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Medical Coding Auditor Jobs in Delaware (NOW HIRING)

TidalHealth

Coding Auditor - HB

Seaford, DE · On-site

$58K - $91K/yr

TidalHealth is also home to a growing graduate medical education program to prepare the next ... Coding Auditor Position Summary Join a triple 'A' rated team where clinical excellence meets a ...

TidalHealth

Coding Auditor - HB

Seaford, DE

$28.26 - $43.81/hr

TidalHealth is also home to a growing graduate medical education program to prepare the next ... Coding Auditor Position Summary Join a triple 'A' rated team where clinical excellence meets a ...

Ensemble Health Partners

Physician Coding Auditor

Dover, DE · On-site

$57K - $99K/yr

... Coding Auditor develops and implements strategic needs analyses and training plans for coding ... Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the ...

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All JobsMedical Coding Auditor JobsMedical Coding Auditor Jobs in Delaware

Medical Coding Auditor information

See Delaware salary details

$34K

$68.5K

$92.6K

How much do medical coding auditor jobs pay per year?

As of Jul 21, 2026, the average yearly pay for medical coding auditor in Delaware is $68,469.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,000.00 and $75,100.00 per year, depending on experience, location, and employer.

What Do Medical Coding Auditors Do?

A medical coding auditor is an administrative professional in the healthcare industry. As a medical coding auditor, you check medical coding and billing information for accuracy, suspicious activity, and compliance with healthcare regulations. Your responsibilities require you to review medical data and document any areas where the medical coding could improve in terms of accuracy and efficiency. Your duties also include reviewing records of patients to make sure that there is documentation for each item on a billing inventory. Though you work in the medical coding and billing department, your focus is on regulations, compliance, and efficiency rather than on coding for billing and records purposes.

What is the difference between Medical Coding Auditor vs Medical Billing Specialist?

AspectMedical Coding AuditorMedical Billing Specialist
CertificationsCPMA, CPC, CCSCPB, CPC, CMA
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies
Primary FocusReviewing coding accuracy and complianceProcessing patient bills and payments
Industry UsageHealthcare providers, insuranceHealthcare providers, billing services

Medical Coding Auditors focus on reviewing and ensuring the accuracy of medical codes used for billing and reimbursement, often working in compliance and quality assurance roles. Medical Billing Specialists handle the submission of claims, patient billing, and payment processing. While both roles require coding knowledge and certifications, their primary responsibilities and work environments differ, making them distinct but related careers in healthcare revenue cycle management.

Will AI eventually replace medical coders?

Medical coding auditors oversee the review of coded medical records to ensure accuracy and compliance. While AI tools can assist with coding processes, human oversight remains essential for complex cases, interpretation, and quality assurance, making full replacement unlikely in the near future.

What are the key skills and qualifications needed to thrive as a Medical Coding Auditor, and why are they important?

To thrive as a Medical Coding Auditor, you need in-depth knowledge of medical coding systems (ICD-10, CPT, HCPCS), healthcare regulations, and a credential such as CPC, CCS, or RHIA. Proficiency with electronic health record (EHR) systems, coding audit software, and compliance databases is typically required. Attention to detail, analytical thinking, and strong communication skills help auditors accurately review records and provide clear feedback. These skills are essential for ensuring coding accuracy, regulatory compliance, and minimizing risk for healthcare organizations.

What does a Medical Coding Auditor do?

A Medical Coding Auditor reviews medical records and coding to ensure accuracy, compliance with regulations, and proper reimbursement. They evaluate the work of medical coders, identify errors or inconsistencies, and provide feedback or training to improve coding practices. Medical Coding Auditors help healthcare organizations minimize risk, avoid overbilling or underbilling, and maintain high standards in documentation and billing processes.

What are some common challenges faced by Medical Coding Auditors and how can they be addressed?

Medical Coding Auditors often encounter challenges such as staying current with frequently changing coding guidelines, managing high volumes of records, and ensuring accuracy under tight deadlines. To address these, many auditors participate in ongoing training, leverage coding software tools, and collaborate closely with coding and billing teams to clarify discrepancies. Establishing consistent communication with healthcare providers and maintaining meticulous documentation also helps minimize errors and improve audit efficiency.

How do I become a medical coding auditor?

To become a medical coding auditor, you typically need a medical coding certification such as the Certified Professional Coder (CPC) or Certified Coding Specialist (CCS), along with experience in medical coding. Strong attention to detail, knowledge of coding guidelines, and familiarity with coding and auditing software are essential for the role.

What pays more, CCS or CPC?

Medical Coding Auditors with CCS (Certified Coding Specialist) credentials typically earn higher salaries than those with CPC (Certified Professional Coder) certification, as CCS is often considered more advanced and specialized. However, salaries can vary based on experience, location, and employer, with CCS holders generally commanding higher pay due to their expertise in hospital and inpatient coding. Both certifications are valuable, but CCS often leads to higher-paying roles in medical coding and auditing environments.

