254 senior medical coding auditor educator jobs found

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

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

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

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

Favorite Healthcare Staffing partners with a Kansas City healthcare system to hire a Coding Specialist / Auditor and Educator. You will conduct coding audits, identify compliance risks, and educate physicians, APPs, and coding staff to improve documentation and reimbursement. This full-time, onsite role offers some hybrid flexibility and requires RHIT/RHIA/CCS/CPC credentials with 5+ years of coding experience; strong communication and collaboration with Compliance and Revenue Integrity teams #J-18808-Ljbffr

Laboratory Coding Auditor/EducatorThe Laboratory Coding Auditor/Educator assists with oversight of coding audits and delivers targeted education for the Laboratory Billing & Coding Representatives, Pathologists, and applicable departments. This role works closely with and supports Laboratory leadership to ensure regulatory and compliance requirements are met for appropriate code assignment, while serving as a senior coding resource for the department. The Auditor/Educator conducts billing workflow and charge integrity audits to ensure laboratory orders and charges accurately transmit to EPIC. The Auditor/Educator adheres to all duties of the Laboratory Billing & Coding Representative.Certifications: Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC)Education: Highschool Diploma or G.E.D, Work Experience: CodingResponsibilities: Must...

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

Location: Montgomery, Alabama, United StatesSalary: $72,800 to $130,000 annuallyCompany: UnitedHealth GroupPosted: 2026-09-01Outpatient Coding Compliance AuditorOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels (ACEP or client-specific). This role reviews coding...

Location: 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 RoleAs a Senior Medical Auditor, you will have the opportunity to tap into your...

Location: Indianapolis, Indiana, United StatesSalary: $116,128 to $210,864Company: ElevancehealthPosted: 2026-08-31Location: Indianapolis, Indiana, United StatesSalary: $116,128 to $210,864Company: Elevance HealthPosted: 2026-08-19Location: 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.Patient Safety DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic...

Location: Indianapolis, Indiana, United StatesSalary: $92,880 - $160,218Company: ElevancehealthPosted: 2026-08-31Location: Indianapolis, Indiana, United StatesSalary: $92,880 - $160,218Company: Elevance HealthPosted: 2026-08-19DRG Coding Auditor - MS-DRG and APR-DRGVirtual: This role enables associates to work virtually full-time, with the exception of 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 officePlease 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 an accommodation is granted as required by law.The DRG Coding Auditor is responsible for auditing inpatient medical records and...

Summary Join the Indian Health Service and make a meaningful impact in Native communities. In this role, you will support vital healthcare operations that ensure patients receive timely, high-quality care. If you're looking for a rewarding career where your work directly supports patient services and community well-being, we encourage you to apply. A REAL ID will be required beginning May 7, 2025, in accordance with 6C.F.R.37.5 (2021). Duties Total Compensation Package Check out IHS's outstanding total compensation package for this job: Medical Records Technician Total Compensation | Pay (ihs.gov) Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M)...

Location: Boston, Massachusetts, United StatesSalary: $97,500.00- $141,500.00Company: Aya HealthcarePosted: 2026-08-31Location: Boston, Massachusetts, United StatesSalary: $97,500.00- $141,500.00Company: Aya HealthcarePosted: 2026-08-29Senior Manager Coding IP OP Under the general supervision of the Clinical Documentation and Coding Integrity (CDCI) Director, the Senior Manager of Coding, IP/OP is responsible for guiding the inpatient (IP) and outpatient (OP) coding and reimbursement practices for BMC South and Brighton within established regulatory and organizational guidelines. This job provides direct oversight and supervision of coding staff and related workflows, develops and maintains coding guidelines for inpatient and outpatient services, responds to billing edits and related reports to ensure accurate Diagnosis-Related Group (DRG) and Ambulatory Patient Categories / Ambulatory Patient Groups (APC/APG) assignment, and enforces the appropriate application of Official Coding...

Medical Coding Professional 2 The IPA Consultative Coding Professional provides medical coding expertise and consultative support to Independent Practice Association (IPA) affiliates nationwide. These affiliates include MSO-contracted independent providers. You will be the primary coding and documentation resource for assigned providers, supporting accuracy, compliance, and performance in risk adjustment and value-based care initiatives. You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an IPA Consultative Coding Professional, we will assign you a panel of up to 30 providers within a defined market or region. You will deliver ongoing education, support coding workflows, and ensure agreement on organizational documentation and coding standards, while collaborating with STARS leaders and champions to identify STARS gaps and deficiencies....

Outpatient Coding Compliance AuditorOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels (ACEP or client-specific). This role reviews coding for alignment with medical record documentation and established guidelines, ensuring compliance with applicable laws,...

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the "12 Angry Seniors." Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we...

Corporate Compliance Full Time Day Shift 7am - 5pm Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer. Lexington Health also includes an accredited Cancer Center of Excellence, the state's first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer's care center. Its postgraduate medical education...

At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. Job Description: Senior Compliance Auditor - RN (Remote) At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there’s no place like home, and that’s why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and wherever they are on their journey of health, we care. Each team member has a part to play in this mission. This means you have countless ways to make a difference as a Senior Compliance Auditor . Being a part of something this great starts by carrying out our mission every day through your true...

Connecticut Institute for Communities, Inc. Description: The Team Lead will oversee key components of the revenue cycle including Internal and Outsourced Billing Services and Financial & Insurance Assistance. Serves as the organizations internal lead for oversight of both outsourced billing vendor and internal patient billing activities, including self-pay and sliding fee accounts. This role ensures patients have timely access to insurance enrollment and financial assistance services while maintaining strong internal controls, accurate patient billing processes, vendor accountability, and compliance with healthcare billing and payer requirements. ESSENTIAL JOB RESPONSIBILITIES: Revenue Cycle Oversight: Serve as the primary internal liaison between CIFC Health and the outsourced billing vendor. Monitor revenue cycle performance metrics, including claim submission timeliness, denial trends, accounts receivable aging, and collections. Review billing and...

Administrative/Clerical Summary of Position To aid and assist in providing direction, instruction, and guidance to a team of individuals with the purpose of training and developing staff. Works with the CBO A/R Manager to manage projects and develop process improvements, while providing the daily guidance and assistance needed to maintain optimal performance and productivity within the team. Provides supervisory guidance to the team as directed by the A/R Manager and perform all functions with a high level of discretion and professionalism. Nature and Scope An effective Senior Team Lead will provide guidance to their team based on management direction, will use their experience and knowledge of the tools the team uses (e.g., EPIC), policies, and guidelines to educate team members, will identify areas for improvement systematically and within their team, and will communicate directly with management the status of resolved and outstanding issues/roadblocks within the team. Principal...