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Remote Coding Auditor Jobs in California (NOW HIRING)

Astrana Health, Inc.

$33 - $38/hr

Conduct coding validation and auditing to ensure compliance with payer and regulatory requirements * Identify documentation gaps and communicate opportunities to providers, hospitals, and Clinical ...

Humana

Medical Coder Educator

Vacaville, CA · On-site +1

$21.25 - $28.25/hr

... years of medical coding education and / or auditing in a healthcare setting experience ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

Medical Coder Educator

Vacaville, CA · On-site +1

$21.25 - $28.25/hr

... years of medical coding education and / or auditing in a healthcare setting experience ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

Medical Coder Educator

Vacaville, CA · On-site +1

$21.25 - $28.25/hr

... years of medical coding education and / or auditing in a healthcare setting experience ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

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Remote Coding Auditor information

See California salary details

$20

$28

$36

How much do remote coding auditor jobs pay per hour?

As of Jul 20, 2026, the average hourly pay for remote coding auditor in California is $28.73, according to ZipRecruiter salary data. Most workers in this role earn between $25.87 and $29.42 per hour, depending on experience, location, and employer.

What pays more, CCS or CPC?

In coding and billing roles, CPC (Cost Per Click) is typically associated with advertising and online marketing, while CCS (Certified Coding Specialist) is a healthcare coding certification. For coding auditors or medical coding positions, CCS credentials often lead to higher pay compared to roles focused on CPC billing, as CCS-certified professionals usually have more specialized skills and responsibilities. Salary differences depend on experience, location, and employer, but generally, CCS roles tend to offer higher compensation in healthcare settings.

What is the difference between Remote Coding Auditor vs Remote Medical Biller?

AspectRemote Coding AuditorRemote Medical Biller
CredentialsCertifications like CPC, CCS, or CRCCertifications like CPC or CPC-A
Work EnvironmentReviewing medical records and coding accuracySubmitting claims and processing payments
Industry UsageHealthcare, insurance companies, hospitalsHealthcare providers, billing companies
Search & Comparison IntentUnderstanding coding review rolesUnderstanding billing and claims processing

Remote Coding Auditors focus on reviewing medical records for coding accuracy, ensuring compliance and proper reimbursement. Remote Medical Billers handle submitting claims and managing billing processes. While both roles work in healthcare and may share certifications, their core responsibilities differ, with auditors emphasizing review and compliance, and billers focusing on claims submission and payment processing.

Can CPC work from home?

A remote coding auditor can often work from home, as the role primarily involves reviewing medical codes and documentation using computer software. Successful remote work typically requires strong attention to detail, familiarity with coding tools, and reliable internet access. Many employers offer remote positions for coding auditors, especially with experience and relevant certifications.

What are some common challenges faced by Remote Coding Auditors, and how can they effectively overcome them?

Remote Coding Auditors often face challenges such as staying updated with constantly changing coding guidelines, managing time effectively across multiple audits, and maintaining communication with healthcare providers and coding teams. To overcome these hurdles, it's helpful to participate in ongoing training, utilize reliable coding resources, and leverage collaboration tools for clear communication. Setting up a dedicated workspace and establishing a structured daily routine can also improve productivity and ensure accuracy while working remotely.

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

To thrive as a Remote Coding Auditor, you need extensive knowledge of medical coding standards (such as ICD-10, CPT, and HCPCS), auditing procedures, and typically a certification like CPC or CCS. Familiarity with auditing software, electronic health record (EHR) systems, and coding compliance tools is essential. Strong attention to detail, analytical thinking, and effective communication skills help you identify errors and collaborate with healthcare teams. These skills are crucial to ensure coding accuracy, regulatory compliance, and optimal reimbursement in healthcare organizations.

What does a Remote Coding Auditor do?

A Remote Coding Auditor is a healthcare professional who reviews medical records and coding documentation to ensure accuracy and compliance with industry standards and regulations. They work remotely to audit the work of medical coders, identifying errors, discrepancies, and potential areas for improvement. Their role is crucial for maintaining the integrity of billing processes, preventing fraud, and ensuring that healthcare providers receive proper reimbursement.

