CODING AUDITOR
$26.75 - $30.50/hr
Requires course work in/knowledge of medical terminology, anatomy and physiology, pathophysiology ... Experience Inpatient Coding/Clinical documentation review is Preferred. 3 yrs of Coding/Clinical ...
$26.75 - $30.50/hr
Requires course work in/knowledge of medical terminology, anatomy and physiology, pathophysiology ... Experience Inpatient Coding/Clinical documentation review is Preferred. 3 yrs of Coding/Clinical ...
$26.75 - $30.50/hr
Requires course work in/knowledge of medical terminology, anatomy and physiology, pathophysiology ... Experience Inpatient Coding/Clinical documentation review is Preferred. 3 yrs of Coding/Clinical ...
$26.75 - $30.50/hr
Requires course work in/knowledge of medical terminology, anatomy and physiology, pathophysiology ... Experience Inpatient Coding/Clinical documentation review is Preferred. 3 yrs of Coding/Clinical ...
$26.75 - $30.50/hr
Requires course work in/knowledge of medical terminology, anatomy and physiology, pathophysiology ... Experience Inpatient Coding/Clinical documentation review is Preferred. 3 yrs of Coding/Clinical ...
Merrillville, IN · On-site
$26.75 - $30.50/hr
Requires course work in/knowledge of medical terminology, anatomy and physiology, pathophysiology ... Experience Inpatient Coding/Clinical documentation review is Preferred. 3 yrs of Coding/Clinical ...
Merrillville, IN · On-site
$26.75 - $30.50/hr
Requires course work in/knowledge of medical terminology, anatomy and physiology, pathophysiology ... Experience Inpatient Coding/Clinical documentation review is Preferred. 3 yrs of Coding/Clinical ...
Reviews medical records for diagnoses that meet medical necessity according to the CMS Local ... Ensures codes are accurate and sequenced correctly in accordance with government and insurance ...
Reviews medical records for diagnoses that meet medical necessity according to the CMS Local ... Ensures codes are accurate and sequenced correctly in accordance with government and insurance ...
... in E/M auditing required. • Three (3) years of medical coding experience with demonstrated knowledge of ICD-10, CPT, and HCPCS coding systems required. • Certified Professional Coder (CPC ...
... in E/M auditing required. • Three (3) years of medical coding experience with demonstrated knowledge of ICD-10, CPT, and HCPCS coding systems required. • Certified Professional Coder (CPC ...
South Bend, IN · On-site
$20 - $26/hr
The Certified Medical Coder is responsible for ensuring all diagnoses and procedures are coded appropriately for all claims. This position will need to remain current on coding and billing ...
South Bend, IN · On-site
$20 - $26/hr
The Certified Medical Coder is responsible for ensuring all diagnoses and procedures are coded appropriately for all claims. This position will need to remain current on coding and billing ...
Manager Medical Coding Analysis Manager Coding Analysis CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health exists to enable ...
New
Manager Medical Coding Analysis Manager Coding Analysis CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health exists to enable ...
New
Medical Coding Appeals Analyst Sign On Bonus: $1,000 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum ...
Medical Coding Appeals Analyst Sign On Bonus: $1,000 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum ...
Indianapolis, IN · Remote
$26 - $29.75/hr
... As an Inpatient Auditing Specialist you will be instrumental in addressing consulting and ... Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate ...
Indianapolis, IN · Remote
$26 - $29.75/hr
... As an Inpatient Auditing Specialist you will be instrumental in addressing consulting and ... Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate ...
$18 - $24/hr
Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. * Reviews company specific, CMS specific, and competitor specific medical policies ...
$18 - $24/hr
Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. * Reviews company specific, CMS specific, and competitor specific medical policies ...
$15 - $18/hr
Medical/Dental/Vision Plan * Direct Deposit * Life Insurance * Prescription Drug Reimbursement * Short-Term Disability Job ID: #3251OS Express Office: Evansville 1100 Lincoln Avenue Evansville, IN ...
Quick apply
$15 - $18/hr
Medical/Dental/Vision Plan * Direct Deposit * Life Insurance * Prescription Drug Reimbursement * Short-Term Disability Job ID: #3251OS Express Office: Evansville 1100 Lincoln Avenue Evansville, IN ...
Valparaiso, IN · On-site +1
$18.75 - $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
Valparaiso, IN · On-site +1
$18.75 - $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
$17.75 - $23.75/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
$17.75 - $23.75/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
Valparaiso, IN · On-site +1
$18.75 - $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
Valparaiso, IN · On-site +1
$18.75 - $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
$17.75 - $23.75/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
$17.75 - $23.75/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
$17.75 - $23.75/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
$17.75 - $23.75/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
Valparaiso, IN · On-site +1
$18.75 - $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
Valparaiso, IN · On-site +1
$18.75 - $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
The ideal candidate brings strong coding knowledge, regulatory awareness, and analytical and ... Review medical records and related documentation to assess coding accuracy and compliance with ...
The ideal candidate brings strong coding knowledge, regulatory awareness, and analytical and ... Review medical records and related documentation to assess coding accuracy and compliance with ...
