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Coding Auditor Jobs in Tennessee (NOW HIRING)

Parallon

DRG Validation Auditor

Nashville, TN · On-site

Candidates must have a background in Facility Inpatient Coding and DRG Validation. Job Summary and Qualifications As a work from home Inpatient Coding Auditor, you will be responsible for performing ...

Parallon

DRG Validation Auditor

Murfreesboro, TN · On-site

Candidates must have a background in Facility Inpatient Coding and DRG Validation. Job Summary and Qualifications As a work from home Inpatient Coding Auditor, you will be responsible for performing ...

Parallon

DRG Validation Auditor

Franklin, TN · On-site

Candidates must have a background in Facility Inpatient Coding and DRG Validation. Job Summary and Qualifications As a work from home Inpatient Coding Auditor, you will be responsible for performing ...

Parallon

DRG Validation Auditor

Lebanon, TN · On-site

Candidates must have a background in Facility Inpatient Coding and DRG Validation. Job Summary and Qualifications As a work from home Inpatient Coding Auditor, you will be responsible for performing ...

Parallon

Inpatient Coding Quality Reviewer

Franklin, TN · On-site

As an Inpatient Coding Auditor with Parallon you can be a part of an organization that is devoted to giving back! Job Summary and Qualifications As a work from home Inpatient Coding Auditor, you will ...

Parallon

Inpatient Coding Quality Reviewer

Lebanon, TN · On-site

As an Inpatient Coding Auditor with Parallon you can be a part of an organization that is devoted to giving back! Job Summary and Qualifications As a work from home Inpatient Coding Auditor, you will ...

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Coding Auditor information

See Tennessee salary details

$18

$26

$33

How much do coding auditor jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for coding auditor in Tennessee is $26.42, according to ZipRecruiter salary data. Most workers in this role earn between $23.80 and $27.07 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.

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Coding Auditor jobs near you
Infographic showing various Coding Auditor job openings in Tennessee as of July 2026, with employment types broken down into 79% Full Time, 7% Part Time, 1% Temporary, and 13% Contract. Highlights an 80% Physical, 4% Hybrid, and 16% Remote job distribution, with an average salary of $54,959 per year, or $26.4 per hour.

Coding and Medical Records Auditor

American Health Partners

Franklin, TN • On-site

Other

Posted 26 days ago

Job description

JOB SUMMARY:
TruHealth is the clinical arm of the health plan and supplies the model of care. The Coding and Medical Records Auditor will be
responsible for conducting coding audits prior to claims submission. This position will ensure appropriate and accurate coding is
applied for each member of the plan. Additionally, post-payment coding reviews may be performed with coding education
correspondence sent to providers
The Coding and Medical Records Auditor will be responsible for conducting coding audits prior to claims submission. This position will ensure appropriate and accurate coding is applied for each member of the plan. Additionally, post-payment coding reviews may be performed with coding education correspondence sent to providers.
ESSENTIAL JOB DUTIES:
To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation.
  • Review claims prior to billing to provide a proactive level of accuracy.
  • Assess trends; communicate appropriate education both individually to staff and collectively as an organization.
  • Review medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries as needed to verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
  • Conduct pre-claim and post-claim coding audits to ensure accurate claims’ denials.
  • Work closely with delegated claim processor to ensure errors are reviewed and corrected prior to final payment.
  • Assist with validation audits to evaluate medical record documentation to ensure coding accurately reflects and supports relevant coding based on the ICD-10 code submitted to CMS and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC) conditions applicable to Medicare Risk Adjustment reimbursement initiatives.
  • Work assigned coding projects to completion.
  • Provide a high level of customer service to internal and external customers by consistently meeting and/or exceeding expectations including but not limited to quality and productivity.
  • Escalate appropriate coding audit issues to management as required and follow departmental/organizational policies and procedures.
  • Maintain required levels of production and quality standards as established by management.
  • Work directly with provider representatives and executive directors on Letters of Agreement (LOAs) to ensure appropriate coding methodology and reimbursement.
  • Ensure regulatory compliance and overall quality and efficiency by utilizing strong working knowledge of coding standards.
  • Follow all appropriate Federal and State regulatory requirements and guidelines applicable to Health Plan operations or as documented in company policies and procedures.
  • Participate in and support ad-hoc coding audits as needed.
  • Other duties as assigned
EXPERIENCE:
  • 3 years HCC coding and/or coding and billing required
  • 5 years HCC coding and/or coding and billing preferred
  • 2+ years of complex claims processing and/or coding auditing experience in the health insurance industry or medical health care delivery system recommended.
  • 2 + years of experience in managed healthcare environment related to claims’ and/or coding audits recommended.
  • 2 year(s): Knowledge of standard coding and reference materials used in a claim setting, such as CPT4, ICD10, HCPCS and others
  • 2 year(s): Knowledge of CMS requirements regarding claims processing and coding; especially Skilled Nursing Facility and other complex claim processing rules and regulations
  • 2 year(s): Coding/auditing claims for Medicare and Medicaid plans.
  • 2 year(s): Experience in managed healthcare environment related to coding audits
  • 2 year(s): Complex claims processing and/or coding experience in the health insurance industry or medical health care delivery system
LICENSE/CERTIFICATION: REQUIRED (any of the following):
  • Certified Professional Coder (CPC)
  • Certified Risk Coder (CRC) · Certified Coding Specialist (CCS)
  • Certified Documentation Integrity Practitioner (CDIP)
  • Certified Clinical Documentation Specialist ( CCDS)
  • Registered Health Information Technician (RHIT)

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.
American Health Partners logo

About American Health Partners

Sourced by ZipRecruiter

American Health Partners is a family of six divisions staffed by outstanding employees who care deeply about others. Since our inception more than 45 years ago, we have been committed to bringing the highest quality healthcare available to our communities. That commitment continues to serve us, our patients, our customers and our partners well. Today, our diverse healthcare offerings serve nearly 12,000 individuals annually across multiple states. We operate in both urban and rural communities where people need healthcare close to home. By working closely with hospitals and other providers, we offer cost-effective options that give individuals greater control over their healthcare.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Franklin, TN, US

Year founded

1976

Social media

Facebook

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