Medical Coding Auditor
Gainwell
Location: New York, United StatesCompany: GainwellPosted: 2026-10-12Location: New York, United StatesCompany: GainwellPosted: Location: New York, United StatesCompany: Gainwell TechnologiesPosted: Gainwell Technologies seeks an Outpatient Coding Auditor, Senior Associate to audit medical records for correct ICD-10/PCS/CPT coding, documenting findings in proprietary systems. The role emphasizes accurate diagnosis and procedure coding, adherence to guidelines, and regulatory compliance.The ideal candidate has 2+ years of outpatient coding or auditing experience, AHIMA or AAPC credentials, and solid knowledge of ICD-10, APC, ASC and CPT guidelines; remote work within the US is supported.#J-18808-Ljbffr
- ...Department of Veterans AffairsPosted: 2026-10-20Job TitleMedical Coding SpecialistDutiesMajor duties and responsibilities of the... ...include but are not limited to:Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment...SuggestedPermanent employmentRemote workMonday to Friday
- ...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...SuggestedRemote work
- Location: New York, United StatesCompany: HumanaPosted: 2026-10-18Humana seeks a Medical Coding Auditor to review medical claims against records, ensuring accurate CPT/HCPCS/ICD-10-CM coding. You will interpret guidelines, contribute to cost reduction, and support APC...SuggestedRemote work
- ...StatesCompany: HumanaPosted: Location: New York, United StatesCompany: HumanaPosted: Humana Inc. is seeking a Senior Medical Coding Outpatient Auditor to lead coding-focused audit activities, validate coding accuracy, and ensure compliance with outpatient coding and reimbursement...SuggestedRemote 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;... ...The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the...SuggestedFull 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
- ...Gainwell TechnologiesPosted: 2026-10-03Gainwell Technologies is seeking an experienced Senior Associate Inpatient Coding Auditor to perform audits of inpatient medical records and other documentation to determine correct coding per contract-specific methodologies.The role...Contract workRemote work
- Location: Albany, New York, United StatesCompany: HumanaPosted: 2026-10-22Humana Inc. is seeking a Medical Coding Auditor to review outpatient claims and ensure accurate CPT/HCPCS coding against medical records. This remote role involves evaluating documentation, applying...Remote work
$59.3k - $80.9k
Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor’s work assignments are varied and...Bi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- Maimonides Medical Center is seeking a Professional Coding and Billing Auditor to perform routine audits of medical records and coding assignments to ensure compliance with current guidelines and regulatory requirements. The role emphasizes accuracy and adherence to revenue...
$51k - $82k
...performs data analysis, investigation, and medical review to detect, prevent, deter, reduce,... ...We are looking to add a Medicaid Fraud Auditor to our SGS team of talented professionals... ...Knowledge of the healthcare industry and medical coding concepts and/or experience analyzing...Contract workTemporary workWork at officeRemote workShift work- Cognizant is seeking an Outpatient & Multispecialty Medical Coding Auditor to audit facility outpatient and ProFee coding across multiple specialties. Remote within the United States. You will interact with providers and stakeholders to ensure accurate, compliant coding...Remote job
- Audit Defense Auditor/Coder Empower Healthcare and Compliance Partners (Empower HCP) (subsidiary... ...required · Lead regulatory audits for coding teams. · Ensure completion of projects to... .... · Conduct data analyses from medical record reviews to identify opportunities...Work experience placement
$47.75 - $57 per hour
Overview The Senior Auditor, Appeals is responsible for defending Cotiviti’s recovery determinations... ...facility (IRF), home health, durable medical equipment (DME), and hospice claims. The... ...Services (CMS) inpatient and outpatient coding guidelines, Coding Clinic guidance, and...Hourly payContract workWork at officeLocal areaImmediate startRemote workWork from homeFlexible hours$55k - $75k
...technology solutions, audit, investigation, and medical review. At IntegrityM, we offer a... ...company feel! In this role, the Medicaid Auditor will be responsible for performing and... ...program and policy compliance, billing, coding and medical record documentation reviews,...Remote jobFull timeContract workTemporary workFor contractorsWork at officeLocal areaFlexible hours- Position Title: Inpatient Coding Auditor WFH Department: HIM Coders Job Description: Remote Eligibility: Candidates must reside and work... ...will have experience in complex inpatient coding at an academic medical center.**** General Description Ensures accurate, quality,...Full timeImmediate startRemote workWork from home
