513 senior coding auditor jobs found

Job Summary The Senior Coding Auditor performs detailed audits of medical cases to ensure accuracy of assigned codes, charges, availability of documented medical records, medical accounts, and compares the cases with the itemized bill and overall procedures. The Senior Coding Auditor reviews and audits current and retro accounts, and reports audit outcomes regarding charge errors, percentage of savings or losses for the facility, data processing errors, the performance of the hospital charging system as well as documentation and justification within the medical record and itemized bill. Works cooperatively with the Associate Directors/Director in the identification of process improvement initiatives related to the coding and charging of hospital services. The Senior Coding Auditor provides guidance and support to the Coding Auditors as requested or required. The Senior Coding Auditor also assists with quality assurance reviews, data analysis, workload monitoring and distribution,...

Senior Coding Auditor, Itemized Bill Reviewer- Remote It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary: We are seeking a talented individual for a Senior Coding Auditor, Itemized Bill Reviewer who is responsible for performing itemized bill review, chart review, and coding validation to ensure that billed services were ordered, allowable, and accurately documented in the patient record. The candidate must have an extensive background in inpatient hospital bill...

About Plutus Health Inc. is a healthcare revenue cycle management firm that has been in the industry for 15 years. We offer end-to-end business solutions to healthcare providers in the United States, ensuring that all our services are fully compliant with HIPAA regulations. Our team has extensive experience in the field, and we leverage cutting-edge technology to ensure that your medical billing and collections processes run smoothly. Along with being SOC-certified and HIPPA-compliant, we have: Full-Cycle RCM: We handle everything from medical coding and credentialing to denial management and patient collections. Tech-Driven Efficiency: Our team of 1000+ experts, each with their unique expertise, is backed by 70+ RPA bots for automation, ensuring accuracy and speed. Flexibility: We offer billing software, financial dashboards, and patient portals, and we integrate seamlessly with your existing systems. We have Centers of Excellence worldwide to effectively...

CHRISTUS Health is seeking a Senior HCC Coding Auditor to perform audits, abstractions, and quality reviews aligned with ICD-10-CM and CMS HCC guidelines. This onsite role offers a remote option within a hybrid structure, supporting Commercial and Medicare Advantage risk adjustment programs. The ideal candidate will have 3+ years of hospital coding/audit experience, AHIMA or AAPC certification, and strong communication skills to educate providers on documentation and coding best practices. #J-18808-Ljbffr

Select how often (in days) to receive an alert: Date: Sep 9, 2026 Location: Any city, TN, US, 99999 Work Mode: Virtual (Exception only) It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary We are seeking a talented individual for aSenior Coding Auditor, Itemized Bill Reviewer who is responsible for performing itemized bill review, chart review, and coding validation to ensure that billed services were ordered, allowable, and accurately documented in the patient record....

Gainwell Technologies seeks a Senior Coding Auditor, Itemized Bill Reviewer to perform itemized bill review, chart review, and coding validation ensuring billed services were ordered, allowable, and accurately documented in patient records. Responsibilities include verifying line items, coding accuracy, and reimbursement; using auditing systems to document findings; and ensuring compliance with coding standards. This remote role offers travel up to 10% and strong career development opportunities. #J-18808-Ljbffr

Allegheny Health Network is seeking a Senior Coding Auditor to evaluate medical records for DRG, OPPS and outpatient claim accuracy. You will report findings verbally and in writing, and guide education, process changes and risk reduction across the system. The role involves mentoring staff, keeping current with CMS and ICD coding rules, and presenting clear recommendations to management and external regulators. Strong communication and MS Office skills are essential. #J-18808-Ljbffr

Montefiore Health System seeks a Senior Coding Auditor in Tarrytown, New York. The role involves auditing medical cases for coding accuracy and ensuring compliance with regulations. Candidates need a Bachelor’s degree in a relevant field and at least 2 years of experience. Proficiency in hospital systems, coding methodologies, and strong analytical skills are essential. The position operates on a weekday schedule, 8:30 AM to 5 PM, offering a salary range of $76,632.04 to $95,790.05. #J-18808-Ljbffr

