423 senior medical coding auditor jobs found

McLaren Health Care Corporation seeks a Senior Medical Coding Auditor to guide ongoing coding education for physicians, coders, and CDI staff and to ensure accurate code assignment. You will audit inpatient and outpatient coding, validate POA indicators and support clinical validation initiatives with CDI. Experience includes 3 years in medical coding audits, familiarity with MS-DRG/APC systems, and related certifications such as RHIA/RHIT/CCS or CPC/CIRCC/ROCC. #J-18808-Ljbffr

All inclusive preventive care in Miami, FL is seeking a Senior Medical Coding Auditor (CPC) to verify documentation before claims are submitted. This part-time role focuses on accurate E/M level selection and compliant coding for Primary Care and Gynecology services. The ideal candidate will review 300–400 encounters weekly, ensure CPT/ICD-10-CM accuracy, and collaborate with providers to minimize denials while maximizing compliant reimbursement. Remote options available. #J-18808-Ljbffr

To support the Revenue Cycle Department, the full-time Texas Licensed Senior Medical Coding Auditor will conduct comprehensive reviews and investigations involving coding, documentation, billing, and operational processes while collaborating with various departments to resolve identified issues. Key responsibilities Performs complex reviews and investigations related to coding, documentation, billing, and operational processes Conducts audits, medical record reviews, and data validations to determine findings and communicate them to stakeholders Tracks corrective actions and ensures effective resolution of identified issues through collaboration with cross-functional teams Required qualifications High school diploma or equivalent required; four-year degree in a related field preferred Minimum of seven years of relevant experience in professional fee coding and coding audits required Current professional coding certification and auditing credential required Strong...

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

Dane Street, LLC seeks an experienced CPC-certified medical coder with multi-state experience to perform audits, utilization reviews, and demand package reviews for personal injury and insurance cases. You will support litigation through affidavits, deposition prep, and expert testimony as needed. Ideal candidates have 5–7 years of coding experience, CPC certification, and strong knowledge of CMS regulations across states. #J-18808-Ljbffr

Join a Fortune 500 and globally respected company as a Senior Compliance Auditor, where you'll lead the execution of global compliance audits across commercial operations. This is a high-impact role focused on identifying risks, strengthening internal controls, and ensuring alignment with international regulatory standards. Why This Opportunity Prestigious company and highly regarded around the worldExcellent learning, development, and progression opportunitiesAmazing benefits!!Work for talented leadership and with high achieving co-workers What You’ll Do As Senior Compliance Auditor Execute global compliance audits across sales and marketing functions. Evaluate internal controls and recommend improvements. Collaborate cross-functionally to ensure adherence to healthcare and anti-corruption regulations. Oversee audits across key compliance areas: third-party activities, promotional practices, research support, charitable contributions, no-charge product use, and more....

Baylor Scott & White Health is seeking a DRC Coding Auditor to join the Denial Resource Center. You will review and appeal complex coding denials across Hospital and Professional Billing, ensuring documentation supports billed services and reported diagnoses. The role requires advanced coding knowledge, CMS/payer policy understanding, and collaboration with RNs, coders, and revenue cycle teams to improve coding accuracy and reduce denials. #J-18808-Ljbffr

Senior Medical Coding Auditor The US Oncology Network is looking for a Senior Medical Coding Auditor to join our team at Texas Oncology. This full-time position will support the Revenue Cycle Department at our 3001 E. President George Bush Hwy Suite 100 location in Richardson, Texas. Typical work week is Monday through Friday 8:00a - 5:00p. This position will be a Sr level position. As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today—at Texas Oncology, we use leading-edge technology and research to...

Overview The US Oncology Network is looking for a Senior Medical Coding Auditor to join our team at Texas Oncology . This full-time position will support the Revenue Cycle Departmentat our 3001 E. President George Bush Hwy Suite 100 location in Richardson, Texas. Typical work week is Monday through Friday 8:00a - 5:00p. This position will be a Sr level position. As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology , we use leading-edge technology and research to deliver...

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....

Texas Tech University Health Sciences Center (TTUHSC) seeks a Medical Coding Supervisor to lead the centralized ambulatory coding team across outpatient and clinic services in Texas. You will oversee coding accuracy, productivity, and education, collaborating with Coding Manager, Compliance, and Revenue Cycle to enforce CPT, HCPCS, and ICD-10-CM guidelines. This role requires a high school diploma, 5+ years in medical coding or auditing, at least 1 year supervisory experience, and CPC or CCS #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

JOB DESCRIPTION To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), and Kaiser Permanente organization/institutional coding directives....

