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Coding Auditor Jobs in Raleigh, NC (NOW HIRING)

Duke Health

CHARGE CODE AUDITOR

Durham, NC · On-site

Relocation Assistance (based on eligibility) Occ Summary The Charge Code Auditor for the Birthing Center is responsible for ensuring accurate, complete, and timely charge capture for all hospital ...

Duke Health

CHARGE CODE AUDITOR

Durham, NC · On-site

Relocation Assistance (based on eligibility) Occ Summary The Charge Code Auditor for the Birthing Center is responsible for ensuring accurate, complete, and timely charge capture for all hospital ...

Duke University

CHARGE CODE AUDITOR

Durham, NC · On-site

Relocation Assistance (based on eligibility) Occ Summary The Charge Code Auditor for the Birthing Center is responsible for ensuring accurate, complete, and timely charge capture for all hospital ...

Duke University

CHARGE CODE AUDITOR

Durham, NC · On-site

Relocation Assistance (based on eligibility) Occ Summary The Charge Code Auditor for the Birthing Center is responsible for ensuring accurate, complete, and timely charge capture for all hospital ...

Sheraton

Night Auditor

Chapel Hill, NC

$12.50 - $16.50/hr

Night Auditor Reports to: Front Office Manager Job purpose To oversee and coordinate all third ... and rate codes, understanding rate strategy when making rate changes for guests. • Thorough ...

Sheraton

Night Auditor

Chapel Hill, NC

$16 - $18/hr

Night Auditor Reports to: Front Office Manager Job purpose To oversee and coordinate all third ... and rate codes, understanding rate strategy when making rate changes for guests. • Thorough ...

Duke Health

MANAGER, CODING OPERATIONS

Durham, NC · On-site

Work Performed Coding Activities - Oversee coding operations for designated areas of responsibility to ensure assignment and timely management of uncoded accounts. - Act as contact and coordinator ...

Duke Health

MANAGER, CODING OPERATIONS

Durham, NC

Work Performed Coding Activities - Oversee coding operations for designated areas of responsibility to ensure assignment and timely management of uncoded accounts. - Act as contact and coordinator ...

Duke University

MANAGER, CODING OPERATIONS

Durham, NC · On-site

Work Performed Coding Activities - Oversee coding operations for designated areas of responsibility to ensure assignment and timely management of uncoded accounts. - Act as contact and coordinator ...

Duke University

MANAGER, CODING OPERATIONS

Durham, NC · On-site

Work Performed Coding Activities - Oversee coding operations for designated areas of responsibility to ensure assignment and timely management of uncoded accounts. - Act as contact and coordinator ...

Avance Care

Coding Manager - Hybrid/Durham

Durham, NC · Hybrid

Coding standards as defined by the AMA through CPT, ICD, and HCPCS * Government and Commercial Payer Contracts * Accountable Care Organization (ACO) agreements * CPT Category II quality reporting

Avance Care

Coding Manager - Hybrid/Durham

Durham, NC · Hybrid

Coding standards as defined by the AMA through CPT, ICD, and HCPCS * Government and Commercial Payer Contracts * Accountable Care Organization (ACO) agreements * CPT Category II quality reporting

Avance Care

Coding Manager - Hybrid/Durham

Durham, NC · On-site

Coding standards as defined by the AMA through CPT, ICD, and HCPCS * Government and Commercial Payer Contracts * Accountable Care Organization (ACO) agreements * CPT Category II quality reporting

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All JobsCoding Auditor JobsCoding Auditor Jobs in Raleigh, NC

Coding Auditor information

See Raleigh, NC salary details

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$28

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How much do coding auditor jobs pay per hour?

As of Jun 16, 2026, the average hourly pay for coding auditor in Raleigh, NC is $28.30, according to ZipRecruiter salary data. Most workers in this role earn between $25.48 and $28.99 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.

More about Coding Auditor jobs
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Coding Auditor jobs near you
RCS Medical Coding Auditor (CPC, CPMA)

RCS Medical Coding Auditor (CPC, CPMA)

Veradigm

Raleigh, NC • On-site, Remote

$57K - $80K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

Job description

Position Summary
The RCS Medical Coding Auditor is responsible for auditing professional (ProFee) medical coding to ensure accuracy, compliance, and alignment with AMA CPT, CMS, NCCI and payer guidelines. This role supports coding integrity, mitigates compliance risk, and drives continuous quality improvement through targeted education and audit-based feedback.
The ideal candidate brings strong hands-on experience with professional fee coding, deep knowledge of E/M, surgical, and modifier use, and the ability to translate audit findings into actionable insights.
Key Responsibilities
  • Perform daily QA to ensure accuracy of completed coding and provide targeted coding education and feedback
  • Validate ICD-10-CM, CPT®, HCPCS, and modifier assignment against clinical documentation to ensure accuracy and compliance with AMA CPT, ICD-10, CMS, NCCI, and payer-specific guidelines
  • Conduct medical chart audits of professional services across multiple specialties
  • Identify coding discrepancies, compliance risks, trends, root causes, and documentation gaps
  • Support coding education through feedback, targeted training, and reference materials
  • Prepare clear, defensible audit documentation including rationale and references
  • Provide actionable recommendations to address audit findings and reduce future risk
  • Track audit outcomes and trends to support leadership reporting and risk mitigation strategies
  • Support denial prevention, resolution and appeal strategies
  • Collaborate across teams to assist with coding support
  • Maintain confidentiality and comply with HIPAA and organizational policies

Required Qualifications
  • CPC (Required) and CPMA (Required/In Process)
  • 2+ years of ProFee auditing experience
  • Knowledge of:
    • E/M documentation guidelines
    • Modifier rules and NCCI edits
    • CPT, ICD-10-CM, HCPCS Level II
  • High attention to detail with strong analytical and critical-thinking skills
  • Excellent written and verbal communication skills for audit reporting and education
  • Proficiency with EHRs, coding and auditing tools
  • Proficiency with Microsoft Office Suite

Preferred Qualifications
  • Multi-specialty coding and auditing experience with preferred background in E/M Coding, Orthopedics, Pain Management, Urology
  • Background in coding quality programs or compliance teams
  • Advanced reporting skills for audit tracking and trend analysis
  • Prior consulting or client-facing audit experience

Compensation Range:
$57,728-$80,243
Compensation for this job is subject to market conditions, geographic considerations, the candidate's unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates' unique contributions and support their professional growth.
Enhancing Lives and Building Careers
Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development. Together, we are In the Network. Interested in learning more?
Take a look at our Culture, Benefits, Early Talent Program, and Additional Openings.
Visa Sponsorship is not offered for this position.
At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve. The Veradigm Network is a dynamic, open community of solutions, external partners, and cutting-edge artificial intelligence technologies that provide advanced insights, technology, and data-driven solutions. Veradigm offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.
Veradigm's policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Veradigm must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire. Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.
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This is an official Veradigm Job posting. To avoid identity theft, please only consider applying to jobs posted on our official corporate site.
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