What is the highest paying job in medical coding?

The highest paying roles in medical coding are often senior-level positions such as Coding Manager, Coding Director, or Compliance Officer, which require extensive experience, certifications like CPC or CCS, and strong leadership skills. These roles typically offer higher salaries due to increased responsibilities and expertise in auditing, compliance, and coding accuracy.
More about Medical Coding Auditor jobs
What are popular job titles related to Medical Coding Auditor jobs in Delaware? For Medical Coding Auditor jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Medical Coding Auditor jobs in Delaware look for? The top searched job categories for Medical Coding Auditor jobs in Delaware are:
What are popular job titles related to Medical Coding Auditor jobs in DE? For Medical Coding Auditor jobs in DE, the most frequently searched job titles are:
Medical Coding Auditor jobs near you
Infographic showing various Medical Coding Auditor job openings in Delaware as of July 2026, with employment types broken down into 83% Full Time, 14% Part Time, 2% Contract, and 1% Nights. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $68,469 per year, or $32.9 per hour.
DE - Coding and Billing Auditor - Dover

DE - Coding and Billing Auditor - Dover

InstantServe LLC

Dover, DE • On-site

Full-time

Re-posted 18 days ago

Job description

Job is fully onsite. Must have CPC. Professional Physician coding experience is a must, auditing experience is preferred. seeking a certified professional coder with significant experience in coding professional claims in a medical office-based setting. Experience with coding different specialties is preferred. Looking for a candidate who has interacted regularly with physicians to provide feedback and education on a regular basis General Summary: Performs data quality reviews on provider records to validate the ICD-10 codes, CPT codes and clinical documentation. Audits provider (physician and midlevel providers) records for accuracy of principal and secondary diagnosis and/or procedures and ensures compliance with all reporting and documentation requirements. Educates providers, coders and charge entry personnel on coding guidelines and documentation requirements. Provides coding support to BHMG coding and billing staff. Responsibilities: 1. Audits medical records for accurate CPT coding assignment. Compiles reports with an analysis of findings from the medical record audits. Ensures the selected CPT code supports the clinical documentation contained in patient record. Consistently meets established productivity targets for record audits. 2. Audits all establish provider medical records on by annual basis: a. Audits medical records for accurate CPT coding assignment. b. Maintains audit lodge for BHMG c. Compiles reports with an analysis of findings from the medical record audits. d. Ensures the selected CPT code supports the clinical documentation contained in patient record. e. Consistently meets established productivity targets for record audits. 3. Medical Staff Relationship: a. Communicates (verbal/written) with providers to validate observations and suggest additional and/or more specific documentation b. Designs and implements, in collaboration with the Revenue Cycle Manager specific tools to support medical record physician documentation. c. Develops and implements plans in coordination with the Revenue Cycle Manager for both formal and informal education of providers. d. Communicates to participants the benefits of complete clinical documentation. 4. Trains new employees on the BHMG revenue cycle team on coding and documentation guidelines 5. Assistant Revenue Cycle manager with evaluation of coding activities and the performance evaluation of the revenue cycle personnel as needed 6. Performs coding procedures as needed and warranted 7. Develops and implements plans in coordination with the Revenue Cycle Manager for both formal and informal education of providers. 8. All other duties as assigned within the scope and range of job responsibilities Required Education, Credential(s) and Experience: Education: Associate Degree Related field Credential: Certified Professional Coder Experience: Five (5) years in Inpatient /Outpatient coding and auditing experience Preferred Education, Credential(s) and Experience: Education Bachelor Degree Related field Credential: Certified Professional Coder Experience: Coding in multi-specialty group practice setting
Shift: Days, Full Time
Specialty Type: Medical Coding
Sub Specialties: Medical Coding Auditor
General Certifications: N/A
Please CLICK HERE to view details.
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About InstantServe

Sourced by ZipRecruiter

InstantServe provides a one-stop solution to all Healthcare, IT/Non-IT Staffing needs. Established in 2016, InstantServe is a strong workforce of over 100+ go-getters with a demonstrated background in IT/Non-IT service. We are a nationally certified SBE from the Department of Administration (State of PA). As a proud Minority Woman Owned Small Business Enterprise (M/WBE), InstantServe boasts of a strong team of professionals who have extensive experience catering to several Federal, Public, Commercial, and Healthcare Clients which includes 26 States and 46 government agencies. InstantServe is a client-centric organization that offers cost-effective and reliable solutions. Client satisfaction is sacrosanct! Our team strives to provide the best staffing and IT solutions to take your business to the next level.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Wayne, PA, US

Year founded

2016

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