1446 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

Solventum is seeking a Senior Medical Auditor to lead complex coding audits and QA initiatives from a remote location. You will work with professionals across the U.S. to assess E/M, Surgery, and CPT/HCPCS coding accuracy, while ensuring compliance with CPT, ICD-10-CM/PCS guidelines and HIPAA rules. Ideal candidates have 4+ years of combined auditing/coding experience and relevant certifications. This remote role involves up to 10% travel and requires authorization to work in the U.S. #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

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

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

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

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 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

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

Application deadline: Aug 17, 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 motivate...

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

Solventum seeks a Senior Medical Auditor to join our remote team. You will lead monthly and quarterly audits of professional fees, facilities, and procedures, while guiding vendors and clients on coding best practices. This role emphasizes compliance with CPT/HCPCS, ICD-10-CM, and HIPAA regulations. Ideal candidates hold AAPC or AHIMA credentials, have 3+ years of combined auditing/coding experience, and can educate stakeholders through clear audit reports. #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...

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

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...

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 join the Special Investigations Unit. You will review medical records for coding accuracy, ensuring CPT/HCPCS, ICD-10, and CMS 1500/UB04 compliance, and prepare detailed audit findings for stakeholders. Responsibilities include discussing cases with Medical Directors and regulators, researching guidelines, identifying billing errors and potential savings, and maintaining thorough documentation to meet payor requirements. #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 Medical Coding Auditing Specialists to support the DHA Medical Coding Program Branch. The role involves auditing medical records across DHA Markets, supporting annual audit plans, and performing targeted coding audits to ensure compliance with official policies and regulations. Candidates must have seven years of coding/auditing experience across multiple specialties, hold the required professional certifications, and be able to work with government guidelines and revenue cycle #J-18808-Ljbffr

Labela is seeking certified U.S. medical coders for high-level coding and documentation consulting. You will serve as a subject matter expert to validate, refine, and audit the coding logic and documentation reasoning of frontier AI models in a flexible, remote role. Key responsibilities include auditing ICD-10-CM/PCS, CPT, and HCPCS, providing ground truth for full chart abstractions, E/M level assignment, modifiers, and identifying compliance gaps. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the SIU, ensuring coding accuracy and compliant documentation. The role requires 3+ years of experience and CPC certification, with strong knowledge of CPT/HCPCS/ICD-10 and CMS guidelines. The candidate will conduct audits, provide written findings, and communicate results to investigators and regulators. Proficiency in Excel/Word and attention to detail are essential for success in this full-time #J-18808-Ljbffr