HCC Coding Auditor
The Judge Group, LLC
HCC Auditor (Humana Experience Required) – Contract (3–6 Months) We are seeking experienced HCC Auditors with Humana experience to support a HCC coding project. This contract assignment will run approximately 3–6 months with full‑time hours (minimum 40 hours per week). Role Overview The Auditor Specialist will perform quality assurance reviews on coded medical charts according to client‑specific guidelines. This role requires strong accuracy, adaptability, and the ability to work independently in a fast‑paced remote environment. Key Responsibilities Audit coded charts assigned by the Quality Supervisor following client‑specific guidelines Navigate multiple client guideline sets with minimal difficulty Maintain 95%+ accuracy at the diagnosis level Respond to rebuttals submitted by coders or auditors Participate in weekly project review meetings Complete additional tasks as assigned by the Quality Project Manager Required Qualifications Humana experience is required High school diploma or GED AHIMA credentials (RHIA, RHIT, CCS) or AAPC credentials (CPC, CPC‑H, COC, CIC, CRC) 5+ years of medical coding experience Strong knowledge of ICD‑9/10 and HCC coding Solid understanding of medical terminology, abbreviations, pharmacology, and disease processes Ability to maintain high quality in a fast‑paced production environment Strong written and verbal communication skills Ability to work independently and meet deadlines Comfortable working on multiple client projects Proficient with computer systems and secure data processing
- ...ourselves on stability and long-term success. Responsibilities Perform coding quality audits and reviews on a variety of facility outpatient... ...facility outpatient audits. Experience in ICD-10-CM, CPT, HCC, and procedural/surgical coding. Experience with trauma activation...SuggestedReliefRemote workWork from homeHome office
- ...Position Title: Inpatient Coding Auditor Department: HIM Coders Remote Eligibility: Candidates must reside and work full-time in Arkansas, Kansas, Missouri, Oklahoma, or Texas before their first day of employment. This position may be filled as Levels I, II, or III, depending...SuggestedFull timeImmediate startRemote work
- ...stability we’ve built and the long‑term success of our dedicated team. We are currently seeking an experienced facility inpatient Coding Auditor to join our team on a full‑time basis. The Coding Auditor will perform inpatient coding audits and review services to client...SuggestedFull timeFor contractorsRemote workWork from homeHome officeFlexible hours
- ...POSITION SUMMARY The HIM Coding Auditor is responsible for supporting the HIM Division by conducting internal and external coding related audits. This position will perform client-based coding quality audits and post assessments (quality control audits). The Auditor serves...SuggestedRemote work
- ...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...SuggestedRemote work
- ...Inpatient Medical Coding Auditor – PPI Coding Disputes Reports to the manager and reviews DRG, ICD-10-CM, and PCS coding assignments for accuracy within the coding disputes team. The auditor consults and collaborates with coding professionals across departments to ensure...Bi-weekly payWork at officeRemote workWork from homeHome officeMonday to Friday
- ...A leading medical center in New York seeks a Compliance Specialist to oversee billing, coding, and compliance audits. The ideal candidate will have a bachelor's degree and at least 5 years of experience in a hospital setting. Key responsibilities include participating...
- ...A healthcare provider is seeking a Compliance Auditor to safeguard revenue and reputation through various audit activities and compliance... ...a Bachelor's degree and 5+ years of experience in billing, coding, and documentation within a hospital setting. This position is...
