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Coding Compliance Auditor Jobs in Tennessee (NOW HIRING)

Overview Compliance Auditor Full Time, 80 Per Hour Pay Period, Day Shift This position is Remote ... Performs research and analysis of charges, CPT coding, modifiers and billing processes to ensure ...

Compliance Auditor Full Time, 80 Per Hour Pay Period, Day Shift This position is Remote. Covenant ... Performs research and analysis of charges, CPT coding, modifiers and billing processes to ensure ...

Overview Compliance Auditor Sr. Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health ... Performs research and analysis of charges, CPT coding, modifiers, etc. through internal billing ...

Compliance Auditor Sr. Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview ... Performs research and analysis of charges, CPT coding, modifiers, etc. through internal billing ...

Director, ACO Compliance

Nashville, TN · On-site

$110 - $130/hr

Extensive experience in healthcare compliance, regulatory affairs, auditing, investigations, risk management, coding compliance, or healthcare operations. * Demonstrated leadership experience ...

Keep informed regarding current coding regulations, auditing, professional standards and company ... Performs E&M and CPT coding review and other projects related to physician coding compliance in ...

Profee Coding Auditor

Brentwood, TN · On-site

$25.75 - $29.25/hr

Coding Auditor Job Summary and Qualifications The Coding Auditor is responsible for performing ... compliance, credentialing, health information management, customer service, payroll and physician ...

Coding Auditor Job Summary and Qualifications The Coding Auditor is responsible for performing ... compliance, credentialing, health information management, customer service, payroll and physician ...

Profee Coding Auditor

Brentwood, TN · On-site

$25.75 - $29.25/hr

Coding Auditor Experience the HCA Healthcare difference where colleagues are trusted, valued ... compliance, credentialing, health information management, customer service, payroll and physician ...

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Coding Compliance Auditor information

See Tennessee salary details

$28.6K

$62.4K

$101.7K

How much do coding compliance auditor jobs pay per year?

As of Aug 16, 2026, the average yearly pay for coding compliance auditor in Tennessee is $62,382.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,500.00 and $78,500.00 per year, depending on experience, location, and employer.

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.

What are common challenges faced by coding compliance auditors, and how can they be addressed?

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 is a coding compliance auditor?

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 skills and qualifications are needed to be a coding compliance auditor?

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 job categories do people searching Coding Compliance Auditor jobs in Tennessee look for?

The top searched job categories for Coding Compliance Auditor jobs in Tennessee are:

Infographic showing various Coding Compliance Auditor job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 12% Part Time, and 5% Contract. Highlights an 92% Physical, 4% Hybrid, and 4% Remote job distribution, with an average salary of $62,382 per year, or $30 per hour.

COMPLIANCE AUDITOR

Covenant Health

Knoxville, TN • On-site, Remote

Full-time

Re-posted 14 days ago


Job description

Overview
Compliance Auditor
Full Time, 80 Per Hour Pay Period, Day Shift
This position is Remote.
Covenant Health Overview:
Covenant Health is East Tennessee's top-performing healthcare network with 10 hospitals and over 85 outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned, not-for-profit healthcare system and the area's largest employer with over 11,000 employees. Covenant Health is the only healthcare system in East Tennessee to be named six times by Forbes as a Best Employer.
Position Summary:
Performs complex professional internal auditing. Work involves compliance audit projects for Covenant Health entities as they relate to charging, coding, documentation and billing compliance. Also provides consulting services to the organization's management and staff and may participate in requested investigations. Maintains all organizational and professional ethical standards. Works independently under limited supervision. Reports to the Compliance Audit Manager.
Responsibilities
  • Identifies and evaluates company risk areas and provides auditing procedures related to documentation coding and billing, including reviewing and analyzing findings.
  • Reviews and studies all information published by the federal government, fraud alerts, legal advisory opinions, and other publications related to coding, billing and reimbursement compliance, staying abreast of current regulations.
  • Performs research and analysis of charges, CPT coding, modifiers and billing processes to ensure compliance with Medicare, Medicaid guidelines and other insurance payor guidelines.
  • Coordinates with appropriate parties to complete over or under payments of claim errors identified during audits in accordance with Audit Policy.
  • Communicates or assists in communicating the results of audit project via written reports and/or oral presentations to physicians, clinical management, and presents as needed to related committees.
  • Documents all audit activities in a designated location; reports statistics and identified problems as directed by the Audit Workflow Process and Policy.
  • Assists with special projects as requested by
  • Works in conjunction with health information management, patient accounting, information systems and other personnel to assist with implementation of solutions to mitigate risk.
  • Under the direction of leadership, reviews and evaluates ongoing activities involved in the baseline and periodic compliance audits and compliance programs as deemed appropriate by manager.
  • Advises, educates and acts as clinical/billing liaison between system-wide facility leaders, department managers and billing staff as designated by manager in relation to audit findings and process improvement initiatives.
  • Works independently and demonstrates the ability to successfully locate, interpret and apply regulations with which they may be otherwise unfamiliar, and recognizes situations which necessitate supervision and guidance from leadership.
  • Maintains lines of communication with Facilities/Clinics in an ongoing effort to improve the overall quality of customer service.
  • Motivates coworkers and promotes a team effort in accomplishing goals and deadlines with accuracy, dependability and professionalism.
  • Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
  • Performs other duties as assigned.

Qualifications
Minimum Education:
None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.
Minimum Experience:
Three (3) to five (5) years' experience in health care. Good working knowledge of healthcare billing, Medicare/Medicaid billing guidelines, and other Third-Party Payor rules and regulations. Experience in problem solving and analytical reviews. Must be knowledgeable in use of PC's, Windows, Excel and Word Processing. Must have good public relations skills.
Licensure Requirement:
Must have and maintain RHIT, RHIA, CCS, CPC (or equivalent certification), or current TN RN License with equivalent coding experience.