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Cms Focus Auditor Jobs (NOW HIRING)

Maintain currency on CMS Medicaid managed care enrollment guidelines, applicable state Medicaid ... and ability to adjust focus. * Work across multiple time zones in a hybrid or remote work ...

Maintain currency on CMS Medicaid managed care enrollment guidelines, applicable state Medicaid ... and ability to adjust focus. * Work across multiple time zones in a hybrid or remote work ...

Maintain currency on CMS Medicaid managed care enrollment guidelines, applicable state Medicaid ... and ability to adjust focus. * Work across multiple time zones in a hybrid or remote work ...

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Hospital Coding Auditor

Brentwood, TN Β· Remote

$25.75 - $29.25/hr

With a focus on people and investments in innovative services and technologies, Ardent is ... Utilizes audit tools, authoritative references, CMS/CPT guidelines, and statistical analyses ...

Hospital Coding Auditor

Brentwood, TN Β· On-site

$25.75 - $29.25/hr

With a focus on people and investments in innovative services and technologies, Ardent is ... Utilizes audit tools, authoritative references, CMS/CPT guidelines, and statistical analyses ...

Hospital Coding Auditor

Brentwood, TN Β· Remote

$25.75 - $29.25/hr

With a focus on people and investments in innovative services and technologies, Ardent is ... Utilizes audit tools, authoritative references, CMS/CPT guidelines, and statistical analyses ...

Hospital Coding Auditor

Brentwood, TN Β· On-site

$25.75 - $29.25/hr

With a focus on people and investments in innovative services and technologies, Ardent is ... Utilizes audit tools, authoritative references, CMS/CPT guidelines, and statistical analyses ...

$20 - $22.75/hr

With a focus on people and investments in innovative services and technologies, Ardent is ... Utilizes audit tools, authoritative references, CMS/CPT guidelines, and statistical analyses ...

Maintain currency on CMS and state Medicaid managed care claims processing rules, including ... and ability to adjust focus. * Work across multiple time zones in a hybrid or remote work ...

Overview This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient ... Adherence to official coding guidelines, coding clinic determinations and CMS and other regulatory ...

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Cms Focus Auditor information

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$41.5K

$78.2K

$125K

How much do cms focus auditor jobs pay per year?

As of Sep 13, 2026, the average yearly pay for cms focus auditor in the United States is $78,163.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,500.00 and $89,500.00 per year, depending on experience, location, and employer.

What are popular job titles related to Cms Focus Auditor jobs?

For Cms Focus Auditor jobs, the most frequently searched job titles are:

Infographic showing various Cms Focus Auditor job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 18% Part Time, and 6% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $78,163 per year, or $37.6 per hour.

Outpatient Coding Auditor - Surgical Specialty

Gulfport, FL β€’ On-site

$26 - $29.50/hr

Full-time

Re-posted 8 days ago


Job description

Description:

 Sage Clinical RCM, LLC is seeking an experienced Outpatient Coding Auditor with a strong background in surgical coding. This role is responsible for auditing outpatient surgical encounters to ensure accurate code assignment, compliance with regulatory guidelines, and adherence to payer and client requirements. The ideal candidate has hands-on experience auditing complex outpatient surgical cases and providing clear, constructive feedback to coding staff.  


Key Responsibilities 

  • Perform audits of outpatient surgical encounters, including operative reports and related documentation 
  • Validate accurate assignment of CPT, ICD-10-CM, modifiers, and applicable APCs 
  • Ensure compliance with CMS, payer, and official coding guidelines 
  • Identify trends, risks, and educational opportunities based on audit findings 
  • Provide written audit feedback and coding education to support quality improvement 
  • Collaborate with coding leadership and quality teams to address identified issues 
  • Maintain required productivity, accuracy, and turnaround standards 
Requirements:

  Required Qualifications 

  • 3+ years of outpatient coding audit experience with a focus on surgical specialties 
  • Strong knowledge of CPT (Surgery section), ICD-10-CM, and modifier usage 
  • Experience auditing operative reports and post-operative documentation 
  • Familiarity with CMS guidelines, NCCI edits, and payer-specific rules 
  • Ability to clearly document audit findings and recommendations 
  • High attention to detail and strong analytical skills 

Preferred 

  • Experience auditing high-volume surgical specialties such as orthopedics, general surgery, ENT, GI, or OB/GYN 
  • Prior experience supporting internal or external audits, quality initiatives, or education programs 
  • Familiarity with Epic, 3M, Optum, TruCode, or similar coding tools 
  • CPC, CCS, or equivalent credential (active and in good standing)