1576 quality coding auditor jobs found

UCHealth is seeking a Professional Coding Specialist to ensure data integrity by reviewing diagnosis and procedure code assignments and validating CPT, ICD-10-CM, and HCPCS designations. This 100% remote role allows eligible out-of-state candidates. You will conduct internal quality reviews, provide coding education across the Health System, respond to physician queries, and support denial management with thorough rationale for code assignments. #J-18808-Ljbffr

UCHealth is seeking a Professional Coding Specialist to ensure data integrity by reviewing diagnosis and procedure code assignments and validating CPT, ICD-10-CM, and HCPCS designations. This 100% remote role allows eligible out-of-state candidates. You will conduct internal quality reviews, provide coding education across the Health System, respond to physician queries, and support denial management with thorough rationale for code assignments. #J-18808-Ljbffr

UCHealth seeks a Professional Coding specialist to ensure data integrity by reviewing diagnosis and procedure code assignments and validating MS-DRG, APC, or RVU designations. This 100% remote role supports a dynamic health system with a strong emphasis on accuracy and compliance. The ideal candidate holds AHIMA or AAPC certification, has at least 3 years of relevant experience with evaluation and management coding, and thrives in a fast-paced environment while delivering quality education and #J-18808-Ljbffr

Inspire health. Serve with compassion. Be the difference.Job SummaryPerforms routine and specialty reviews of coders to ensure accurate coding. Prepares a summary of findings and presents reports to leadership on a monthly basis. Assists with training coders on identified opportunities for improvement. Assists in preventing coding denials.Essential FunctionsAll team members are expected to be knowledgeable and compliant with Prisma Health's purpose:  Inspire health.  Serve with compassion.  Be the difference.Performs multi-specialty reviews for the Medical Group validating the CPT, ICD-10, modifiers and HCPCS codes using official coding guidelines and CMS guidelines and prepares a summary of findings.Performs review of all coders within the department and prepares a summary of findings.Provides training to coders on identified issues found during reviews.Codes charges for professional billing based on review of clinical documentation.Identifies and assists with the resolution of...

UnitedHealth Group is seeking a Medical Coding Auditor to verify the accuracy of claims by comparing them with medical records. The role requires in-depth coding knowledge and the ability to interpret complex policies in a remote work setup across the United States. You will analyze CPT/HCPCS coding, document detailed case outcomes, and ensure adherence to payer and government requirements while maintaining productivity and quality metrics in a production-driven environment. #J-18808-Ljbffr

UnitedHealth Group is seeking a Medical Coding Auditor to verify the accuracy of claims by comparing them with medical records. The role requires in-depth coding knowledge and the ability to interpret complex policies in a remote work setup across the United States. You will analyze CPT/HCPCS coding, document detailed case outcomes, and ensure adherence to payer and government requirements while maintaining productivity and quality metrics in a production-driven environment. #J-18808-Ljbffr

UnitedHealth Group is seeking a Medical Coding Auditor to verify the accuracy of claims by comparing them with medical records. The role requires in-depth coding knowledge and the ability to interpret complex policies in a remote work setup across the United States. You will analyze CPT/HCPCS coding, document detailed case outcomes, and ensure adherence to payer and government requirements while maintaining productivity and quality metrics in a production-driven environment. #J-18808-Ljbffr

OU Health is seeking an Inpatient Coding Auditor for a work-from-home role. The ideal candidate has experience with complex inpatient coding and DRG validation in an academic health system, with RHIA/RHIT/CCS/CPC/CIC certification. The position supports auditing, education, and continuous improvement from a remote location. Responsibilities include reviewing inpatient coding quality, performing peer audits, collaborating with departments, and ensuring compliance with coding guidelines. #J-18808-Ljbffr

Parallon, a trusted partner to HCA Healthcare, is seeking an Inpatient Coding Auditor to perform internal quality assessments of Health Information Management Service Center coders. This remote role focuses on ensuring complete, accurate, and consistent coding for proper reimbursement and data integrity. You will review outcomes with the HSC team, maintain high productivity and accuracy, and stay current with coding guidelines and company policies while supporting multiple reviews and special #J-18808-Ljbffr

Parallon, a trusted partner to HCA Healthcare, is seeking an Inpatient Coding Auditor to perform internal quality assessments of Health Information Management Service Center coders. This remote role focuses on ensuring complete, accurate, and consistent coding for proper reimbursement and data integrity. You will review outcomes with the HSC team, maintain high productivity and accuracy, and stay current with coding guidelines and company policies while supporting multiple reviews and special #J-18808-Ljbffr

