330 senior coding compliance auditor jobs found

About Ensemble Thank you for considering a career at Ensemble!Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!O.N.E Purpose:Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognise that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving...

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. Customer Obsession: Bonus Incentives Tuition Reimbursement 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...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognise that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Ensemble Health Partners is seeking a Senior Coding Compliance Auditor to lead detailed coding audits and monitor compliance programs. The role requires independent work, coaching auditors, and developing management action plans, with travel up to 10% and a remote working arrangement in the United States. You will analyze findings, prepare high-quality reports, and support ongoing training and audit tools while staying current with coding guidelines and industry standards. #J-18808-Ljbffr

Indigenous Pact PBC, Inc. is seeking a Senior Coding Quality Auditor who will lead coding research, audits, and education within the Compliance Department. This remote role requires about 25% travel to clinic locations in the Pacific Northwest, Wisconsin, and California to support coding quality and policy updates. You will review coding accuracy, respond to denials, and ensure alignment with tribal care programs and service launches. #J-18808-Ljbffr

Ensemble Health Partners is seeking a Senior Coding Compliance Auditor to lead comprehensive coding audits and develop an Annual Compliance Workplan. You will mentor auditors, prepare detailed reports, and drive actions to mitigate compliance risks. Responsibilities include auditing, MAP development, and analytics to identify trends. Travel up to 10% to client sites or offices is required, with remote coordination from the home office. #J-18808-Ljbffr

CVS Health in Hartford, CT is seeking a Senior Certified Professional Coder (CPC) to conduct medical claim reviews for the SIU, ensuring coding accuracy and compliant documentation across medical, behavioral health, and related services. The role requires CPC certification, 3+ years in behavioral health coding or audits, knowledge of CPT/HCPCS/ICD-10, and the ability to communicate findings to investigators and leadership. #J-18808-Ljbffr

VMG Health is seeking an experienced Ophthalmic Compliance Auditor to join its Coding Audit and Compliance team in the United States. The role involves auditing documentation, coding reviews, regulatory research, and provider education for a broad range of healthcare clients including ophthalmology practices and LAS/medical groups. The candidate should possess deep knowledge of ophthalmology coding, HIPAA, and payer guidance, with strong analytical and communication skills to convey audit #J-18808-Ljbffr

Job TitleThis position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff.This position will support the implementation of changes to the CPT, CDT, HCPCS, and ICD-10 codes on an annual basis.ResponsibilitiesEssential Duties :Conduct prospective and retrospective chart reviews (i.e.baseline, routine periodic, monitoring, and focused) comparing medical and / or dental record notes to reported CDT, CPT, HCPCS, and ICD codes with consideration of applicable FQHC and payer / title / grant coding requirements.Identify coding discrepancies and formulate suggestions for improvement.Communicate audit results / findings to providers and / or ancillary staff and share improvement ideas.Work with the Office of the CMO and provider leadership to identify and assist providers with coding.Report findings and recommendations to Compliance...

Location: Concord, California, United States Company: CVS Health Posted: Location: Concord, New Hampshire, United StatesCompany: CVS Health CorporationPosted: CVS Health Corporation in Concord, NH seeks a Certified Coding Analyst to perform medical claim reviews for waste and error, ensuring coding accuracy and compliance across CPT/HCPCS, ICD-10, and modifiers.The role involves auditing medical records, applying CMS and organizational guidelines, collaborating with Medical Directors, identifying billing issues, and contributing to provider education and process improvements while maintaining thorough documentation.#J-18808-Ljbffr

CVS Health is seeking a detail-oriented Medical Coding Auditor to conduct comprehensive reviews of behavioral health records and ensure CPT/HCPCS accuracy. You will audit complex cases, articulate findings to investigators and leadership, and mentor junior coders in a fast-paced environment at our Hartford area location. Required CPC certification and 3+ years of behavioral health coding or audits; strong knowledge of CPT/HCPCS/ICD-10, CMS 1500/UB04, and MS Office. Travel may be required. #J-18808-Ljbffr

Surgery Partners seeks a coding expert to evaluate and improve the quality, accuracy, and compliance of coding across multiple healthcare service lines. You will serve as a coding subject matter expert and report directly to the Coding Vendor Manager. This largely remote role travels occasionally for facility and vendor meetings and supports 58+ facilities and organizational initiatives. #J-18808-Ljbffr

