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Commission Medical Coder Auditor Jobs in California

Prime Healthcare

Coder Auditor

Ontario, CA

$28 - $43.40/hr

The Inpatient Coder Auditor reviews and analyzes documentation present in the medical record for Inpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or ...

Prime Healthcare Management Inc

Coder Auditor

Ontario, CA · On-site

$28 - $43.40/hr

Responsibilities The Inpatient Coder Auditor reviews and analyzes documentation present in the medical record for Inpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the ...

Prime Healthcare Management Inc

Coder Auditor

Ontario, CA · On-site

$28 - $43.40/hr

Responsibilities The Inpatient Coder Auditor reviews and analyzes documentation present in the medical record for Inpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the ...

Prime Healthcare

OP Coder Auditor Trainee

Ontario, CA · On-site

$26.04 - $32.37/hr

The Outpatient Coder Auditor Trainee reviews and analyzes documentation present in the medical record for outpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders ...

YO AI Labs

Medical Auditor - Remote

San Jose, CA · Remote

$50 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Identify coding trends, gaps, risks, and opportunities for improvement. * Evaluate audit findings ...

YO AI Labs

Medical Auditor - Remote

San Francisco, CA · Remote

$50 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Identify coding trends, gaps, risks, and opportunities for improvement. * Evaluate audit findings ...

YO AI Labs

Medical Auditor - Remote

Los Angeles, CA · Remote

$50 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Identify coding trends, gaps, risks, and opportunities for improvement. * Evaluate audit findings ...

YO AI Labs

Medical Auditor - Remote

Palo Alto, CA · Remote

$50 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Identify coding trends, gaps, risks, and opportunities for improvement. * Evaluate audit findings ...

Cypress Healthcare Partners

Medical Coder

Monterey, CA · On-site

$21.74 - $29.22/hr

... Auditing Specialists (NAMAS) and payer coverage guidelines. Furthermore, responsible for posting and reconciling charges and communicating with provider/staff of medical necessity of services ...

TEKsystems

Inpatient Medical Coder

Los Angeles, CA · Remote

$22 - $28/hr

... auditors, and client representatives to resolve coding-related issues. Additional Skills & Qualifications • Review emergency department medical records to assign accurate ICD-10-CM diagnosis codes ...

TEKsystems

Outpatient Medical Coder

Los Angeles, CA · Remote

$22 - $28/hr

... auditors, and client representatives to resolve coding-related issues. Additional Skills & Qualifications • Review emergency department medical records to assign accurate ICD-10-CM diagnosis codes ...

DaMar Staffing

Inpatient Coding Auditor

San Francisco, CA · On-site

$53 - $72/hr

... medical records. * Demonstrates knowledge of current, compliant coder query practices when ... Coding Auditing Productivity: = 95% * DRG Accuracy Rate = 95% * Coding Accuracy: = 95% * Query ...

YO AI Labs

Medical Auditor - Remote

Palo Alto, CA · Remote

$55 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... You will review coding records, identify compliance risks, and provide expert feedback to support ...

YO AI Labs

Medical Auditor - Remote

Los Angeles, CA · Remote

$55 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... You will review coding records, identify compliance risks, and provide expert feedback to support ...

YO AI Labs

Medical Auditor - Remote

San Francisco, CA · Remote

$55 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... You will review coding records, identify compliance risks, and provide expert feedback to support ...

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All JobsMedical Coder Auditor JobsCommission Medical Coder Auditor JobsCommission Medical Coder Auditor Jobs in California

Commission Medical Coder Auditor information

What is a commission medical coder auditor?

Commission medical coder auditors are professionals who review and verify the accuracy of medical coding and billing within healthcare organizations, often on a commission or contract basis. Their main role is to ensure that medical procedures and diagnoses are coded correctly according to official guidelines and regulations. This helps prevent billing errors, reduces the risk of fraud, and ensures proper reimbursement for healthcare providers. Commission medical coder auditors may work independently or for third-party auditing firms and are typically compensated based on the number or value of audits completed.

