854 specialist coding auditor jobs found

Location: New York, United StatesCompany: AAPCPosted: DaMar Staffing is seeking an experienced Quality Assurance Auditor with a coding background. The role focuses on reviewing medical records, conducting QA audits, identifying coding deficiencies, and supporting provider education and risk mitigation initiatives.Location is Phoenix, AZ or remote. Requirements include 5+ years of professional coding, 3+ years in HCC/risk adjustment, 2+ years auditing/QA, and active CCS-P, CRC, CPC, or COC certification.#J-18808-Ljbffr

Location: New York, United StatesCompany: AAPCPosted: 2026-10-03DaMar Staffing is seeking an experienced Quality Assurance Auditor with a coding background. The role focuses on reviewing medical records, conducting QA audits, identifying coding deficiencies, and supporting provider education and risk mitigation initiatives.Location is Phoenix, AZ or remote. Requirements include 5+ years of professional coding, 3+ years in HCC/risk adjustment, 2+ years auditing/QA, and active CCS-P, CRC, CPC, or COC certification.#J-18808-Ljbffr

St. Charles Health System is seeking an Ambulatory Services Auditor and Clinical Documentation Specialist I in Revenue Integrity. This role audits outpatient, inpatient, and ambulatory documentation for coding accuracy, provides guidance to physicians and staff, and helps maintain compliance with ICD-10-CM and CPT-4/HCPCS guidelines. A focus on education and system-wide improvements supports patient care and revenue integrity. #J-18808-Ljbffr

St. Charles Health System is seeking an Ambulatory Services Auditor and Clinical Documentation Specialist I to conduct chart reviews of professional services across hospital and clinic settings. You will audit coding and documentation for accuracy and quality, and provide education to physicians and staff on coding guidelines to ensure compliance. The role supports system-wide education, process improvements, and reporting of trends related to documentation and denied claims, with a focus on #J-18808-Ljbffr

## Inpatient and Facility Coding Auditor - Claims Review Specialist (FT/REMOTE)Apply: US - Remote: Full time: Posted Yesterday: JR106127**About Us:**Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.**JOB SUMMARY:**The Claim Review Specialist serves as a revenue cycle and coding consultant, partnering with the Director of HIM to perform complex concurrent and retrospective audits of hospital inpatient, facility and outpatient claims. This role evaluates coding accuracy and documentation compliance by validating ICD-10, CPT, and HCPCS code...

Description WHAT IT'S LIKE AT SGMC HEALTH Purpose . No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place. Excellence . We strive to do the right thing the right way, are accountable in all we do, require competence of our people, and are compassionate in our service. Team Spirit. We encourage team effort, support personal and professional development, acknowledge individual talents and skills, and support innovation and empowerment. Award Winning Performance. We are committed to providing the best care possible and we are proud to be recognized locally, statewide, and nationally for the exceptional care that our staff provides. WHY YOU WILL LOVE SGMC HEALTH SGMC has great benefit options, depending on the role that you are going into- including healthcare, supplementary benefits, ways to save for the future, opportunities for career advancement, and opportunities...

St. Charles Health System is seeking an Ambulatory Services Auditor and Clinical Documentation Specialist I to audit outpatient, inpatient and ambulatory medical records for ICD-10-CM and CPT-4 compliance. The role provides education, feedback and guidance to physicians, clinicians and staff, ensuring accurate coding and documentation. This position supports system-wide coding quality, collaborates with the HIM team, develops procedures, tracks trends, and helps improve denials and efficiency #J-18808-Ljbffr

SGMC Health is seeking a Professional Coding Auditor/Education Specialist to join our Revenue Cycle Medical Group on-site at SGMC Health Main Campus. The role focuses on auditing professional coding, educating providers, and improving documentation to support compliant billing. The ideal candidate will hold a CPC certification, prefer CPMA or CDEO, and have extensive ICD-10, HCPCS, and CPT knowledge, with strong analytical and communication skills for cross-functional collaboration. #J-18808-Ljbffr

