1410 medical coding compliance auditor jobs found

A healthcare service organization is seeking a Medical Coding and Billing Compliance Auditor to perform coding audits and ensure compliance with regulations. The role requires extensive coding knowledge, analytical skills, and a strong background in Microsoft Office applications. Applicants should have a current coding credential and a minimum of three years of outpatient coding experience. This is a full-time remote position. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to review medical records for the Special Investigations Unit (SIU) to ensure coding compliance across medical, behavioral, and other healthcare providers. Responsibilities include comprehensive audits, detailed findings, and clear communication with investigators, regulators and providers. Requires CPC, 3+ years of coding/audit experience, and strong Excel/Word skills. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). You will audit records to ensure coding accuracy and compliance with CPT/HCPCS, ICD-10, and CMS 1500/UB04 elements. This full-time role requires 3+ years in medical coding or documentation auditing, CPC certification, strong attention to detail, and the ability to communicate findings to investigators and leadership. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the SIU, ensuring compliant coding and documentation across medical, behavioral health, transportation, and other services. The role requires auditing current records, communicating findings to investigators and regulators, and staying up-to-date on coding guidelines. The ideal candidate has CPC certification, 3+ years of coding or auditing experience, proficiency with CPT/HCPCS/ICD-10 and CMS #J-18808-Ljbffr

Medical Coding and Billing Compliance Auditor Location: Remote Division: Coding Compliance About the Role: The Medical Coding Auditor is a detail-oriented position responsible for reviewing medical coding accuracy, documentation integrity, ensuring compliance with federal and state regulations, payer guidelines, and internal policies. The ideal candidate will bring strong analytical skills, extensive coding knowledge, and a passion for maintaining the highest standards of quality and compliance. The candidate will demonstrate a strong background in Microsoft Office applications including PowerPoint, Word, Excel, Outlook, TEAMS, and SharePoint. The Medical Coding Auditor will have a background in physician feedback and education on documentation integrity and coding accuracy. The ideal candidate will have extensive knowledge of CPT coding, ICD-10-CM coding, E/M coding, HCC methodologies, modifiers, telehealth, and HCPCS coding. The candidate will understand and know where to access...

The Texas Tech University Health Sciences Center is seeking a Documentation & Coding Auditor to conduct medical billing coding and documentation quality audits. In this role, you will provide essential feedback to coding specialists and work collaboratively within the team. This position requires strong problem-solving skills and an active professional coding certification. An ideal candidate will have at least five years of experience in medical billing coding and reimbursement, along with knowledge in CPT, ICD-CM, and related coding systems. You will also be responsible for participating in compliance symposiums and conducting annual risk assessments. #J-18808-Ljbffr

OrthoVirginia Inc is seeking a Medical Auditor (Billing & Coding) to audit coding and documentation for providers and educate clinicians on documentation requirements and billing compliance. The role works under the Billing & Coding Compliance Manager with travel to regional offices. The successful candidate will review audits, prepare reports, and stay current with E/M guidelines while supporting the organization’s compliance program. #J-18808-Ljbffr

Jobtailor in the United States is seeking a Health Care Compliance Auditor specializing in medical coding and documentation compliance. You will review records, ensure CPT/E&M coding accuracy, and report findings to the Compliance Officer and executive leadership. Qualifications include CPC/CCS-P/COC, 2+ years in health care, HIPAA knowledge, and Epic EMR familiarity. The role emphasizes auditing, policy development, training, and collaboration to strengthen internal controls. #J-18808-Ljbffr

Providence Medical Foundation is seeking a skilled Coding Auditor to support patient care billing documentation and ensure compliance with CPT/ICD guidelines and federal, state, and payor policies. You will audit coding accuracy across services and collaborate with care teams to resolve issues. Based in Santa Monica, this on-site role requires national coding certifications and several years of professional coding and physician/clinic billing experience. #J-18808-Ljbffr

Emory Healthcare is seeking a detail-oriented Medical Coding Auditor to ensure accuracy and compliance of professional coding and documentation. You will review records, identify discrepancies, and collaborate with providers, coders, and compliance staff to improve reimbursement and regulatory adherence. Responsibilities include conducting audits, educating healthcare professionals on coding standards, analyzing trends, and generating reports with actionable recommendations; eligible candidates #J-18808-Ljbffr

OrthoVirginia is seeking a Medical Auditor (Billing & Coding) to conduct coding and documentation audits across assigned providers, educate clinicians on documentation requirements, and ensure compliance with billing regulations. This full-time, hybrid role requires travel to regional offices, CPT/ICD knowledge, and certifications such as CPC/CCS-P, RHIA or RHIT. You will prepare audit reports and support the compliance program under the Billing & Coding Compliance Manager. #J-18808-Ljbffr

A healthcare facility in Lawrence is seeking a Medical Coding Auditor responsible for conducting compliance reviews of medical documentation to ensure billing accuracy. The ideal candidate will have a CPC or CCS-P certification and five years of physician coding experience. This role requires strong communication and analytical skills, as well as a thorough understanding of coding regulations. The position offers competitive pay and benefits, focusing on community health and compliance education. #J-18808-Ljbffr

