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US 4w PTO

  • Review medical records and clinical documentation to ensure accurate, compliant coding per CMS, federal, state, and payer policies.
  • Conduct routine and focused coding audits, collaborate with clinical leadership and revenue cycle teams, and provide actionable recommendations.
  • Serve as a subject matter expert on pediatric, Medicaid, telehealth, and behavioral health coding, interpreting state-specific billing requirements.

CPC ICD-10

19 jobs similar to Coding Compliance Auditor

Jobs ranked by similarity.

$76,160–$112,000/yr
US

  • Audit behavioral health documentation and coding (ICD-10-CM and CPT) for accuracy, compliance, and completeness.
  • Deliver actionable feedback to providers, educating on coding and documentation guidelines.
  • Serve as a subject matter expert by answering coding-related questions and supporting internal teams.

Headway is building a new mental healthcare system from the ground up—one that’s accessible, effective, and built to scale. They have over 75,000 providers across all 50 states running their practice on their software, serving over 1 million patients.

US

  • Evaluate and present audit results and educational instruction to physicians, coders, and staff.
  • Review clinical documentation to ensure adherence to billing guidelines and internal coding policies.
  • Provide instruction on documentation standards and correct use of CPT‑4 and ICD‑10 codes.

Pediatrix Medical Group is a leading provider of specialized healthcare for women, babies, and children. Since 1979, they've grown into a national, multispecialty medical group with a commitment to coordinated and compassionate care, bolstered by investments in research, education, and safety.

US

  • Lead advanced coding education for providers and groups, including E/M and Medicare Preventive services.
  • Analyze coding performance indicators to identify training needs and improve accuracy.
  • Develop and refine coding presentations and materials reflecting latest industry standards.

Privia Health is a technology-driven, national physician enablement company that optimizes physician practices and improves patient experiences. The company is led by top industry talent and physician leadership, with scalable operations and cloud-based technology.

US

  • Conduct coding audits to ensure accuracy and compliance with coding guidelines.
  • Identify compliance risks and recommend corrective action plans.
  • Provide education and training to physicians and staff on coding best practices.

Theoria Medical is at the forefront of healthcare innovation and quality, offering a blend of medical excellence and technological advancements, primarily serving the post-acute sector. Their network includes multispecialty physician services across skilled nursing facilities nationwide, fostering a mission-driven culture that values expertise and innovation.

US

  • Review and accurately code E/M cases for IP/OP/ER services to maximize reimbursement.
  • Meet daily production goals and maintain a 95% accuracy rate on a consistent basis.
  • Stay current on coding guidelines and maintain professional credentials, with flexibility to expand into other specialties.

Alteva RCM helps healthcare providers thrive through expert revenue cycle management and innovative solutions. The company fosters a collaborative culture focused on excellence and professional growth.

US

  • Interpret health record documentation using ICD-10 and CPT 4 coding systems for diagnoses and procedures.
  • Assign and sequence codes accurately, reconcile edits, and maintain 95% coding quality.
  • Act as a key liaison for physicians on coding compliance and documentation improvement.

Shriners Children’s is an organization that provides excellence in pediatric specialty care, multi-disciplinary education, and research with global impact. Named the 2025 best mid-sized employer by Forbes, they foster a learning environment that values evidence-based practice and critical thinking.

US 4w PTO

  • Improve first-pass claim acceptance by ensuring correct coding, flagging inconsistencies, and reviewing EOBs and denial trends to identify recurring issues.
  • Work closely with billing teams and vendors to resolve complex claim issues, review clinical documentation, and support coding corrections and resubmissions.
  • Ensure compliance with CMS, state Medicaid, and managed-care guidelines while monitoring payer policy changes to optimize coding and billing practices.

ReKlame Health is a clinician-led, tech-enabled provider group providing culturally competent behavioral health and addiction care. As an early-stage organization focused on expanding access to care and health equity, they are building a purpose-driven team dedicated to making a positive impact.

US

  • Focuses on ensuring accuracy, compliance, and integrity of medical coding across healthcare records.
  • Conducts detailed audits, reviews clinical documentation, and identifies discrepancies impacting billing and compliance.
  • Collaborates with clinicians, revenue cycle teams, and leadership to improve documentation quality and coding consistency.

Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They process applications and share shortlists with employers, focusing on objective and fair review.

$26–$39/hr
US

  • Accurately translate patients’ medical records into standardized codes for diagnoses and treatments.
  • Ensure compliance with legal, regulatory, and organizational standards.
  • Ensure claims are processed correctly and on time through clear communication and efficient management of records.

Dignity Health Medical Foundation provides comprehensive health care services. They have care centers throughout California and are affiliated with Dignity Health, one of the largest health systems in the nation. They strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships.

