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Medical Coding Auditor Jobs in Virginia (NOW HIRING)

Riverside Health System Non-Providers

$24.25 - $27.50/hr

Performs audits on accuracy of APC or MSDRGs as well as on quality of medical record documentation ... Coding (Required) * 2 years Auditing - Acute Care IP and OP (Required) * 1 year Clinical ...

Sentara Healthcare

Compliance Coding Auditor

Norfolk, VA · On-site +1

Compliance Coding Auditor Performs a number of functions including those of physician education ... Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility ...

Riverside Health System

HIMS Coding Auditor

Newport News, VA · On-site

$24.75 - $28.25/hr

Performs audits on accuracy of APC or MSDRGs as well as on quality of medical record documentation ... Coding (Required) * 2 years Auditing - Acute Care IP and OP (Required) * 1 year Clinical ...

Riverside

$24.25 - $27.50/hr

Performs audits on accuracy of APC or MSDRGs as well as on quality of medical record documentation ... Coding (Required) * 2 years Auditing - Acute Care IP and OP (Required) * 1 year Clinical ...

Sentara

Compliance Coding Auditor

Norfolk, VA · Remote

Compliance Coding Auditor Performs a number of functions including those of physician education ... Caring For Your Family and Your Career Medical, Dental, Vision plans Adoption, Fertility and ...

Graham Technologies

Medical Coding SME

Falls Church, VA · On-site

Graham Technologies is seeking a Medical Coding SME to support coding compliance, coding quality assurance, enterprise coding policy development, and MHS GENESIS optimization initiatives supporting ...

Graham Technologies

Medical Coding SME

Falls Church, VA · On-site

Graham Technologies is seeking a Medical Coding SME to support coding compliance, coding quality assurance, enterprise coding policy development, and MHS GENESIS optimization initiatives supporting ...

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Medical Coding Auditor information

See Virginia salary details

$33.7K

$67.8K

$91.7K

How much do medical coding auditor jobs pay per year?

As of Jun 16, 2026, the average yearly pay for medical coding auditor in Virginia is $67,824.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,500.00 and $74,400.00 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 Virginia? The most popular types of Medical Coding Auditor jobs in Virginia are:
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What cities in Virginia are hiring for Medical Coding Auditor jobs? Cities in Virginia with the most Medical Coding Auditor job openings:
What are popular job titles related to Medical Coding Auditor jobs in VA? For Medical Coding Auditor jobs in VA, the most frequently searched job titles are:
Medical Coding Auditor jobs near you

HIMS Coding Auditor

Riverside Health System Non-Providers

Remote

$24.25 - $27.50/hr

Full-time

Posted 3 days ago

Job description

Newport News, Virginia

FOR APPLICATION REVIEW - PROVIDE YOUR CREDENTIAL OR AHIMA ID NUMBER ON YOUR APPLICATION OR RESUME

This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA.

Overview
Responsible for maintaining coded data quality through ongoing quality review and assessment of outpatient or inpatient records. Performs audits on accuracy of APC or MSDRGs as well as on quality of medical record documentation needed for accurate coding. Works with DRG and CPT denials from commercial payers and writes appeal letters as indicated.
What you will do

  • Ensures coding compliance. Applies all coding guidelines and principles as defined in the Coding Clinic and leading authorities. Complies with standardized coding standards, conventions and regulations, corporate compliance standards and reimbursement policies.
  • Identifies training needs and provides education to team members. May teach or coordinate coding huddles. Coaches and mentors staff.
  • Performs focused reviews and quality audits. Prepares audit reports for leadership.
  • Assists coding leadership with reviewing and responding to internal and external coding audits. Works with coding leadership in settlement of audit findings as needed.
  • Monitors and evaluates the coding functions to ensure effective and efficient coding operations and compliance with established standards, rules and regulations.
  • Audits for documentation opportunities to clarify confusing, incomplete or conflicting information and obtain any needed additional documentation if needed.
  • Assists patient financial services and clinical documentation improvement team members with questions on coding and billing edits.
  • Serves as a clinical coding liaison. Analyzes and evaluates documentation issues with consultation from the medical staff, clinical staff, CDI team and other departments as needed.
  • Assists leadership with coordination of iCare initiatives related to the hospital coding department.
  • Assists with DRG and certain CPT denials from payers as needed and writes appeals as indicated, documenting the denial/audit in denial management tool for tracking and reports


Qualifications
Education

  • High School Diploma or GED, (Required)
  • Associates Degree, Healthcare or Related (Preferred)


Experience

  • 5-6 years Acute Care Inpatient (IP) and Outpatient (OP) Coding (Required)
  • 2 years Auditing - Acute Care IP and OP (Required)
  • 1 year Clinical Documentation Integrity (Preferred)


Licenses and Certifications

  • Certified Coding Specialist (CCS) - The American Health Information Management Association (AHIMA) Upon Hire (Required)
  • Registered Health Information Administrator (RHIA) - The American Health Information Management Association (AHIMA) Upon Hire (Preferred) or
  • Registered Health Information Technician (RHIT) - The American Health Information Management Association (AHIMA) Upon Hire (Preferred) or
  • Certified Cardiac Device Specialist (CCDS) - International Board of Heart Rhythm Examiners CCDS or CDIP Clinical Documentation Improvement Professional Upon Hire (Preferred) or
  • Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) Upon Hire( Preferred)

To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers.

Apply