OU Health is seeking an Inpatient Coding Auditor for a work-from-home role. The ideal candidate has experience with complex inpatient coding and DRG validation in an academic health system, with RHIA/RHIT/CCS/CPC/CIC certification. The position supports auditing, education, and continuous improvement from a remote location. Responsibilities include reviewing inpatient coding quality, performing peer audits, collaborating with departments, and ensuring compliance with coding guidelines. #J-18808-Ljbffr

Huron Consulting Group seeks an Inpatient Coding Auditor to audit inpatient coders, including offshore auditors, ensuring DRG accuracy and adherence to coding guidelines. The role requires collaboration with client teams and payers, and reporting to the Domestic Coding team. Responsibilities include quality checks, calibration audits, and preparing reports with actionable feedback. Strong knowledge of ICD-CM, MS-DRG, AP DRG, POA, and encoder software is essential. #J-18808-Ljbffr

Huron Consulting Group seeks an Inpatient Coding Auditor to join our US-based team. The role focuses on auditing inpatient coders to ensure DRG accuracy and coding quality, coordinating with offshore auditors and client teams. Responsibility includes calibration audits, reporting findings, and maintaining up-to-date knowledge of coding guidelines to improve denials and reimbursement outcomes. #J-18808-Ljbffr

Huron Consulting Group seeks an Inpatient Coding Auditor to join our US-based team. The role focuses on auditing inpatient coders to ensure DRG accuracy and coding quality, coordinating with offshore auditors and client teams. Responsibility includes calibration audits, reporting findings, and maintaining up-to-date knowledge of coding guidelines to improve denials and reimbursement outcomes. #J-18808-Ljbffr

OU Health invites applications for an Inpatient Coding Auditor working from home. The role focuses on high‑level inpatient facility coding audits, prebill reviews, and education to improve documentation quality. It requires experience in complex inpatient coding within an academic health system. Remote eligibility includes residing in OK and surrounding states. Level I–III, depending on experience and certifications, with a comprehensive benefits package and multiple education opportunities. #J-18808-Ljbffr

Spectraforce Technologies in Columbia, SC seeks a Quality Medical Auditor to perform validation reviews of DRG, APC, and Never Events across lines of business. You will coordinate rate adjustments with claims and produce monthly and quarterly reports. The role requires strong knowledge of medical record coding, HIPAA compliance, and data analysis. This contract is 4 months with possible conversion, with a remote-friendly onsite-focused schedule. #J-18808-Ljbffr

Baylor Scott & White Health is seeking a Coding Auditor 1 to conduct coding quality reviews using ICD-10-CM/PCS, HCPCS, CPT and other references. You will provide feedback to coders and ensure accurate classification and MS-DRG/APC groupings, collaborating with Clinical Documentation Specialists to improve documentation. Ideal candidates bring 5 years in coding with applicable certifications (CCS, RHIA, RHIT, CPC, etc.) and at least 1 year as a coding auditor, with strong knowledge of HIPAA and #J-18808-Ljbffr

Parallon is seeking a Profee Coding Auditor to perform quality reviews and audits, coordinating with department managers to ensure policy-compliant coding standards and process improvements. The role emphasizes organization, interpersonal communication, and coaching others to maintain high performance. Ideal candidates have at least two years in coding/reimbursement, AHIMA or AAPC certification, and experience interpreting EOBs. #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

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

Baylor Scott & White Health is seeking a Coding Auditor 1 to conduct coding quality reviews using ICD-10-CM/PCS, HCPCS, CPT and other references. You will provide feedback to coders and ensure accurate classification and MS-DRG/APC groupings, collaborating with Clinical Documentation Specialists to improve documentation. Ideal candidates bring 5 years in coding with applicable certifications (CCS, RHIA, RHIT, CPC, etc.) and at least 1 year as a coding auditor, with strong knowledge of HIPAA and #J-18808-Ljbffr

Huron Consulting Group seeks an Inpatient Coding Auditor to join our US-based team. The role focuses on auditing inpatient coders to ensure DRG accuracy and coding quality, coordinating with offshore auditors and client teams. Responsibility includes calibration audits, reporting findings, and maintaining up-to-date knowledge of coding guidelines to improve denials and reimbursement outcomes. #J-18808-Ljbffr

HCA Healthcare via Parallon is seeking a work-from-home Inpatient Coding Auditor to perform internal quality reviews of Health Information Management coding against national guidelines and company policies, ensuring complete and accurate coding for appropriate reimbursement. You will lead reviews, ensure adherence to guidelines, and stay current with policies to support data integrity and coding quality across multiple sites, aiming for high productivity and accuracy. #J-18808-Ljbffr

Company Description Job Description To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), and Kaiser Permanente organization/institutional...