$55,000–$65,000/yr
US 4w PTO

  • Submit clean, timely claims with accurate CPT, HCPCS, ICD-10 codes, and modifiers.
  • Review provider documentation and assign accurate codes per ICD-10-CM, CPT, and HEDIS/quality reporting guidelines.
  • Maintain and contribute to the internal billing rules matrix (payer, state, provider type, modifiers).

Imagine Pediatrics is a tech-enabled, pediatrician-led medical group that reimagines care for children with special health care needs. They deliver 24/7 virtual-first and in-home medical, behavioral, and social care. They enhance existing care teams with compassion, creativity, and an unwavering commitment to children with medical complexity.

US Unlimited PTO

  • Responsible for accurate and timely assignment of ICD-10-CM/PCS and HCPCS/CPT codes for various record types.
  • Performs coding and abstracting to support billing, data quality, and severity-of-illness reporting.
  • Serves as a mentor to newer coders and works within service line structures as needed.

ChristianaCare is one of the largest health care providers in the Mid-Atlantic Region, operating hospitals in Delaware and Maryland. With over 1,100 beds and ANCC Magnet Recognition across its facilities, it is committed to delivering health through values of love and excellence.

US

  • Verify and analyze medical records to assign diagnostic and procedural codes using CMS guidelines.
  • Ensure accurate charge capture and data entry with a 95% accuracy rate.
  • Serve as a coding resource, resolve discrepancies, and assist in training new staff.

Munson Healthcare is northern Michigan's largest healthcare system with eight community hospitals serving over half a million residents. With a focus on excellence, teamwork, and community, they offer a supportive culture and a lifestyle in a beautiful region.

US

  • Review inpatient and outpatient medical records to ensure accurate and compliant clinical documentation.
  • Collaborate with physicians and clinical teams to clarify diagnoses and support proper coding.
  • Maintain productivity targets and contribute to provider education initiatives to improve documentation quality.

Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. It processes applications using AI to ensure fair review and shares top candidates with employers.

US

  • Codes and abstracts patient encounters for diagnostic and procedural information, analyzing data for reimbursement needs.
  • Completes final checks on charts ensuring all reports are signed and NCCI edits, CMS, and Joint Commission rules are followed.
  • Participates in continuing education and communicates with the Manager on training needs.

Plumas District Hospital provides essential health care services to the Quincy, California area and surrounding mountain community. With a population of 5,000 residents, PDH offers an inclusive work environment, competitive compensation, and perks like shift differentials and holiday pay.

US Unlimited PTO 14w maternity 14w paternity

  • Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment and reimbursement.
  • Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications.
  • Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations.

Cohere Health provides an AI-powered clinical intelligence platform that streamlines access to quality care by improving payer-provider collaboration and cost containment. The company works with over 660,000 providers, handles over 12 million prior authorization requests annually, and has been named to the Inc. 5000 list and a Top 5 LinkedIn Startup for 2023 and 2024.

  • Perform inpatient coding audits and review services remotely.
  • Identify trends and suggest corrective action plans.
  • Provide in-service education to clients on coding trends.

UASI has over 40 years of experience and enduring partnerships with its valued clients. The company was recognized as a Top Workplace by the Cincinnati Enquirer in 2022, 2023 and 2024, with a dedicated team and long-term success.

US

  • Provide clinical leadership and subject-matter expertise to support analysis and configuration of medical policy content within claims processing systems.
  • Ensure accurate implementation of medical policies, review criteria, and authorization requirements while maintaining system infrastructure integrity.
  • Serve as an expert resource for medical policy configuration and PGE coding, mentoring Coding Specialists and providing training to operational partners.

Wellmark is a mutual insurance company owned by policy holders across Iowa and South Dakota. We are motivated by the well-being of our members, not profits, and we are committed to sustainability and innovation.

US 3w PTO

  • Analyze and audit inpatient claims for DRG validation, coding accuracy, and clinical appropriateness without a medical record.
  • Utilize proprietary auditing systems to make determinations and generate audit letters, meeting productivity and quality standards.
  • Identify new claim types and suggest process improvements while maintaining expert ICD-10 and DRG coding knowledge.

Cotiviti is a healthcare analytics and auditing company that helps payers and providers improve financial performance and clinical outcomes. It is a large organization with a culture focused on accuracy, compliance, and collaboration.

US 40w PTO

  • Code inpatient services with 95% or above accuracy.
  • Abstract information from medical records to assign ICD-10 codes and identify query opportunities.
  • Collaborate with coding leads, billing, and CDI to resolve issues and ensure compliance with federal and state laws.

OHSU is Oregon's only public academic health center, providing patient care and leading groundbreaking research. As Portland's largest employer, it offers opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington.