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Medical Coding Auditor Jobs in Hawaii (NOW HIRING)

Apex Informatics

HIM Hospital Coder

Wailuku, HI · On-site +1

Ensures timely record availability by meeting coding and abstracting productivity / quality standards established for Coders I. * Participates in medical record documentation auditing to monitor ...

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Medical Coding Auditor information

See Hawaii salary details

$35.3K

$71.1K

$96.1K

How much do medical coding auditor jobs pay per year?

As of Jul 28, 2026, the average yearly pay for medical coding auditor in Hawaii is $71,076.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,300.00 and $77,900.00 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 the most commonly searched types of Medical Coding Auditor jobs in Hawaii? The most popular types of Medical Coding Auditor jobs in Hawaii are:
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What job categories do people searching Medical Coding Auditor jobs in Hawaii look for? The top searched job categories for Medical Coding Auditor jobs in Hawaii are:
What are popular job titles related to Medical Coding Auditor jobs in HI? For Medical Coding Auditor jobs in HI, the most frequently searched job titles are:
Medical Coding Auditor jobs near you
Infographic showing various Medical Coding Auditor job openings in Hawaii as of July 2026, with employment types broken down into 82% Full Time, 14% Part Time, 3% Contract, and 1% Nights. Highlights an 87% Physical, 6% Hybrid, and 7% Remote job distribution, with an average salary of $71,076 per year, or $34.2 per hour.
Professional Coding & Doc Auditor - Prof Coding Svcs_QHS (Full-Time, 40 Hours, Day Shift)

Professional Coding & Doc Auditor - Prof Coding Svcs_QHS (Full-Time, 40 Hours, Day Shift)

Diagnostic Laboratory Services, Inc.

Aiea, HI • On-site

$26.50 - $30.25/hr

Full-time

Posted 2 days ago

Job description

Responsibilities
I. JOB SUMMARY/RESPONSIBILITIES:
• Responsible for conducting internal audits of coding and documentation to ensure compliance with coding guidelines and federal and state regulations.
II. TYPICAL PHYSICAL DEMANDS:
• Essential: sitting, stooping/bending, finger dexterity, seeing, hearing, speaking, lifting, and carrying usual weight of 5 pounds, repetitive arm/hand motions, static gripping of an object for prolonged periods, frequent gripping of an object.
• Occasional: standing, walking, kneeling, climbing stairs, squatting, twisting body, lifting weight up to 10 pounds, pushing/pulling usual weight of 2 pounds up to 5 pounds of force, reaching above, at and below shoulder level.
• Operates computer, calculator, and telephone.
III. TYPICAL WORKING CONDITIONS:
• Not substantially subjected to adverse environmental conditions.
IV. MINIMUM QUALIFICATIONS:
A. EDUCATION/CERTIFICATION AND LICENSURE:
• Certification as an Outpatient Physician Coder (CPC) or Certified Coding Specialist -Physician based (CCS-P) required.
• Certification as Medical Auditor (CPMA) preferred.
B. EXPERIENCE:
• Minimum two (2) years experience in physician coding, preferably in a comparable organization.
• Experience to demonstrate the following:
o Knowledge of CPT-4, ICD-9 and ICD-10 CM coding.
o Knowledge of medical terminology and abbreviates.
o Proficient in Evaluation and Management coding.
o In depth knowledge of PATH, incident to and split shared.
o Proficient in Microsoft Office applications (i.e. Excel, PowerPoint, Word).
• Experience in auditing and physician education of CPT preferred.
Equal Employment Opportunity
Equal Opportunity Employer / Disability / Vet

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