Location: New York, United StatesCompany: Gainwell TechnologiesPosted: 2026-09-12Gainwell Technologies seeks a Senior Coding Auditor, Itemized Bill Reviewer to perform itemized bill review, chart review, and coding validation ensuring billed services were ordered, allowable, and accurately documented in patient records.Responsibilities include verifying line items, coding accuracy, and reimbursement; using auditing systems to document findings; and ensuring compliance with coding standards. This remote role offers travel up to 10% and strong career development opportunities.#J-18808-Ljbffr

Baptist Health Care is seeking a Coding Auditor to review and audit patient records for correct ICD-10-CM/PCS codes, CPT codes, POA assignment and MS-DRG assignment. The role will issue quarterly report cards and provide coding training and education to coders. The ideal candidate has at least five years of inpatient and/or outpatient coding experience and holds CCS, CPC, and CCA certifications. Knowledge of Medicare and other third-party payer regulations is required. #J-18808-Ljbffr

Baptist Health is seeking a Coding Education Specialist to impart ongoing education to Coding Staff and conduct complex audits of clinically coded data for accuracy and completeness. This role serves as an expert in Outpatient Prospective Payment System and Inpatient Prospective Payment System analysis. Responsibilities include independent data quality reviews, concurrent audits of APC/ASC/MS-DRGs, preparing reports, tracking audit results, and delivering trainings for coders and clinical staff #J-18808-Ljbffr

Solventum is seeking a Senior Medical Auditor to enable safer healthcare through rigorous audits, education, and collaboration. This remote role involves staying current with coding guidelines and supporting clients worldwide. ideal candidates will have a strong auditing background, ICD-10-CM/PCS/CPT expertise, relevant certifications, and a proven eye for detail. Remote work with up to 10% travel may apply. #J-18808-Ljbffr

All inclusive preventive care in Miami, FL, is seeking a Senior Medical Coding Auditor (CPC) to join our multi-specialty practice focusing on Primary Care and Gynecology. The role reviews provider notes before submission to ensure accurate coding, proper E/M levels, and compliance while supporting optimal reimbursement. You will work with providers and the billing team to reduce denials, improve documentation quality, and maintain regulatory compliance. #J-18808-Ljbffr

Zing Health seeks a Senior Risk Adjustment Coding Auditor to ensure accurate, compliant risk adjustment coding across Medicare Advantage programs. You will play a key role in RADV audits, vendor quality oversight, and regulatory compliance while driving continuous improvement. The ideal candidate has deep Medicare Advantage expertise, strong project management skills, and a passion for coding excellence within a fast-paced, evolving environment. #J-18808-Ljbffr

Description COMPANY OVERVIEW Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health aims to return the physician and the member to the center of the health care equation. Members receive individualized assistance to make their transition to Zing Health as easy as possible. Zing Health offers members the ability to personalize their plans, access to facilities designed to help them better meet their healthcare needs and a dedicated care team. For more information on Zing Health, visit www.myzinghealth.com. SUMMARY DESCRIPTION The Senior Risk Adjustment Coding Auditor is a highly experienced coding professional responsible for ensuring compliant, accurate, and high-quality risk adjustment coding across Medicare Advantage programs. This role is critical to...

Gainwell Technologies seeks an Outpatient Coding Auditor, Senior Associate to audit medical records for correct ICD-10/PCS/CPT coding, documenting findings in proprietary systems. The role emphasizes accurate diagnosis and procedure coding, adherence to guidelines, and regulatory compliance. The ideal candidate has 2+ years of outpatient coding or auditing experience, AHIMA or AAPC credentials, and solid knowledge of ICD-10, APC, ASC and CPT guidelines; remote work within the US is supported. #J-18808-Ljbffr

Select how often (in days) to receive an alert: Date: Aug 26, 2026 Location: Any city, TX, US, 99999 Work Mode: Virtual (Exception only) It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary We are seeking a talented individual for an Inpatient Coding Auditor, Senior Associate who is responsible for performing coding reviews of inpatient medical records and/or other documentation to determine correct coding, as defined by review methodologies specific to the contract for which...

