2424 medical coding auditor jobs found

Location: Baltimore, Maryland, United StatesCompany: TEKsystemsPosted: 2026-09-07TEKsystems seeks a Medical Coding Auditor in Baltimore, hybrid (1-2 days in office weekly). The role focuses on independent physician coding reviews, CMS/CPT/ICD-10 compliance, and training to improve documentation accuracy.Responsibilities include auditing, reporting findings, and developing education programs for providers, with a compensation range typically aligned to the posted salary and located in Baltimore, MD.#J-18808-Ljbffr

Inpatient Medical Coding Auditor As an Inpatient Medical Coding Auditor, you will make an impact by auditing consultant inpatient records. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and teams. In this role, you will: Review inpatient records for diagnostic and procedural coding accuracy and compliance Review physician documentation to verify diagnoses and procedures Identify accurate ICD-10-CM and ICD-10-PCS codes utilizing an electronic encoder application, Solventum (3M), in accordance with practice policy and regulatory guidelines Complete reports as requested Provide ICD-10-CM and ICD-10-PCS education and mentoring to Company's clients in coding, billing and compliance Perform Peer Reviews of Company Health Information Management coding auditors and coders Assure that services provided to Clients of Company are current and up to date with industry standards Conduct other reviews, audits and other tasks at the...

TEKsystems in Baltimore, MD seeks a Medical Coding Auditor to conduct independent physician coding reviews, ensuring accuracy and CMS compliance. This hybrid role requires 1-2 days in the office weekly and offers direct placement with TEKsystems. You will use MDaudit to document findings, educate providers, and support audit readiness across the organization. Candidates should have CPC/CCS certifications and 5 years coding experience including auditing. #J-18808-Ljbffr

Humana is seeking a Medical Coding Auditor in a remote role based from Nashville, TN area. The position involves extracting and coding clinical information using ICD-10-CM and CPT, with independent judgment and adherence to coding guidelines. The role requires CPC/COC/CCS/RHIA/RHIT certification with 3+ years post-certification, outpatient auditing experience, and strong MS Office skills. Travel to Humana offices may be required for training; typical hours are Mon-Fri and 40 hours weekly. #J-18808-Ljbffr

A healthcare solutions company is seeking a skilled RCS Medical Coding Auditor to perform audits on professional fee medical coding. The ideal candidate should possess a CPC certification and 2+ years of ProFee auditing experience, with a strong focus on accuracy and compliance. Responsibilities include conducting daily quality assurance, validating coding against documentation, and providing training to improve coding practices. This position supports hybrid work and includes a competitive salary range of $57,728 to $80,243. #J-18808-Ljbffr

Inpatient Medical Coding Auditor Work Model: REMOTE About the role As an Inpatient Medical Coding Auditor, you will make an impact by auditing consultant inpatient records. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and teams. In this role, you will: + Review inpatient records for diagnostic and procedural coding accuracy and compliance + Review physician documentation to verify diagnoses and procedures + Identify accurate ICD-10-CM and ICD-10-PCS codes utilizing an electronic encoder application, Solventum (3M), in accordance with practice policy and regulatory guidelines + Complete reports as requested + Provide ICD-10-CM and ICD-10-PCS education and mentoring to Company's clients in coding, billing and compliance + Perform Peer Reviews of Company Health Information Management coding auditors and coders + Assure that services provided to Clients of Company are current and up to date with industry standards...

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. The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able...

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. The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able...

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. The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able...

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. The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able...

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. The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able...

Job Description Job Description Location: Miami, FL (On-site preferred; Hybrid/Remote may be considered) Employment Type: Part-Time (25–35 hours per week) About the Position We are seeking an experienced Senior Medical Coding Auditor (CPC) to join our growing multi-specialty medical practice specializing in Primary Care and Gynecology . The ideal candidate will be responsible for reviewing clinical documentation before claims are submitted to ensure accurate coding, appropriate E/M level selection, documentation compliance, and optimal reimbursement while maintaining full regulatory compliance. This position works closely with providers, clinical staff, and the billing department to improve documentation quality, reduce claim denials, maximize appropriate reimbursement, and ensure coding accuracy. Primary Responsibilities Review approximately 300 provider notes per week for coding accuracy and documentation compliance prior to claim submission....

Medical Coding Auditor - Ambulatory Location: Supporting Walter Reed National Military Medical Center (Bethesda, MD) Schedule: Mon–Fri, 7:30 AM–4:30 PM (subject to change) Overview: Seeking an experienced medical coding professional to audit, train, and ensure compliance for outpatient and inpatient coding operations. Qualifications: Certification required: AAPC (CPC-H, CPC-P, CPMA) or AHIMA (RHIA, RHIT, CCS-P). Strong knowledge of ICD-10, CPT, HCPCS, coding guidelines, and compliance standards. Expertise in medical terminology, records management, and auditing principles. Familiarity with DoD/MHS systems and confidentiality regulations. Excellent communication, analytical, and training skills. Proficient with coding/auditing software and office tools. Experience: 3+ years of medical coding across multiple specialties. 3+ years of auditing and supervisory experience (DoD preferred). Experience with ambulatory/outpatient surgery coding strongly preferred. Key...

