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Coding Auditor Jobs in Michigan (NOW HIRING)

Coding Auditor Senior Facility

Shelby, MI · On-site

$24 - $27.50/hr

... coding and billing, MS-DRG or APC assignment, and OPPS reimbursement methodology and shares knowledge with colleagues and clinical team members. Senior Auditor will support the Clinical Validation ...

Required Skills: 1) Healthcare Claims Auditing. 2) Helathcare Coding methods. Qualifications Required Skills: 1) Healthcare Claims Auditing. 2) Helathcare Coding methods. Additional Information All ...

... and code of ethics (developed by the Institute of Internal Auditors, the Information Systems Audit and Control Association and the Project Management Institute) statistical theory and application ...

Premium Auditor

Alpena, MI · On-site

$43K - $53K/yr

Join Davies Risk Services as a Premium Auditor -- No Experience Required! Are you a self-starter ... Verifying class codes based on business operations 📹 Watch our Premium Audit Overview: What We ...

Premium Auditor

Cadillac, MI · On-site

$43K - $52K/yr

Join Davies Risk Services as a Premium Auditor -- No Experience Required! Are you a self-starter ... Verifying class codes based on business operations 📹 Watch our Premium Audit Overview: What We ...

Premium Auditor

Coldwater, MI · On-site

$46K - $57K/yr

Join Davies Risk Services as a Premium Auditor -- No Experience Required! Are you a self-starter ... Verifying class codes based on business operations 📹 Watch our Premium Audit Overview: What We ...

Premium Auditor

Coldwater, MI · On-site

$46K - $57K/yr

Our auditors come from various backgrounds - bookkeeping, restaurant service, bartenders, stay-at ... Verifying class codes based on business operations 📹 Watch our Premium Audit Overview: What We ...

Premium Auditor

Alpena, MI · On-site

$43K - $53K/yr

Join Davies Risk Services as a Premium Auditor - No Experience Required! Are you a self-starter who ... Verifying class codes based on business operations 📹 Watch our Premium Audit Overview: What We ...

The Compliance Auditor will provide ongoing monitoring of audit results and, if required ... Compliance with Centria's Code of Conduct, policies and procedures, and Federal and State laws.

The Compliance Auditor will provide ongoing monitoring of audit results and, if required ... Compliance with Centria's Code of Conduct, policies and procedures, and Federal and State laws.

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Coding Auditor information

See Michigan salary details

$18

$25

$32

How much do coding auditor jobs pay per hour?

As of Jul 6, 2026, the average hourly pay for coding auditor in Michigan is $25.37, according to ZipRecruiter salary data. Most workers in this role earn between $22.84 and $25.96 per hour, depending on experience, location, and employer.

What are some common challenges faced by Coding Auditors in ensuring accurate medical coding compliance?

Coding Auditors often encounter challenges such as staying updated with frequently changing coding guidelines, identifying inconsistencies in documentation, and ensuring that codes reflect the full scope of patient care provided. They also need to balance productivity expectations with the thoroughness required for effective audits. Collaboration with coding teams and healthcare providers is essential to clarify ambiguities and promote ongoing education, which helps maintain compliance and reduce the risk of costly errors.

What does a coding auditor do?

A coding auditor reviews medical or insurance coding to ensure accuracy and compliance with regulations. They analyze documentation, identify errors or discrepancies, and may use coding software or guidelines to verify correct code assignment, supporting proper billing and reimbursement.

Is becoming a CPC worth it?

A Certified Professional Coder (CPC) credential can enhance job prospects for coding auditors by demonstrating coding proficiency and knowledge of medical billing standards. It is often valued by employers and may lead to higher salaries, but the overall worth depends on individual career goals and the demand in the healthcare coding field.

What is a Coding Auditor?

A Coding Auditor is a healthcare professional responsible for reviewing medical records and coding data to ensure accuracy, compliance with regulations, and proper billing practices. They verify that diagnostic and procedural codes used for billing are correct and align with medical documentation. Coding Auditors help healthcare organizations minimize errors, prevent fraud, and maximize reimbursement by conducting regular audits and recommending process improvements. Their work is crucial for maintaining the integrity of medical coding and supporting financial health in the medical industry.

What Is a Coding Auditor?

A coding auditor reviews and evaluates medical coding to ensure the accuracy of patient records and billing. As a coding auditor, your job duties include inspecting medical coding documents for errors, correcting mistakes, reporting repeated errors to management, conducting inquiries into departments that output a significant number of coding mistakes, and providing training and education to medical coding clerks. You need extensive knowledge of ICD-9 and CPT codes to make sure that the medical coding documents you review are accurate and that patients receive accurate bills for their medical services.