The 100 Lawrence Memorial Hospital is looking for a Medical Coding Auditor responsible for conducting compliance reviews to ensure accuracy in billing. The role includes analyzing medical records and providing training for staff on coding practices. Qualified candidates should have strong communication skills and a minimum of five years experience in physician coding, with relevant certifications. This position aims to enhance charge capture and ensure compliance with industry regulations. #J-18808-Ljbffr

Walt Disney is seeking an experienced Auditor to review medical records, coding, and billing practices, ensuring compliance with industry standards. The role requires expertise in medical office procedures, coding systems, and terminology to conduct thorough audits. Responsibilities include audits of claims, reporting findings, and providing education to staff. Remote/hybrid work options may be available; prior HIM coding leadership interaction is valued. #J-18808-Ljbffr

A healthcare provider is seeking a Remote Medical Coding Auditor to conduct audits of medical claims and records. The role requires CPC certification and a minimum of 5 years of coding experience. Responsibilities include preparing reports on compliance issues, assisting in training, and maintaining coding knowledge. The position offers benefits such as medical insurance, PTO, and opportunities for professional development. #J-18808-Ljbffr

UnitedHealth Group seeks a Medical Coding Auditor to verify claims against medical records, ensuring accuracy and compliance in a remote work setting. You will review CPT/HCPCS coding, determine service levels, and prepare detailed narratives for complex cases. The role requires AHIMA/AAPC certification with several years of coding and medical record review experience, and the ability to work independently in a production-driven environment while meeting quality standards. #J-18808-Ljbffr

A regional healthcare provider is hiring a Medical Coding Auditor for a remote position in Albuquerque, NM. The role involves auditing medical records for coding compliance and requires expertise in E/M coding. Candidates need a high school diploma, 5 years of relevant experience, and must obtain the CPMA certification within 18 months. The position offers a competitive salary and a comprehensive benefits package. #J-18808-Ljbffr

Description Application deadline: Aug 12, 2026 As a key member of the Amazon One Medical Revenue Cycle team the Coding Compliance Auditor will be responsible for supporting Amazon One Medical Clinical and Revenue Cycle teams in managing and optimizing compliant healthcare revenue cycle operations. Demonstrating increased autonomy and strategic thinking and problem-solving skills, this role will perform detailed reviews of medical coding practices to ensure accuracy, compliance with regulatory requirements and adherence to organizational policies and procedures. This role reports into the Coding Compliance Auditing Manager, Revenue Cycle. As someone who naturally enjoys finding ways to improve the status quo, you adeptly identify and create processes necessary to get work done. You comfortably interact with your team members as well as other teams and easily tailor your message and communication style to different audiences. You have a high accountability bar and know how to...

UnitedHealth Group seeks a Medical Coding Auditor to verify claims against medical records, ensuring accuracy and compliance in a remote work setting. You will review CPT/HCPCS coding, determine service levels, and prepare detailed narratives for complex cases. The role requires AHIMA/AAPC certification with several years of coding and medical record review experience, and the ability to work independently in a production-driven environment while meeting quality standards. #J-18808-Ljbffr

A healthcare organization in Sunrise, Florida is seeking a Certified Medical Coder to conduct audits related to potential fraud, waste, and abuse. The role involves post-payment medical records reviews to ensure compliance with coding guidelines. Candidates must have medical coding certification and knowledge of Medicaid rules. The position offers a hybrid work schedule and requires strong analytical and communication skills. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to review medical records for the Special Investigations Unit (SIU) to ensure coding accuracy and compliance. The role requires identifying billing patterns and ensuring state and federal guidelines are met. The position emphasizes detailed audit work, clear written findings, and communication with investigators and leadership, with full-time hours and competitive benefits. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). The role ensures coding accuracy, reviews medical records, and confirms compliance with state and federal requirements. Strong documentation and communication skills are essential for presenting findings to investigators and leadership. You will audit CPT/HCPCS coding, identify potential fraud or errors, and maintain thorough records. #J-18808-Ljbffr

CVS Health is hiring a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU), ensuring coding accuracy and compliance across medical, behavioral health and related records. The CPC will audit CPT/HCPCS, ICD-10 and UB04 data, articulate findings to investigators and leadership, and help identify billing errors, potential fraud and opportunities for savings. This full-time role offers strong benefits and a focus on quality and integrity. #J-18808-Ljbffr

Serco is seeking a Medical Coding Auditing Specialist to support the Defense Health Agency’s Medical Coding Program Branch. The role involves auditing DHA facilities, developing annual audit plans, and conducting targeted coding/documentation audits to ensure compliance with coding policies and standards. Candidates must have 7+ years in medical coding/auditing across multiple specialties, with required professional and institutional certifications; pre-employment screening may apply. #J-18808-Ljbffr