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Contract Medical Coder Auditor Jobs (NOW HIRING)

Humana, Inc.

Medical Coding Auditor

The Medical Coder assumes ownership and leads advanced and highly specialized administrative ... The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters, and ...

ICON Consultants, Inc.

Certified Medical Coder

$23 - $31.50/hr

... auditing while maintaining exceptional coding accuracy and productivity standards. Key ... Support CMS Contract-Level RADV, HHS RADV, and IPM audit activities. * Maintain a minimum of 95 ...

Modernizing Medicine, Inc.

Medical Coding Auditor

ModMed is hiring a driven Medical Coding Auditor to join our positive, passionate, and high ... Minimum 1-year experience as a Certified Professional Coder required - physician-based and/or ASC ...

Modernizing Medicine, Inc.

Medical Coding Auditor

ModMed is hiring a driven Medical Coding Auditor to join our positive, passionate, and high ... Minimum 1-year experience as a Certified Professional Coder required - physician-based and/or ASC ...

Prime Healthcare

OP Coder Auditor Trainee

Ontario, CA · On-site

$26.04 - $32.37/hr

Medical Graduate, PA or Nursing Graduate required. * Basic computer experience required. * Use of an encoder software product for code assignment in an acute care setting required Preferred ...

SimonMed Imaging

Radiology Coder/Auditor

Scottsdale, AZ · On-site

$27.25 - $31/hr

Certified Professional Medical Auditor (CPMA) preferred. * Radiology Certified Coder-Interventional Radiology (RCC-IR) preferred. * Demonstrated experience performing coding audits and quality ...

Addison Group

Forensic Medical Coder

Niagara Falls, NY · Remote

$25 - $30/hr

Previous experience auditing medical records, claims, and billing documentation. * Familiarity with ... Flexible scheduling following completion of training. * Long-term contract opportunity with ongoing ...

WellStreet Urgent Care

Professional Coding Auditor

Newnan, GA · Remote

$24.50 - $28/hr

Professional Coding Auditor WellStreet Urgent Care is redefining the urgent care experience through ... If you're an experienced medical coder who enjoys digging into documentation, identifying coding ...

New

Bellatrix HRM Inc

Medical Coder, Remote

$19.25 - $25.50/hr

Medical Coder, Remote Bellatrix HRM, Inc, is a Women Owned Small Business located in a HUBZone ... or auditing activities. The contract coders must be credentialed and must have completed an ...

Piedmont Urgent Care

Professional Coding Auditor

Newnan, GA · Remote

$24.50 - $28/hr

Professional Coding Auditor WellStreet Urgent Care is redefining the urgent care experience through ... If you're an experienced medical coder who enjoys digging into documentation, identifying coding ...

New

Four Winds Health

Professional Coding Auditor

Newnan, GA · Remote

$24.50 - $28/hr

Professional Coding Auditor WellStreet Urgent Care is redefining the urgent care experience through ... If you're an experienced medical coder who enjoys digging into documentation, identifying coding ...

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Contract Medical Coder Auditor information

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How much do contract medical coder auditor jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for contract medical coder auditor in the United States is $22.42, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $24.04 per hour, depending on experience, location, and employer.

What are some common challenges faced by contract medical coder auditors, and how can they be addressed?

Contract Medical Coder Auditors often encounter challenges such as interpreting complex medical documentation, staying current with frequent coding updates, and managing strict deadlines across multiple clients. To address these challenges, it's important to maintain strong organizational skills, regularly participate in continuing education, and communicate proactively with healthcare providers and coding teams. Utilizing coding software tools and reference materials can also help ensure accuracy and efficiency in audit processes.

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

To thrive as a Contract Medical Coder Auditor, you need in-depth knowledge of medical coding standards (ICD-10, CPT, HCPCS), auditing procedures, and a relevant certification such as CPC, CCS, or CCA. Familiarity with coding software, auditing tools, and electronic health record (EHR) systems is typically required. Attention to detail, analytical thinking, and strong communication skills help you identify discrepancies and clearly report findings. These competencies ensure accurate billing, regulatory compliance, and minimized financial risk for healthcare organizations.

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

AspectContract Medical Coder AuditorContract Medical Coder
CertificationsCertified Professional Coder (CPC), Certified Medical Auditor (CMA)Certified Professional Coder (CPC), Certified Coding Associate (CCA)
Work EnvironmentAuditing medical records, reviewing coding accuracy, complianceAssigning codes to medical procedures and diagnoses, data entry
Employer & Industry UsageHospitals, insurance companies, healthcare consulting firmsHospitals, clinics, billing companies

The Contract Medical Coder Auditor focuses on reviewing and verifying the accuracy of medical coding, ensuring compliance and audit readiness. In contrast, the Contract Medical Coder primarily assigns codes to medical records for billing and documentation purposes. While both roles require coding certifications, the auditor's role emphasizes review and compliance, whereas the coder's role centers on code assignment and data entry.

What is a contract medical coder auditor?