What are the key skills and qualifications needed to thrive as a Coding Auditor, and why are they important?

To thrive as a Coding Auditor, you need a strong understanding of medical coding systems (such as ICD-10, CPT, and HCPCS), healthcare compliance, and auditing principles, usually supported by a relevant degree and certifications like CCS, CPC, or RHIA. Familiarity with electronic health record (EHR) systems, coding software, and auditing tools is typically required. Attention to detail, analytical thinking, and effective communication are vital soft skills for identifying discrepancies and collaborating with healthcare teams. These skills ensure accurate billing, regulatory compliance, and financial integrity in healthcare organizations.

Will a medical coder be replaced by AI?

Medical coders perform complex tasks that require understanding medical terminology, documentation, and coding guidelines, which makes full automation challenging. While AI and automation tools can assist with routine coding tasks, human oversight remains essential to ensure accuracy and compliance, so complete replacement is unlikely in the near term.

How to become a coding auditor?

To become a coding auditor, typically one needs a background in medical coding, health information management, or related fields, along with certification such as the Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Gaining experience in medical coding and understanding healthcare regulations is essential, and proficiency with coding software and auditing tools is often required.

What is the difference between Coding Auditor vs Medical Coder?

AspectCoding AuditorMedical Coder
CertificationsAHIMA or AAPC certifications, such as CCS or CPC-AAHIMA or AAPC certifications, such as CPC or CCS
Work EnvironmentHealthcare facilities, insurance companies, or consulting firmsHospitals, clinics, physician offices, or outpatient facilities
Primary ResponsibilitiesReview and ensure coding accuracy, compliance, and documentation qualityAssign medical codes based on patient records for billing and documentation
Industry UsageUsed in healthcare compliance and auditing departmentsUsed in medical billing and coding departments

While both Coding Auditors and Medical Coders work with medical codes and require similar certifications, Coding Auditors focus on reviewing and verifying coding accuracy and compliance, whereas Medical Coders are responsible for assigning the correct codes to patient records. Their roles often overlap but serve different functions within healthcare organizations.

What are popular job titles related to Coding Auditor jobs in MI? For Coding Auditor jobs in MI, the most frequently searched job titles are:
Coding Auditor Senior Facility

Coding Auditor Senior Facility

McLaren Health Care Corporation

Shelby, MI • On-site

$24 - $27.50/hr

Full-time

Posted 18 days ago


McLaren Health Care rating

6.7

Company rating: 6.7 out of 10

Based on 211 frontline employees who took The Breakroom Quiz

522nd of 877 rated healthcare providers


Job description

Position Summary: Responsible for working with and providing on-going coding and documentation education (quarterly, annually and ad-hock) for physicians, coders, ancillary department staff, clinical documentation improvement (CDI), and other allied health professionals to improve documentation of patient care and to appropriately assign codes and/or determine charges to support those services.
Essential Functions and Responsibilities As Assigned:
1. Completes quality assurance audits on inpatient and outpatient coding specialists, onboarding audits and training of newly hired coding specialists, validating the coding specialist is accurately abstracting data into medical record systems, following coding guidelines and directives.
2. Validates Present on Admission (POA) indicators according to guidelines and identifies any missing or inappropriate queries to providers.
3. Uses payment methodology to audit outpatient and/or inpatient facility coding and billing, MS-DRG or APC assignment, and OPPS reimbursement methodology and shares knowledge with colleagues and clinical team members. Senior Auditor will support the Clinical Validation Initiatives with identifying cases for review and resolution, developing guides for the Clinical Validation Guidebook in partnership with CDI for each identified complication or disease during the Clinical Validation Meetings.
4. Serves as an advisor and support to the Auditor.
5. Performs retrospective, random, and focused audits of coding cases to ensure accurate code application and overall coding quality.
6. Performs periodic and ongoing pre-bill compliance audits to ensure accurate code assignment, application of coding guidelines, and compliance with external regulatory and accreditation requirements.
Qualifications:
Required:
• High School diploma
• 5 years of coding experience
• Certified in at least one of the following:
o AHIMA Certification (such as: RHIA, RHIT, CCS)
o AAPC (such as: CPC, CCC, COC, CIC, CHONC, etc.)
o AMAC Certification such as: ROCC (radiation Oncology Certified Coder)
• 3 years' experience conducting medical coding audits and quality performance measures.
Preferred:
• Associate degree in HIT, Applied Science, Liberal Arts or other related healthcare field
• AAPC Specialty Certification (such as: CIRCC, CPMA)

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