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Coding Compliance Auditor Jobs (NOW HIRING)

CommonSpirit Health

$28 - $31.75/hr

Job Summary and Responsibilities The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an emphasis on documentation, coding improvement, and revenue capture.

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$68.7K

$112K

How much do coding compliance auditor jobs pay per year?

As of May 30, 2026, the average yearly pay for coding compliance auditor in the United States is $68,732.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,000.00 and $86,500.00 per year, depending on experience, location, and employer.

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

To thrive as a Coding Compliance Auditor, you need an in-depth understanding of medical coding systems (such as ICD-10, CPT, and HCPCS), healthcare regulations, and coding audit methodologies, often backed by a degree in health information management and certifications like CPC or CCS. Proficiency with electronic health record (EHR) systems, coding audit software, and data analysis tools is essential. Exceptional attention to detail, analytical thinking, and strong communication skills set top performers apart in this role. These competencies ensure accurate coding, minimize compliance risks, and help healthcare organizations maintain financial integrity and regulatory adherence.

What are common challenges faced by Coding Compliance Auditors, and how can they be addressed in the workplace?

Coding Compliance Auditors often encounter challenges such as staying current with frequent changes in coding guidelines (e.g., ICD-10, CPT), managing large volumes of medical records, and ensuring accuracy while meeting productivity targets. Effective communication with healthcare providers is crucial, as auditors often need to clarify documentation or educate staff on compliance issues. These challenges can be addressed by participating in ongoing training, using advanced audit software, and fostering a collaborative environment with clinical and billing teams.

What are Coding Compliance Auditors?

Coding Compliance Auditors are healthcare professionals responsible for reviewing medical records and billing data to ensure that coding for diagnoses, procedures, and services complies with regulatory requirements and organizational policies. They help healthcare facilities avoid errors, reduce fraudulent practices, and optimize reimbursement by ensuring accurate documentation and coding. Their work involves analyzing patient records, providing feedback to medical coders, and recommending improvements to coding practices.

What is the difference between Coding Compliance Auditor vs Medical Coder?

AspectCoding Compliance AuditorMedical Coder
CertificationsAHIMA or AAPC certifications, compliance trainingCertified Professional Coder (CPC), CPC-H, or similar
Work EnvironmentHealthcare facilities, auditing departments, compliance teamsHospitals, clinics, physician offices, outpatient facilities
Primary FocusEnsuring coding accuracy and compliance with regulationsAssigning accurate medical codes for billing and documentation
Industry UsageUsed in healthcare compliance and auditing rolesUsed in medical billing and coding roles

While both roles involve medical coding, a Coding Compliance Auditor primarily reviews coding practices for compliance and accuracy, often working in auditing and regulatory environments. A Medical Coder focuses on assigning correct codes for billing purposes. The auditor ensures adherence to standards, whereas the coder executes the coding process.

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What cities are hiring for Coding Compliance Auditor jobs? Cities with the most Coding Compliance Auditor job openings:
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Coding Compliance Auditor jobs near you
Infographic showing various Coding Compliance Auditor job openings in the United States as of May 2026, with employment types broken down into 100% Full Time. Highlights an 98% Physical, and 2% Remote job distribution, with an average salary of $68,732 per year, or $33 per hour.
Coding Compliance Auditor

Coding Compliance Auditor

Community Health System

Fresno, CA

$36.67 - $47.67/hr

Full-time

Posted 11 days ago

Job description

Overview

Opportunities for you!

  • Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek
  • Free Continuing Education and certification
  • Tuition reimbursement, education programs and scholarships
  • Vacation time starts building on Day 1, and builds with your seniority
  • Free money toward retirement with a 403(b) and matching contributions
  • Great food options with on-demand ordering
  • Free parking and electric charging

Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.

We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page.


Responsibilities

The Coding Compliance Auditor is a member of the Compliance Office and contributes to the Community Health System’s mission to better the lives of all those we serve. As a Coding Compliance Auditor, you will be responsible for conducting coding and documentation audits to ensure accurate code assignment, appropriate billing, integrity of the medical record, and compliance with federal and state healthcare program requirements.

The role requires a highly confident coder who can audit both facility coding and professional fees for partners, as well as audit other coders and physicians.


Qualifications

Education
  • Associate's Degree in Business, Information Systems, Nursing, Health Care, or a related field required
  • Bachelor's Degree in Business, Information Systems, Nursing, Health Care, or a related field preferred
Experience
  • Experience performing medical record and billing audits/reviews, including clinical documentation, medical terminology, codes (CPT, HCPCS, ICD-10-CM, and revenue), and reviews for charge and reimbursement accuracy required
  • Knowledge of federal, state, and private payer guidelines required
One of the following is required:
  • 5 years of healthcare coding experience with comprehensive knowledge of ICD-10, CPT, and HCPCS, if qualifying with an Associate’s Degree
  • 3 years of healthcare coding experience with comprehensive knowledge of ICD-10, CPT, and HCPCS, if qualifying with a Bachelor’s Degree
  • Epic experience preferred
  • Experience with 3M or Optum is preferred
  • Experience completing a formal validation report after completing audits preferred.
Licenses and Certifications:
  • One of the following is required:
    • CCS - Certified Coding Specialist
    • CCS-P - Certified Coding Specialist- Physician-based
    • CMAS - Certified Medical Audit Specialist
    • CPMA - Certified Professional Medical Auditor
    • CPC - Certified Professional Coder
  • Additional certifications preferred:
    • RHIA - Registered Health Information Administrator
    • RHIT - Registered Health Information Technician
  • Two or more certifications preferred