Contract Medical Coder Auditors are professionals who review and evaluate medical coding performed by healthcare providers or coding staff, usually on a contract or temporary basis. They ensure that medical codes are accurate, compliant with regulations, and reflect the services provided to patients. Their work helps prevent billing errors, supports proper reimbursement, and reduces the risk of audits or penalties. Contract Medical Coder Auditors often work independently or for consulting firms, serving multiple healthcare organizations as needed.

How do you become a contract medical coder auditor?

To become a contract medical coder auditor, you typically need a medical coding certification such as CPC or CCS, along with several years of experience in medical coding. Additional skills in auditing, knowledge of coding guidelines, and familiarity with coding and auditing software are also important; some roles may require a bachelor's degree in health information management or a related field.

Do medical coders or medical auditors make more money?

Medical auditors generally earn higher salaries than medical coders because they often have more advanced skills, certifications, and responsibilities in reviewing and ensuring billing accuracy. Medical coders typically focus on assigning codes based on medical records, while auditors analyze and verify coding and billing compliance, which can lead to higher compensation. Salary differences can also depend on experience, certifications, and work setting.

What cities are hiring for Contract Medical Coder Auditor jobs?

Cities with the most Contract Medical Coder Auditor job openings:

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

The most popular types of Medical Coder Auditor jobs are:

What states have the most Contract Medical Coder Auditor jobs?

States with the most job openings for Contract Medical Coder Auditor jobs include:

Contract Medical Coder Auditor jobs near you

Radiology Coder/Auditor

SMI IMAGING LLC

Scottsdale, AZ • On-site

Full-time

Posted 10 days ago

Job description

Description
Job Duties:
  • Assign accurate ICD-10-CM, CPT, HCPCS, and modifier codes, including radiopharmaceutical/tracer HCPCS coding (e.g., A-codes, Q-codes) and dosage-based unit calculation for PET and Nuclear Medicine studies, in in accordance with AMA, CMS, payer-specific, and regulatory coding guidelines, ensuring the highest level of specificity supported by clinical documentation.
  • Review and process encounters from assigned coding, audit, and denial work queues, completing or reassigning work as appropriate.
  • Conduct quality assurance audits of radiology encounters coded by third-party coding vendors and AI-assisted coding platforms, against defined accuracy benchmarks.
  • Evaluate coding accuracy, consistency, compliance, and proper application of MIPS quality measures.
  • Identify, analyze, and correct coding discrepancies, denials, claim rejections, and documentation-related issues.
  • Monitor coding performance trends and prepare reports highlighting coding effectiveness, error patterns, audit findings, and areas of risk.
  • Provide detailed feedback and recommendations to coding leadership regarding vendor performance, AI tool performance, training needs, and process improvement opportunities.
  • Review provider documentation to determine coding completeness and compliance and communicate documentation improvement opportunities to leadership.
  • Collaborate with cross-functional teams to support revenue cycle optimization, coding education, and audit initiatives.
  • Maintain current knowledge of coding regulations, payer requirements, and industry best practices impacting radiology and Nuclear Medicine/PET services.
  • Escalate audit findings involving potential compliance risk, billing integrity concerns, or regulatory exposure per company policy to coding leadership.
  • Ensure compliance with all departmental policies, organizational standards, regulatory requirements, and confidentiality guidelines.
  • Participate in special projects, training initiatives, and ongoing quality improvement activities as assigned.

Education and Experience:
  • Bachelor's degree preferred; equivalent combination of education and relevant experience may be considered.
  • Minimum of 5 years of recent radiology coding experience required, including experience coding PET and/or Nuclear Medicine studies.
  • Certified Professional Coder (CPC) or Radiology Certified Coder (RCC) required.
  • Certified Professional Medical Auditor (CPMA) preferred.
  • Radiology Certified Coder-Interventional Radiology (RCC-IR) preferred.
  • Demonstrated experience performing coding audits and quality assurance reviews.
  • Experience reviewing and resolving coding-related denials and claim rejections.
  • Experience working with coding vendors, outsourced coding teams, or quality review programs preferred.
  • Experience with AI-assisted coding platforms, including Aideo and/or Gemini, preferred.

Knowledge, Skills, and Abilities:
  • Advanced knowledge of radiology coding, compliance, and reimbursement methodologies
  • Advanced knowledge of PET and Nuclear Medicine coding, including radiopharmaceutical/tracer billing (HCPCS A-codes and Q-codes), dosage-based unit calculation, and payer-specific coverage requirements.
  • Working knowledge of Medicare National and Local Coverage Determinations (NCD/LCD) relevant to PET imaging, including medical necessity documentation requirements.
  • Ability to distinguish and correctly code professional vs. technical component billing in outpatient Nuclear Medicine and PET/CT fusion studies.
  • Strong auditing and analytical skills
  • Experience evaluating coding accuracy across both human and AI-assisted workflows
  • Ability to deliver structured feedback and training to an offshore coding team, including calibration sessions and documented coaching or scorecard mechanisms.
  • Attention to detail with a commitment to quality and accuracy
  • Excellent written and verbal communication skills
  • Ability to identify trends and provide actionable recommendations
  • Strong organizational and time-management skills
  • Proficiency with revenue cycle and coding technology platforms

Please note this job description is not designed to contain a comprehensive list of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time, with or without prior notice.

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