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Contract Medical Coding Auditor Jobs in Newark, NJ

Northwell

Coding Auditor

Lake Success, NY · On-site

$66.30K - $98.50K/yr

CCS, RHIT/RHIA or nursing certification/License with inpatient auditing experience Conducts coding ... contracts, budget and internal equity)

Northwell

Coding Auditor

Lake Success, NY

$66.30K - $98.50K/yr

CCS, RHIT/RHIA or nursing certification/License with inpatient auditing experience Conducts coding ... contracts, budget and internal equity)

Northwell

Coding Auditor

Lake Success, NY

$29 - $33/hr

CCS, RHIT/RHIA or nursing certification/License with inpatient auditing experience Conducts coding ... contracts, budget and internal equity)

Northwell

Coding Auditor

Lake Success, NY · On-site

$66.30K - $98.50K/yr

Prepares coding guidelines; implements coding changes. Job Responsibility 1.Demonstrates ... contracts, budget and internal equity)

Northwell

Coding Auditor

Lake Success, NY

$29 - $33/hr

Prepares coding guidelines; implements coding changes. Job Responsibility 1.Demonstrates ... contracts, budget and internal equity)

Northwell

Coding Auditor

Lake Success, NY

$29 - $33/hr

Prepares coding guidelines; implements coding changes. Job Responsibility 1.Demonstrates ... contracts, budget and internal equity)

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Contract Medical Coding Auditor information

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$35.6K

$71.5K

$96.7K

How much do contract medical coding auditor jobs pay per year?

As of May 28, 2026, the average yearly pay for contract medical coding auditor in Newark, NJ is $71,539.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,700.00 and $78,400.00 per year, depending on experience, location, and employer.

What is a Contract Medical Coding Auditor job?

A Contract Medical Coding Auditor is a healthcare professional responsible for reviewing and assessing medical codes assigned to patient diagnoses and procedures to ensure accuracy, compliance, and proper reimbursement. They work on a contractual basis with healthcare organizations, insurance companies, or auditing firms. Their duties typically include analyzing medical records, identifying coding errors, ensuring compliance with industry regulations (such as ICD-10, CPT, and HCPCS guidelines), and providing feedback to coders. This role helps prevent billing discrepancies and ensures proper reimbursement for healthcare providers.

What are the key skills and qualifications needed to thrive in the Contract Medical Coding Auditor position, and why are they important?

To thrive as a Contract Medical Coding Auditor, you need a solid grasp of ICD-10, CPT, and HCPCS coding systems, strong analytical abilities, and a relevant certification such as CPC, CCS, or RHIA/RHIT. Experience with Electronic Health Records (EHR) and specialized coding/auditing software like 3M or Optum Encoder is often required. Excellent attention to detail, effective communication, and organizational skills help you review documentation, explain findings, and meet tight deadlines. These abilities ensure accurate coding, regulatory compliance, and minimize financial risk for healthcare organizations.

What are typical daily responsibilities for a Contract Medical Coding Auditor?

As a Contract Medical Coding Auditor, your day-to-day work typically involves reviewing medical records to ensure accurate coding practices, identifying discrepancies, and preparing detailed audit reports. You may also work closely with coding teams and healthcare providers to provide feedback, clarify documentation, and recommend process improvements. Much of the work can be performed remotely, often with flexible hours, making strong self-motivation and time management essential. Additionally, you’ll need to keep up-to-date with evolving coding guidelines and compliance regulations to ensure audit accuracy and quality.
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Contract Medical Coding Auditor jobs near you
Medical Coding Analyst

Medical Coding Analyst

HealthCare Partners, MSO

Garden City, NY

$65K - $75K/yr

Full-time

Posted 25 days ago

Job description

HealthCare Partners, IPA and HealthCare Partners, MSO together comprise our health care delivery system providing enhanced quality care to our members, providers and health plan partners. Active since 1996, HealthCare Partners (HCP) is the largest physician-owned and led IPA in the Northeast, serving the five boroughs and Long Island. Our network includes over 6,000 primary care physicians and specialists delivering services to our 125,000 members enrolled in Commercial, Medicare and Medicaid products. Our MSO employs 200+ skilled professionals dedicated to ensuring members have access to the highest quality of care while efficiently utilizing healthcare resources.
HCP’s vision is to be recognized by members, providers and payers as the organization that delivers unsurpassed excellence in healthcare to the people of New York and their communities. We pride ourselves on selecting the most qualified candidates who reflect HCP’s mission of serving our members by facilitating the delivery of quality care.  Interested in joining our successful Garden City Team?  We are currently seeking a Coding Analyst!
Position Summary: The Coding Analyst will provide Risk Adjustment/HCC coding and auditing services that include the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated alphanumerical codes. The Medical Coder will summarize audit results and provide feedback and education to the field team and providers regarding documentation needs and requirements. 
Essential Position Functions/Responsibilities:
  • Review and interpret medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10 CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation.
  • Verify and ensure the accuracy and completeness of medical records while extracting appropriate and specific ICD-10 CM- CPT and Category II codes.
  • Apply relevant Medical Coding Reference, Federal, State, and Professional guidelines to assign and record independent medical code determinations.
  • Review coding patterns/trends and provides ongoing consultation to the field Quality/ Network Relations team regarding coding and documentation issues.
  • Proactively identifies and communicates problems and opportunities; actively recommends and implements solutions or medical coding process improvements.
  • Interpret coding rules and general policies in addition to determining appropriate conclusions.
  • Determine valid encounters including legibility and valid signature requirements.
  • Provide information or respond to questions from medical coding quality audits.
  • Possess and maintain a current and comprehensive understanding of coding rules, changes, and guidelines as defined by the AMA.
  • Responsible for consistently meeting established quality and productivity standards.
  • Other duties relating to coding projects as assigned.

Qualification Requirements:
Skills, Knowledge, Abilities
  • Experience working in medical coding/auditing with experience in Diagnosis coding
  • Knowledge of medical terminology including anatomy and physiology...
  • HCC and risk adjustment model experience strongly preferred
  • Strong background in ICD 10 Coding
  • Knowledge and understanding of CPT and CPT II (HCSPCS) codes
  • Intermediate level of experience with Microsoft Excel (Pivot table, building chart)
  • Strong written and verbal communication and organizational skills
  • Must present active AAPC or AHIMA membership ID #
  • Proficient with Excel and MS office products
  • Demonstrates the ability to perform in a high productivity fast-paced environment.
  • Knowledge of ICD-10 CM Guidelines and CMS Risk Adjustment Guidelines
  • Knowledge of Risk Adjustment Coding

Training/Education:
  • High school diploma or general educational degree (GED), required
  • Associate or Bachelor degree in health care discipline, preferred
  • Medical coding Credentials through either AAPC or AHIMA (CCS, CCS-P, or CPC) maintained annually, required.
  • CRC or CPMA credentials, preferred
  • Proficient in navigating an electronic medical record and healthcare billing system

Experience:
  • 3+ years’ of inpatient facility coding experience with both quality and productivity requirements
  • 3+ years’ of outpatient facility coding Auditing experience is preferred
  • 1+ year of inpatient and/or outpatient facility coding experience
  • 1+ year of auditing experience preferred 
  • Knowledge of Risk Adjustment coding
  • 1 year of healthcare provider education experience

Base Compensation: $65,000 - $75,000 annual
HealthCare Partners, MSO provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, HealthCare Partners, MSO complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
The above position information is intended to describe the general nature and level of work being performed by the job incumbent(s) and is not to be considered an all-encompassing description of all responsibilities, duties, and skills required.
 

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