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Medical Coding Auditor Jobs in Boston, MA (NOW HIRING)

Westborough Behavioral

Coder - Per Diem

Westborough, MA · On-site

$19.25 - $25.75/hr

Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims. * Adhere to coding policies and procedures ...

Beth Israel Lahey Health

Outpatient Coder 2

Charlestown, MA · On-site

$20.50 - $27.25/hr

Hospital Coding: · Review the complete electronic and scanned medical record of discharged patients. Assigns ICD-10-CM, CPT/HCPC, and Modifiers from documentation in the medical record. · Abstracts ...

Beth Israel Lahey Health

Outpatient Coder 2

Charlestown, MA · Remote

$20.50 - $27.25/hr

Hospital Coding: · Review the complete electronic and scanned medical record of discharged patients. Assigns ICD-10-CM, CPT/HCPC, and Modifiers from documentation in the medical record. · Abstracts ...

Beth Israel Lahey Health

Outpatient Coder 2

Charlestown, MA · Remote

$20.50 - $27.25/hr

Hospital Coding: · Review the complete electronic and scanned medical record of discharged patients. Assigns ICD-10-CM, CPT/HCPC, and Modifiers from documentation in the medical record. · Abstracts ...

Beth Israel Lahey Health

Outpatient Coder 3

Boston, MA · On-site

$20.25 - $27.25/hr

Hospital Coding: Review the complete electronic and scanned medical records of discharged patients. Assigns ICD-10-CM, CPT/HCPC, and Modifiers from documentation in the medical record. • Abstracts ...

Beth Israel Lahey Health

Outpatient Coder 2

Boston, MA · On-site

$20.25 - $27.25/hr

Hospital Coding: • Review the complete electronic and scanned medical record of discharged patients. Assigns ICD-10-CM, CPT/HCPC, and Modifiers from documentation in the medical record. • ...

Beth Israel Lahey Health

Outpatient Coder 3

Charlestown, MA · On-site

$20.50 - $27.25/hr

Hospital Coding: Review the complete electronic and scanned medical records of discharged patients. Assigns ICD-10-CM, CPT/HCPC, and Modifiers from documentation in the medical record. · Abstracts ...

Medix

Physician Billing Specialist

Newton, MA · On-site

$24 - $34/hr

Deep understanding of medical coding, reimbursement models, and end-to-end insurance claim processes. * Communication & Patient Relations: Superior written and verbal communication skills with a ...

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All JobsMedical Coding Auditor JobsMedical Coding Auditor Jobs in Boston, MA

Medical Coding Auditor information

See Boston, MA salary details

$36.9K

$74.3K

$100.5K

How much do medical coding auditor jobs pay per year?

As of Aug 30, 2026, the average yearly pay for medical coding auditor in Boston, MA is $74,317.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,000.00 and $81,500.00 per year, depending on experience, location, and employer.

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 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 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.

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.

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What are the most commonly searched types of Medical Coding Auditor jobs in Boston, MA?

The most popular types of Medical Coding Auditor jobs in Boston, MA are:

What are popular job titles related to Medical Coding Auditor jobs in Boston, MA?

For Medical Coding Auditor jobs in Boston, MA, the most frequently searched job titles are:

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The top searched job categories for Medical Coding Auditor jobs in Boston, MA are:

Medical Coding Auditor jobs near you
Infographic showing various Medical Coding Auditor job openings in Boston, MA as of August 2026, with employment types broken down into 50% Full Time, and 50% Contract. Highlights an 50% In-person, and 50% Remote job distribution, with an average salary of $74,317 per year, or $35.7 per hour.

Medical Program Auditor/ Analyst

Westborough, MA • On-site, Remote

University of Massachusetts Medical School
Education • 10K+ employees
Learn more about University of Massachusetts Medical Schoolexternal

$80K - $95K/yr

Full-time

Re-posted 22 hours ago

Job description

Under the general direction of the Associate Director or designee, the Fraud, Waste, and Abuse (FWA) Auditor serves a crucial role in identifying, investigating, and preventing fraud, waste and abuse for Medicaid programs. A major function of this position is to conduct desk and onsite audits across various provider types to ensure compliance with federal and state regulations. The Auditor performs investigative activities to develop leads and detect aberrant billing practices, including data mining, claims analysis, and medical record assessment.

Onsite requirement 1-2 times per month, all other aspects of the job are remote.


Responsibilities:

  • Ensure compliance with federal and state regulations and healthcare FWA industry standards.
  • Perform independent data mining and data analysis utilizing claims data to detect patterns and trends that may uncover fraud, waste, or non-compliant billing practices.
  • Conduct onsite audits as required, to assess the completeness of medical and administrative records and the compliance with applicable regulatory requirements.
  • Prepare detailed audit documentation, summaries of investigative findings, compile case files, calculate sanctions and overpayments based on violations cited.
  • Communicate with providers regarding issues such as general regulatory compliance, audit findings, and the recovery process.
  • Recommend policy, procedure and system changes to enhance investigative outcomes.
  • Update appropriate internal management staff regularly on progress of investigations.
  • Stay current with regulatory updates, coding changes, and industry standards.
  • Identify trends from national fraud-related publications and recommend new or improved strategies to strengthen fraud-detection efforts.
  • Assist with document management, updating case-tracking system and adhering to record retention policies and procedures.
  • Perform other duties as assigned.

Qualifications:

  • Bachelor's degree in business, health care administration, or other related field
  • 4-6 years of related experience in the healthcare industry, business,; with at least two years of experience conducting data mining in the healthcare insurance industry, healthcare claim audits, administrative medical record reviews or other claims analysis related experience
  • Knowledge of CPT, HCPCS and ICD-10 coding, reimbursement and claims processing policies
  • Strong analytical and qualitative skills as well as problem solving skills with the ability to look for root causes and implement workable solutions
  • Ability to interpret and apply law and regulations as it relates to fraud and fraud investigations
  • Ability to multi-task, establish priorities and work independently and collaboratively to achieve audit objectives
  • Proficiency in Microsoft Office applications (Word, Excel, PowerPoint and Access)
  • Excellent Customer service skills with the ability to interact professionally and effectively with providers, clients, and internal stakeholders from all departments
  • Ability to travel within Massachusetts and be on-site as needed for audits

Preferred Qualifications:

Prefer individual possessing any of the following certifications or licensure: CPC or CPMA
Knowledge of state and federal regulations as they apply to public assistance programs

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