465 outpatient coding compliance auditor jobs found

UnitedHealth Group is seeking an Outpatient Coding Compliance Auditor to conduct audits of OPPS coding, ensuring accurate ICD-10-CM and CPT coding, modifiers, and E/M levels. The role monitors QA processes and communicates findings to stakeholders while aligning with applicable laws and regulations. You will analyze medical records, identify root causes of non-compliance, and support education based on audit results. Remote work within the U.S. is possible. #J-18808-Ljbffr

Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Responsible for auditing coded inpatient or outpatient medical records applying ICD-10 CM/PCS and/or CPT-4. Reviews Ambulatory Payment Classification (APC), Medicare Severity Diagnosis Related Groups (MSDRG) and All Patients Refined Diagnosis Related Groups (APRDRG) assignment and queries following official coding guidelines and regulatory requirements. Provides training and education based on audit results and any regulatory changes that effect Federal, State and American Health Information Management Association (AHIMA) guidelines. Responsibilities: Maintains strict adherence to patient confidentiality according to MHS standards and regulatory requirements.Works closely...

The Valley Health System in Ridgewood, NJ is seeking an Outpatient Coding Auditor to review outpatient records for compliance with coding guidelines and regulatory requirements. You will identify trends, educate staff, and collaborate with external vendors to implement industry best practices and improve overall audit results. Requires 5+ years in hospital auditing with ICD-10-CM, outpatient CPT-4, HCPCS coding experience; 3M Encoder experience and EPIC/Meditech/CERNER familiarity are preferred. #J-18808-Ljbffr

Emory Healthcare is seeking an Outpatient Coding Auditor to implement and maintain a compliance plan for outpatient coding and reimbursement, and to assist the Coding Manager with outpatient and emergency coding services. The role includes developing education programs, supervising HIM Compliance activities, and coordinating continual reviews and quality audits to ensure accurate APC assignment and reimbursement. Strong communication and organization are essential. #J-18808-Ljbffr

Valley Health System in Ridgewood, NJ is seeking an Outpatient Coding Auditor to review coded outpatient records for adherence to official coding guidelines, regulatory standards, and internal policies. The role drives education and process improvements through detailed case reviews and trend analyses. The incumbent will collaborate with external vendors and coding leadership to ensure accuracy and implement best practices in audit feedback and staff education. #J-18808-Ljbffr

Job Purpose The Coding Auditor will be responsible for inpatient and outpatient coding and auditing for various specialties. This role will also be responsible for preparing and presenting audit results. Duties and Responsibilities Perform coding audits and compliance audits for providers, including physicians and mid‑level providers. Prepare reports of audits and present audits to internal and external parties as needed Complete accurate application of appropriate coding and documentation guidelines, including but not limited to, E&M and surgery documentation guidelines, CCI guidelines, CPT/HCPCS coding guidelines, and specialty association guidance Provide physician education when necessary. This could include, but is not limited to, audit findings or edit and denial trending. Complete coding audits for our copartners’ coding WQ Work with any offsite auditors Evaluate and report on the overall quality of physician documentation that supports selected codes most...

Overview Ardent Health is a leading provider of healthcare in growing mid-sized urban communities across the U.S. With a focus on people and investments in innovative services and technologies, Ardent is passionate about making healthcare better and easier to access. Through its subsidiaries, Ardent delivers care through a system of 30 acute care hospitals, 24,000+ team members and more than 280 sites of care with over 1,800 affiliated providers across six states. Position Summary The Hospital Auditor is responsible for reviewing hospital (inpatient and outpatient) to ensure accuracy, completeness, and compliance with regulatory guidelines and coding standards. This role supports the team’s broader mission by identifying documentation gaps, validating coding accuracy, and assessing the effectiveness of hospital practices. Through targeted feedback and education, the Hospital Auditor helps strengthen documentation quality, promote compliant billing, and safeguard reimbursement...

Sutherland is seeking a Lead - Healthcare - Coding Quality Auditor to ensure coding accuracy and compliance across inpatient, outpatient, and physician services. You will oversee retrospective, concurrent, and prospective audits and mentor coders to uphold ICD-10-CM/PCS, CPT, and HCPCS standards. This role requires 3–5 years of coding experience and 2+ years in audit/quality reviews, plus relevant certifications. #J-18808-Ljbffr

Stout Risius Ross, LLC is seeking a Healthcare Auditor & Coding Consultant to support complex engagements in forensics and compliance across multiple U.S. offices, including Chicago. You will analyze coding, billing, and reimbursement data, identify risks, and translate findings into actionable recommendations for clients and regulators. The role requires substantial experience in inpatient/outpatient facility and professional fee coding, familiarity with Medicare/Medicaid and payer-specific #J-18808-Ljbffr

Job Description Job Description Compliance Auditor – To $67K – Cherry Hill, NJ – Job # 2929 Who We Are? BritePros Healthcare Staffing is completely committed to sourcing only the best administrative and clinical talent in the healthcare industry. Our pool of candidates within the world of healthcare is unparalleled. We simply want your healthcare organization running smoothly so you can focus on providing the best health services to your patients. Healthcare organizations from across the country rely upon BritePros Staffing to present only the most qualified talent for each specific job. Our unique application of the Behavior-based Interviewing Model allows BritePros Staffing to properly vet and evaluate talent relative to key technical and cultural markers for each unique job opening. The Position We seek to fill a Compliance Auditor role in the Cherry Hill, NJ area. The candidate will be responsible for supporting the corporate compliance program. The...

