2794 medical coding auditor jobs found

Xtensys, a growing managed service provider in health systems, is seeking a Medical Coding Auditor to review documentation and code across specialties using CPT, ICD-10-CM, HCPCS and modifiers. You will deliver audit reports, educate providers, and support coders on compliance opportunities. The ideal candidate has 3–5 years of coding experience in a physician billing environment, strong knowledge of E/M guidelines, Medicare Part B and Medicaid, and proficient Excel skills. Remote work available. #J-18808-Ljbffr

Who We AreXtensys is a rapidly growing managed service provider delivering innovative technology solutions to health systems, beginning in New York and expanding nationwide. Owned by two industry leaders with a strong focus on advancing rural and community healthcare, Xtensys is executing several major initiatives and scaling quickly. With a team of more than 500 professionals, we are building a people-centered culture rooted in collaboration, innovation, and strategic thinking.How We Work:East Coast Alignment: Our core operational and collaboration hours follow the Eastern Time Zone (ET), keeping our workflows synchronized with our primary clients and systems.Why Join Us?Mission-Driven Work: You are the \"bridge\" ensuring technology serves health systems and their patients when they need it most.Autonomy & Ownership: We trust you. You’ll lead projects, define success, and manage complexities with total support.A Culture of Innovation: Have a fresh perspective? We want it. We...

Emory Healthcare is seeking a remote Medical Coding Auditor to ensure the accuracy, completeness, and compliance of professional coding and clinical documentation. You will review patient records and collaborate with providers, coding teams, and compliance staff to support accurate coding and appropriate reimbursement. The role emphasizes audits, ongoing education on ICD-10, CPT, HCPCS, HIPAA, and regulatory standards. #J-18808-Ljbffr

McLaren Health Care Corporation seeks a Senior Medical Coding Auditor to guide ongoing coding education for physicians, coders, and CDI staff and to ensure accurate code assignment. You will audit inpatient and outpatient coding, validate POA indicators and support clinical validation initiatives with CDI. Experience includes 3 years in medical coding audits, familiarity with MS-DRG/APC systems, and related certifications such as RHIA/RHIT/CCS or CPC/CIRCC/ROCC. #J-18808-Ljbffr

Emory Healthcare is seeking a Remote Medical Coding Auditor responsible for ensuring accuracy, completeness, and regulatory compliance of professional coding services. You will review patient records and coding data, collaborate with providers and compliance teams, and support accurate reimbursement. Key tasks include chart reviews, auditing, training staff on coding standards, and reporting on findings. Candidates should have coding certification and experience in medical billing or revenue #J-18808-Ljbffr

Job DescriptionJob DescriptionSalary Range: $80,000 - $100,000By adhering to Connecticut State Law, pay ranges are posted. The pay rate will vary based on various factors including but not limited to experience, skills, knowledge of position and comparison to others who are already in this role within the company.Flu Vaccine Considerations Proof of annual flu vaccination is required for all employees.PACT MSO, LLC is a management service organization that supports a large multi-specialty practice of providers. We are currently looking for an experienced Medical Coding Auditor who will be working in Branford Monday through Friday from 8:30am to 5:00pm. This is not a remote position.SummaryThe Medical Auditor is responsible for coordinating and conducting medical billing, coding, and documentation audits to ensure compliance with federal, state, and commercial payer regulations, organizational policies, and industry standards. This role evaluates provider documentation, coding...

Emory Healthcare is seeking a remote Medical Coding Auditor to ensure accuracy, completeness, and regulatory compliance of professional coding services. The role involves reviewing patient records and coordinating with clinicians and compliance teams to improve coding quality. The position focuses on auditing, education, and adherence to ICD-10, CPT, HCPCS, and payer guidelines. Remote work is available for residents in listed states with necessary authorization. #J-18808-Ljbffr

UnitedHealth Group is seeking a Medical Coding Auditor to review CPT/HCPCS codes and modifiers on telecommuting claims. You will determine accuracy of coding, provide detailed narratives, and ensure compliance with state and federal policies while identifying aberrant patterns for review. The role requires AHIMA (CCA/CCS/CCS-P) or AAPC (CPC/CPC-I) certification, 2+ years of coding and medical record review experience, and the ability to work in a metric-driven, team-based environment. #J-18808-Ljbffr

Medical Coding Auditor Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Primary Responsibilities Performs clinical review of CPT, HCPCS, and modifiers assigned to codes on claims in a telecommuting work environment Determines accuracy of medical coding/billing and payment recommendation for claims This could include Medical Director/physician consultations, interpretation of state and federal mandates, applicable benefit language, medical and...

