alignment with AHIMA, CMS, AMA and CPT guidelines, and you will provide feedback to staff. You will monitor QA metrics, help design processes to improve coder accuracy, participate in training, and ensure compliance with #J-18808-Ljbffr

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. Facility Outpatient Coding Quality Specialist (Auditor) This is a REMOTE position. Must live in the United States. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member. Performs complex retrospective analysis of medical record documentation to identify coding and billing errors and inconsistencies according to guidelines of the AHA, CMS, AMA, Clinic Coding Clinic and CPT Assistant. Analyzes audit findings to identify...

CorroHealth Inc. is seeking a Facility Outpatient Coding Quality Specialist (Auditor) to perform retrospective analyses of medical records and identify coding and billing errors in line with CPT, CMS and AHA guidelines. This REMOTE role requires residency in the United States. The ideal candidate will hold AAPC or AHIMA certification (CPC, COC, CCS, RHIT, RHIA preferred) and bring experience auditing diagnoses, procedures, and billing codes to ensure compliant reimbursements. #J-18808-Ljbffr

About the role As a Medical Coding Quality Auditor, you will play a critical role in ensuring coding accuracy, compliance, and quality across healthcare records. You will collaborate with coding professionals and physicians to support accurate clinical documentation, regulatory compliance, and operational excellence while maintaining high quality and productivity standards in a remote work environment. In this role, you will: Review medical documentation to accurately assign diagnosis and procedure codes. Communicate with physicians and other healthcare providers to obtain or clarify diagnoses and procedures through the coding query process. Assign accurate codes using electronic encoder applications in accordance with company policies, coding guidelines, and regulatory requirements. Perform peer reviews and quality audits of Health Information Management coding auditors and coders. Prepare and complete reports, audit findings, and other deliverables as requested. Monitor...

Healthy Careers Start Here Be part of a vision for a healthier Mississippi as a Senior Clinical Compliance Auditor . At Blue Cross & Blue Shield of Mississippi, we’re not just about providing health insurance, we are creating a strong, supportive community which encourages every Mississippian to live their healthiest life. This mission requires a talented and motivated team with diverse sets of skills and experiences, aligned with the commitment of a healthy Mississippi. By combining strong financial stewardship with a focus on the Health & Wellness of Mississippians, we invest in programs, partnerships, and innovations which drive quality care, lower costs, and healthier lives. Join our team and start a meaningful career where your work supports better health outcomes for Mississippians every day. We are seeking a Senior Clinical Compliance Auditor to act as the primary clinical reviewer of analytical findings, complaints, formal referrals, and appeals related to the...

Inpatient Coder (CCS Certified) – Remote Location: Remote (work from home office) Experience: 3+ years of facility-based inpatient coding Job Summary The Inpatient Coder is a key role supporting one or more Cognizant clients, responsible for reviewing medical documentation and accurately assigning ICD-10-CM diagnosis and ICD-10-PCS procedure codes. This role works independently and as part of a team, queries physicians to clarify documentation, and supports coding quality through peer review, while meeting accuracy and productivity standards in a fast-paced remote environment. Key Responsibilities Review documentation to code diagnoses (ICD-10-CM) and procedures (ICD-10-PCS). Communicate with physicians to obtain or clarify diagnoses and/or procedures through the query process. Assign accurate codes using an electronic encoder application in accordance with practice policy and regulatory guidelines. Perform peer reviews of company Health Information Management coding...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Description Locates, copies, logs and mails/ faxes/uploads/emails requested information for release when proper authorization is obtained. Responds to requests by performing duties in accordance with established hospital, departmental, and HIPAA guidelines. Retrieves information from scanned records as requested. Also email monthly Mortality and SCI/TBI reports to the State Dept. of Health. Job Summary (ROI): Job Summary (MCS): Duties /Responsibilities (ROI): Responsible for coordinating the release of information to all requestors, including patients, physicians, other health care providers, insurance companies, interdepartmental requests (ER, Medical Unit), and lawyers, in accordance with hospital policy, State, Federal and HIP AA laws. Maintains a log of all records requested and released. Verifies authorizations in accordance with hospital policy, State, Federal and HIPAA laws. Responsible for upholding security and confidentiality regulations for record access and review....

CommonSpirit is seeking a Coding Auditor and Educator for Professional Fee coding across a national footprint, including remote work from select US states. You will audit, educate, and train teams on ICD-10, CPT, HCPCS, and Medicare rules to ensure compliant billing. You will develop ongoing education programs, onboard new staff, and collaborate with leadership on strategic coding initiatives, risk adjustment, and MEAT criteria. #J-18808-Ljbffr

Department 10407 Enterprise Revenue Cycle - Coding Production Operations: Inpatient Coding Operations Status Full time Benefits Eligible Yes Hours per Week 40 Schedule Details / Additional Information Will support :A mix of inpatient community and academic coding. Includes service lines such as cardiology, neurology, and oncology.Schedule :Full-time, Monday-Friday 40hrs with a standard schedule of Monday through Friday, 8 hours per day, totaling 40 hours each week. Certification Required Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). Remote Opportunity Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY Pay Range $33.05 - $49.60 Major...

About the role As a Emergency Deparment Coder, you will make an impact by ensuring the accuracy, quality, and compliance of medical coding practices across multiple healthcare settings. You will be a valued member of the Health Information Management team and work collaboratively with coding professionals, physicians, and operational stakeholders to support regulatory compliance and revenue cycle excellence. In this role, you will: Review clinical documentation and accurately assign diagnosis and procedure codes for outpatient surgery, observation, emergency department, and outpatient diagnostic encounters. Communicate with physicians and clinical staff to obtain clarification on diagnoses and procedures through the coding query process. Utilize electronic encoder applications and coding tools to assign accurate codes in accordance with company policies and regulatory guidelines. Perform peer reviews and quality audits of coding professionals to ensure coding accuracy,...