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...

Job Description Job Description Must reside in the following states:  AZ, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, OK, PA, SC, TN, TX, and VA   Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State’s largest private employer with over 104,000 employees — including members of Northwell Health Physician Partners — who are working to change health care for the better.  Summary: Purpose: Provides clinician practice coding, billing, and documentation auditing for professional coding at Nuvance Health. Conducts routine quality assurance (QA) audits on...

Harrison County Hospital in Corydon, IN is seeking a PRN Compliance Auditor to verify medical record documentation and support billing and coding. The role includes auditing observation, outpatient surgery, inpatient, and ED charts, applying charges in Meditech, educating staff, and ensuring accurate payer documentation. The position requires coding knowledge (ICD-9/10-CM, CPT), medical terminology expertise, and the ability to collaborate with physicians and hospital staff. #J-18808-Ljbffr

Harrison County Hospital is seeking a PRN (per diem) Compliance Auditor. The Compliance Auditor verifies medical record documentation; supports billing charge and coding. EDUCATION/EXPERIENCE: CCS, CCS-P and/or CPC-H preferred. Coding experience required. Demonstrated knowledge of ICD-9, CPT-4 and HCPCS coding. Demonstrated knowledge of medical terminology and procedures. SKILLS: Ability to abstract medical chart contents Computer literacy for P.C. and hospital information system LANGUAGE SKILLS: Knowledge of current medical terminology and procedures. Excellent communications skills. Ability to establish smooth working relationship with physicians, their office staff, andancillary hospital staff. JOB DUTIES INCLUDE: Performs audits on all Observation accounts to ensure correct charges. Applies observation hours/procedure charges to account in hospital information system, Meditech. Maintains accurate and complete Observation Log for Finance. Performs chart audits...

To support compliance initiatives, the full-time salaried Assistant Compliance Auditor will perform internal and external audits related to documentation, coding, and billing for hospital and outpatient services while working remotely. Key responsibilities Conduct proactive and reactive audits to ensure compliance with documentation, medical necessity, and accurate coding and billing Monitor and stay updated on regulations, standards, and guidelines in coding and billing Provide compliance training and education for physicians and staff using various presentation tools Required qualifications High School Equivalency Diploma 3-5 years of related experience Coding Certificate through AHIMA or AAPC, or ability to obtain certification within 6 months of hire

YO AI Labs is seeking an experienced Medical Auditor to contribute expertise to a healthcare AI project. You will review outpatient professional fee coding, ensure accuracy, and support AI training with audit insights. The role emphasizes collaboration with project teams in remote contractor capacity, focusing on documentation, compliance, and quality assurance in academic medical center settings. #J-18808-Ljbffr

Work ShiftDay (United States of America) How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Job Summary: Under the direction of the Coding Compliance Manager, conducts independent audits of professional fee coding. Assures appropriate and accurate coding assignments in accordance with federal coding regulations and guidelines. Prepares written reports of findings and leads meetings with providers to review the audit findings and recommend ways to improve when indicated. Also responsible for providing assistance with coding inquiries from providers, coding, staff,...

Remote Inpatient/Outpatient Coding Auditor Remote Inpatient/Outpatient Coding Auditor VISN 7 Health Information Management Services - Remote United States This Position Is Contingent Upon Contract Award Work Location Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 7 Health Information Management Services Remote within the United States Supporting VISN 7 medical facilities Fully remote coding and auditing services Citizenship / Access Requirements: U.S. citizenship and English-language proficiency are required for VA system access. Personnel must satisfy all VA onboarding, identity-verification, training, and access requirements applicable to the position. Security Requirements: No classified clearance is specified. The position is designated Low Risk and requires a favorable National Agency Check with Inquiries background investigation, annual VA privacy and security training, and all applicable...

Remote Professional Fee Coding Auditor Remote Professional Fee Coding Auditor VISN 7 Health Information Management Services - Remote United States This Position Is Contingent Upon Contract Award Work Location Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 7 Health Information Management Services Remote within the United States Supporting VISN 7 medical facilities Fully remote coding and auditing services Citizenship / Access Requirements: U.S. citizenship and English-language proficiency are required for VA system access. Personnel must satisfy all VA onboarding, identity-verification, training, and access requirements applicable to the position. Security Requirements: No classified clearance is specified. The position is designated Low Risk and requires a favorable National Agency Check with Inquiries background investigation, annual VA privacy and security training, and all applicable system-access...

Med-Metrix seeks a Coding Auditor to conduct inpatient and outpatient coding and auditing across specialties, preparing and presenting audit results. The role requires CPC or CCS certification, 5+ years coding and 2+ years auditing in multi-specialty settings, and strong communication skills. Responsibilities include education, HIPAA compliance, and collaboration with offsite auditors. #J-18808-Ljbffr

Duties of this position include, but are not limited to, the following: Position purpose The Compliance Auditor will be responsible for researching and analyzing the medical records where there is a discrepancy in coding, validating the coding, and preparing reports that summarize audit findings and provide recommendations for corrective actions, if warranted. Responsibilities/Duties/Functions/Tasks Conducts physician chart audits to identify incorrect coding, prepares reports of findings and any compliance issues. Examine claims for compliance with relevant billing and processing guidelines and identify opportunities for fraud and abuse prevention and control. Reports coding patterns identified within the audit process to the Manager and identifies corrective measures for compliance problems. Responsible for researching errors or missing documentation from medical records to provide accurate coding processes. Provides second-level review of billing performance to ensure...

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...