Emory Healthcare is seeking a skilled Medical Coding Auditor to ensure accurate professional coding and compliant documentation across remote engagements. You will review records, identify coding discrepancies, and collaborate with clinicians and compliance teams to improve accuracy and reimbursement. Candidates should hold coding certifications and have experience in medical billing or revenue cycle, with strong knowledge of ICD-10 and CPT guidelines, and a commitment to HIPAA and regulatory #J-18808-Ljbffr

Emory Healthcare is seeking a remote Medical Coding Auditor to ensure accurate coding and compliant documentation for professional services. The role collaborates with clinicians, coding staff, and compliance teams to support proper reimbursement and regulatory adherence. The position requires a coding credential (AAPC/AHIMA) and 2+ years in medical billing or coding, with familiarity in EHR systems and billing software. Remote work is available to eligible US locations. #J-18808-Ljbffr

Emory Healthcare is seeking a remote Medical Coding Auditor to ensure accuracy, completeness, and compliance of professional coding services. You will review patient records, collaborate with providers and coding teams, and support audits to mitigate compliance risks. The role requires strong knowledge of ICD-10, CPT, HCPCS and payer guidelines, with at least two years in medical billing/coding and AAPC/AHIMA certification. #J-18808-Ljbffr

Emory Healthcare is seeking a Medical Coding Auditor to ensure accuracy and compliance of professional coding. The role reviews patient records, collaborates with clinicians and coding teams, and supports correct reimbursement and regulatory adherence. This remote position requires a coding certification and 2+ years in medical billing or coding, with strong knowledge of ICD-10, CPT, HCPCS, and HIPAA standards. #J-18808-Ljbffr

Emory Healthcare is seeking a Medical Coding Auditor to ensure accuracy, completeness, and regulatory compliance for professional coding services. The role reviews patient records, clinician documentation, and coded data to identify discrepancies and support appropriate reimbursement. You will collaborate with providers, coders, and compliance teams, conduct routine audits, provide training on coding standards, and stay current with ICD-10, CPT, HCPCS guidelines. #J-18808-Ljbffr

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...

Humana is seeking a Medical Coding Auditor to join our Outpatient Facility/APC coding team in a remote capacity, with occasional travel for training. You will verify procedure codes, review clinical documentation, perform CPT/HCPCS reviews, and support quality improvements while protecting patient information and HIPAA rules. Required certifications CPC/COC/CCS/ROCC/RHIA/RHIT with 3+ years post-certification experience and strong CPT/HCPCS knowledge, including experience with #J-18808-Ljbffr

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...

Humana Inc. is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement, handling provider disputes in a results-driven setting. This remote role may require occasional travel to Humana offices for training or meetings. The auditor analyzes records to ensure accurate DRG assignments and cost-effective payments. The position requires RHIA, RHIT or CCS certification, MS-DRG coding/auditing experience, and the ability to work independently #J-18808-Ljbffr

University of Missouri Health Care is seeking a Certified Medical Coding Auditor to support inpatient coding audits and education for Health Information Management staff. The role emphasizes accuracy, compliance with coding guidelines, and development of audit plans to improve coding quality. The candidate will conduct internal and external audits, analyze findings, and provide corrective actions while supporting pre-billing reviews and ongoing staff training within MU Health Care's inpatient #J-18808-Ljbffr

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

Humana is seeking a Medical Coding Auditor to review medical claims against medical records, ensuring accurate CPT/HCPCS coding and compliance. You will analyze documentation, verify codes, and participate in process improvement while supporting remote work-life balance. The role emphasizes independent decision-making, attention to detail, and knowledge of ICD-10 and CPT guidelines. Some travel to Humana offices may be required for training. #J-18808-Ljbffr

Emory Healthcare in Arkansas is seeking a remote Medical Coding Auditor to ensure accurate coding and compliant documentation across professional coding services. You will review records, support reimbursements, conduct routine audits, and provide education to clinicians on coding standards. A CCS, CPC, RHIA, or RHIT certification is preferred; strong knowledge of ICD-10, CPT, HCPCS and EHR systems is essential. #J-18808-Ljbffr

Humana is seeking a Medical Coding Auditor to review outpatient claims for accurate CPT/HCPCS coding and ICD-10-CM references. The role emphasizes accuracy, confidentiality, and adherence to guidelines in an outpatient setting. You will analyze documentation, perform CPT/HCPCS reviews, conduct peer reviews, and support process improvements. Remote work from home with occasional travel to Humana offices for training. #J-18808-Ljbffr

Humana seeks a Medical Coding Auditor to review outpatient claims against records, ensuring accurate CPT/HCPCS codes and APC alignment. You will analyze documentation, use encoders, and perform reviews to support accurate provider payments. You will work remotely, with possible travel to Humana offices for training. Strong CPT/HCPCS knowledge and post-certification experience are required, along with attention to detail and independence. #J-18808-Ljbffr