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Medical Coding Compliance Auditor Jobs (NOW HIRING)

Community Health System

Coding Compliance Auditor

Fresno, CA · On-site

$36.67 - $47.67/hr

The Coding Compliance Auditor is a member of the Compliance Office and contributes to the Community ... Experience performing medical record and billing audits/reviews, including clinical documentation ...

American Oncology Network LLC

$20.78 - $36.53/hr

... Auditor Queue. Audit Request (Compliance and other departments) * Contribute to the review and ... Required Qualifications 2 + years coding experience with E/M experience in a medical office ...

CommonSpirit Health

$28 - $31.75/hr

The position will support risk adjustment improvement efforts across the medical group. The ... The Sr Coding Compliance Auditor's primary focus will be to facilitate and ensure the comprehensive ...

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How much do medical coding compliance auditor jobs pay per year?

As of May 28, 2026, the average yearly pay for medical coding compliance auditor in the United States is $68,732.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,000.00 and $86,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Medical Coding Compliance Auditor, and why are they important?

To thrive as a Medical Coding Compliance Auditor, you need a strong understanding of medical coding standards, healthcare regulations, and auditing procedures, typically supported by certifications such as CPC, CCS, or CPMA. Proficiency in coding software, electronic health record (EHR) systems, and auditing tools is essential. Attention to detail, analytical thinking, and effective communication set individuals apart in this role. These skills ensure accurate coding, regulatory compliance, and mitigate financial or legal risks for healthcare organizations.

How does a Medical Coding Compliance Auditor typically collaborate with healthcare providers and coding professionals?

Medical Coding Compliance Auditors work closely with healthcare providers, coding professionals, and compliance teams to ensure accurate and ethical coding practices. They often conduct audits of coded medical records, provide feedback to coders, and clarify documentation requirements directly with physicians or clinical staff. Regular meetings and training sessions are common to address recurring issues and share updates on regulatory changes. This collaborative approach helps maintain compliance, reduce errors, and support continuous improvement within the organization.

What are Medical Coding Compliance Auditors?

Medical Coding Compliance Auditors are healthcare professionals who review and evaluate medical records to ensure that coding practices comply with federal regulations, payer requirements, and organizational policies. They analyze clinical documentation and billing codes to identify errors, inconsistencies, or potential fraud. Their work helps healthcare organizations maintain accurate billing, avoid legal issues, and optimize reimbursement. Auditors often provide feedback and training to coding staff to improve compliance and accuracy.

What is the difference between Medical Coding Compliance Auditor vs Medical Coding Specialist?

AspectMedical Coding Compliance AuditorMedical Coding Specialist
CertificationsCPMA, CPC, CCSCPC, CCS
Work EnvironmentHealthcare facilities, auditing teamsMedical offices, hospitals, clinics
Primary FocusEnsuring coding compliance and accuracyAssigning codes to diagnoses and procedures
Employer & Industry UsageInsurance companies, healthcare compliance firmsHospitals, physician practices

The Medical Coding Compliance Auditor primarily reviews and ensures coding accuracy and compliance, often working in auditing roles within healthcare organizations or insurance companies. In contrast, the Medical Coding Specialist focuses on assigning codes to medical records for billing and documentation. Both roles require similar certifications and work in healthcare settings, but their core responsibilities differ significantly.

More about Medical Coding Compliance Auditor jobs
What cities are hiring for Medical Coding Compliance Auditor jobs? Cities with the most Medical Coding Compliance Auditor job openings:
What states have the most Medical Coding Compliance Auditor jobs? States with the most job openings for Medical Coding Compliance Auditor jobs include:
What job categories do people searching Medical Coding Compliance Auditor jobs look for? The top searched job categories for Medical Coding Compliance Auditor jobs are:
Medical Coding Compliance Auditor jobs near you
Infographic showing various Medical Coding Compliance Auditor job openings in the United States as of May 2026, with employment types broken down into 88% Full Time, 6% Part Time, and 6% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $68,732 per year, or $33 per hour.

Coding Compliance Auditor (2223)

US Heart & Vascular

Franklin, TN • Remote

Full-time

Posted 11 days ago

Job description

US Heart and Vascular is in need of a Remote Coding Compliance Auditor to join our team.Position Summary:The Coding Compliance Auditor performs internal medical record audits and prepares compliance auditing reports, subsequent educational materials and training as directed by the Compliance and Privacy department.  Audits include regular compliance medical record audits or focused review projects for ongoing review of coding and documentation for cardiovascular specialties to support compliance with coding and documentation rules and regulations. Responsibilities:

•    Performs coding audits reviewing for compliance and accuracy with CPT, ICD-10, HCPCS and corporate coding policy and follows up for timely completion within designated time          period.
•    Maintains excellent documentation of all reviews, methodologies employed, results, corrective actions implemented, and monitoring.
•    Assists in focused review projects including data analysis, reporting, and corrective action identification and referral to the Coding Education Department.
•    Reports findings of identified trends and risks to the Director of Billing and Coding Compliance.
•    Participates in the departmental meetings and provides compliance knowledge and background as required.
•    Assists the Director of Billing and Coding Compliance with the development of policies and procedures for the compliance audit program
•    Prepares monthly, bi-monthly, quarterly and annual reports for and as directed by the Director of Billing and Coding Compliance or the Vice President, Compliance and Privacy              Officer.
•    Establishes and maintains cooperative working relationships with the corporate management team, physician practices and all staff members to provide expertise and compliance        training as needed,
•    Performs additional administrative duties as assigned by the Compliance and Privacy department.

•    Performs additional administrative duties as assigned by the Compliance and Privacy department

Requirements:

•    Certification: Certified Professional Coder (CPC) from AAPC or AHIMA equivalent Certification:
•    Certified Professional Medical Auditor (CPMA) from AAPC (required to obtain within 12 months of hire date) 
•    Minimum of 5 years of experience in medical coding (cardiovascular specialties preferred) 
•    Minimum of 2 years of experience in medical auditing (cardiovascular specialties preferred) 
•    Minimum of 2 years of experience in direct provider education 
•    Strong knowledge of healthcare regulations, billing practices, and coding standards 
•    Experience with compliance audits, investigations, and regulatory reporting 
•    Excellent communication, analytical, and leadership skills 
•    Bachelor’s degree in health care administration, Public Health, Business, or related field preferred but not required
•    Certification: Certified Cardiology Coder (CRC) from AAPC preferred but not required
•    Experience in risk adjustment coding and health plan operations preferred but not required
•    Knowledge of federal, state and local laws, statutes, regulations, codes, and standards related to the area of responsibility.

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