St. Charles Health System is seeking an Ambulatory Services Auditor and Clinical Documentation Specialist I to audit outpatient, inpatient and ambulatory medical records for ICD-10-CM and CPT-4 compliance. The role provides education, feedback and guidance to physicians, clinicians and staff, ensuring accurate coding and documentation. This position supports system-wide coding quality, collaborates with the HIM team, develops procedures, tracks trends, and helps improve denials and efficiency #J-18808-Ljbffr

St. Charles Health System is seeking an Ambulatory Services Auditor and Clinical Documentation Specialist I to conduct chart reviews of professional services across hospital and clinic settings. You will audit coding and documentation for accuracy and quality, and provide education to physicians and staff on coding guidelines to ensure compliance. The role supports system-wide education, process improvements, and reporting of trends related to documentation and denied claims, with a focus on #J-18808-Ljbffr

SSM Health Monroe Home Health & Hospice is seeking a Home Health & Hospice Coding Specialist for a full-time remote coding role. You will audit charts, ensure accurate diagnoses, and maintain coding integrity across our home health and hospice programs. Collaborate with clinicians and leaders to support quality patient care, reimbursement accuracy, and regulatory compliance. Requirements include education above, COS-C/HCS certifications preferred and two years’ experience; state work location #J-18808-Ljbffr

Privia Health is seeking a Coding Compliance Audit & Education Specialist to conduct audits and educate providers on coding compliance. This remote position requires expertise in CPT, ICD-10, and HCPCS coding, as well as strong communication skills. The ideal candidate will have at least 5 years of experience in auditing and education, with necessary certifications. The role includes preparing audit reports and interacting professionally with healthcare providers. The salary range is $70,000 to $80,000, plus eligibility for a 15% annual bonus. #J-18808-Ljbffr

Elevance Health is seeking a DRG Coding Auditor to audit inpatient medical records and generate recoverable claims across lines of business, ensuring accurate DRG assignment with MS-DRG and APR-DRG methodologies. You will apply ICD-10 guidelines and clinical documentation principles in medical record reviews, supporting high-quality recoveries and audit findings while collaborating with hospitals and internal teams. The role offers hybrid/remote work with required in-person training. #J-18808-Ljbffr

A healthcare organization in Sunrise, Florida is seeking a Certified Medical Coder to conduct audits related to potential fraud, waste, and abuse. The role involves post-payment medical records reviews to ensure compliance with coding guidelines. Candidates must have medical coding certification and knowledge of Medicaid rules. The position offers a hybrid work schedule and requires strong analytical and communication skills. #J-18808-Ljbffr

Employment Type:Full timeShift:Day ShiftDescription:Full-Time (80 hours biweekly) 100% Remote Coding Certification requiredMinimum of two years current experience with ICDM 9, CPT coding, and health insurance provider rules and regulations required.Essential Functions:Responsible for coding and abstracting patients' records for professional billing.Reviews patient medical records retrospectively and concurrently for the coding and sequencing of diagnoses and procedures for reimbursement purposes.Interacts and assists with coding requests and questions from billers.Serves as a resource for difficult coding questions and assists with insurance denials for correction and re-filing.Makes process improvement recommendations to management as identified, specifically related to registration and charge posting.Performs in compliance with federal, state, insurance industry regulations.Follows established hospital policies concerning corporate compliance.Keeps abreast of insurance carrier...

Humana, Inc. is seeking a Nurse Auditor 2 to perform clinical audit/validation of medical records and coding to ensure complete, compliant documentation and accurate reimbursement. The role requires interpreting and determining actions with minimal supervision. This remote position may require occasional travel to Humana offices for training and meetings; typical hours are 40 per week with pay range shown, and eligibility for a bonus plan. #J-18808-Ljbffr

Professional Fee Coding Auditor Work Location Requirement: This position may be performed onsite or remotely; however, onsite work is preferred based on business needs. Preference will be given to qualified candidates who are able to work onsite and are located within a reasonable commuting distance. Remote Work Eligibility: This position is open to candidates located within the continental United States. Due to state-specific employment requirements and workers' compensation regulations, we are unable to support remote work arrangements in the following locations: Washington, Ohio, Wyoming, North Dakota, Puerto Rico, and the U.S. Virgin Islands. At Northbay Health the Professional Fee Coding Auditor is responsible for auditing professional fee coding across all service lines (Ambulatory/Hospitalist, Surgery, and Emergency Medicine), resolving pre-billing coding edits, and reviewing post-billing coding-related denials. This role ensures coding accuracy, documentation...

