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Contract Medical Coding Auditor Jobs in Raleigh, NC

Humana

Medical Coder

Morrisville, NC · On-site +1

$17.50 - $23.50/hr

... coding education and / or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets

Humana

Medical Coder

Holly Springs, NC · On-site +1

$16.25 - $21.75/hr

... coding education and / or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets

Humana

Medical Coder

Oxford, NC · On-site +1

$17.25 - $23/hr

... coding education and / or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets

Humana

Medical Coder

Durham, NC · On-site +1

$18 - $24.25/hr

... coding education and / or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets

Humana

Medical Coder

Oxford, NC · On-site +1

$17.25 - $23/hr

... coding education and / or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets

Humana

Medical Coder

Lillington, NC · On-site +1

$15.75 - $21/hr

... coding education and / or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets

Humana

Medical Coder

Cary, NC · On-site +1

$17.25 - $23.25/hr

... coding education and / or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets

Humana

Medical Coder

Franklinton, NC · On-site +1

$12.75 - $17/hr

... coding education and / or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets

Humana

Medical Coder

Holly Springs, NC · On-site +1

$16.25 - $21.75/hr

... coding education and / or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets

Humana

Medical Coder

Raleigh, NC · On-site +1

$18.25 - $24.25/hr

... coding education and / or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets

Humana

Medical Coder

Fuquay Varina, NC · On-site +1

$15.50 - $20.75/hr

... coding education and / or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets

Humana

Medical Coder

Fuquay Varina, NC · On-site +1

$15.50 - $20.75/hr

... coding education and / or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets

Humana

Medical Coder

Wake Forest, NC · On-site +1

$16 - $21.50/hr

... coding education and / or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets

Humana

Medical Coder

Morrisville, NC · On-site +1

$17.50 - $23.50/hr

... coding education and / or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets

Humana

Medical Coder

Apex, NC · On-site +1

$14.25 - $19/hr

... coding education and / or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets

Humana

Medical Coder

Oxford, NC · On-site +1

$17.25 - $23/hr

... coding education and / or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets

Humana

Medical Coder

Youngsville, NC · On-site +1

$14.25 - $19/hr

... coding education and / or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets

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Contract Medical Coding Auditor information

See Raleigh, NC salary details

$33K

$66.5K

$89.9K

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

As of Jun 11, 2026, the average yearly pay for contract medical coding auditor in Raleigh, NC is $66,497.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,400.00 and $72,900.00 per year, depending on experience, location, and employer.

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.

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 most commonly searched types of Medical Coding Auditor jobs in Raleigh, NC? The most popular types of Medical Coding Auditor jobs in Raleigh, NC are:
What are popular job titles related to Contract Medical Coding Auditor jobs in Raleigh, NC? For Contract Medical Coding Auditor jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Contract Medical Coding Auditor jobs in Raleigh, NC look for? The top searched job categories for Contract Medical Coding Auditor jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Contract Medical Coding Auditor jobs? Cities near Raleigh, NC with the most Contract Medical Coding Auditor job openings:
Contract Medical Coding Auditor jobs near you
Infographic showing various Contract Medical Coding Auditor job openings in Raleigh, NC as of June 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 79% Physical, 3% Hybrid, and 18% Remote job distribution, with an average salary of $66,497 per year, or $32 per hour.
RCS Medical Coding Auditor (CPC, CPMA)

RCS Medical Coding Auditor (CPC, CPMA)

Veradigm

Raleigh, NC • On-site, Remote

$57K - $80K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted yesterday

Job description

Position Summary
The RCS Medical Coding Auditor is responsible for auditing professional (ProFee) medical coding to ensure accuracy, compliance, and alignment with AMA CPT, CMS, NCCI and payer guidelines. This role supports coding integrity, mitigates compliance risk, and drives continuous quality improvement through targeted education and audit-based feedback.
The ideal candidate brings strong hands-on experience with professional fee coding, deep knowledge of E/M, surgical, and modifier use, and the ability to translate audit findings into actionable insights.
Key Responsibilities
  • Perform daily QA to ensure accuracy of completed coding and provide targeted coding education and feedback
  • Validate ICD-10-CM, CPT®, HCPCS, and modifier assignment against clinical documentation to ensure accuracy and compliance with AMA CPT, ICD-10, CMS, NCCI, and payer-specific guidelines
  • Conduct medical chart audits of professional services across multiple specialties
  • Identify coding discrepancies, compliance risks, trends, root causes, and documentation gaps
  • Support coding education through feedback, targeted training, and reference materials
  • Prepare clear, defensible audit documentation including rationale and references
  • Provide actionable recommendations to address audit findings and reduce future risk
  • Track audit outcomes and trends to support leadership reporting and risk mitigation strategies
  • Support denial prevention, resolution and appeal strategies
  • Collaborate across teams to assist with coding support
  • Maintain confidentiality and comply with HIPAA and organizational policies

Required Qualifications
  • CPC (Required) and CPMA (Required/In Process)
  • 2+ years of ProFee auditing experience
  • Knowledge of:
    • E/M documentation guidelines
    • Modifier rules and NCCI edits
    • CPT, ICD-10-CM, HCPCS Level II
  • High attention to detail with strong analytical and critical-thinking skills
  • Excellent written and verbal communication skills for audit reporting and education
  • Proficiency with EHRs, coding and auditing tools
  • Proficiency with Microsoft Office Suite

Preferred Qualifications
  • Multi-specialty coding and auditing experience with preferred background in E/M Coding, Orthopedics, Pain Management, Urology
  • Background in coding quality programs or compliance teams
  • Advanced reporting skills for audit tracking and trend analysis
  • Prior consulting or client-facing audit experience

Compensation Range:
$57,728-$80,243
Compensation for this job is subject to market conditions, geographic considerations, the candidate's unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates' unique contributions and support their professional growth.
Enhancing Lives and Building Careers
Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development. Together, we are In the Network. Interested in learning more?
Take a look at our Culture, Benefits, Early Talent Program, and Additional Openings.
Visa Sponsorship is not offered for this position.
At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve. The Veradigm Network is a dynamic, open community of solutions, external partners, and cutting-edge artificial intelligence technologies that provide advanced insights, technology, and data-driven solutions. Veradigm offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.
Veradigm's policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Veradigm must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire. Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.
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This is an official Veradigm Job posting. To avoid identity theft, please only consider applying to jobs posted on our official corporate site.
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