Specialist Coding Auditor
AAPC
Location: New York, United States
Company: AAPC
Posted:
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
- ...the Captain James A. Lovell FHCC in North Chicago, IL. You will classify and abstract data from patient records and assign ICD/CPT codes to ensure accurate documentation. Qualified candidates have experience in medical terminology and health information management, including...Suggested
$85k - $90k
A healthcare technology firm is seeking a Nurse Coder DRG Auditor to validate coding accuracy and medical necessity of inpatient claims. The role involves applying industry standards and guidelines to perform DRG validations while collaborating within a team. Successful...Suggested- ...currently accepting applications for an outpatient Certified Coding Auditor to work in its New York office or remotely. Principal duties... ...Certified Risk Adjustment Coder (CRC™) Certified Coding Specialist (CCS) Certified Coding Specialist – Physician based (CCS-P)...SuggestedWork at officeLocal areaRemote work
$28 - $33 per hour
...represent the major duties of this role, additional duties may be assigned. Day-to-day processing of claims based on CPT, ICD-10, POS codes, provider types, etc. (Professional, Institutional, Mental Health, Vision and Dental) Claims processing and adjudication....SuggestedPermanent employmentFull timeWork experience placementWork at officeMonday to Friday- AuraOne, Inc. is seeking a remote Embodied Navigation Task Evaluator to review outputs, compare responses, and label issues using AuraOne's quality rubric. The role focuses on labeling edge cases, writing rationales, and contributing to retraining efforts. Responsibilities...SuggestedRemote jobFor contractors
- ...Location: New York, United StatesCompany: HumanaPosted: 2026-10-20Humana is seeking an experienced Outpatient Behavioral Health Coding Auditor to handle provider disputes within a metrics-driven environment. This remote role supports the Disputes Team, focusing on...Remote work
- ...EmblemHealth in New York seeks a Coding Integrity professional to uphold standards for claim review, policy implementation, and audit practices. You will identify inconsistencies between policies and claims and work with leadership to resolve them. You will audit suspended...
- ...submitted to CMS (tools provided by the department). Collect the medical records that support those findings upload in to our tool and code it. Evaluates and audits physician and hospital medical records and medical assessment forms to ensure compliance with CMS...Temporary workMonday to Friday
- ...aligns with billable services and help maximize legitimate reimbursement. You will perform baseline and ongoing chart audits, evaluate codes, and contribute to templates and education for clinical staff. This is a flexible, part-time role reporting to the Senior Medical...Part timeFor contractorsRemote workFlexible hours
- ...Dane Street in Nevada is seeking an experienced CPC-certified medical coder to perform coding audits, utilization reviews, and prepare audit findings. The role includes litigation support with deposition and testimony as needed, requiring strong knowledge of medical necessity...
$56.16k - $99.36k
...Responsible for upholding the standard for code review functions in the setting of claims review... ...Coder) &/or CCS (AHIMA Certified Coding Specialist). (Required) AAPC CPMA (AAPC Certified Professional Medical Auditor) (Required) Relevant Work Experience, Knowledge...Work experience placementRemote work- ...Support Provide day-to-day functional leadership and technical support to Revenue Optimization Auditors. Serve as a primary Subject Matter Expert (SME) for audit processes, coding and billing questions, departmental policies, and workflow requirements. Provide guidance on...Work at officeRemote workFlexible hours
- ...GainwellPosted: 2026-10-02Location: New York, United StatesCompany: Gainwell TechnologiesPosted: Gainwell Technologies seeks a Senior Coding Auditor, Itemized Bill Reviewer to perform itemized bill review, chart review, and coding validation ensuring billed services were...Remote work
- ...Health is seeking a Senior Certified Professional Coder (CPC) to perform medical claim reviews for the SIU, ensuring compliance with coding practices and accurate documentation across medical and behavioral health records. The role requires CPC certification, 3+ years in...Full time
- ...Verita AI is seeking Coding & QC Experts for a paid pilot evaluating the quality of AI benchmark tasks. Each task includes a question, a proposed gold answer and a rubric of claims describing what a correct answer should contain. Critically audit existing work, assess...Remote work
- The Associate, Risk Adjustment Auditor conducts internal and external quality audits specific to ICD-10 code abstraction. Work with management to implement benchmarks and quality assurance programs. Responsibilities: Perform medical record reviews and report ICD-10-CM diagnosis...Remote jobWork experience placement
$48.13k - $81.23k
...satisfaction and improves financial performance.As our DRG Validation Auditor I , your primary role will be auditing inpatient cases for DRG... ...review findings, such as the ICD-10 Official Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding, AHIMA...Local area- ...Datavant is seeking a Profee Auditing Specialist to conduct professional fee coding audits and provide detailed rationale for coding changes. This fully remote role emphasizes regulatory awareness, education of coders, and high accuracy, with a flexible schedule to fit...Remote workWork from homeFlexible hours
- ...BRG is seeking a Healthcare Compliance Auditor within the Healthcare Transactions and Strategy (HTS) group. The Senior Associate will perform billing and coding audits, review compliance programs, and develop client deliverables while advancing within a high-growth healthcare...
$72.8k - $130k
...Outpatient Coding Compliance AuditorOptum is a global organization that delivers care,... ...together. The Outpatient Coding Compliance Auditor performs audits of outpatient facility (... ...Coder (CPC) or Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC...Minimum wageFull timeWork experience placementLocal areaRemote work$70k - $80k
...Diagnosis Related Group (DRG) Auditor III Join to apply for the Diagnosis Related Group... ...Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment... ...jobs in United States . Remote Coding Specialists, Outpatient Surgery and Observations...Full timeWork experience placementReliefRemote workWork from homeHome officeRelocation package- ...Norton Healthcare is seeking a remote healthcare coder responsible for evaluating coding accuracy and auditing records across care settings. You will identify high-volume, high-risk coding issues and provide detailed findings to support coding validation and training...Remote work
$92.88k - $160.22k
...Elevance HealthPosted: Anticipated End Date: Position Title:DRG Coding Auditor - MS-DRG and APR-DRGJob Description:Sign On Bonus: $1,500;... ...Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical...Full timeTemporary workWork experience placementWork at officeLocal areaRelocation package1 day per week- ...healthcare integrity solutions provider is looking for an Outpatient Payment Integrity Coder Auditor in New York City. In this role, you will audit outpatient medical claims for coding accuracy and compliance with CMS guidelines. The ideal candidate must have advanced...Remote work
$92.3k - $120k
...opportunities to enhance the fight against FWA! As a Medical Claims Auditor within our Special Investigations Unit, you will play a... ...skills. A successful Medical Claims Auditor will have a broad coding knowledge base, including but not limited to: DME, Outpatient,...For contractorsWork experience placementWork at officeRemote workFlexible hours$60.1k - $98.7k
...In this fully remote position as a Skilled Nursing Facility auditor you will apply your expert clinical knowledge to validate the accuracy... ...charges to ensure the integrity of the paid claim including coding validation, payment accuracy, contractual requirements and...Remote work- ...Optum is seeking an experienced Outpatient Coding Compliance Auditor to conduct audits of outpatient facility coding, verify ICD-10-CM and CPT accuracy, and support the Compliance Program. The role involves root-cause analysis, QA oversight, and communicating findings...Remote work
- ...disclosures and repayments to federal and state agencies. • Coordinates, supervises, and performs medical record audits of documentation, coding and billing for technical and professional services, including:* CPT* ICD9* HCPCII* DRG* APC* APG* Modifiers* Teaching Physician...Full timeFor contractorsWork at officeLocal areaShift work
- ...Clover Health is hiring a CPC with 3+ years of coding and auditing experience to review claims for billing and coding issues in collaboration with SIU and Clinical teams. The role leverages AI tools to flag anomalous patterns and support prepayment audits. The ideal candidate...Remote work
- ...CONMED Corporation seeks a driven Internal Auditor to support Sarbanes-Oxley compliance and the annual internal audit plan, including financial, operational, IT, and third-party audits. This remote role emphasizes testing controls, documenting evidence, and communicating...Remote work
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