What Does a Remote Coding Auditor Do?

As a remote coding auditor, your job is to work from home to audit medical billing documents and make corrections as needed. In this role, you may study patient records to determine if a given code is appropriate, collect and enter data to monitor trends, provide feedback on performance improvement opportunities, and maintain your knowledge of auditing guidelines. Remote coding auditors frequently review past records, provide input on particularly complex cases, support large annual audits, and attend meetings when necessary. This is a remote job, so it is usually possible to use teleconference equipment, but some employers may ask you to attend meetings in person. This job title refers exclusively to medical coding, not those that audit software or website code.

How do I become a coding auditor?

To become a coding auditor, you typically need a background in medical coding, health information management, or a related field, along with certification such as the Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Gaining experience in medical coding and understanding coding guidelines is essential, and proficiency with coding software and auditing tools is often required. Continuous education and staying updated on coding changes help maintain competency in this role.

Can you work remotely as an auditor?

Remote coding auditors can often perform their duties from home, especially if they have access to necessary software, secure data systems, and communication tools. Many companies offer remote auditing positions, but specific requirements may include relevant certifications and experience with remote collaboration platforms.
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Remote Coding Auditor jobs near you
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exemp

Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exemp

University of Southern California

Alhambra, CA • On-site, Remote

Full-time

Re-posted 29 days ago

University Of Southern California rating

8.3

Company rating: 8.3 out of 10

Based on 52 frontline employees who took The Breakroom Quiz

108th of 555 rated colleges and universities

Job description

As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow between the various entities of Keck Medical Center of USC and monitors the alignment of the various entities to the standard policy for maintaining the CDM. The RI Specialist is responsible for the timely and accurate synchronization of data between the CDM residing in the billing system and CDM management tools . The Senior RI Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. This includes ensuring all annual updates required by Medicare and other third-party payers are up to date. The Senior RI Specialist delivers direction to the documentation of all policies and procedures regarding CDM Maintenance and charge process; and conducts meetings to evaluate department charge processes to improve charge capture and coding compliance. The Senior RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the Chargemaster, CDM Maintenance, and the improvement of charge capture. As a subject matter expert in the area of compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement. The Senior RI Specialist works closely with revenue auditors and provides leadership by providing direction to the revenue auditor team to all entities of Keck Medical Center of USC in the research and resolution of requests in a timely manner; and aid in the training and skill development of auditors to maximize available tools for Chargemaster and billing compliance.
Essential Duties:
  • Performs maintenance to the Keck Medical Center of USC Charge Description Master (Keck & Norris) ensuring all annual updates required by Medicare and other third-party payers are up to date. Assists the Revenue Cycle in annual coding review and processing of updates.
  • Reviews and process requests for new code additions, code set corrections, revenue code to CPT/HCPCS code mismatch corrections and on-going identified changes for current systems to maintain compliance with both state and federal regulatory agencies.
  • Leads and conducts meetings with Operations Leaders, Revenue Auditors, Clinical Department Staff, and Gatekeepers to address issues involving compliance with government regulations, third party payor needs and industry standards.
  • Acts a subject matter expert for projects that impact revenue integrity and CDM. Subject matter expert to meet and/or communicate with various stakeholders for projects that impacts revenue integrity and the CDM.
  • Takes the lead and exercises significant judgement and discretion on projects that have a broad, organizational impact.
  • Coordinates and provides leadership to Revenue/Chart Audit team associated with research and resolution of account issues related to the CDM, charge capture, and other issues considered to be revenue integrity.
  • Synchronizes CDM data between CDM and CDM Workflow & Management Tool for Keck Medical Center of USC entities on a monthly basis.
  • Imports/extracts data from various sources and in various formats as needed to review, monitor, track, and maintain the integrity of the CDM and associate charge flow process.
  • Provides CDM data as necessary based on identified issues in form of ad-hoc reports.
  • Provides guidance and education to ensure that CDM's and Charge Capture as needed of exist and newly acquired entities (i.e. Verdugo Hills) follow the standards and policies of Keck Medical Center of USC.
  • Performs charge reconciliation activities, industry best practice research, and identifies and deploys charge capture improvement initiatives.
  • Interprets and explains on details of charge services provided as needed.
  • Participates collaboratively with Revenue Cycle and Ancillary team in the development, execution, and follow-up of education programs for USC Administration, Managers and Staff on all issues related to the charge master, charge capture, and new applications related processes.
  • Participates in the development of policies and procedures, monitoring tools for late charges and establishment of procedures for timely and accurate charge capture mechanisms.
  • Enhances professional growth and development
  • Actively participates in team development, contributes to dashboards, and in accomplishing team, departmental, and organizational goals and objectives.
  • Performs other duties as assigned.

