1785 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

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

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

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

Coding Compliance Auditor 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 others,...

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

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

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

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

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...

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

Hirebridge is seeking a Certified Medical Auditor to lead comprehensive medical record, coding, billing, and compliance audits in our Buffalo, NY team. You will review ICD-10-CM, CPT, HCPCS data and collaborate with coding, clinical, billing, and leadership staff. This role requires CMA certification, meticulous audit workpapers, and the ability to educate staff on documentation improvements while staying current with CMS and payer requirements. #J-18808-Ljbffr

PACT MSO, LLC is seeking an experienced Medical Coding Auditor in Branford, CT, to conduct medical billing, coding, and documentation audits to ensure regulatory and payer compliance. The role analyzes provider documentation, coding accuracy, and revenue cycle processes across specialties, and provides education and recommendations to clinicians and staff to improve accuracy and compliance. Monday–Friday, 8:30am–5:00pm; not remote. #J-18808-Ljbffr

PACT MSO, LLC in Branford, CT, seeks a Medical Coding Auditor to lead audits of medical records, coding, and billing to ensure compliance with federal, state, and payer requirements. This on-site role collaborates with physicians, coders, and revenue cycle leadership to improve documentation and reimbursement. The ideal candidate has a CPC credential, 3–5 years of healthcare auditing experience, and strong knowledge of ICD-10, CPT, HCPCS, and E/M coding. #J-18808-Ljbffr

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

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...

CVS Health Corporation seeks 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. The role involves audits of medical records, policy research, and collaboration with Medical Directors to validate decisions. The Analyst will identify billing issues, prepare findings, and support provider education while maintaining thorough documentation. 40-hour weeks, full-time. #J-18808-Ljbffr

CVS Health Corporation is seeking a Certified Coding Analyst to perform medical claim reviews for waste and error to ensure compliant coding practices. You will audit medical records, apply CMS and state guidelines, and discuss cases with Medical Directors to validate decisions. The role requires CPC certification and 2+ years of coding experience, with strong knowledge of CPT/HCPCS/ICD-10. Full-time hours in Utah with competitive benefits and a pay range reflecting location and experience. #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

Serco Inc. seeks a Medical Coding Auditing Specialist to support the Defense Health Agency’s MCPB. The role covers audits across DHA Markets, developing annual audit plans, and targeted reviews of medical coding to ensure compliance with official policies. Ideal candidates have extensive coding/auditing experience, relevant certifications, and strong knowledge of ICD-CM, CPT, DRGs, and revenue cycle principles. Some travel to CONUS/OCONUS sites may be required. #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