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Remote Coding Auditor Jobs in Raleigh, NC (NOW HIRING)

ExtensisHR

Coding Denial Specialist

Durham, NC · Remote

$26 - $28/hr

This full-time remote position is responsible for accurately correcting coding-related denials for billing in Epic, including writing appeal letters when appropriate. The right candidate will bring ...

Upswing

Medical Billing and Coding Tutor (Remote)

Durham, NC · On-site +1

$14 - $16/hr

We are looking for professional medical billing and coding tutors to help college-level students in ... This is a remote position that will require tutors to work at any location with reliable access to ...

Duke Health

MEDICAL CODER SPECIALIST

Durham, NC · Remote

This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. This position is 100% remote. All Duke University remote workers must reside in one of ...

Duke University

MEDICAL CODER SPECIALIST

Durham, NC · Remote

This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. This position is 100% remote. All Duke University remote workers must reside in one of ...

Humana

Medical Coder

Morrisville, NC · On-site +1

$17.50 - $23.50/hr

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

Humana

Medical Coder

Holly Springs, NC · On-site +1

$16.25 - $21.75/hr

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

Humana

Medical Coder

Oxford, NC · On-site +1

$17.25 - $23/hr

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

Humana

Medical Coder

Fuquay Varina, NC · On-site +1

$15.50 - $20.75/hr

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

Humana

Medical Coder

Fuquay Varina, NC · On-site +1

$15.50 - $20.75/hr

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

Humana

Medical Coder

Raleigh, NC · On-site +1

$18.25 - $24.25/hr

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

Humana

Medical Coder

Holly Springs, NC · On-site +1

$16.25 - $21.75/hr

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

Humana

Medical Coder

Wake Forest, NC · On-site +1

$16 - $21.50/hr

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

Humana

Medical Coder

Morrisville, NC · On-site +1

$17.50 - $23.50/hr

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

Humana

Medical Coder

Morrisville, NC · On-site +1

$17.50 - $23.50/hr

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

Humana

Medical Coder

Chapel Hill, NC · On-site +1

$16 - $21.25/hr

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

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All JobsRemote Coding Auditor JobsRemote Coding Auditor Jobs in Raleigh, NC

Remote Coding Auditor information

See Raleigh, NC salary details

$20

$28

$35

How much do remote coding auditor jobs pay per hour?

As of Jun 19, 2026, the average hourly pay for remote coding auditor in Raleigh, NC is $28.30, according to ZipRecruiter salary data. Most workers in this role earn between $25.48 and $28.99 per hour, depending on experience, location, and employer.

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.

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.

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Remote Coding Auditor jobs near you
RCS Medical Coding Auditor (CPC, CPMA)

RCS Medical Coding Auditor (CPC, CPMA)

Veradigm

Raleigh, NC • On-site, Remote

$57K - $80K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

Job description

Position Summary
The RCS Medical Coding Auditor is responsible for auditing professional (ProFee) medical coding to ensure accuracy, compliance, and alignment with AMA CPT, CMS, NCCI and payer guidelines. This role supports coding integrity, mitigates compliance risk, and drives continuous quality improvement through targeted education and audit-based feedback.
The ideal candidate brings strong hands-on experience with professional fee coding, deep knowledge of E/M, surgical, and modifier use, and the ability to translate audit findings into actionable insights.
Key Responsibilities
  • Perform daily QA to ensure accuracy of completed coding and provide targeted coding education and feedback
  • Validate ICD-10-CM, CPT®, HCPCS, and modifier assignment against clinical documentation to ensure accuracy and compliance with AMA CPT, ICD-10, CMS, NCCI, and payer-specific guidelines
  • Conduct medical chart audits of professional services across multiple specialties
  • Identify coding discrepancies, compliance risks, trends, root causes, and documentation gaps
  • