2325 medical coding auditor jobs found

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...

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...

Job Description Job Description Position Summary: The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through pre and post payment medical records review and appeal 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, coverage policies and regulatory and contract requirements. Qualifications:  Medical Coder certification from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) required. Prior experience in Medicaid claims role and/or post payment medical coding auditor role preferred. Knowledge of Medicaid rules, claims processing, medical terminology and coding principles and practices. Knowledge of auditing, investigation, and research. Knowledge of...

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...

To support Veterans Affairs medical centers, the full-time Remote Medical Coding Auditor will conduct external coding audits, focusing on accuracy and compliance for inpatient and outpatient services, while providing training to VA coding staff and clinicians. Key responsibilities Audit coded data for accuracy and compliance across various coding areas, including inpatient and outpatient services Classify errors and prepare detailed audit reports, highlighting financial impacts and areas for improvement Develop and lead training sessions for coding staff and healthcare providers based on audit findings Required qualifications An active RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H credential At least 3 years of experience in auditing records for large healthcare organizations Minimum of 3 years of education and training experience in coding Completion of an accredited coding, HIM, or health information technician program Expertise in ICD-10-CM/PCS, CPT, HCPCS, and related coding...

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....

Join the Team Modernizing MedicineAt ModMed, we’re not just building software—we’re reimagining the healthcare experience. Founded in 2010 by a practicing physician and a successful tech entrepreneur, we took a radically different approach: we hired doctors and taught them how to code. This \"for doctors, by doctors\" philosophy has allowed us to create an AI-enabled, specialty-specific cloud platform that places patients at the center of care.A Culture of ExcellenceWhen you join ModMed, you’re joining an award-winning team recognized for innovation and employee satisfaction. From our global headquarters in Boca Raton Florida, and extensive employee base in Hyderabad India, we are a team of 4,500+ passionate problem-solvers on a mission to increase medical practice success and improve patient outcomes:Consistently ranked as a Top Place to Work2025 Globee Business Awards: Gold Globee for “Technology Team of the Year”2025 Black Book Awards: Ranked #1 EHR in 11 SpecialtiesFlorida...

ModMed, based in Boca Raton, FL, seeks a Medical Coding Auditor to ensure BOOST client coding complies with ICD-10-CM, HCPCS, CPT rules and modifier usage. You’ll conduct reviews, perform denial management coding, and provide QA feedback to global coding teams under the Medical Coding and Auditing Manager. You will document audit results, support training, and participate in process improvements, collaborating with BOOST and global teams to maintain coding quality and compliance across the #J-18808-Ljbffr

Job Description Job Description Registered Nurse PACU Medical Coding Auditor - Ambulatory Job Description: About Company: Since 1984, Professional Performance Development Group (PPDG) has been proudly Serving Heroes by connecting exceptional healthcare professionals with rewarding opportunities across military, federal, and commercial healthcare facilities. Guided by our core principles of excellence, integrity, and collaboration, we are dedicated to delivering high-quality staffing solutions that strengthen the delivery of patient care nationwide. Rooted in a culture of Linked Prosperity, PPDG values the success of our clients, employees, and partners alike—offering competitive compensation, comprehensive benefits, professional growth, and a cooperative workplace built on trust, respect, and service. As a proud Department of Defense Partner Employer and participant in the Military Spouse Employment Partnership (MSEP), PPDG remains committed to supporting our...

Tegria seeks a Certified Professional Medical Coding Auditor to evaluate the accuracy and quality of medical records coded by internal and external staff. You will conduct monthly and targeted audits, ensure compliance with ICD-10-CM, CPT, HCPCS, and payer requirements, and document findings for leadership decisions. You will identify coding trends, provide feedback, support coder development, and help drive revenue integrity across the organization in a remote work environment. #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...

Tegria Services Group - US, Inc. is seeking a Certified Professional Medical Coding Auditor to evaluate accuracy and quality of coded medical records, perform monthly and targeted audits, and ensure compliance with coding guidelines and payer requirements. You will provide feedback, education, and support coder development while promoting revenue integrity across the organization. The role collaborates with Coding Manager and Leads, supports process improvements, and leverages AI tools to #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...

