Medical Record Auditor
Healthcare Support Staffing
With a 16-year tradition of excellence. A single source provider of world-class technology products and services for the healthcare industry. We are at the forefront of delivering cutting-edge, scalable technologies and solutions that respond to and anticipate the market's needs while providing sustainable value to our customers. Healthcare is our only business, giving us an unparalleled understanding of the volatile healthcare landscape. We take great pride in maintaining the highest levels of client satisfaction for the hundreds of U.S. hospitals and healthcare providers we serve. Our innovative products and services empower our customers to do what they do best – deliver outstanding patient care. Job Description Associate would be in charge of conducting Medical Records reviews to identify HCCs (short-term insurance) that still haven't been 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 guidelines and medical documentation requirements. Responsible for serving as final auditing arbiter regarding the Sr. Risk & Recovery’s Retrospective Risk Adjustment (RA) Coding Team and responsible for the identification of training opportunities for our internal and external stakeholders related to CMS guidelines, HCC best practices and medical record documentation requirements. Essential Functions: Collects and analyzes data to formulate recommendations and solutions based on audit trends and results. Provides regular feedback to Sr. Risk & Recovery leadership on performance improvement opportunities as a result of performance gaps. Acts as a subject matter expert to internal and external stakeholders in the area of CMS requirements and HCC best practices. Participates in and represents the department in business leadership groups, including external professional groups specializing in coding and provider education. Assists the business with research and documentation of workflows and policies and procedures. Qualifications Must have Bachelor’s Degree in Health Sciences, Health Management, Nursing; or any combination of EDU/experience CPC or CPMA (Medical Auditing Certification) from accredited source (American Health Information Management Association, American Academy of Professional Coders, or Practice Management Institute) At least 5 years of experience relevant to ICD-9 coding or medical record audit experience in a consultative role Experience developing educational materials and delivering trainings related to ICD-9 coding Additional Information Advantages of this Opportunity: Competitive salary, negotiable based on relevant experience Benefits offered, Medical, Dental, and Vision Fun and positive work environment Monday through Friday 8am-5pm #J-18808-Ljbffr Healthcare Support Staffing
$116.72k - $175k
DescriptionClinical Revenue Auditor-CDM Patient Financial Services-Corporate-Full-Time-Days... ...the gap between clinical care and medical billing and reimbursement. This position... ...billing software and electronic medical records. Must have experience working with Epic.Knowledge...SuggestedFull timeTraineeshipLocal area$46.99k - $122.4k
...health care one person, one family and one community at a time. Position Summary The Program Integrity Auditor is responsible for the review of records for medical, behavioral, transportation, and other healthcare providers. The Auditor must have the ability to determine...SuggestedHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hoursNACBA
New York, NY1 day ago$38.46 - $52.4 per hour
...outcomes. Health systems, hospitals and medical clinics are under immense pressure to... ...create your future. The Inpatient Coding Auditor will be responsible for the auditing of... ...guidelines Navigates the patient health record and other computer systems/sources to...SuggestedHourly payPermanent employmentFull timeWork at officeLocal areaImmediate startRemote workFlexible hoursDay shiftHuron Consulting Group
New York, NY3 days ago- ...quality audits and reviews on a variety of facility outpatient records, including but not limited to Same Day Surgery, Observations, ED... ...staff. Extract clinical information from a variety of medical records and assign appropriate procedural terminology and medical...SuggestedReliefRemote workWork from homeHome office
UASI
New York, NY3 days ago - ...Auditor Employment Type: Full-Time, Mid-Level Department: Financial CGS is seeking... ...a large volume of data such as bank records, financial records, healthcare claims, tax... ...Experience reviewing and understanding medical records and knowledge of medical billing...SuggestedFull timeWork experience placementInterim roleWork at officeLocal areaRemote workFlexible hours
Contact Government Services LLC
New York, NY1 day ago $100k - $102.5k
...solutions. The Outpatient Payment Integrity Coder Auditor is responsible for reviewing outpatient medical claims to ensure coding accuracy, compliance, and appropriate... ..., NCCI, and payer-specific rules. Evaluate medical record documentation to ensure services are coded, billed,...Remote work$90k - $115k
...nursing degree or equivalent, with at least two years of inpatient claims auditing experience. Responsibilities include auditing medical records, providing clinical support, and ensuring compliance with regulations. The job offers a competitive salary between $90,000 and...Remote jobFlexible hours- The Hispanic Alliance for Career Enhancement is hiring a Program Integrity Auditor in New York, NY. This full-time position involves auditing medical records for compliance with coding standards, identifying billing patterns, and ensuring adherence to regulatory requirements...Full time
$45.67 per hour
Auditor Clinical Validation Outpatient Specialty Clinical Job Locations US-Remote ID 2... ...focus on clinical review, coding accuracy, medical necessity, and the appropriateness of... ...independently, reviews and interprets medical records and applies in-depth knowledge of coding...Hourly payFull timeContract workWork at officeImmediate startRemote work$70k - $79k
...centered care. The system is anchored by Maimonides Medical Center, one of the nation’s largest independent teaching... ...currently seeking a Professional Coding and Billing Auditor to conduct regular audits of medical records and coding assignments to ensure compliance with...$46.99k - $122.4k
The Hispanic Alliance for Career Enhancement is seeking a Program Integrity Auditor based in New Jersey. This role involves auditing medical records to ensure coding accuracy and compliance with standards. The ideal candidate will have 3-5 years of experience in claims...Full time$31.25 - $38.46 per hour
...time). Responsibilities Analyzes and Audits Claims. Integrates medical chart coding principles, clinical guidelines and objectivity in... ...to substantiate conclusions. This review may include medical record review and/or episode of care reviews. Performs work independently...Hourly payWork at office- Phoebe Putney Health Systems, Inc. is seeking a skilled coder auditor to review medical record documentation and assign ICD-10-CM/PCS and HCPCS codes for billing and reporting. The role ensures compliance with Official Coding Guidelines and payer regulations. The position...
