573 senior medical auditor jobs found

Location: Saint Paul, Minnesota, United StatesCompany: SolventumPosted: 2026-09-04Location: Saint Paul, Minnesota, United StatesCompany: SolventumPosted: 2026-08-31Location: Saint Paul, Minnesota, United StatesCompany: SolventumPosted: 2026-08-28Senior Medical AuditorAt Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue.We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you.The Impact You'll Make in this...

Senior Medical AuditorAt Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue.We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you.The Impact You'll Make in this RoleAs a Senior Medical Auditor, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by:Performing monthly, quarterly pro-fee...

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

AAPC seeks a Sr. Auditor reporting to the Manager of AAPC Services to audit medical records and validate clinical documentation supporting evaluation and management services, procedures, and diagnoses per guidelines. This role requires 5+ years of auditing experience across multiple specialties, strong knowledge of AMA/OIG/CMS rules, and RHIT or CPMATM certification. You will uphold 95%+ quality, mentor teams, and push improvements in workflows to meet client deadlines. #J-18808-Ljbffr

AAPC is hiring a Sr. Auditor for a fully remote role. You will audit medical records to validate documentation, ensure coding compliance, and support evaluation and management services across multiple specialties. The role requires deep regulatory knowledge and strong written and verbal communication. Responsibilities include preparing audit findings, advising on improvements, and maintaining high production standards with team mentoring. #J-18808-Ljbffr

AAPC is seeking experienced auditors with strong coding and compliance knowledge who can work independently while partnering closely with their manager to deliver high-quality results. This role focuses on auditing accuracy, supporting client projects, and coordinating activities under leadership guidance. Candidates should be familiar with healthcare billing standards and compliance requirements, and be capable of client-facing interactions. #J-18808-Ljbffr

AAPC is hiring a Sr. Auditor for a fully remote role. You will audit medical records to validate documentation, ensure coding compliance, and support evaluation and management services across multiple specialties. The role requires deep regulatory knowledge and strong written and verbal communication. Responsibilities include preparing audit findings, advising on improvements, and maintaining high production standards with team mentoring. #J-18808-Ljbffr

The Sr. Auditor will report to the Manager of AAPC Services with a direct line of communication to Project Leads. Responsibilities will include but not be limited to: Audit medical records to validate clinical documentation to support evaluation and management services, ancillary services, procedures, diagnoses, and clinical documentation requirements and gaps, missed opportunities, and meet quality and production requirement standards. Auditor will review project guidelines to ensure deliverables are on-time and meeting client specific requirements. Research regulatory guidelines for supporting documentation when necessary. Prepare audit summary findings, provide detailed comments related to the audit findings and make recommendations. Consistently maintain production standards for job role, and quality metrics of 95% or greater. Responsible for maintaining department audit standards, clinical documentation standards, protocols and guidelines. Support team with department...

Kaiser Permanente in Portland, OR is seeking an experienced coder for a documentation review and coding position focused on accurate claim submission and regulatory compliance. The role requires two years in healthcare, with at least one year of professional coding experience and certification credentials. You will review documentation, stay current with guidelines, and support audits and complex coding tasks. #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

Location: New York, United StatesCompany: HumanaPosted: 2026-09-04Location: New York, United StatesCompany: HumanaPosted: 2026-09-01Humana 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

DaMar Staffing seeks a Senior Medical Coding Auditor (CPC) to join our multi-specialty practice, focusing on primary care and gynecology. You will review provider notes pre-submission, validate E/M levels, CPT/ICD-10-CM coding, and ensure documentation supports all billed services. You will collaborate with clinicians and billing to reduce denials, enhance reimbursement, and maintain compliance with AMA/CMS guidelines. Flexible hybrid/remote options may be considered. #J-18808-Ljbffr

Highmark Health is seeking a senior coding auditor to evaluate medical records for accuracy of DRG, OPPS and outpatient billing. You will generate findings, train staff, and guide improvements across system entities. You will interact with external auditors and consultants, ensuring compliance with HIPAA and CMS guidelines. The role requires deep knowledge of DRGs, CPT and ICD coding, plus strong analytical and communication skills. #J-18808-Ljbffr

Quadris Team, LLC, a Revenue Cycle Management Group, is seeking a dynamic Senior Medical Coding Auditor & Educator to join a 100% remote team serving clients across the United States. The ideal candidate is a subject matter expert in both facility and professional coding auditing and will lead audits, provide education, and manage audit projects. The role requires extensive knowledge of inpatient/outpatient/professional fee coding, audit methodologies, and strong collaboration with leadership. #J-18808-Ljbffr

Novant Health Urgent Care in Columbia, SC seeks a Senior Certified Coding Auditor and Trainer to lead coding accuracy initiatives across its urgent care and physical therapy networks. The role includes data reporting to management, staff education on documentation requirements, and collaboration with external vendor audits. Ideal candidates hold CPC, CCS-P, COC, CMC, RHIA or RHIT credentials with 5+ years of coding experience and a degree in Medical Billing and Coding. #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

Quadris Team, LLC, a Revenue Cycle Management Group, is seeking a dynamic Senior Medical Coding Auditor & Educator to join a 100% remote team serving clients across the United States. The ideal candidate is a subject matter expert in both facility and professional coding auditing and will lead audits, provide education, and manage audit projects. The role requires extensive knowledge of inpatient/outpatient/professional fee coding, audit methodologies, and strong collaboration with leadership. #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

North Florida Medical Services, located in Mandarin/Jacksonville, FL, is seeking a Medical Coding Quality Auditor to lead retrospective quality reviews of physicians and coders. The role emphasizes coding accuracy and ongoing education, reporting findings to management, and collaborating with the Coding and Compliance Manager. Requirements include CPC/CCS-P or CPMA credentials, with CPMA preferred within 12 months. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). The role requires ensuring coding accuracy, applicable documentation, and compliance with state, federal, and company guidelines. You will collaborate with investigators and leadership to identify billing anomalies and potential fraud. The position is full-time, with standard 40-hour weeks at CVS Health, offering a comprehensive benefits package and opportunities #J-18808-Ljbffr

Dane Street, LLC is seeking an experienced CPC-certified medical coder with multi-state auditing experience to perform coding audits, utilization reviews, and demand package reviews for personal injury and insurance cases. The role requires reviewing records across multiple states and payer environments and providing deposition and testimony support when needed. The ideal candidate will have 5–7 years of professional coding experience, strong CMS/regulatory knowledge, and the ability to work #J-18808-Ljbffr

DaMar Staffing seeks an RN with coding audit expertise to lead inpatient coding quality initiatives. You will design audits, review medical necessity, and build hands-on training for clinical staff. The role centers on improved accuracy, compliance, and education across a managed care population. Travel to New York twice yearly is required; remote work with on-site touchpoints is supported as needed. Strong communication and leadership will drive program success. #J-18808-Ljbffr

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