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US Unlimited PTO 17w maternity 9w paternity

  • Conduct routine and focused audits of medical coding to ensure compliance with CMS, payer, and organizational standards.
  • Develop and deliver education and feedback to coders and providers to improve documentation quality and coding accuracy.
  • Assist with internal and external audit preparation and response, including documentation requests and validation reviews.

Medical Coding ICD-10-CM CPT Coding HCC Coding EHR Systems

20 jobs similar to Medical Coding Auditor

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US Unlimited PTO 17w maternity 9w paternity

  • Review and abstract professional medical records and assign accurate ICD-10-CM, CPT, and HCPCS codes.
  • Maintain coding quality metrics, participate in audits, and stay current with coding guidelines.
  • Ensure confidentiality and adhere to HIPAA and compliance standards while working independently.

Sprinter Health reimagines how people access care by bringing it directly into their homes, using technology to deliver care where people are. Backed by over $125M from top investors like a16z, General Catalyst, GV, and Accel, the team of clinicians, technologists, and operators has supported 2 million patients across 22 states with a 92 NPS.

US

  • Conduct facility inpatient coding audits using MS-DRG and APR-DRG methodologies, providing evidence-based recommendations.
  • Identify coding quality and compliance opportunities while delivering coder education through the audit process.
  • Manage multiple cases concurrently, maintain accuracy, and uphold professional ethics and confidentiality.

Our partner provides healthcare organizations with high-quality, compliant coding practices through inpatient coding audits. They offer a collaborative, service-oriented environment focused on coding excellence and continuous professional development.

$64,500–$108,617/yr
US

  • Audit medical records to ensure documentation supports level of service and compliance with coverage determinations.
  • Develop and implement educational programs for coding and documentation improvement.
  • Orient and audit newly on-boarded providers and programs.

Southcoast Health is a not-for-profit health system providing comprehensive healthcare across Southeastern Massachusetts and Rhode Island. With multiple facilities, they have been voted 'Best Place to Work' for 7 years in a row.

US

  • Validate accuracy of CPT, HCPCS, revenue codes, and billed line-item charges on outpatient and inpatient facility claims.
  • Review medical records and supporting documentation to confirm appropriate billing and apply CMS guidance, coding guidelines, and MUE/NCCI edits.
  • Prepare appeal responses using applicable coding guidance and assist with new concept development and claim selection criteria.

Trend Health Partners is a tech-enabled payment integrity company that facilitates collaboration between payers and providers to reduce waste and improve access to healthcare. It is a dynamic growing organization with a collaborative and innovative work environment.

United States

  • Assess clinical documentation for compliance with AMA and CMS coding guidelines.
  • Provide education and guidance to providers, clinical staff, and coders on documentation standards.
  • Analyze audit data, report findings, and collaborate with leadership to improve coding practices.

UnityPoint Health is a healthcare system providing medical services across Iowa, Illinois, and Wisconsin. It is recognized as a top workplace, committed to team member support, development, and a culture of belonging.

$56,000–$94,000/yr
US

  • Apply certified coding expertise to healthcare coding activities while maintaining high accuracy and quality.
  • Review and interpret clinical and administrative documentation to support appropriate coding outcomes.
  • Follow established coding standards, policies, and regulatory requirements while protecting data confidentiality.

A partner company in the healthcare coding industry seeks a certified coding professional. The full-time remote role supports accurate and compliant coding operations in a structured environment.

$118,000–$125,000/yr
US

  • Manage a team delivering outsourced coding services to critical access hospitals and rural health clinics.
  • Ensure accurate and timely coding of medical records, compliance with ICD-10, CPT, and HCPCS guidelines.
  • Implement quality assurance audits, resolve coding discrepancies, and collaborate with providers and billing departments.

Tegria helps healthcare organizations improve care, technology, revenue, and operations, moving from patient-centered to human-centered. They have a diverse team of talented people who welcome challenge and change, fostering a culture of equity and inclusion.

US 4w PTO 12w maternity 12w paternity

  • Lead a high-performing team of QA Specialists at the intersection of clinical precision and operational excellence.
  • Drive coding accuracy, build robust SOPs, and ensure full audit readiness for internal and external partners.
  • Translate QA findings into actionable insights and mentor team members to elevate compliance standards.

Aledade PBC empowers independent primary care through value-based care. Founded in 2014, it is the largest network of independent primary care in the country with a remote-first, inclusive culture.

US

  • Reviews inpatient and outpatient medical records for documentation, abstracting, and assigning codes to the highest level of specificity.
  • Assigns procedural and diagnosis codes following ICD-10-CM, CPT, HCPCS guidelines, and payer regulations.
  • Collaborates with Clinical Auditors to improve coding quality and resolves coding-related denials per payer policies.

UnityPoint Health is a healthcare system providing patient services and medical care. It is recognized as a Top 150 Place to Work in Healthcare, with a culture that champions belonging and offers competitive benefits.

