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Medical Coding Auditor Jobs in Rochester, NY (NOW HIRING)

Independently conducts and documents compliance audits of medical records, coding, and billing in ... billing, auditing, and/or compliance preferred. * Associate's or Bachelor's degree preferred ...

Independently conducts and documents compliance audits of medical records, coding, and billing in ... billing, auditing, and/or compliance preferred. * Associate's or Bachelor's degree preferred ...

Independently conducts and documents compliance audits of medical records, coding, and billing in ... billing, auditing, and/or compliance preferred. * Associate's or Bachelor's degree preferred ...

Independently conducts and documents compliance audits of medical records, coding, and billing in ... billing, auditing, and/or compliance preferred. * Associate's or Bachelor's degree preferred ...

Coder-Outpatient

Rochester, NY · On-site +1

$22.25 - $30.25/hr

... auditing processes in a timely manner. • Attends RGHS, HIM Department and Coding Team meetings ... H), Certified Medical Coder (CMC), RHIT/RHIA certification, Radiology Certified Coder (RCC ...

Med Records Coder III

Rochester, NY · On-site

$21.36 - $29.90/hr

Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M, CPT, HCPCS and modifiers) through medical record ...

Med Records Coder III

Rochester, NY · On-site

$21.36 - $29.90/hr

Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assigns codes through medical record documentation as per designated workflow. Completes ...

Coder - Inpatient

Rochester, NY · On-site +1

$21.50 - $26/hr

... auditing processes in a timely manner. • Attends RGHS, HIM Department and Coding Team meetings ... H), Certified Medical Coder (CMC), Registered Health Information Technician (RHIT), Registered ...

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Medical Coding Auditor information

See Rochester, NY salary details

$33.5K

$67.5K

$91.3K

How much do medical coding auditor jobs pay per year?

As of Jun 9, 2026, the average yearly pay for medical coding auditor in Rochester, NY is $67,499.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,200.00 and $74,000.00 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.

How much do coding auditors make?

Medical coding auditors typically earn between $50,000 and $75,000 annually, depending on experience, certifications, and location. Experienced auditors with certifications like CPC or CCS may earn higher salaries, and some positions offer additional benefits or bonuses.
What are the most commonly searched types of Medical Coding Auditor jobs in Rochester, NY? The most popular types of Medical Coding Auditor jobs in Rochester, NY are:
What are popular job titles related to Medical Coding Auditor jobs in Rochester, NY? For Medical Coding Auditor jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Medical Coding Auditor jobs in Rochester, NY look for? The top searched job categories for Medical Coding Auditor jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Medical Coding Auditor jobs? Cities near Rochester, NY with the most Medical Coding Auditor job openings:
Medical Coding Specialist

Medical Coding Specialist

TRILLIUM HEALTH INC

Rochester, NY • On-site

$20 - $28.80/hr

Full-time

Posted 23 days ago


Job description

Job Title: Medical Coding Specialist

Department: Revenue Cycle

Position Type: Full-Time

FLSA: Non-Exempt

Job Summary:

The Medical Coding Specialist is responsible for reviewing medical records and encounter documentation to ensure accurate, complete, and compliant coding in accordance with ICD-10-CM and CPT guidelines. Under the supervision of the Director of Revenue Cycle and Billing, this role supports compliant billing practices, maximizes reimbursement, and ensures adherence to federal, state, and payer regulations, including those specific to Federally Qualified Health Centers (FQHCs).

The Medical Coding Specialist collaborates closely with providers, billing staff, and other members of the healthcare team to clarify documentation, resolve coding issues, and promote best practices in clinical documentation and coding accuracy.

Duties and Responsibilities:Medical Coding
  • Review and analyze patient records and clinical documentation to ensure completeness and accuracy for coding purposes.
  • Assign and sequence diagnosis and procedure codes using ICD-10-CM and CPT for all services rendered.
  • Apply coding guidelines and regulatory requirements to ensure correct code assignment and compliance.
Compliance and Accuracy
  • Adhere to national coding standards, payer policies, and regulatory requirements.
  • Stay current on coding rules, regulations, and industry trends through ongoing education and training.
Collaboration with Healthcare Staff
  • Communicate with providers to clarify missing, incomplete, or unclear documentation.
  • Provide education and feedback to clinical staff on documentation best practices to support accurate coding.
  • Participate in team meetings related to patient care, billing, and coding updates.
Billing Support
  • Accurately translate medical procedures and diagnoses into codes for submission to payers.
  • Ensure timely submission of coding information to support claims processing and reimbursement.
  • Collaborate with billing staff to resolve coding-related claim issues.
Record Maintenance
  • Maintain strict confidentiality of patient information in compliance with HIPAA and privacy laws.
  • Ensure coded medical records are stored securely and accurately.
  • Keep coding manuals and guidelines current and updated.
Professional Development and Other Duties
  • Pursue ongoing professional development to remain proficient in medical coding.
  • Attend workshops, seminars, and training sessions as needed.
  • Serve as a resource or mentor to less experienced coding staff when applicable.
  • Assist with automation of cash receipt applications and perform other duties as assigned.
Required Skills and Abilities:
  • Proficiency in medical terminology, ICD-10-CM, and CPT coding systems
  • Strong attention to detail and accuracy
  • Knowledge of FQHC billing and reimbursement regulations
  • EPIC experience preferred.
  • Effective written and verbal communication skills
  • Ability to work collaboratively with clinical and administrative teams
  • Ability to relate to individuals from diverse backgrounds, cultures, races, sexual orientations, and gender identities
Education and Experience:
  • Associate’s Degree in Health Information Management or a related field required
  • Professional coding certification required (CPC, CCS, or equivalent)
  • Minimum of 6 months of professional fee coding experience
  • Commitment to continuous learning and staying current with coding regulations and healthcare requirements
Physical Requirements:

While performing the duties of this job, the employee is regularly required to sit, stand, walk, use hands to finger, handle or feel; reach with hands and arms; and talk or hear. The employee may occasionally need to stoop, bend, and lift or move up to 25 pounds. Specific vision abilities include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus.

Equal Employment Opportunity

Trillium Health promotes Equal Employment Opportunity for all, respecting diverse backgrounds, cultures, races, ages, experiences, and opinions. Employees are expected to meet departmental performance standards and participate in compliance audits, process improvement initiatives, and quality improvement plans