$39 - $40 per hour
About the role As an Outpatient & Multispecialty Medical Coding Auditor, you will make an impact by auditing both facility outpatient and professional fee medical coding across multiple specialties. You will be a valued member of the Cognizant team and work collaboratively...Remote jobTemporary workWork at office$76k - $90k
A leading health information management services company seeks a Medical Coding Consultant specializing in outpatient coding. The role involves auditing diagnostic and procedural codes to ensure compliance with coding guidelines. Candidates should possess relevant credentials...Remote job- Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers. Will also oversee or perform the overall... ...AND Five (5) years of coding experience; OR Graduate of a Medical Coding Certification Program AND Five (5) years of coding...Work at officeShift work
$55.1k - $99k
...message the job poster from TalentPlug LLC Job Title Clinical Coding Auditor & Trainer Job Location Remote (Candidates must be residents... ...auditing programs for the Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. Applicants must be willing...Full timeRemote work- ...management skills. Knowledge of the healthcare industry and medical coding concepts and/or experience analyzing health care claims data... ...recover fraud, waste, and abuse. We are looking to add a Medicaid Auditor/Investigator to our SGS team of talented professionals. What...Work at officeRemote work
- ...compassion. Be the difference.Job SummaryResponsible for leading coding teams, coder training, work que management, performing prebill... ...Services (CMS) regulations and applicable carrier local medical review policies.Consults, provides professional expertise to and...Work at officeLocal areaRemote work
- ...Location: Florida, New York, United StatesCompany: Elevance HealthPosted: 2026-10-08Elevance Health is seeking a DRG Coding Auditor to audit inpatient medical records and ensure accurate MS-DRG/AP-DRG assignments across all lines of business. The role focuses on generating...Remote workRelocation
- ProgenyHealth is seeking a Clinical RN Chart Reviewer to conduct clinical reviews of medical records, validate coding accuracy, and assess medical necessity. You will report to the Payment Assurance Manager and support improvements aligning with our mission. The role requires...
- Clinical RN Chart Reviewer The Clinical RN Chart Reviewer will perform clinical reviews of medical records and other documentation to validate issues of claims coding accuracy, medical necessity, and the appropriateness of treatment settings and services delivered. The...Remote jobTemporary workCasual workWork at office
- ...has an exciting opportunity for a Clinical Auditor/Analyst position in the Fraud, Waste &... ...services related to clinical guidelines, coding requirements, regulatory requirements, and... ...including Quality Improvement, Legal, and Medical Management to facilitate the resolution...Remote jobFull timeLocal areaMonday to Friday
$28 - $33 per hour
...assigned. Day-to-day processing of claims based on CPT, ICD-10, POS codes, provider types, etc. (Professional, Institutional, Mental... ...research where applicable such as reviewing Itemized bills, Medical Records, Authorization and members enrollment. Reviews and processes...Permanent employmentFull timeWork experience placementWork at officeMonday to Friday- ...currently accepting applications for an outpatient Certified Coding Auditor to work in its New York office or remotely. Principal duties... ...in evaluating how well clinical documentation supports medical necessity and the E/M, CPT, and HCPCS codes that were billed,...Work at officeLocal areaRemote work
$90k - $110k
...-op, condo, and HOA audits. We’re an easygoing group that values in-office camaraderie, with the remote infrastructure to support auditors across the US. We’re seeking an experienced Audit Senior who has audited Common Interest Realty Associations (CIRAs): homeowner associations...Full timeWork at officeRemote work$92.82k - $109.2k
...DescriptionThe Corporate Audit Services (CAS) Senior Auditor role will work with limited oversight to... ...include the following:Healthcare (medical, dental, vision)Basic term and optional... ...policies and procedures including the Code of Ethics and Business Conduct and related...Full timeWork at officeLocal area3 days per week
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