Inpatient Medical Coding AuditorWork Model: REMOTEAbout the roleAs an Inpatient Medical Coding Auditor, you will make an impact by auditing consultant inpatient records. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and teams.In this role, you will:+ Review inpatient records for diagnostic and procedural coding accuracy and compliance+ Review physician documentation to verify diagnoses and procedures+ Identify accurate ICD-10-CM and ICD-10-PCS codes utilizing an electronic encoder application, Solventum (3M), in accordance with practice policy and regulatory guidelines+ Complete reports as requested+ Provide ICD-10-CM and ICD-10-PCS education and mentoring to Company's clients in coding, billing and compliance+ Perform Peer Reviews of Company Health Information Management coding auditors and coders+ Assure that services provided to Clients of Company are current and up to date with industry standards+ Conduct other reviews, audits and...

Overview Certified Medical Coder required (AHIMA, AAPC, or PMI). Hybrid-Sunrise, Florida The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through post payment medical records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines and regulatory and contract requirements. Essential Duties and Responsibilities Performs post payment medical record review audits of claims payments to identify potential fraud, waste, abuse and/or overpayment. Completes and maintains detailed documentation of audits including but not limited to coding guidelines reviewed, medical necessity documentation, decision methodology, and monetary discrepancies identified. Coordinates overpayment recoveries with the Fraud Investigative Unit Manager. Responsible for assisting the Fraud Investigative...

Location: Miami, FL (On-site preferred; Hybrid/Remote may be considered) Employment Type: Part-Time (25-35 hours per week) About the Position We are seeking an experienced Senior Medical Coding Auditor (CPC) to join our growing multi-specialty medical practice specializing in Primary Care and Gynecology. The ideal candidate will be responsible for reviewing clinical documentation before claims are submitted to ensure accurate coding, appropriate E/M level selection, documentation compliance, and optimal reimbursement while maintaining full regulatory compliance. This position works closely with providers, clinical staff, and the billing department to improve documentation quality, reduce claim denials, maximize appropriate reimbursement, and ensure coding accuracy. Primary Responsibilities Review approximately 300 provider notes per week for coding accuracy and documentation compliance prior to claim submission. Validate appropriate Evaluation & Management (E/M) level...

All inclusive preventive care in Miami, FL, is seeking a Senior Medical Coding Auditor (CPC) to join our multi-specialty practice focusing on Primary Care and Gynecology. The role reviews provider notes before submission to ensure accurate coding, proper E/M levels, and compliance while supporting optimal reimbursement. You will work with providers and the billing team to reduce denials, improve documentation quality, and maintain regulatory compliance. #J-18808-Ljbffr

ModMed is seeking a Medical Coding Auditor to join the BOOST Services team remotely in the US. You will perform coding reviews and QA audits across ICD-10-CM, HCPCS, CPT and modifiers, ensuring compliance with guidelines and payer policies. You’ll interact with global coding teams, provide training insights, and support denial management activities. Ideal candidates have at least 1 year as a CPC and CPMA preferred, with strong analytical and communication skills, and a commitment to pursue CPMA #J-18808-Ljbffr

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. The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able to exercise...

UnitedHealth Group is seeking a Medical Coding Auditor to determine the accuracy of claims by comparing to medical records and to identify waste and errors in a telecommuting role across the U.S. The position requires AHIMA or AAPC certification and 2+ years in coding and medical record reviews. You will review CPT/HCPCS codes, ensure compliance, and produce clinical narratives. Strong data interpretation, communication, and collaboration skills are essential. #J-18808-Ljbffr

Xtensys, located in the Town of Ithaca, is looking for an experienced Medical Coding Auditor. The role involves auditing documentation and coding across several specialties to ensure accuracy with coding systems including CPT, ICD-10-CM, and HCPCS. The ideal candidate will have 3–5 years of experience, attention to detail, and be proficient in communication. A coding certification is required, with additional auditing certification being a plus. Join us to be part of a mission-driven organization committed to improving healthcare. #J-18808-Ljbffr

Xtensys 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. We are seeking an experienced Medical Coding Auditor to support our continued growth and commitment to deliver exceptional client outcomes. 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 encourage risk-taking and continuous...

Humana seeks a Medical Coding Auditor for its Outpatient Facility/APC Coding Team. The role emphasizes accuracy of CPT/HCPCS codes, review of clinical indicators, and use of encoders. The candidate works remotely with occasional travel to Humana offices for training. Required are CPC/COC/CCS/ROCC/RHIA/RHIT certifications and 3+ years post-certification experience in outpatient coding, with strong attention to detail and independent work capability. Eligible for annual pay and benefits. #J-18808-Ljbffr

Humana is seeking a Medical Coding Auditor to extract clinical information from medical records and assign ICD-10-CM and CPT codes. The role involves interpreting data, independent decision making, and ensuring accurate coding in a remote setting. Typical hours are Monday–Friday, 8 hours daily, with start between 6AM–9AM EST. Travel to Humana offices for training may be required; 40-hour work week and competitive benefits are offered. #J-18808-Ljbffr