358 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,...

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...

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

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

Elevance Health is seeking a DRG Coding Auditor Principal to audit inpatient records and DRG-based claims across multiple lines of business. You will handle highly complex coding cases and generate actionable recovery findings. The role supports hybrid/virtual work with required in-person training, and expects extensive ICD-10 coding expertise, DRG knowledge, and senior auditing experience. Located in a policy-driven healthcare environment with strong compliance expectations. #J-18808-Ljbffr

Senior Clinical Coding Auditor & Trainer-Remote The Senior Clinical Coding Auditor & Trainer will conduct audits of inpatient coding processes for Fiscal care and assist in development of training and audit tools. Location: The Senior Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation on an annual basis. Candidates must be willing to travel to New York twice a year to be considered for the position. Pay Range: $68,700.00 - $123,700.00 per year Responsibilities: Develop and maintain complex audit processes and audit tools related to inpatient coding Develop and conduct clinical education courses for existing and new employees Audit established guidelines for medical necessity Analyze training needs and identify, select, or develop appropriate training programs including training aids and materials Audit staff in accordance with established auditing processes, work with staff to identify and resolve errors, and...

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 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

Solventum is seeking a Senior Medical Auditor to lead complex coding audits and QA initiatives from a remote location. You will work with professionals across the U.S. to assess E/M, Surgery, and CPT/HCPCS coding accuracy, while ensuring compliance with CPT, ICD-10-CM/PCS guidelines and HIPAA rules. Ideal candidates have 4+ years of combined auditing/coding experience and relevant certifications. This remote role involves up to 10% travel and requires authorization to work in the U.S. #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

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

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

Humana Inc. is seeking a Senior Medical Coding Outpatient Auditor to lead coding-focused audit activities, validate coding accuracy, and ensure compliance with outpatient coding and reimbursement guidelines. You will report to the Manager, Payment Integrity. The role involves researching claims anomalies, applying CPT/HCPCS guidelines, and collaborating with clinical and analytics teams to improve audit strategies. Remote work with occasional travel is possible. #J-18808-Ljbffr

CAREER OPPORTUNITY OFFERING Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $76,300 - $131,550 based on experience ​ By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. The Senior Coding Compliance Auditor will assist with the development and execution of the Annual Compliance Workplan including the Auditing and Monitoring Workplans. They will lead & complete detailed Coding compliance audits including complex audits, implement Management Action Plans, prepare high quality audit reports, establish and maintains an Audit the Auditor Quality program, coaches and mentors new and existing Coding auditors, and participate in other compliance program related activities. The senior auditor is expected to work...

Gainwell Technologies is seeking an Inpatient Coding Auditor, Senior Associate to perform accurate reviews of inpatient medical records and documentation. You will determine correct coding for diagnoses and procedures, supported by DRG assignments and regulatory guidelines, using proprietary audit systems. The role requires knowledge of ICD-10-CM/PCS, DRG/APC frameworks, and ongoing CEU maintenance. Remote within the U.S. with growth opportunities and robust benefits. #J-18808-Ljbffr

Select how often (in days) to receive an alert: Date: Aug 18, 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...

Select how often (in days) to receive an alert: Date: Aug 18, 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...

Gainwell Technologies is seeking an Inpatient Coding Auditor, Senior Associate to perform accurate reviews of inpatient medical records and documentation. You will determine correct coding for diagnoses and procedures, supported by DRG assignments and regulatory guidelines, using proprietary audit systems. The role requires knowledge of ICD-10-CM/PCS, DRG/APC frameworks, and ongoing CEU maintenance. Remote within the U.S. with growth opportunities and robust benefits. #J-18808-Ljbffr

Gainwell Technologies is seeking an Inpatient Coding Auditor, Senior Associate to perform accurate reviews of inpatient medical records and documentation. You will determine correct coding for diagnoses and procedures, supported by DRG assignments and regulatory guidelines, using proprietary audit systems. The role requires knowledge of ICD-10-CM/PCS, DRG/APC frameworks, and ongoing CEU maintenance. Remote within the U.S. with growth opportunities and robust benefits. #J-18808-Ljbffr

Select how often (in days) to receive an alert: Date: Aug 18, 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...

Xtensys in Ithaca, NY seeks a seasoned Professional Lead Medical Coding Auditor to serve as the senior SME across specialties, performing complex audits, developing educational programs, and guiding provider education. The role centers on documentation integrity, compliance, and revenue-cycle improvements. You will mentor staff, monitor audit outcomes, and support quality initiatives while ensuring adherence to CMS, Medicare, HIPAA, and payer requirements. #J-18808-Ljbffr

Gainwell Technologies is seeking a Senior Associate for the Outpatient Coding Auditor position, responsible for conducting coding reviews of medical records to ensure compliance with guidelines. The ideal candidate will have at least 2 years of experience in coding or auditing, as well as the necessary professional credentials. This position offers a remote work environment with benefits starting on the first day. The pay range is between $70,000 to $80,000 annually, with multiple additional perks including flexible vacation, a 401(k) match, and various development opportunities. #J-18808-Ljbffr

Title: Senior Certified Coding Auditor and Trainer Location: Columbia, SC Status: Full-Time Who Are We? Part of the Novant Health family based in North Carolina, Novant Health Urgent Care (formerly Doctors Care) provides exceptional healthcare through our network of more than 50 urgent care centers and 20 physical therapy facilities across South Carolina. Our Columbia-based headquarters delivers non-medical management and administrative services to support these locations. For decades, we have been committed to delivering exceptional, convenient, and affordable healthcare experiences to families and communities throughout the Palmetto State. What Do We Offer? Competitive wages Generous PTO that increases with tenure 403B Health, dental, vision insurance Flexible Spending Account Short term and Long term Disability Whole and Term Life Insurance Rewarding Careers What Are We Looking For? Novant Health Urgent Cares is currently seeking a...

EXL is seeking a Senior Outpatient Coding Auditor & Provider Education Specialist to bridge the gap between payer clients and providers selected into the EXL education program. You will deliver clear guidance on coding practices and conduct comprehensive audits to ensure compliance with billing guidelines. The role requires strong interpersonal skills to educate providers, address concerns, and foster collaborative relationships. #J-18808-Ljbffr