$46.99k - $122.4k
...one community at a time. Position Summary The Program Integrity Auditor is responsible for the review of records for medical,... ...providers. The Auditor must have the ability to determine correct coding and appropriate documentation during the review of medical records...Hourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours- ...healthcare organization in New York seeks an experienced Compliance Auditor to enhance revenue protection and compliance through government... ...education sessions for 500+ staff, and ensuring adherence to coding regulations. Applicants should have a Bachelor's Degree and...Full time
- ...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 Guidelines...For contractorsWork at officeLocal area
$81.6k - $102k
...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...For contractorsWork at officeLocal areaShift work- ...COMPLIANCE AUDITOR page is loaded## COMPLIANCE AUDITORremote type: On-sitelocations: NY Brooklyn / Prospect Place - 3rd Floortime type... ...the industry's rules, guidelines, and regulations.* Billing and Coding experience, preferred.* Strong attention to detail, analytical,...Local area
- ...The Compliance Auditor will support the compliance functions at SJ/C. The auditor is expected to conduct independent compliance audits... ...on audit results and provides education related to billing and coding as well as other compliance requirements. Works with all employees...Work experience placement
$45.67 per hour
Auditor Clinical Validation Outpatient Specialty Clinical Job Locations US-Remote ID 2026-18743 Category Audit - Healthcare Position... ...Type Full-Time Overview This auditing role will focus on Coding & Clinical Chart Validation for our Outpatient and Specialty...Hourly payFull timeContract workWork at officeImmediate startRemote work$96k - $144k
...Clinical Revenue Auditor Job ID: 251399 Client: Health System Location: New York, NY 10017 Schedule: Regular Business Hours... ...with experience in auditing, revenue cycle operations, medical coding, charge capture, or revenue integrity. Candidates with RN...Remote work3 days per week$85k - $90k
...employer match, paid parental leave, and more. The Nurse Coder DRG Auditor’s primary responsibility is to review medical records and... ...medical necessity for inpatient level of care. This role will apply coding and clinical principles based on industry standards and company...Work at officeRemote work$100k - $102.5k
...are a leading authority in payment integrity solutions. The Outpatient Payment Integrity Coder Auditor is responsible for reviewing outpatient medical claims to ensure coding accuracy, compliance, and appropriate payment in accordance with CMS and payer-specific guidelines...Remote work- Oscar Health is hiring a remote Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This role involves conducting internal and external quality audits specific to ICD-10 code accuracy. The ideal candidate will have experience in risk adjustment coding...Remote job
- ...Clinical Revenue Auditor-CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid The Clinical Revenue Auditor for the Mount... ...and procedures provided to patients are accurately documented, coded, and submitted for payment. This position plays a key role in ensuring...Full timeLocal area
$70k - $80k
Diagnosis Related Group (DRG) Auditor III Join to apply for the Diagnosis Related Group (DRG) Auditor III role at EXL Health Diagnosis... ...is it! What You’ll Do: Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment and reimbursement....Full timeWork experience placementReliefRemote workWork from homeHome officeRelocation package- To support the revenue cycle operations, the full-time California Licensed Outpatient Auditor will be responsible for reviewing, auditing, and remediating coding compliance while training staff and ensuring data integrity in a remote setting. Key responsibilities Conduct...Full timeRemote work
- A health insurance company is seeking a Senior Specialist, Coding Auditor to join their Payment Integrity team. This remote position involves supporting issue resolution, ensuring claims repayment quality, and assisting in root cause analysis. Candidates should have 1+...Remote job
$82k - $96k
AHIMA is seeking a Senior Inpatient Auditor to join their Payment Integrity team. This remote role requires expertise in MS-DRG and APR-DRG coding, with responsibilities including conducting coding reviews and preparing audit findings. With a salary range of $82,000 to...Remote job- ...Medical Billing Auditor Our client is seeking a detail-oriented, analytically strong Medical Billing Auditor to join our revenue cycle... ...The ideal candidate will audit and review medical billing and coding practices, ensure compliance with payer and regulatory...Local area
- A healthcare provider in Georgia is seeking a Compliance Auditor to conduct independent compliance audits within the revenue cycle. Responsibilities... ...experience, strong communication skills, and knowledge of coding regulations. Benefits include wellness programs and various...
$90k - $110k
## Senior Auditor, TechnologyApplylocations: New York, NY: Chicago, ILtime type: Full timeposted on: Posted Todaytime left to apply: End... ...-based assessment and other skills tests (such as simulation, coding, MS Office). Our goal for the application process is to get to...Remote work2 days per week$60k - $80k
TalentLNX LLC is seeking a Coding and Billing Auditor to support provider-side revenue cycle operations in a fully remote environment. This role requires reviewing medical records and validating coding accuracy. The ideal candidate should have a minimum of 5 years of coding...Remote job- ...Radiological Technologist and related professions). Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Healthcare Auditor (CHA) can be beneficial. Compensation: $96,000 - $1...
- Datavant is seeking a Professional Auditing Specialist to perform coding audits and ensure compliance in healthcare. This fully remote position requires over 5 years of coding experience, strong organizational skills, and CPC certification. The role involves educating...Remote job
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