418 senior coding compliance auditor jobs found

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...

Riverside University Health System (RUHS) seeks two Coding Compliance Auditors to support its Compliance Department. The role involves reviewing medical records for coding accuracy, performing DRG-related audits, and educating staff on regulatory changes. Ideal candidates have 5+ years in acute care settings with MS-DRG reimbursement, 3–5 years in coding audit, and CCS/CPC/RHIT/C DIP/CPMA-style credentials. Hybrid schedule in Riverside, CA. #J-18808-Ljbffr

Wellstar Health Systems is seeking a Coding Compliance Auditor to conduct independent audits of professional fee coding under the guidance of the Coding Compliance Manager. The role requires advanced knowledge of CPT, ICD-10-CM, HCPCS, and physician documentation, with experience in Medicare/Medicaid regulations. You will train physicians on ICD-10-CM and EMR documentation to ensure accurate reimbursement. #J-18808-Ljbffr

Central Health in Austin, TX is seeking a Healthcare Compliance Coding Auditor to conduct coding audits and communicate results to providers, staff and leadership. The role includes training, reviewing CPT/HCPCS and ICD-10 codes, and updating coding processes annually. Responsibilities include identifying coding discrepancies, guiding improvements, and ensuring compliance with Medicare/Medicaid and private payers. Collaboration across departments and ongoing education are required. #J-18808-Ljbffr

BJC HealthCare is hiring a Senior Compliance Coordinator who will ensure the accuracy of billing for specialty providers. This remote position involves conducting reviews, preparing reports, and providing education on compliance regulations. The ideal candidate will have 5-10 years of experience and relevant certifications such as CCS/CPC. The role offers the opportunity to develop training material and interact with various departments to support compliance initiatives. #J-18808-Ljbffr

Location: Austin, Texas, United StatesCompany: Central HealthPosted: 2026-09-01Central Health in Austin, TX is seeking a Healthcare Compliance Coding Auditor to conduct coding audits and communicate results to providers, staff and leadership. The role includes training, reviewing CPT/HCPCS and ICD-10 codes, and updating coding processes annually. Responsibilities include identifying coding discrepancies, guiding improvements, and ensuring compliance with Medicare/Medicaid and private payers. Collaboration across departments and ongoing education are required.#J-18808-Ljbffr

The University of Iowa is seeking a Senior Compliance Coordinator to lead inpatient coding audits and ensure alignment with CMS regulations and payer requirements. You will review medical records, validate ICD-10-CM/PCS codes, POA indicators, and MS-DRG assignments while ensuring documentation supports coding decisions. Responsibilities include preparing comprehensive audit reports, providing education on findings, and collaborating with HIM, Coding, CDI, and Revenue Integrity teams to mitigate #J-18808-Ljbffr

A healthcare organization in New York seeks an experienced individual to safeguard revenue and reputation through auditing and compliance activities. Responsibilities include conducting medical record audits, developing formal reports for senior management, and coordinating education sessions for over 500 health professionals. The ideal candidate must have a Bachelor's degree, at least 5 years of relevant experience in billing and coding, and excellent communication skills. #J-18808-Ljbffr

OverviewThis 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...

St. Joseph's Health in Paterson, NJ seeks a certified coder with auditing experience to review coding and documentation for compliance, support EMR template creation, and respond to payer and government requests. The role involves collaboration with physicians and billing staff to improve accuracy and documentation quality. The candidate should have an Associates degree in Medical Record Technology or equivalent education plus auditing experience, familiarity with ICD/CPT, and ability to handle #J-18808-Ljbffr

Job TitleHealthcare Compliance AuditorJob DescriptionThis position reports to the Director of Healthcare Compliance. Responsibilities include conducting billing and coding audits, and communicating results and recommendations to providers, management, and executive administration. This role will provide training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, HCPCS and ICD-10 codes on an annual basis.Essential FunctionsConduct prospective and retrospective chart reviews comparing medical record notes to reported CPT/HCPCS and ICD codes with consideration of applicable payer 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 medical staff department to identify and assist providers with coding.Report findings and recommendations to compliance and executive...