Required Qualifications:
  • Req Associate's Degree Business Administration, Accounting, Finance, Healthcare Administration, Nursing, or similar/related field.
  • Req Specialized/technical training Certification from an accredited program of Certified Coder (CPC/CCS/COC) or Certificate of Auditing (CPMA) within one year from date of hire.
  • Req 5 years Experience in healthcare field required. Related experience may include a combination of clinical service delivery (nursing or allied health), coding, provider billing, medical records, charge audit environment, CDM maintenance, Medicare/Medicaid reimbursement, managed care contractual arrangements, and patient accounting.
  • Req Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology.
  • Req Knowledge of other government and third-party payer reimbursement methodology required.
  • Req Must be able to implement a systematic, self-motivated approach to problem solving and be able to identify, coordinate and optimize resources needed to execute plan
  • Req Proficient skills and knowledge in MS Office/ Windows

Preferred Qualifications:
  • Pref Bachelor's Degree Business Administration, Accounting, Finance, Healthcare Administration, Nursing, or similar/related field.
  • Pref Experience and knowledge of Hospital charging practices.
  • Pref Healthcare operations experience, particularly in an acute care hospital setting.
  • Pref Current knowledge of the Revenue cycle, specifically the flow of charges in and across hospital billing systems.
  • Pref Previous hospital Chargemaster experience, including the use of CDM Maintenance software (Craneware or Med Assets).
  • Pref Working knowledge of CPT, HCPCs and ICD9 coding principles.
  • Pref Skills and knowledge on the following software: Cerner and Craneware
  • Pref Registered Nurse - RN (CA Board of Registered Nursing)
  • Pref Pharmacy Technician (CA DCA)

Required Licenses/Certifications:
  • Req Specialty Certification Certified Coder (CCS or CPC), Certified Outpatient Coder-COC (AAPC) or Certified Auditor (CPMA) obtained within one (1) year of date of hire.
  • Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)

The annual base salary range for this position is $95,680.00 - $158,230.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying.
We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at (213) 821-8100, or by email at uschr@usc.edu. Inquiries will be treated as confidential to the extent permitted by law.
  • Notice of Non-discrimination
  • Employment Equity
  • Read USC's Clery Act Annual Security Report
  • USC is a smoke-free environment
  • Digital Accessibility

If you are a current USC employee, please apply to this USC job posting in Workday by copying and pasting this link into your browser:
https://wd5.myworkday.com/usc/d/inst/1$9925/9925$149538.htmld

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About University of Southern California

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The University of Southern California (USC) is not a conventional company, but a private research university established in the heart of Los Angeles, CA, US. Founded in 1880, it's one of the oldest private research universities in California. USC operates in the education industry providing primary services of higher education, research, and community development. This prestigious institution offers a comprehensive array of undergraduate, graduate, and professional programs across various disciplines, including the humanities, social sciences, and STEM (Science, Technology, Engineering, and Mathematics). The University is guided by its commitment to foster creativity, innovation, leadership, and discovery through academic excellence.

Industry

Colleges, universities, and professional schools

Company size

10,000+ Employees

Headquarters location

Los Angeles , CA, US

Year founded

1880

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