Sarah Bush Lincoln in Mattoon, IL is seeking a Coding Auditor-Professional to audit coding assignments, train staff, and manage E/M and modifier coding. You will work with providers, coders, nursing and external organizations to ensure accurate documentation and compliant coding. Hours are full-time (40 hours per week). Requirements include High School Diploma; CPC, CEMA within 6 months; CPMA within 1 year. Compensation starts at $23.87/hour, with a range up to $37.00/hour based on experience. #J-18808-Ljbffr

CVS Health is seeking a Senior Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). You will assess coding accuracy and documentation, ensuring compliance with state, federal, and company policies across medical, behavioral health, and related areas. The role requires CPC certification, 3+ years of behavioral health coding/auditing, and travel ability. #J-18808-Ljbffr

Position Summary: Responsible for working with and providing on-going coding and documentation education (quarterly, annually and ad-hock) for physicians, coders, ancillary department staff, clinical documentation improvement (CDI), and other allied health professionals to improve documentation of patient care and to appropriately assign codes and/or determine charges to support those services. Essential Functions and Responsibilities As Assigned : 1. Completes quality assurance audits on inpatient and outpatient coding specialists, onboarding audits and training of newly hired coding specialists, validating the coding specialist is accurately abstracting data into medical record systems, following coding guidelines and directives. 2. Validates Present on Admission (POA) indicators according to guidelines and identifies any missing or inappropriate queries to providers. 3. Uses payment methodology to audit outpatient and/or inpatient facility coding and billing,...

Compliance Auditor II The Compliance Auditor II will assist in the overall quality, compliance, and auditing activities to ensure compliance of standard operating procedures, corporate policies, industry standards, and applicable federal and state laws. Conducts audit activities, reporting and communicates audit findings. Works in conjunction with Compliance Director on compliance work plans, internal and external audits and reviews, and provides assurance that the organization is operating in an efficient and effective manner. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Manages compliance audit activities pertaining to compliance and coordinates with Corporate Compliance Director and Senior Leadership as it relates to such audits Responsible for answering inquiries related to professional documentation, coding, and billing regulatory requirements. Work with VP/Senior/Manager/Director on...

Anticipated End Date: 2026-11-29 Position Title: Coding Auditor Senior Job Description: Coding Auditor Senior Location : Any PulsePoint office. St. Louis, MO preferred. Virtual : This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. The Coding Auditor Senior is responsible for auditing diagnosis data collected from physician and hospital medical records to ensure proper ICD-9/ICD-10 coding and...

Coding Auditor Senior Location: Any PulsePoint office. St. Louis, MO preferred. Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. The Coding Auditor Senior is responsible for auditing diagnosis data collected from physician and hospital medical records to ensure proper ICD-9/ICD-10 coding and compliance with risk adjustment requirements. How you will make an impact: Audits diagnosis data retrieved...

About Our Company About Our Company:At Infinx, we're a fast-growing company focused on delivering innovative technology solutions to meet our clients' needs. We partner with healthcare providers to leverage automation and intelligence, overcoming revenue cycle challenges and improving reimbursements for patient care. Our clients include physician groups, hospitals, pharmacies, and dental groups.We're looking for experienced associates and partners with expertise in areas that align with our clients' needs. We value individuals who are passionate about helping others, solving challenges, and improving patient care while maximizing revenue. Diversity and inclusivity are central to our values, fostering a workplace where everyone feels valued and heard.A 2025 Great Place to Work ®In 2025, Infinx was certified as a Great Place to Work ® in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the fourth...

UASI is seeking an experienced Senior Consultant: Inpatient Auditor Quality & Education to conduct inpatient coding audits and guide education initiatives. The role focuses on promoting accuracy, consistency, and regulatory compliance across internal coders and auditors. The ideal candidate brings RHIA/RHIT or CCS certification and 2–5 years of inpatient coding audit experience, with strong research, communication, and coaching skills for client-facing engagements. #J-18808-Ljbffr

The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for an outpatient Certified Coding Auditor to work in its New York office or remotely. Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payors....