What are the key skills and qualifications needed to thrive as a commission medical coder auditor?

To thrive as a Commission Medical Coder Auditor, you need in-depth knowledge of medical coding systems (such as ICD-10, CPT, and HCPCS), strong analytical abilities, and a certification such as CPC or CCS. Familiarity with electronic health record (EHR) systems and specialized auditing software is typically required. Attention to detail, integrity, and effective communication are essential soft skills for reviewing records and ensuring compliance. These skills ensure accurate coding, minimize compliance risks, and support healthcare organizations in maintaining proper reimbursement and regulatory standards.

What are some of the main challenges commission medical coder auditors face when reviewing provider documentation?

Commission Medical Coder Auditors often encounter challenges such as inconsistent or incomplete clinical documentation, which can make it difficult to accurately assign codes and ensure compliance. They must be adept at interpreting complex medical records and communicating effectively with providers to clarify discrepancies or request additional information. Additionally, staying up-to-date with evolving coding guidelines and payer requirements is crucial to minimize errors and support accurate reimbursement. These challenges require strong attention to detail, analytical skills, and ongoing education.

What is the difference between Commission Medical Coder Auditor vs Medical Coder?

AspectCommission Medical Coder AuditorMedical Coder
CertificationsAHIMA or AAPC certifications, coding credentialsSame certifications as auditor
Work EnvironmentAuditing, reviewing coding accuracy, complianceAssigning codes, data entry, documentation review
Employer & IndustryHospitals, insurance companies, healthcare providersHospitals, clinics, healthcare organizations

The main difference is that a Commission Medical Coder Auditor focuses on reviewing and ensuring coding accuracy and compliance, while a Medical Coder primarily assigns codes to medical records. Both roles require similar certifications and work in healthcare settings, but auditors have a specialized focus on quality control and regulatory adherence.

How do you become a commission medical coder auditor?

To become a medical coder auditor, you typically need to have a certified medical coding credential such as CPC or CCS, along with experience in medical coding. Additional training in auditing procedures and familiarity with coding guidelines and compliance standards are also important for this role.

What are the most commonly searched types of Medical Coder Auditor jobs in California?

The most popular types of Medical Coder Auditor jobs in California are:

What cities in California are hiring for Commission Medical Coder Auditor jobs?

Cities in California with the most Commission Medical Coder Auditor job openings:

Commission Medical Coder Auditor jobs near you
Infographic showing various Commission Medical Coder Auditor job openings in California as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 18% Part Time, and 7% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution.

Coder Auditor

Prime Healthcare

Ontario, CA

$28 - $43.40/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 28 days ago

Prime Healthcare rating

6.4

Company rating: 6.4 out of 10

Based on 289 frontline employees who took The Breakroom Quiz

649th of 898 rated healthcare providers

Job description

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!


The Inpatient Coder Auditor reviews and analyzes documentation present in the medical record for Inpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software.  The Inpatient Coder Auditor finalizes the coding and abstracting of the medical record upon ensuring the assignment of International Classifications of Diseases, tenth revision (ICD-10/PCS), Current Procedural Terminology (CPT), and Health Care Procedure Coding System (HCPCS), are accurate and supported by the clinical documentation of the respective medial record.  Holding a senior coding position assumes primary responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff members with improving quality of clinical documentation.  Participates in chart review projects as assigned and other duties as needed.


EDUCATION, EXPERIENCE, TRAINING

Required qualifications:

1.    Medical Graduate, PA or Nursing Graduate

2.    Certified Coding Specialist (CCS)

3.    One (1) year of clinical experience in acute care setting

4.    Thorough knowledge of ICD-10-CM, CPT, anatomy and physiology, medical terminology, DRG's, APC's, Severity Adjusted DRG's

5.    Use of an encoder software product for code assignment in an acute care setting

6.    Computer data entry with 10-key preferred, with accurate typing speed of 35 wpm

7.    Excellent written and verbal communication skills

8.    Excellent critical thinking skills


Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $28.00 to $43.40. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.


Full Time
Days

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

 

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

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