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Commission Medical Coder Auditor Jobs in Florida

Ascension

Coding Auditor

Jacksonville, FL · Remote

$31.35/hr

Benefits that help you thrive * Comprehensive health coverage: medical, dental, vision ... Active Certified Professional Coder (CPC) or Certified Coding Specialist - Physician-Based (CCS-P ...

Ascension

Coding Auditor

Jacksonville, FL · On-site +1

$31.35 - $42.40/hr

Conduct independent, structured audits of professional-fee coding records across varied ambulatory specialties-auditing CPT, HCPCS, ICD 10-CM, modifiers, E/M services, medical necessity, and provider ...

Baptist Health Care

Hospital Coding Auditor

Pensacola, FL · On-site

$24 - $27.25/hr

The organization includesthree hospitals, four medical parks,Andrews Institute for Orthopaedic ... Certified Professional Coder (CPC_AAPC) Required or * Certified Coding Associate (CCA_AHIMA ...

Baptist Health Care

Hospital Coding Auditor

Pensacola, FL

$25.75 - $29.25/hr

The organization includesthree hospitals, four medical parks,Andrews Institute for Orthopaedic ... Certified Professional Coder (CPC_AAPC) Required or * Certified Coding Associate (CCA_AHIMA ...

Baptist Health Care

Hospital Coding Auditor

Pensacola, FL · On-site

$25.75 - $29.25/hr

The organization includesthree hospitals, four medical parks,Andrews Institute for Orthopaedic ... Certified Professional Coder (CPC_AAPC) Required or * Certified Coding Associate (CCA_AHIMA ...

Baptist Health Care

Hospital Coding Auditor

Pensacola, FL · On-site

$24 - $27.25/hr

Certified Professional Coder (CPC_AAPC) Required or * Certified Coding Associate (CCA_AHIMA ... The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic ...

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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 Florida?

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

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

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

Commission Medical Coder Auditor jobs near you

Sr Professional Facility Auditor

Nuvance Health

Pembroke Pines, FL • Remote

Full-time

Posted 11 days ago

Key responsibilities

  • Conduct comprehensive audits of facility and professional coding, including ICD-10, CPT4, HCPCS, E/M codes, medical supplies, orders, and UB04/revenue codes.

  • Lead educational sessions for coders based on audit findings to ensure compliance with regulations and internal policies.

  • Collaborate with physician and hospital coding leadership to identify documentation and coding trends, errors, and opportunities for improvement.

Nuvance Health rating

7.1

Company rating: 7.1 out of 10

Based on 96 frontline employees who took The Breakroom Quiz

379th of 898 rated healthcare providers

Job description

Must reside in the following states: 
AZ, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, and VA.
Job Title: Senior Professional Facility Auditor
Department: Facility Charging and Coding
Location: Remote
Employment Type: Full-Time | Non-Exempt
Salary Range: $28 – $53/hour

Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State’s largest private employer with over 104,000 employees — including members of Northwell Health Physician Partners — who are working to change health care for the better.

About the Role
Nuvance Health is seeking a detail-oriented and experienced Senior Professional Facility Auditor to join our Facility Charging and Coding team. In this role, you will perform in-depth audits of facility and professional coding to ensure clinical documentation supports services rendered. Your expertise in medical terminology, anatomy, physiology, regulatory compliance, and coding guidelines will be essential in driving accuracy and improving documentation and billing practices across our organization.
Key Responsibilities
  • Conduct comprehensive audits of ICD-10, CPT4, HCPCS, E/M codes, medical supplies, orders, and UB04/revenue codes for both facility and professional services.
  • Lead educational sessions for coders based on audit findings to reinforce compliance with CMS, Medicare, state/federal regulations, and internal policies.
  • Stay current with CMS, NGS Medicare, AAPC, and OIG updates, bulletins, and compliance requirements to ensure up-to-date coding standards.
  • Collaborate with physician and hospital coding leadership to identify documentation and coding trends, errors, and improvement opportunities.
  • Perform accurate coding and charging for complex clinical services, including interventional cardiology, radiology, and vascular procedures.
  • Utilize internal systems and applications with a high level of competency to ensure audit accuracy and reporting efficiency.
  • Participate in team meetings, ongoing education, and continuous improvement initiatives to support departmental goals.
  • Maintain high standards for customer service, teamwork, safety, and compliance.
  • Perform additional duties as assigned.
Qualifications
Required:
  • CPC, CCS-P, COC, RHIT – With Coding/Auditing experience, RHIA – With Coding/Auditing experience
  • Outpatient Facility Coding  -  Auditing will include facility coding for Interventional Radiology, Cardiac Cath, Outpatient Surgery, Observation, & Ancillary
  • Advanced knowledge of medical terminology, anatomy, physiology, and federal/state documentation and billing regulations
  • Extensive experience auditing both facility and professional medical coding
  • Proficiency in coding complex encounters and using relevant coding systems and software
Preferred (Not Required):
  • Associate’s degree or higher
  • CIRCC & CCC
  • Coursework in Anatomy and Physiology
Work Conditions
  • Physical Effort: Light – primarily sedentary; may exert up to 10 lbs. of force
  • Working Environment: Generally pleasant; no significant occupational risks
  • Communication: Daily interaction including verbal, written, and participation in team meetings

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