Healthcare Staffing Plus is seeking a Senior Medical Coder to independently assign ICD-10-CM, ICD-10-PCS and CPT/HCPCS codes for ED, ASC, IP and other facilities. The role requires on-site training for one week and strong knowledge of CMS guidelines. The ideal candidate has 5+ years in coding or as Coding Auditor, RHIT/RHIA credentials, and experience with EpicCare, CBCT, and EncoderPRO. Join a national healthcare staffing leader supporting Miami, OR, and surrounding facilities. #J-18808-Ljbffr

Select how often (in days) to receive an alert: 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-bedteachinghospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcareand was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as bestin the Columbia Metroarea by U.S. News & World Report, Lexington Healthdelivers more than 4,000babies each year, performs more than 34,000surgeries annually and isthe 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...

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....

Coding Auditor Senior Candidates must reside either in Washington or Oregon to be considered for this position. Essential Responsibilities: Proficient in medical record review and translating clinical information into coded data. Identify and assign appropriate codes for diagnoses, procedures and other services rendered, while also validating any Computer Assisted Coded (CAC) assignments for dual coding. Utilizing the Code Base Charge Trigger system (CBCT) and OPTUM 360 EncoderPRO software system for professional surgical services, analyzing and maintaining systems accuracy, validity and meaningfulness for both professional and facility services. Utilizes electronic patient data system and clinical information system (EpicCare) to access patient encounter information. Abstracts and enters clinical data elements as defined by the needs of the organization. Identifies and assigns principal diagnosis and procedure codes, sequencing them as needed for proper Ambulatory Payment...

Senior Clinical Coding Auditor & Trainer-Remote New York, New York, United States About the Job 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...

Coding Auditor, Senior Associate Location: Remote - United States Work Arrangement: 100% Remote (Work from Home) Employment Type: Full-Time, Salaried Salary Range: $50,500-$72,200 annually Job Description 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 medical records and/or other documentation to determine correct coding as defined...

Inpatient Drg Coding Specialist/Subject Matter Expert (Sme) We are seeking an experienced Inpatient DRG Coding specialist/Subject Matter Expert (SME) to support coding operations. This role combines hands-on inpatient coding, chart auditing, coder training, and oversight of daily workflow to ensure accurate, compliant, and timely coding. The ideal candidate will have strong expertise in ICD-10-CM, CPT, ICD-10-PCS, DRG assignment, and inpatient coding guidelines, along with experience mentoring coders and resolving complex coding questions. Key Responsibilities Manage daily inpatient coding workflows, prioritize work queues, and support timely completion of assigned cases. Review inpatient medical records and assign accurate diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS. Apply current Official Guidelines for Coding and Reporting, UHDDS definitions, and applicable facility and payer requirements. Validate principal diagnosis, secondary diagnoses,...

Gainwell Technologies is seeking a Senior Associate Inpatient Coding Auditor to review medical records and determine correct coding using MS-DRG/AP-DRG guidelines. This remote, US-based role offers flexibility and a clear path for professional growth. You will access proprietary systems, document findings, and support policy determinations. The position is salaried, with benefits starting on day one, and requires AHIMA/AAPC credentials with 3+ years of inpatient/outpatient coding experience. #J-18808-Ljbffr

COMPANY OVERVIEW PACS Group, Inc. is a holding company investing in post-acute healthcare facilities, professionals, and ancillary services. Founded in 2013, PACS Group is one of the largest post-acute platforms in the United States. Its independent subsidiaries operate 400 post-acute care facilities with 50,000 employees across 17 states serving over 31,000 patients daily. PACS business support division, PACS Services, provides technology and administrative support services — accounting, finance, human resources, compliance, payroll, AR/AP, legal, risk management, information technology, corporate communication, and other business advice and support — to their healthcare facilities, reducing administrative burdens so their leadership and care teams can focus on the care, well-being, and quality of life of their patients and residents. PACS is one of Utah's Best Companies to work for. It has also been recognized as one of Utah's Fastest Growing Companies for multiple years. JOB...

The McLaren system includes 12 hospitals across the state, ambulatory surgery centers, imaging centers, a 730-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 242,000 Michigan lives, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network, and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer center. McLaren has 20,000 full-, part-time and contracted employees and more than 93,000 network providers throughout Michigan. 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...

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...