$55.1k - $99k
About the job Clinical Coding Auditor & Trainer We are looking for a Clinical Coding Auditor & Trainer position is primarily remote... ...auditing programs for the Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. Responsibilities: Conducts auditing...Full timePart timeWork at officeRemote workFlexible hours- A healthcare recruitment agency is seeking a Clinical Coding Auditor & Trainer for a primarily remote role, requiring travel to New... ...quality auditing for the Diagnosis Related Group and Medical Record Audit Programs. A nursing degree and various licenses are required...Remote job
- ...individual to safeguard revenue and reputation through auditing and compliance activities. Responsibilities include conducting medical record audits, developing formal reports for senior management, and coordinating education sessions for over 500 health professionals....
$55.1k - $99k
...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- ...SIU Clinical Investigator to detect and audit aberrant billing patterns in claims and clinical documentation. You will review medical records to ensure alignment with guidelines and regulations, and identify schemes such as upcoding or unbundling. As a clinical SME, you...Remote jobWork at office
$85k - $90k
...health insurance, a 401(k) plan with employer match, paid parental leave, and more. The Nurse Coder DRG Auditor’s primary responsibility is to review medical records and associated claim information to validate accuracy of DRG assignments and/or medical necessity for inpatient...Work at office- ...Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical....Remote work
- Trend Health Partners is seeking a Nurse Coding Auditor to review medical records and itemized bills for accurate CPT/HCPCS/revenue code usage on hospital claims. The role emphasizes CMS guideline adherence, documentation review, and audit accuracy in a dynamic, tech-enabled...
- ...Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit, ensuring... ...CPT/HCPCS, ICD-10, CMS 1500 and UB04 standards. You will audit records, document findings and discuss cases with investigators, regulators...
- A healthcare service provider in New York seeks a Medical Auditing Associate to conduct Medical Records reviews and evaluations ensuring compliance with CMS guidelines. This role requires a Bachelor’s degree, relevant certification, and at least 5 years of coding or auditing...Full timeMonday to Friday
- Planned Parenthood of Greater New York (PPGNY) is seeking a Senior Coding & Billing Specialist to audit outpatient coding and education, ensuring compliant documentation for optimal reimbursement. The role requires NY Medicaid knowledge, CPT/ICD-10-CM expertise, and Epic...
$78k - $124.75k
...relations; reporting; training and professional development; and key internal capabilities and technologies.About the Role This Senior Auditor role supports the Internal Audit Group’s assurance coverage for Data Science, Model Risk, and Gen AI. The colleague will contribute...InternshipWorldwide$92.82k - $109.2k
...Time Payments, FedNow etc.The CAS Senior Auditor is primarily responsible for assisting in... ...benefits include the following:Healthcare (medical, dental, vision)Basic term and optional... ...qualified applicants with arrest or conviction records for employment. U.S. Bank conducts...Work at officeLocal area3 days per week- ...York, United StatesCompany: HumanaPosted: 2026-08-17A leading health services company is seeking an experienced Inpatient Medical Coding Auditor to perform coding audits and ensure accurate provider reimbursements. This remote position requires certifications such as...Work at officeRemote workFlexible hours
$98.35k - $115.7k
...DescriptionThe Corporate Audit Services Senior Auditor (Corporate Treasury) is primarily... ...benefits include the following:Healthcare (medical, dental, vision)Basic term and optional term... ...applicants with arrest or conviction records for employment. U.S. Bank conducts background...Full timeWork at officeLocal area3 days per week- ...of Massachusetts. We desire a corporate excise (income-based) auditor to enhance our audit coverage in New York and surrounding areas... ...overnight travel is required.Analyzing and interpreting financial records of taxpayers to ascertain business functions and their...Work experience placementWork at officeWork from homeNight shift
$92.82k - $109.2k
...supporting control environment.The CAS Senior Auditor works closely with internal and external... ...include the following:Healthcare (medical, dental, vision)Basic term and optional term... ...qualified applicants with arrest or conviction records for employment. U.S. Bank conducts...Full timeWork experience placementWork at officeLocal area3 days per week
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