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Medical Coding Compliance Auditor Jobs (NOW HIRING)

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 ...

TEKsystems

Coding Auditor

Baltimore, MD · Hybrid

$66K - $92K/yr

Core Responsibilities - Physician Coding, Auditing, Compliance & Education * Conduct independent physician coding and auditing reviews to assess the adequacy of medical record documentation ...

TEKsystems

Coding Auditor

Baltimore, MD · Hybrid

$66K - $92K/yr

Core Responsibilities - Physician Coding, Auditing, Compliance & Education • Conduct independent physician coding and auditing reviews to assess the adequacy of medical record documentation ...

Sentara Health Plans

Compliance Coding Auditor

Norfolk, VA · On-site

$80 - $110/hr

## Compliance Coding AuditorApplyremote type: Remotelocations: Norfolk, VAtime type: Full timeposted ... Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • ...

Sentara Health Plans

$80 - $110/hr

## Compliance Coding AuditorApplyremote type: Remotelocations: Norfolk, VAtime type: Full timeposted ... Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • ...

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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 Aug 23, 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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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, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $68,732 per year, or $33 per hour.

Coding Compliance Auditor, Remote

University of Maryland Medical System

Baltimore, MD • On-site, Remote

$333K/yr

Full-time

Posted 26 days ago

Job description

Job Requirements
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.
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
  • 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.
  • 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.
  • 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.
  • 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
  1. Reports coding quality accuracy rate for each coder
  2. Monitors productivity rate for each coder
  3. Conducts specialized focused audits as needed.

  • 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.

  • Complies with AHIMA standards of ethical coding and coding compliance guidelines.

  • 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.

Work Experience
Education and Experience
  • 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)

Benefits
Compensation:
$33.46 - $46.70/hr

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