The ideal candidate brings strong coding knowledge, regulatory awareness, and analytical and ... Review medical records and related documentation to assess coding accuracy and compliance with ...
The ideal candidate brings strong coding knowledge, regulatory awareness, and analytical and ... Review medical records and related documentation to assess coding accuracy and compliance with ...
Be Seen First
Indianapolis, IN · On-site
$52K - $65K/yr
The ideal candidate brings strong coding knowledge, regulatory awareness, and analytical and ... Review medical records and related documentation to assess coding accuracy and compliance with ...
New
Quick apply
Be Seen First
Indianapolis, IN · On-site
$52K - $65K/yr
The ideal candidate brings strong coding knowledge, regulatory awareness, and analytical and ... Review medical records and related documentation to assess coding accuracy and compliance with ...
New
$32.4K - $37.4K
4% of jobs
$37.4K - $42.5K
2% of jobs
$42.5K - $47.5K
5% of jobs
$47.5K - $52.6K
8% of jobs
$55.5K is the 25th percentile. Wages below this are outliers.
$52.6K - $57.7K
10% of jobs
$57.7K - $62.7K
4% of jobs
$62.7K - $67.8K
13% of jobs
The median wage is $68.3K / yr.
$67.8K - $72.8K
39% of jobs
$72.8K - $77.9K
6% of jobs
$77.9K - $83K
5% of jobs
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3% of jobs
$32.4K
$65.1K
$88K
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.
| Aspect | Medical Coding Auditor | Medical Billing Specialist |
|---|---|---|
| Certifications | CPMA, CPC, CCS | CPB, CPC, CMA |
| Work Environment | Hospitals, clinics, insurance companies | Medical offices, billing companies |
| Primary Focus | Reviewing coding accuracy and compliance | Processing patient bills and payments |
| Industry Usage | Healthcare providers, insurance | Healthcare 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.

Responsible for ensuring accuracy and quality coding assignments for all records requiring DRG and/or APC coding; ensures optimal and timely reimbursement.
ResponsibilitiesPrincipal Duties and Responsibilities (*Essential Functions)
Performs comprehensive pre-billing coding audits, through the use of eValuator, to ensure claims are accurately coded and charged in compliance with coding and regulatory standards.
Performs comprehensive pre-billing coding data quality reviews on inpatient and/or outpatient records to ensure proper coding guidelines have been followed and appropriate DRG (MS/APR) or APC assignments have been made for appropriate reimbursement.
Responsible for completion of reviews within 72 hrs of import date to include new reviews of up to or exceeding 12 to 15 per day for inpatients and/or completion of reviews within 48 hrs of import date including up to or exceeding 50 per day for outpatient accounts.
Maintains an audit response turnaround time of 24 to 48 hours, with the exception of weekends.
Reviews abstracted data to ensure quality of required data elements (facility specific elements) including appropriate discharge disposition.
Responsible for maintaining coded data quality through ongoing quality review and assessment of outpatient and/or inpatient records.
Serves as a subject matter expert on ICD 10-CM/PCS and/or CPT/HCPCS coding guidelines and policies.
Coaches and educates coding staff to ensure staff adheres to ICD 10-CM/PCS, CPT/HCPCS coding guidelines and policies.
Maintains working knowledge of CMS (Medicare and Medicaid) regulations, Local Coverage Determinations (LCD), National Coverage determination (NCD) and National Correct Coding Initiatives (NCCI).
Performs ad hoc quality reviews and audits as requested by management.
Participates in team meetings with coding staff to discuss coding problems, changes, or issues.
Job Specific (Minimum Requirements)
Knowledge, Skills, and Abilities
Education
Associates Degree in Health Information Technology is Required.
Bachelors Degree in Health Information Technology is Preferred.
Experience
Inpatient Coding/Clinical documentation review is Preferred.
3 yrs of Coding/Clinical documentation Improvement is Preferred.     Â
Certifications and Licensures          Â
RHIT/RHIA certification is Required.
Model of Care and Conduct
Methodist Hospitals strives for excellence and insists on high standards of conduct and performance in everything we do. Our Model of Care and Conduct is designed to create a positive work environment which Methodist desires for all employees. This is foundational to the high level of patient, family and physician satisfaction we strive for each day. As part of all position's duties at Methodist Hospitals, all employees are responsible to conduct themselves in accordance with the Model of Care and Conduct and will be evaluated according to these standards of behavior.
Employment Type: OTHERSourced by ZipRecruiter
Methodist Hospitals is a reputable institution in the healthcare and medical industry with its base in Gary, Indiana, United States. A trusted name in comprehensive medical services, the organization is primarily known for its robust offering in the fields of emergency and acute medical care, tracking back its foundational roots to the year 1923. Catholic nun Sister Gesuina set up the hospital with the sole mission of providing affordable healthcare services to the residents of Gary. Today, their mission stays true to promoting health, healing, and well-being in the communities they serve, encompassing a diverse representation of races, ethnicities, genders, ages, religions, abilities, and sexual orientations.
Health care and social assistance
1,001 - 5,000 Employees
Gary, IN, US
1923