Memorial Hermann is seeking a seasoned Coding Auditor to ensure accurate clinical coding for optimal reimbursement and data integrity. You will audit, educate, and support coding staff, aligning practices with AHIMA and CPT/ICD-10-CM guidelines. A strong knowledge of reimbursement policies and 3M tools is essential. The ideal candidate has hospital coding experience, RHIT/RHIA/CCA/CCS/CIC or AHIMA/AAPC certs, and excellent communication skills. #J-18808-Ljbffr

Amazon One Medical is seeking a Coding Compliance Auditor to support Revenue Cycle teams in managing compliant coding practices. You will audit ICD-10-CM, CPT, HCPCS, and modifiers, verify documentation, and ensure medical necessity while maintaining detailed audit records. Requirements include 3+ years in coding/auditing for Medicare/Commercial payers, CPC/CCS/CPMA/CRC certifications, and strong communication skills. This role emphasizes accuracy, policy adherence, and cross-team collaboration. #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

Boston Children’s Hospital is seeking a Billing Compliance Auditor III to perform audits of clinical documentation and billing records. The role is hybrid and emphasizes accuracy, compliance, and process improvement. The auditor will prepare reports, train staff, and help develop billing policies in coordination with CHB Foundations and Hospital leadership. Applicants should have a High School Diploma or GED, CPC or CCS-P certification, and at least three years of CPT/ICD-10 coding experience, #J-18808-Ljbffr

Zing Health is seeking a Senior Risk Adjustment Coding Auditor to ensure accurate, compliant coding across Medicare Advantage programs. You will lead audits, validate records, and support RADV activities, driving quality and regulatory compliance. The role requires strong analytical skills and proficiency in Excel and coding platforms. Join a mission-driven team focused on member-centered care, data integrity, and continuous improvement within a fast-paced, innovative environment in Illinois. #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...

Job Description Job Description Location: Miami, FL (On-site preferred; Hybrid/Remote may be considered) Employment Type: Part-Time (25–35 hours per week) About the Position We are seeking an experienced Senior Medical Coding Auditor (CPC) to join our growing multi-specialty medical practice specializing in Primary Care and Gynecology . The ideal candidate will be responsible for reviewing clinical documentation before claims are submitted to ensure accurate coding, appropriate E/M level selection, documentation compliance, and optimal reimbursement while maintaining full regulatory compliance. This position works closely with providers, clinical staff, and the billing department to improve documentation quality, reduce claim denials, maximize appropriate reimbursement, and ensure coding accuracy. Primary Responsibilities Review approximately 300 provider notes per week for coding accuracy and documentation compliance prior to claim submission....

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

Location: Miami, FL (On-site preferred; Hybrid/Remote may be considered) Employment Type: Part-Time (25-35 hours per week) About the Position We are seeking an experienced Senior Medical Coding Auditor (CPC) to join our growing multi-specialty medical practice specializing in Primary Care and Gynecology. The ideal candidate will be responsible for reviewing clinical documentation before claims are submitted to ensure accurate coding, appropriate E/M level selection, documentation compliance, and optimal reimbursement while maintaining full regulatory compliance. This position works closely with providers, clinical staff, and the billing department to improve documentation quality, reduce claim denials, maximize appropriate reimbursement, and ensure coding accuracy. Primary Responsibilities Review approximately 300 provider notes per week for coding accuracy and documentation compliance prior to claim submission. Validate appropriate Evaluation & Management (E/M) level...

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

DaMar Staffing is seeking a Senior Coding Auditor who will translate clinical information into coded data using ICD-10-CM/PCS, HCPCS/CPT guidelines. You will assign principal diagnoses and procedures, validating CAC for dual coding and ensuring CMS compliance. Proficiency with EpicCare, CBCT, and EncoderPRO is required. The role emphasizes accuracy, productivity, and staying current with coding regulations, with work focused on inpatient records. #J-18808-Ljbffr