US

  • Review and analyze medical record documentation to assign diagnoses and procedure codes for inpatient, outpatient, and professional services.
  • Ensure compliance with official coding guidelines and ethical standards set by AHIMA.
  • Work remotely in a full-time, days shift position using ICD-10-CM and CPT/HCPCS coding systems.

Mercy is a Catholic health system founded by the Sisters of Mercy, providing care across hospitals and clinics in the Midwest. It is a large, collaborative organization focused on innovation, technology, and compassion, with a heritage spanning over 195 years.

US

  • Provide professional fee coding services across one or more medical specialties, accurately assigning codes.
  • Review clinical documentation and assign diagnosis and procedure codes to the highest level of specificity.
  • Work independently in a remote environment while maintaining required productivity and accuracy standards.

The company provides professional fee coding services across medical specialties. They seek a detail-oriented coding specialist to work independently in a remote environment.

US 2w PTO

  • Review outpatient medical records and assign diagnosis and procedure codes accurately based on clinical documentation.
  • Maintain a minimum 95% coding accuracy rate and meet productivity expectations while handling complex coding scenarios.
  • Collaborate with stakeholders to identify documentation improvement opportunities and ensure compliance with coding standards.

The company provides healthcare coding consulting services to hospitals and clinics. It is a remote-first organization that values accuracy, quality, and professional development, with a collaborative and supportive culture.

$55,000–$60,000/yr
US 4w PTO

  • Perform daily charge audits and coding reviews for accurate CPT, ICD-10, and HCPCS code assignment.
  • Submit clean claims daily through Apero and the clearinghouse.
  • Monitor and resolve claim system rejections to avoid timely-filing issues.

Dreem Health is a digital sleep clinic that provides home-based testing and telehealth visits. They are part of an international team that values trust, collaboration, and compassion.

US

  • Strategically coordinate and optimize the flow of coded medical record information to ensure accurate billing and reimbursement.
  • Review surgical coding submissions and manage denials to maximize revenue capture and compliance.
  • Design and deliver impactful educational programs that elevate documentation practices and coding quality.

Henry Ford Health is an academic health system providing comprehensive care across Michigan and beyond. With 12 hospitals and hundreds of ambulatory locations, the organization is a large, purpose-driven team committed to innovation and community impact.

$108,000–$120,000/yr
US

  • Provide strategic leadership and operational oversight for CMS-mandated RADV audits across Medicare Advantage and Commercial lines of business.
  • Lead development of audit strategies, workflows, and performance objectives to support regulatory compliance and organizational goals.
  • Direct departmental operations including staff development, performance management, and cross-functional coordination to ensure successful execution of priorities.

HealthEdge provides AI-powered operational infrastructure for health insurance companies. The company is experiencing strong market momentum and investing in its people to shape the future of healthcare technology.

California

  • Perform comprehensive chart reviews to ensure documentation supports accurate HCC reporting.
  • Identify claims correction opportunities and submit them for processing.
  • Provide provider education and analyze coding trends for assigned medical groups.

Dignity Health Medical Foundation is a California nonprofit providing comprehensive health care services across the state. As part of Dignity Health, one of the largest U.S. health systems, it emphasizes purposeful work and staff growth.

US

  • Orchestrate the flow of coded medical record information across inpatient and outpatient settings for billing accuracy.
  • Champion data quality by monitoring completeness, accuracy, and timeliness of medical documentation and coded submissions.
  • Design and deliver educational programs for clinical providers and coding staff on best practices, compliance, and documentation improvement.

Henry Ford Health is a leading academic health system providing a comprehensive continuum of care across Michigan and beyond. With 12 hospitals and hundreds of ambulatory locations, they foster a culture of purpose, collaboration, and belonging, empowering team members to grow their careers and make a meaningful difference.

US

  • Perform detailed DRG validation and quality audits of inpatient medical records to assess coding accuracy and clinical validity.
  • Review ICD-10-CM/PCS code assignment, POA indicators, SOI/ROM, HCC capture, and other reimbursement-related elements.
  • Support clinical documentation improvement initiatives by identifying documentation and physician query opportunities.

The partner company specializes in healthcare revenue integrity and DRG auditing. It operates with a remote team and values accuracy, compliance, and independent work.

US

  • Complete final review of medical records and select appropriate ICD-10 and CPT codes within 4 days of patient discharge.
  • Review documentation to match codes with medical necessity and assign working diagnoses and DRGs.
  • Collaborate with Clinical Documentation Specialists to identify and address documentation deficiencies.

UAMS is Arkansas' only comprehensive academic health sciences center, combining education, research, and clinical programs. It fosters a collaborative culture focused on improving patient care and supporting teamwork and diversity.

Coder II

Unknown
US

  • Review and interpret medical records to assign ICD-10-CM and CPT codes accurately.
  • Collaborate with physicians and clinical teams to improve documentation and coding standards.
  • Maintain productivity, quality, and compliance with payer requirements and regulatory guidelines.

The company provides medical coding services for complex orthopedic and procedural services. They offer a collaborative healthcare environment with opportunities for professional development and career growth.