Providence Medical Foundation is seeking a Coding Auditor to review patient care billing documentation for CPT and ICD coding adherence under the direction of the Director Provider Network Performance. The role supports a culture of accurate, compliant coding across services. The position requires professional coding credentials and 3+ years of healthcare coding and clinic billing experience. Join a mission-driven team dedicated to high-quality patient care. #J-18808-Ljbffr

Empower Healthcare and Compliance Partners (Empower HCP), a subsidiary of CareCloud, seeks an Audit Defense Auditor/Coder to lead detailed medical record audits for regulatory and payer audits, ensuring accurate coding and documentation while interfacing with clients and staff. This full-time role requires CCS/CPC or paralegal certification, 5 years of clinical documentation auditing experience, and 3 years of payer-side audit experience. Hybrid work, based in Somerset, NJ or Fort Lauderdale, FL. #J-18808-Ljbffr

Champion Packaging & Distribution Inc. seeks a Line Auditor to verify packaging components, date/product coding, and the correct placement of pallet placards and case stickers before production of finished goods. The role includes programming new product codes into VideoJet equipment and monitoring line quality metrics. It requires attention to detail and adherence to specifications to ensure product integrity and compliance. #J-18808-Ljbffr

Empower Healthcare and Compliance Partners (Empower HCP), a subsidiary of CareCloud, seeks an Audit Defense Auditor/Coder to lead detailed medical record audits for regulatory and payer audits, ensuring accurate coding and documentation while interfacing with clients and staff. This full-time role requires CCS/CPC or paralegal certification, 5 years of clinical documentation auditing experience, and 3 years of payer-side audit experience. Hybrid work, based in Somerset, NJ or Fort Lauderdale, FL. #J-18808-Ljbffr

Baptist Health Care is seeking a Coding Auditor to review and audit patient records for correct ICD-10-CM/PCS codes, CPT codes, POA assignment and MS-DRG assignment. The role will issue quarterly report cards and provide coding training and education to coders. The ideal candidate has at least five years of inpatient and/or outpatient coding experience and holds CCS, CPC, and CCA certifications. Knowledge of Medicare and other third-party payer regulations is required. #J-18808-Ljbffr

Professional Fee Coding AuditorAt NorthBay Health the Professional Fee Coding Auditor is responsible for auditing professional fee coding across all service lines (Ambulatory/Hospitalist, Surgery, and Emergency Medicine), resolving pre-billing coding edits, and reviewing post-billing coding-related denials.This role ensures coding accuracy, documentation integrity, and compliance with CPT, HCPCS, ICD-10-CM, and payer-specific rules. The position supports coding quality improvement, identifies trends, provides coder feedback and physician education based on audit and edit findings, and partners with leadership to strengthen coding workflows across the organization.PRIMARY JOB DUTIESAudit ResponsibilitiesPerforms routine and targeted professional fee coding audits across all service lines: Ambulatory/Hospitalist (including Urgent Care and Pools), Surgery, and ED ProFee.Reviews documentation for completeness, accuracy, and compliance with CPT, HCPCS, ICD-10-CM, and payer...

Job Description At NorthBay Health the Professional Fee Coding Auditor is responsible for auditing professional fee coding across all service lines (Ambulatory/Hospitalist, Surgery, and Emergency Medicine), resolving pre‑billing coding edits, and reviewing post‑billing coding‑related denials. This role ensures coding accuracy, documentation integrity, and compliance with CPT, HCPCS, ICD‑10‑CM, and payer‑specific rules. The position supports coding quality improvement, identifies trends, provides coder feedback and physician education based on audit and edit findings, and partners with leadership to strengthen coding workflows across the organization. Primary Job Duties Audit Responsibilities Performs routine and targeted professional fee coding audits across all service lines: Ambulatory/Hospitalist (including Urgent Care and Pools), Surgery, and ED ProFee. Reviews documentation for completeness, accuracy, and compliance with CPT, HCPCS, ICD‑10‑CM, and payer policies....