Carle Health in Champaign, IL seeks a Laboratory Coding Auditor/Educator to oversee coding audits and deliver targeted education to the Laboratory Billing & Coding Representatives, Pathologists, and applicable departments. This role partners with Laboratory leadership to ensure regulatory compliance and accurate code assignment, serving as a senior coding resource and trainer for new staff. Proficiency with EPIC and billing workflows is essential. #J-18808-Ljbffr

Gainwell Technologies seeks an Outpatient Coding Auditor, Senior Associate to audit medical records for correct ICD-10/PCS/CPT coding, documenting findings in proprietary systems. The role emphasizes accurate diagnosis and procedure coding, adherence to guidelines, and regulatory compliance. The ideal candidate has 2+ years of outpatient coding or auditing experience, AHIMA or AAPC credentials, and solid knowledge of ICD-10, APC, ASC and CPT guidelines; remote work within the US is supported. #J-18808-Ljbffr

Gainwell Technologies is seeking an experienced Senior Associate Inpatient Coding Auditor to perform audits of inpatient medical records and other documentation to determine correct coding per contract-specific methodologies. The role requires extensive ICD-10 coding knowledge, MS-DRG/APR-DRG expertise, and AHIMA or AAPC credentials, with opportunities for training, advancement, and remote work within the U.S. #J-18808-Ljbffr

Description COMPANY OVERVIEW Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health aims to return the physician and the member to the center of the health care equation. Members receive individualized assistance to make their transition to Zing Health as easy as possible. Zing Health offers members the ability to personalize their plans, access to facilities designed to help them better meet their healthcare needs and a dedicated care team. For more information on Zing Health, visit www.myzinghealth.com. SUMMARY DESCRIPTION The Senior Risk Adjustment Coding Auditor is a highly experienced coding professional responsible for ensuring compliant, accurate, and high-quality risk adjustment coding across Medicare Advantage programs. This role is critical to...

Ensemble Health Partners is seeking a Senior Coding Compliance Auditor to join our remote team. You will lead detailed coding audits, develop annual workplans, and implement action plans to improve compliance across inpatient and outpatient coding. The role requires 5–7+ years in healthcare coding and auditing, CHC or CPC certification, and willingness to travel up to 10%. You will train auditors, report findings, and stay current with ICD-10, CPT, HCPCS, and coding guidelines. #J-18808-Ljbffr

Senior Compliance Coding AuditorReporting to the Director of Healthcare Compliance, the Senior Compliance Coding Auditor is responsible for conducting independent coding, billing, documentation, and regulatory compliance audits across ambulatory and specialty care practices. The position supports the organization's compliance program through risk-based auditing, monitoring, provider education, investigation of billing concerns, identification of revenue integrity risks, and development of corrective action plans. The Senior Compliance Coding Auditor serves as a subject matter expert for professional fee coding, documentation requirements, government and commercial payer regulations, and healthcare compliance standards. This role partners closely with physicians, advanced practice providers, practice leadership, revenue cycle, coding, clinical operations, and executive leadership to promote compliant billing and documentation practices.ResponsibilitiesEssential Functions:Auditing...

HCC Coding Auditor Senior - Health Plan NetworkUS:TX:Irving | Revenue Cycle Audit | Full TimeHCC Coding Auditor Senior will perform code audits and abstraction using the Official Coding Guidelines for ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). This is an onsite position with a remote option.Responsibilities:Perform Medical Record reviews and audits based on organizational priorities. These can include both prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing. Review and audits may lead to the addition, deletion,...