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Coding Auditor Jobs in Michigan (NOW HIRING)

The Pro Fee Coding Specialist reviews documentation and reviews, adds or corrects diagnosis and procedure codes that have been submitted by the provider. This role utilizes coding knowledge learned ...

Coding Leader

Farmington, MI · On-site

$22.50 - $29.75/hr

This individual will serve as a subject matter expert in clinical coding and/or revenue integrity/charge capture, leading assessments and initiatives that drive compliance, accuracy, and revenue ...

Medical Coder Outpatient

Ann Arbor, MI · On-site

$18.25 - $24.50/hr

Maintain up-to-date knowledge of coding guidelines, regulations, and industry best practices. * Assist in auditing and reviewing patient records for accuracy and compliance. * Ensure prompt and ...

Billing & Coding Specialist

Auburn Hills, MI · On-site

$17.75 - $22.75/hr

Easterseals MORC is hiring for a Billing and Coding Specialist to help make a difference and become part of something bigger than yourself! We are looking for Game Changers! The types of people who ...

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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 Jun 16, 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 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.

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:
Senior Corporate Auditor

$83K - $103K/yr

Other

Posted 4 days ago


Blue Cross Blue Shield of Michigan rating

7.8

Company rating: 7.8 out of 10

Based on 28 frontline employees who took The Breakroom Quiz

164th of 261 rated insurance


Job description

Functions as a highly skilled internal control consultant responsible for conducting audits/reviews of business processes, business units, vendors, suppliers or Par Plans, and/or providing risk education and consulting services on behalf of the corporation to mitigate risk and assess the control environment of each audit unit. Provides guidance and training for audit team.

  • Conduct internal audits and reviews to identify risks, document established controls to mitigate risk and assess the control environment of each auditable unit.
  • Communicate issues, audit results, and recommendations in a clear and concise manner to appropriate levels of operating and executive management, including activity updates to the Audit Committee of the Board of Directors. 
  • Assist in the development of the annual audit plan through risk universe identification.
  • Facilitate project risk assessments and lessons learned sessions. Conduct management action planning workshops to discuss business risks, prioritize control issues and develop corrective action plans.
  • Develop, maintain and report against a work plan, as work progresses, given scope and objectives. Prepare complete and accurate audit workpapers in a timely manner.
  • Identify, develop and advocate for improvements to audit methodologies, policies, and procedures to incorporate lessons learned.
  • Participate in divisional or departmental infrastructure projects as assigned.
  • Train and educate BCBSM employees and management about risk, internal controls and encourage change that promotes an effective and efficient control environment.
  • Educate BCBSM project staff in BCBSM's business risk management standards, and, train the project staff in business risk management responsibilities and the implementation and application of a project risk control process.

QUALIFICATIONS

  • Bachelor's Degree in Accounting, Business Administration, Finance, Management Information Systems, Healthcare Administration or closely related field required. 
  • Six years related experience, including three years of conducting audits and reviews to evaluate compliance with policies and procedures, contracts and benefits, laws and regulations, reliability and integrity of financial data, safeguarding of assets, effectiveness and efficiency of operations, and accomplishments of goals and objectives required.
  • Professional Audit Certifications CCSA, CFE, CIA, CISA, CMA, or CPA are required.
  • Prior BCBSM experience is preferred.
  • Advanced analytical and critical thinking skills, as is necessary to identify datasets/sources that are relevant to the audit. 
  • Advanced oral communication skills, including presentations, as is necessary to effectively communicate audit information to financial and non-financial individuals, including senior levels. 
  • Strong written communication skills, including the proven ability to tell a relevant business story using data and visualizations
  • Intermediate problem-solving ability, as necessary to solve problems in a dynamic team environment and handle multiple assignments in a timely manner. 
  • Advanced conflict management skills.
  • Advanced proficiency using Microsoft Word, Excel and Project.
  • Intermediate proficiency in use of audit software tools (i.e., automated work papers, ACL, Tableau, etc.).
  • Strong interpersonal skills to effectively interface with various levels of management as well as contacts outside the organization. 
  • Knowledge of project audit methodologies, risk management and project management techniques to detect and resolve complex multidisciplinary issues.
  • Demonstrate high standards of conduct and ethics as well as appropriate judgment, independence and discretion as required by the IIA Standard of Professional Practice of Internal Auditing and Code of Ethics.
  • Ability to travel to vendor locations to meet with operational and audit personnel.

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