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Coding Orthopedic Auditor Jobs (NOW HIRING)

Medix

Coding Supervisor

Houston, TX · On-site

$43.27 - $52.88/hr

Experience with Ortho, Urology, Ophthalmology, Radiology, Urogynecology, and Surgical specialties ... Auditing experience. * Experience with Epic EMR. * Previous Team Lead/Leadership experience ...

Salem Health Hospitals & Clinics

$63K/yr

Conducts auditing of provider services, monitoring, and investigating activities to establish ... knowledge in orthopedics Preferred Qualifications * Bachelor's in HIM or 4 years of Physician ...

UnitedHealth Group

Coding Supervisor

Dallas, TX · Remote

$60K - $107K/yr

Perform auditing functions * Coordinate the team to cover edit and denial work queues * Work with ... radiology, orthopedic and neurology cases, and observation coding * Knowledge of eCAC, Cerner ...

New

UnitedHealth Group

Coding Supervisor

Dallas, TX · Remote

$60K - $107K/yr

Perform auditing functions * Coordinate the team to cover edit and denial work queues * Work with ... radiology, orthopedic and neurology cases, and observation coding * Knowledge of eCAC, Cerner ...

New

PIH Health

Claims Quality Assurance Auditor

Whittier, CA · On-site

$23 - $36.70/hr

... health, orthopedics, women's health, urgent care and emergency services. The organization is ... Knowledge of claims processing, CPT/RBRVS/ICD codes * Level of comprehension as it relations to ...

Duke University

COMPLIANCE SPECIALIST-Remote

Durham, NC · Remote

HCC coding/auditing * Multi-Specialty Coding/Auditing * Examples: * Interventional Radiology * Cardiothoracic * Ortho (Foot and Ankle Specifically) * Critical Care * Observation Services * ED * Edits ...

Duke Health

COMPLIANCE SPECIALIST-Remote

Durham, NC · Remote

HCC coding/auditing * Multi-Specialty Coding/Auditing * Examples: * Interventional Radiology * Cardiothoracic * Ortho (Foot and Ankle Specifically) * Critical Care * Observation Services * ED * Edits ...

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Coding Orthopedic Auditor information

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How much do coding orthopedic auditor jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for coding orthopedic auditor in the United States is $29.11, according to ZipRecruiter salary data. Most workers in this role earn between $26.20 and $29.81 per hour, depending on experience, location, and employer.

What is a coding orthopedic auditor?

Coding Orthopedic Auditors are specialized professionals who review and verify the accuracy of medical coding related to orthopedic procedures, diagnoses, and services. They ensure that clinical documentation correctly reflects the care provided and that coding complies with regulatory and payer guidelines. Their work helps healthcare organizations optimize reimbursement, avoid billing errors, and maintain compliance with laws such as HIPAA and the False Claims Act. They often work in hospitals, clinics, or for third-party auditing firms and may hold certifications like CPC, CCS, or specialty credentials in orthopedic coding.

What are some common challenges coding orthopedic auditors face when reviewing medical records?

Coding Orthopedic Auditors often encounter challenges like deciphering incomplete or ambiguous documentation, keeping up with frequent updates to coding standards, and ensuring compliance with payer-specific requirements. These professionals must be detail-oriented and proactive in clarifying discrepancies with providers to ensure accurate code assignment. Navigating complex surgical procedures and understanding specialized orthopedic terminology are also essential skills that help auditors minimize errors and reduce risk of denials or audits.

What are the key skills and qualifications needed to thrive as a coding orthopedic auditor, and why are they important?

To excel as a Coding Orthopedic Auditor, you need in-depth knowledge of orthopedic medical terminology, ICD-10 and CPT coding, and auditing principles, usually supported by a coding certification such as CPC, CCS, or CCA. Familiarity with coding software, electronic health records (EHRs), and auditing tools is essential. Strong attention to detail, analytical thinking, and effective communication skills help ensure accuracy and clear reporting of audit findings. These competencies are vital to maintain regulatory compliance, prevent revenue loss, and uphold the integrity of orthopedic billing practices.

What are popular job titles related to Coding Orthopedic Auditor jobs?

For Coding Orthopedic Auditor jobs, the most frequently searched job titles are:

Infographic showing various Coding Orthopedic Auditor job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 10% Part Time, and 6% Contract. Highlights an 78% Physical, 4% Hybrid, and 18% Remote job distribution, with an average salary of $60,553 per year, or $29.1 per hour.

Professional Billing (PB) Auditor - Surgical Specialty

Gulfport, FL • On-site

Sage Clinical RCM, LLC
See more jobs at Sage Clinical RCM, LLCexternal

$18 - $20.50/hr

Full-time

Re-posted 9 days ago

Job description

Description:

Position Overview 

The Professional Billing (PB) Auditor – Surgical Specialty provides ongoing audit support for hospital-based physician billing with a focus on complex surgical services. This role is responsible for auditing professional fee claims to ensure accurate coding, regulatory compliance, and risk mitigation, while supporting continuous improvement and education for coding staff. 
Key Responsibilities: 

  • Perform retrospective and/or concurrent audits of professional billing surgical claims 
  • Review operative reports and supporting documentation to validate appropriate CPT, HCPCS, and ICD-10-CM code assignment 
  • Validate modifier usage and bundling in accordance with NCCI edits and payer guidelines 
  • Identify surgical coding trends, compliance risks, and opportunities for improvement 
  • Provide clear, educational feedback to professional billing coders related to surgical coding accuracy 
  • Document audit findings and recommendations in accordance with established audit standards 
  • Support internal and external audit preparedness related to professional fee surgical services 
  • Ensure compliance with CMS, AMA, and payer-specific billing regulations 
Requirements:

 Required Qualifications:

  • Minimum 3+ years of professional billing auditing experience with a focus on surgical services
  • Active CPC, CCS-P, or equivalent coding certification required
  • Strong knowledge of CPT (Surgery section), ICD-10-CM, modifiers, and NCCI edits
  • Experience auditing hospital-based physician surgical billing claims
  • Strong written and verbal communication skills with the ability to provide constructive audit feedback

Preferred Specialty Background:

  • Experience auditing complex specialty encounters in one or more of the following areas:
    • Complex Orthopedic Surgery (beyond routine joint replacement/fracture care)
    • Hematology / Oncology
    • OB/GYN, Maternal-Fetal Medicine, or Maternal-Newborn Services (including familiarity with maternal vs. newborn chart distinctions)
  • CPMA credential or Epic EHR experience