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Medical Coding Auditor Jobs in Michigan (NOW HIRING)

STEM CODERS INC

STEM/Coding Instructor

Canton, MI · On-site

$14 - $19/hr

Interest in or experience with robotics, gaming, coding, or digital arts. * Ability to work with students ranging from Kindergarten through 9th grade. * Strong problem-solving skills and ability to ...

STEM CODERS INC

STEM/Coding Instructor

Canton, MI · On-site

$14 - $19/hr

Interest in or experience with robotics, gaming, coding, or digital arts. * Ability to work with students ranging from Kindergarten through 9th grade. * Strong problem-solving skills and ability to ...

ALOIS LLC

Medical Coder

Farmington, MI · On-site

$18.50 - $24.50/hr

Minimum of two (2) years'' experience coding outpatient medical records using ICD-10-CM, ICD-10-PCS ... CPT-4 and E&M classification systems required. Proficient with ICD-10-PCS coding. LICENSURE:

CMU Health

General Coder

Saginaw, MI · Hybrid

Medical Coding Certification, RHIT, AAPC or AHIMA. * Extensive knowledge of CPT, HCPCS and ICD-10-CM code assignment. * Working knowledge of Electronic Health Records and computer proficiency. Why ...

University of Michigan

Auditor Senior

Ann Arbor, MI · On-site

$79K - $97K/yr

With three campuses, 19 schools and colleges, a world-renowned academic medical center, and a broad ... Audit Services operates in accordance with the Global Internal Audit Standards and Code of Ethics ...

The AF Group

Medical Bill Rev Specialist I/II

Lansing, MI

$19 - $24.25/hr

Responsible for analyzing simple billings by utilizing our Medical Bill Review (MBR) software to determine appropriateness of codes. Responsible for making bill review processing determinations ...

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Medical Coding Auditor information

See Michigan salary details

$29.6K

$59.6K

$80.6K

How much do medical coding auditor jobs pay per year?

As of Jun 16, 2026, the average yearly pay for medical coding auditor in Michigan is $59,626.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,600.00 and $65,400.00 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.

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.

Are medical coders going to be replaced by AI?

Medical coding auditors, as part of the medical coding field, are unlikely to be fully replaced by AI in the near future because they require critical thinking, review skills, and understanding of complex medical documentation. AI tools can assist with coding accuracy and efficiency, but human oversight remains essential for compliance and handling complex cases. Continuous learning and certification help coders stay relevant as technology evolves.

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 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.

What do medical coding auditors do?

Medical coding auditors review healthcare claims and medical records to ensure accurate and compliant coding of diagnoses and procedures. They identify errors, verify coding accuracy, and ensure adherence to billing regulations, often using coding software and industry guidelines. Their work helps prevent fraud and optimize reimbursement for healthcare providers.
More about Medical Coding Auditor jobs
What are the most commonly searched types of Medical Coding Auditor jobs in Michigan? The most popular types of Medical Coding Auditor jobs in Michigan are:
What are popular job titles related to Medical Coding Auditor jobs in Michigan? For Medical Coding Auditor jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Medical Coding Auditor jobs in Michigan look for? The top searched job categories for Medical Coding Auditor jobs in Michigan are:
What cities in Michigan are hiring for Medical Coding Auditor jobs? Cities in Michigan with the most Medical Coding Auditor job openings:
What are popular job titles related to Medical Coding Auditor jobs in MI? For Medical Coding Auditor jobs in MI, the most frequently searched job titles are:
Medical Coding Auditor jobs near you
Ambulance Medical Biller & Coder

Ambulance Medical Biller & Coder

Mobile Health Resources

Lansing, MI • On-site

$19 - $24.25/hr

Part-time

Posted 12 days ago

Job description

POSITION SUMMARY
This role is responsible for accurately and appropriately coding ambulance claims, including claim submission, follow-up on denied claims, and ensuring compliance with relevant billing regulations to facilitate timely reimbursement for services.
ESSENTIAL JOB FUNCTIONS
1. Examines patient care reports to gather essential information for insurance documentation.
2. Contacts facilities, hospitals, or patients to acquire missing information and physician certification statements.
3. Collects data such as insurance company names, policyholder details, policy numbers, and services provided to accurately complete claim and/or billing records. 4. Communicates with insurance companies to verify coverage, determine payor schedules, and gather benefit details.
5. Assigns relevant codes based on documented information in the patient care report and determines the appropriate level of ambulance service.
6. Allocates charges for services supported by documentation in the patient care report.
7. Reviews medical records to assess the medical necessity of ambulance transport and enters suitable ICD, CPT, or HCPCS code for claims.
8. Verifies the presence of all required documents before submitting reimbursement claims to ensure inclusive records.
9. Calculates total bills, indicating amounts payable by insurance and patients, and processes claim submissions by mail or electronically.
10. Ensures each account is billed to the correct payer following the appropriate billing schedule.
11. Follows up with companies and individuals regarding unpaid claims to secure payment.
12. Communicates in a professional manner when addressing patients' and families' questions regarding statements, in order to provide accurate information.
13. Prepares outgoing mail, bills, invoices, statements, and reports.
14. Manages denial resolution and accounts receivable follow-up.
15. Posts payments and compiles reports.
16. Performs charge entry tasks.
17. Handles aging accounts.
18. Commitment to maintaining confidentiality and compliance with HIPAA and other privacy regulations.
19. Performs other duties as required or assigned.
EDUCATION/EXPERIENCE
1. High school degree or GED required
2. One year of experience with medical billing and coding systems, or a certificate for medical coding, preferred
3. Knowledge of medical billing software preferred
KNOWLEDGE/SKILLS/ABILITIES
1. Knowledge of the Health Insurance Portability and Accountability Act (HIPAA) 2. Knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes) 3. Knowledge of medical terminology, abbreviations, and acronyms 4. Knowledge of medical billing
5. Attention to detail to review records and claims for errors or discrepancies 6. Strong communication skills are required to clearly explain procedures and resolve issues with providers, insurers, and patients
7. Understanding of various insurance plans and procedures
8. Ability to work independently and collaboratively
9. Ability to prioritize tasks and meet deadlines
10. Intermediate Microsoft Office and Google Workspace skills
PHYSICAL REQUIREMENTS
1. Talking - expressing or exchanging ideas by means of the spoken word to impart oral information to others accurately (1-2 hrs. daily).
2. Hearing - perceiving the nature of sound by ear (1-2 hrs. daily). 3. Sitting - remaining in a seated position (6-8 hrs. daily).
4. Lifting - raising or lowering an object under 20 lbs. from one position to another (infrequently).
5. Work Environment - general office work and exposure to elements within the office environment (6-8 hrs. daily).

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