Works closely with Medical Coders, Data Sciences, and Engineering teams to ensure alignment and ... Previous auditing or consulting experience with self-insured companies
Works closely with Medical Coders, Data Sciences, and Engineering teams to ensure alignment and ... Previous auditing or consulting experience with self-insured companies
URGENT: CRC & Coding Specialist (Bachelor's Degree) - EI4310
OR · Remote
$26 - $28/hr
Medical terminology knowledge * Data coding and database retrieval experience * Strong attention to detail * Ability to multitask * Good written and verbal communication skills * Ability to work ...
Quick apply
URGENT: CRC & Coding Specialist (Bachelor's Degree) - EI4310
OR · Remote
$26 - $28/hr
Medical terminology knowledge * Data coding and database retrieval experience * Strong attention to detail * Ability to multitask * Good written and verbal communication skills * Ability to work ...
Be Seen First
Remote Sr Inpatient Coder - Trauma Experience Required
OR · Remote
$40 - $48/hr
... the auditing team to review findings and ensure accounts meet compliance standards * Adhere to AHIMA ethical coding standards and compliance guidelines * Support the University of Maryland Medical ...
Quick apply
Be Seen First
Remote Sr Inpatient Coder - Trauma Experience Required
OR · Remote
$40 - $48/hr
... the auditing team to review findings and ensure accounts meet compliance standards * Adhere to AHIMA ethical coding standards and compliance guidelines * Support the University of Maryland Medical ...
Pharmacy Biller
Coos Bay, OR · On-site
$17.25 - $22.25/hr
Maintains accurate and complete billing documentation and records for auditing and reporting ... medical billing terminology and coding standards (e.g. NCPDP, HCPCS, ICD-10). · Experience and ...
Quick apply
Pharmacy Biller
Coos Bay, OR · On-site
$17.25 - $22.25/hr
Maintains accurate and complete billing documentation and records for auditing and reporting ... medical billing terminology and coding standards (e.g. NCPDP, HCPCS, ICD-10). · Experience and ...
Pharmacy Biller
Coos Bay, OR · On-site
$24.65/hr
Maintains accurate and complete billing documentation and records for auditing and reporting ... medical billing terminology and coding standards (e.g. NCPDP, HCPCS, ICD-10). • Experience and ...
Pharmacy Biller
Coos Bay, OR · On-site
$24.65/hr
Maintains accurate and complete billing documentation and records for auditing and reporting ... medical billing terminology and coding standards (e.g. NCPDP, HCPCS, ICD-10). • Experience and ...
Pharmacy Biller
$17.25 - $22.25/hr
Maintains accurate and complete billing documentation and records for auditing and reporting ... Working knowledge of pharmacy or medical billing terminology and coding standards (e.g. NCPDP ...
Pharmacy Biller
$17.25 - $22.25/hr
Maintains accurate and complete billing documentation and records for auditing and reporting ... Working knowledge of pharmacy or medical billing terminology and coding standards (e.g. NCPDP ...
Accounting Operations Manager
OR · On-site
... auditing. This role reports to the Controller and assists with maintaining the general ledger ... Adding fringe related project codes, overhead/G&A codes, and PTO accrual plan to system
Accounting Operations Manager
OR · On-site
... auditing. This role reports to the Controller and assists with maintaining the general ledger ... Adding fringe related project codes, overhead/G&A codes, and PTO accrual plan to system
Medical Coding Auditor information
See Remote, OR salary details
$34K - $39.3K
4% of jobs
$39.3K - $44.6K
2% of jobs
$44.6K - $49.9K
5% of jobs
$49.9K - $55.2K
8% of jobs
$58.3K is the 25th percentile. Wages below this are outliers.
$55.2K - $60.5K
10% of jobs
$60.5K - $65.8K
4% of jobs
$65.8K - $71.2K
13% of jobs
The median wage is $71.7K / yr.
$71.2K - $76.5K
39% of jobs
$76.5K - $81.8K
6% of jobs
$81.8K - $87.1K
5% of jobs
$87.1K - $92.4K
3% of jobs
$34K
$68.3K
$92.4K
How much do medical coding auditor jobs pay per year?
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?
| 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.
What are the key skills and qualifications needed to thrive as a Medical Coding Auditor, and why are they important?
What does a Medical Coding Auditor do?
What are some common challenges faced by Medical Coding Auditors and how can they be addressed?
Are medical coders going to be replaced by AI?
How do I become a medical coding auditor?
What is the highest paying job in medical coding?
What do medical coding auditors do?

Full-time
Posted 26 days ago
Job description
Bluespine is an innovative new startup in the health-IT domain. By employing cutting-edge technologies, Bluespine is developing an engine that detects errors in medical billing, which causes billions of dollars in losses across the entire industry. Bluespine can offer personalized precision by tailoring assessments to each unique medical claim, considering the relevant provider, payer, and plan, and ensuring unparalleled accuracy.
We are looking for a Payment Accuracy and Concept Lead to discover medical billing errors and fraudulent billing patterns of medical claims for commercial payers.
Utilized Bluespine platform to develop and enhance new audit concepts using healthcare. Leads concept creation across multiple audit verticals, collaborating with R&D for testing
Responsibilities
- Leverages the Bluespine platform to develop and refine new audit concepts in healthcare. Leads concept creation across multiple audit verticals.
- Works closely with Medical Coders, Data Sciences, and Engineering teams to ensure alignment and drive impactful results
- Lead in-depth research of new ideas and concepts
Requirements
- Extensive knowledge of medical terminology, medical records, health information management, medical coding, DRG methodologies, CPT/HCPCS coding guidelines, physician specialty guidelines, reimbursement programs, claims adjudication processes, member contract benefits, and provider billing systems and practices.
- Previous auditing or consulting experience in a provider or payer environment is preferred
Advantages
- Registered Nurse required; Bachelor's or Graduate degree
- Previous auditing or consulting experience with self-insured companies