1596 medical coding compliance auditor jobs found

GI Alliance invites applications for a Compliance Auditor to research and analyze medical records with coding discrepancies, validate coding, and prepare reports with recommendations for corrective actions. The role includes auditing physician charts, reviewing billing for compliance, and communicating with physicians on documentation standards. Candidates should hold CPC/CPMA or equivalent credentials and have 3+ years in healthcare coding and operations. #J-18808-Ljbffr

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

Riverside Healthcare is seeking a Professional Coding Compliance Specialist to audit, educate, and support the coding team for Riverside Medical Group. The role ensures documentation supports diagnoses and charges, complies with regulatory and payor requirements, and aligns with coding guidelines. The position requires multi-specialty coding experience, CPC certification, and strong auditing skills to drive accurate coding and compliance across practices. #J-18808-Ljbffr

UnitedHealth Group is seeking a senior coding compliance auditor to independently perform risk-based audits of providers and clinical practices, ensuring CPT/HCPCS/ICD-10 accuracy and CMS compliance. You will analyze investigations, identify risk areas, and prepare detailed reports with remediation actions. The role supports ongoing education based on audit findings, stays current with coding guidelines, and allows telecommuting within the U.S. #J-18808-Ljbffr

UnitedHealth Group is seeking a senior coding compliance auditor to independently perform risk-based audits of providers and clinical practices, ensuring CPT/HCPCS/ICD-10 accuracy and CMS compliance. You will analyze investigations, identify risk areas, and prepare detailed reports with remediation actions. The role supports ongoing education based on audit findings, stays current with coding guidelines, and allows telecommuting within the U.S. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit, ensuring coding accuracy and compliance across medical, behavioral health, and related services. The role requires 3+ years of coding experience (1–2 years current), CPT/HCPCS knowledge, CMS 1500/UB04 data elements, and strong communication skills; travel may be required. #J-18808-Ljbffr

Riverside Health is seeking a senior Coding Auditor to independently review medical records, perform risk adjustment audits, and educate provider personnel on coding methodologies to improve payor accuracy. You will coordinate denial analysis, root cause investigation, and educational materials for clinical and administrative staff. Requires CPC/COC/CPMA credentials and 3–4 years of billing/coding experience; HS diploma, remote work eligible in several states. #J-18808-Ljbffr

Riverside Health is seeking a senior Coding Auditor to independently review medical records, perform risk adjustment audits, and educate provider personnel on coding methodologies to improve payor accuracy. You will coordinate denial analysis, root cause investigation, and educational materials for clinical and administrative staff. Requires CPC/COC/CPMA credentials and 3–4 years of billing/coding experience; HS diploma, remote work eligible in several states. #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

Solventum is seeking a Senior Medical Auditor to perform routine and complex coding audits across E/M, Surgery, and IR/VIR services. You will review vendor and client coding, produce audit reports, and deliver educational sessions to improve accuracy and compliance. Requirements include relevant degree or substantial experience with ICD-10-CM/PCS/CPT, AHIMA/AAPC certification, and strong Microsoft Office skills. Remote work with up to 10% domestic travel is possible. #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

Coding Compliance Auditor, Revenue Cycle Management, Amazon One Medical Stellen-ID: 10452620 | Amazon.com Services LLC 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...

Location: Baltimore, Maryland, United StatesCompany: TEKsystemsPosted: TEKsystems 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

Location: Baltimore, Maryland, United StatesCompany: TEKsystemsPosted: 2026-10-06TEKsystems 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

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...

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

Providence Medical Foundation is seeking a Coding Auditor to review patient care billing documentation for CPT and ICD coding adherence under the direction of the Director Provider Network Performance. The role supports a culture of accurate, compliant coding across services. The position requires professional coding credentials and 3+ years of healthcare coding and clinic billing experience. Join a mission-driven team dedicated to high-quality patient care. #J-18808-Ljbffr

CVS Health Corporation is seeking a Certified Coding Analyst to perform medical claim reviews for waste and error, ensuring coding accuracy and regulatory compliance. You will audit CPT/HCPCS, modifiers, and documentation across medical and institutional providers. Responsibilities include researching guidelines, discussing cases with Medical Directors, and identifying billing errors while preparing clear summaries for stakeholders. #J-18808-Ljbffr

CVS Health is seeking a Certified Coding Analyst to perform medical claim reviews for waste and error, ensuring coding accuracy per CPT/HCPCS/ICD-10 and modifiers. The Analyst will audit medical records, discuss cases with Medical Directors, and help educate providers while maintaining compliance with state, federal, and company policies. The role requires 2+ years in medical coding and CPC certification, strong attention to detail, and proficiency with MS Office. #J-18808-Ljbffr

Location: Boston, Massachusetts, United StatesCompany: CVS Health CorporationPosted: 2026-10-06CVS Health Corporation is seeking a Certified Coding Analyst to perform medical claim reviews for waste and error, ensuring coding accuracy and compliance with CPT/HCPCS, ICD-10, and modifiers. You will audit medical records, discuss cases with Medical Directors, and support provider education across a CVS Health network.The ideal candidate holds AAPC CPC certification, has 2+ years in coding or auditing, and is proficient with CMS guidelines, UB04/HCFA data elements, and MS Excel/Word.#J-18808-Ljbffr

CVS Health in Hartford, CT is seeking a Certified Coding Analyst to perform medical claim reviews, ensure CPT/HCPCS alignment, and verify documentation for compliance across state and federal guidelines. You will audit medical records, apply CMS and payer guidelines, discuss cases with Medical Directors, and help identify billing errors and opportunities for process improvements. This full-time role offers a competitive benefits package and a pathway to contribute to a large health care network. #J-18808-Ljbffr

CVS Health Corporation is seeking a Certified Coding Analyst to perform medical claim reviews for waste and error, ensuring compliance with coding practices. You will audit medical records, determine correct coding, and verify documentation while meeting state and federal requirements. Responsibilities include presenting findings, researching policies, and collaborating with Medical Directors. AAPC CPC certification and strong attention to detail are essential; a comprehensive benefits package #J-18808-Ljbffr

CVS Health Corporation in Olympia, WA is seeking a Certified Coding Analyst to perform medical claim reviews for waste and error, ensuring coding accuracy and compliant documentation. You will audit CPT/HCPCS/ICD-10 coding, apply CMS and state guidelines, and collaborate with Medical Directors to validate decisions. Responsibilities include researching coding questions, identifying billing issues, preparing concise findings, and communicating outcomes to partners. #J-18808-Ljbffr

CVS Health Corporation invites a Certified Coding Analyst to perform medical claim reviews for waste and error, ensuring coding accuracy per CPT/HCPCS/ICD-10 standards and compliant documentation across medical and institutional providers. Responsibilities include audits, policy research, interacting with Medical Directors, and identifying billing issues. Requires CPC, 2+ years coding experience, and strong Excel/Word skills. Full-time, on-site in Baton Rouge, LA with comprehensive benefits. #J-18808-Ljbffr