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Medical Coding Compliance Auditor Jobs (NOW HIRING)

VMG Health

Medical Coding/Compliance Auditor

Services provided include medical coding, auditing, due diligence coding reviews, education and training, general compliance and research. This is an excellent opportunity for the right professional ...

VMG Health

Medical Coding/Compliance Auditor

Dallas, TX · On-site

Services provided include medical coding, auditing, due diligence coding reviews, education and training, general compliance and research. This is an excellent opportunity for the right professional ...

Community Health System

Coding Compliance Auditor

Fresno, CA · On-site

$44.52 - $56.65/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 ...

Community Health System

Coding Compliance Auditor

Fresno, CA · On-site

$44.52 - $56.65/hr

As a Coding Compliance Auditor, you will be responsible for conducting coding and documentation ... Experience performing medical record and billing audits/reviews, including clinical documentation ...

Modernizing Medicine, Inc.

Medical Coding Auditor

ModMed is hiring a driven Medical Coding Auditor to join our positive, passionate, and high ... Perform BOOST or Compliance audits when requested by BOOST or other ModMed staff which help to ...

Modernizing Medicine, Inc.

Medical Coding Auditor

ModMed is hiring a driven Medical Coding Auditor to join our positive, passionate, and high ... Perform BOOST or Compliance audits when requested by BOOST or other ModMed staff which help to ...

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Medical Coding Compliance Auditor information

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$31.5K

$68.7K

$112K

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

As of Sep 1, 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 is a medical coding compliance auditor?

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 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 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.

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Cities with the most Medical Coding Compliance Auditor job openings:

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Medical Coding Compliance Auditor jobs near you
Infographic showing various Medical Coding Compliance Auditor job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $68,732 per year, or $33 per hour.

Medical Coding/Compliance Auditor

Remote

VMG Health
Business Management Consulting • 51 - 200 employees
Learn more about VMG Healthexternal

Full-time

Re-posted 24 days ago

Job description

At VMG Health, we're more than just a team of experts; we're trusted partners in the business of healthcare. Backed by a team of over 300 professionals and a history of more than 70,000 engagements since 1995, we bring experience, deep and wide, to every project. Our national client base ranges from large health systems to small practices and everything in between, including investors and private equity firms. Our solutions-oriented approach to client needs is bolstered by our strong market position, extensive contacts, unparalleled tools and solutions, and expert insights. We are proud to serve as the single source for all our clients' valuation, strategic, and compliance needs.
Requirements
VMG Health is seeking a Coding/Compliance Auditor to perform all levels of documentation and coding reviews related to professional services as well as project management and report writing for VMG's Coding Audit and Compliance (CAC) team. The Coding/Compliance Auditor will also provide education and training internally to the audit team in unique practice specialties and externally to clients which will include clinical providers and/or ancillary and coding/billing staff. The current team consists of a Managing Director, Director, Manager, Auditors, Coders, and Administrative Coordinators who work as consultants for healthcare organizations, providers, law firms, and private equity groups. Services provided include medical coding, auditing, due diligence coding reviews, education and training, general compliance and research. This is an excellent opportunity for the right professional who is interested in building a career in medical coding and compliance with the support of an industry expert recognized team.
KEY TASKS & RESPONSIBLITIES
  • Work as a part of an audit team to professionally and successfully complete client projects meeting productivity and quality standards within timely deadlines.
  • Access necessary medical record documentation from client's EMR systems.
  • Complete detailed analysis of medical records for chart content and documentation requirements.
  • Assign diagnostic codes based on abstract from patient medical record information according to the ICD-10-CM and CPT-4 Manuals and coding conventions and guidelines, as established by state and federal regulatory requirements.
  • Utilize audit reporting tools to record audit results and create reports of results to submit for quality assurance (QA) and feedback prior to submission to client.
  • Develop reports of audit results and corrective action plans based on audit findings.
  • Conduct education and training sessions for internal team and clients as directed/requested.
  • Educate and serve as a resource for providers regarding coding, documentation, and compliance matters.
  • Coordinate, research, and access resources for execution of key client projects.
  • Assist Managing Director, Director and Manager as requested/assigned to ensure key client projects are delivered on time, within scope, and within budget.
  • Support the development and clarification of project scope and objectives, engaging all relevant stakeholders, and confirming that the project is technically feasible.
  • Develop and Maintain relationships with clients and all key stakeholders.
  • Review QA audit reports and make corrections and/or adjustments identified.
  • Keep current with changes in government regulatory coding and compliance guidance and other third-party payers as needed.
  • Maintain awareness of changes in coding auditing principles and practices and related areas to maintain professional competence.
  • Utilize Microsoft Office Suite (Outlook, Word, Excel, PowerPoint) for completion of assigned tasks.

QUALIFICATIONS
Required Minimum Education:
  • High School Diploma.
  • Bachelor's degree preferred.

Experience:
  • Minimum of 3 years of CPT and ICD-10 medical coding and auditing experience, including abstracting information from patient charts.
  • Extensive experience in E/M coding and auditing, including detailed analysis and assignment of CPT, HCPCS and ICD-10 codes for multispecialty practices.
  • CRC (Certified Risk Coder) coding certification and/or significant HCC coding experience required.
  • Demonstrated experience with regulatory guidelines, including teaching physician settings, incident-to billing, and split/shared services, is required.

License/Certifications:
  • Coding Credentials: AHIMA - Certified Coding Specialist-Physician (CCS-P) or AAPC - CPC required. CPMA Certification required.
  • AAPC - CPC-I Certified Professional Coding Instructor -or- AAPC - CPC-I Certified Professional Coding Instructor -or- CHCA Certification from AHCAE (Association of Health Care Auditors and Educators), preferred but not required.

Knowledge & Skills:
  • Delivered one-on-one and group education and training to providers, enhancing coding accuracy and compliance.
  • Consistently achieved high productivity and quality outcomes while working independently with minimal supervision.
  • Expertly manage multiple priorities and projects in fast-paced, dynamic environments, consistently meeting deadlines.
  • Demonstrate meticulous attention to detail in all aspects of coding, auditing, and documentation review.
  • Communicate complex information clearly and confidently in both individual and group settings.
  • Excel in organization, planning, problem-solving, and decision-making, with a strong focus on quality management and results.
  • Provide exceptional client service, building and maintaining strong professional relationships.
  • Foster teamwork and collaboration, always maintaining a professional and positive attitude.
  • Proficiency in utilizing AI-powered coding, auditing, and compliance tools to enhance accuracy, efficiency, and reporting.
  • Advanced skills in Microsoft Office Suite (Outlook, Word, Excel, PowerPoint) and other relevant technologies.

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