Base Pay $21.89 - $31.51 / Hour Employee Type FT Non-Exempt Required Degree 2 Year Degree Contact information Phone 2565364700 Description The Medical Coding Auditor provides technical support to medical providers, as appropriate, regarding accurate and compliant coding documentation, regulatory provisions and third-party payer requirements. This position will be responsible for conducting internal audits of medical coding and billing activities to ensure compliance with regulatory standards and guidelines. The responsibilities include reviewing and validating medical documents, identifying and correcting coding errors, and implementing corrective action plans. Requirements Duties and Responsibilities 1. Review and verify the accuracy of medical records, codes and billing data. 2. Conduct audits on medical coding to ensure accuracy and compliance with guidelines and regulations. 3. Review medical documents to validate diagnoses, procedures, and treatment codes. 4. Review medical...

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

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Coding Auditor Full Time Staff South Florida Community Care Network, LLC, Sunrise, FL, US 3 days ago Requisition ID: 1202 Position Summary: The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through pre and post payment medical records review and appeal 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, coverage policies and regulatory and contract requirements. Qualifications: Medical Coder certification from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) required. Prior experience in...

TEKsystems in Baltimore, MD is seeking a Medical Coding Auditor to conduct independent physician coding reviews and audits, ensuring CMS, CPT, HCPCS, and ICD-10 compliance. The role emphasizes education, training, and provider coaching to improve documentation accuracy and coding practices. The position is hybrid (1-2 days in the office) with a direct placement pathway. Candidates should bring 5+ years coding experience, auditing expertise, and relevant CPC/CCS/CPMA certifications. #J-18808-Ljbffr

3 days ago Be among the first 25 applicants About Performant At Performant, we’re focused on helping our clients achieve their goals by providing technology-enabled services which identify improper payments and recoup or prevent losses due to errant billing practices. We are the premier independent healthcare payment integrity company in the US and a leader across several markets, including Medicare, Medicaid, and Commercial Healthcare. Our mission is to offer innovative payment accuracy solutions that allow our clients to focus on quality of care and healthier lives for all. Medical Coding Auditor – Inpatient (Remote) Location: Remote. Full‑time. Salary: $70,000 – $85,000 per year. Key Responsibilities Audit medical records to ensure accurate coding of diagnoses, procedures, and services using ICD‑10, CPT, and HCPCS codes. Ensure coding practices comply with federal, state, and payer‑specific regulations and guidelines, including HIPAA and CMS standards. Detect discrepancies...

Professional Performance Development Group, Inc is seeking a Medical Coding Auditor in Bethesda, MD. The ideal candidate will have at least 3 years of experience in medical coding and auditing, with required certifications from AAPC or AHIMA. Responsibilities include auditing medical records, providing coder training, and ensuring compliance with regulatory standards. Strong knowledge of coding guidelines, effective communication, and analytical skills are essential for success in this role. #J-18808-Ljbffr

Sprinter Health is seeking a Medical Coding Auditor to conduct audits of medical coding for CMS, payer, and internal standards. Remote, full-time temporary through January 31, 2027, with responsibilities including education delivery, audit prep support, and reporting on coding accuracy. You will review ICD-10-CM, CPT, and HCPCS, develop actionable improvement plans, and stay current with guidelines. Ideal candidates have CPC/CCS credentials, 3+ years coding experience, and strong problem-solving #J-18808-Ljbffr

PACT MSO, LLC in Branford, CT, is seeking an experienced Medical Coding Auditor to join our on-site team. The role involves auditing medical records, coding, billing, and documentation to ensure compliance with federal, state, and payer requirements, and to support revenue integrity. You will work with clinicians and billing staff, develop corrective actions, provide education, and maintain audit trackers. Requirements include CPC certification, 3–5 years of healthcare auditing, and EPIC #J-18808-Ljbffr

Sprinter Health is seeking a Medical Coding Auditor to conduct audits of medical coding for CMS, payer, and internal standards. Remote, full-time temporary through January 31, 2027, with responsibilities including education delivery, audit prep support, and reporting on coding accuracy. You will review ICD-10-CM, CPT, and HCPCS, develop actionable improvement plans, and stay current with guidelines. Ideal candidates have CPC/CCS credentials, 3+ years coding experience, and strong problem-solving #J-18808-Ljbffr

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...

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...