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Medical Coding Auditor Jobs (NOW HIRING)

A.P.R., Inc. (AlphaProTemps)

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Medical Coding Auditor

Linthicum Heights, MD · Remote

$38/hr

... as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical ...

MedKoder

Physician Coding Auditor

Mandeville, LA · Remote

About Us MedKoder, LLC is a full-service medical coding management services provider based in ... Description: Physician Coding Auditor is responsible for reviewing and accurately coding all ...

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Medical Coding Auditor information

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How much do medical coding auditor jobs pay per year?

As of Jun 29, 2026, the average yearly pay for medical coding auditor in the United States is $68,410.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,000.00 and $75,000.00 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.

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.
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Medical Coding Auditor jobs near you
Infographic showing various Medical Coding Auditor job openings in the United States as of June 2026, with employment types broken down into 1% Locum Tenens, 2% Full Time, 95% Part Time, and 2% Nights. Highlights an 81% Physical, 3% Hybrid, and 16% Remote job distribution, with an average salary of $68,410 per year, or $32.9 per hour.
Medical Coding Auditor

Medical Coding Auditor

A.P.R., Inc. (AlphaProTemps)

Linthicum Heights, MD • Remote

$38/hr

Contractor

This job post has expired today. Applications are no longer accepted.

Job description

MISC DETAILS:
*Position is remote.
*Department: Health Information Management (HIM).
*Schedule: Full-time.
*Must have their own equipment to work from.
*Must have reliable internet and a secure work environment.
*Must be based in EST or CST hours (cannot recruit from HawaIi, Alaska, or California).
*Interviews could be web ex or teams.
*Temp or temp to hire.
JOB SUMMARY:
Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems.
JOB RESPONSIBILITIES:
• KEY RESPONSIBILITY 1: Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed.
o Audits ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient, ambulatory surgery, and observation visits for the purpose of reimbursement, research and compliance with federal and state regulations.
o Audits complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment.
• KEY RESPONSIBILITY 2: Serves in an advisory and educator role for Coding Specialists. Serves as communicator between Clinical Documentation Specialists and Coding. Researches new surgical procedures and technology. Provides training to new employees
o Reports coding quality accuracy rate for each coder
o Monitors productivity rate for each coder
o Conducts specialized focused audits as needed.
• Key Responsibility 3: Communicates with various departments within the hospitals regarding coding accuracy. Refers any problems to management timely, providing clear details. Assist coding specialists in writing appropriate coding queries, works collaboratively with CDI, understand Potentially Preventable Complications (PPC’s)/Maryland Hospital Acquired Conditions (MHAC’s), Prevention Quality Indicators (PQI’s) and their impact and other indicators as needed.
• KEY RESPONSIBILITY 4: Complies with AHIMA standards of ethical coding and coding compliance guidelines.
• KEY RESPONSIBILITY 5: Demonstrates support and compliance with University of Maryland Medical System mission, vision, values statement, goals and objectives and policies. Performs other duties or projects such as coding corrections as assigned by the manager.
JOB REQUIREMENTS:
* High School graduate or equivalent. Formal ICD-10-CM, ICD-10-PCS, CPT-4 training.
* Associates or Bachelor’s degree. Education will be considered in lieu of experience.
* Minimum of two years ICD-10-CM/ICD-10-PCS coding and abstracting experience with at a Level 1 Trauma hospital or 4 years of experience with coding inpatient hospital medical records. 2-3 Years Ambulatory coding experience.
* One of the following: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Inpatient Coder (CIC)

Company Description

AlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs.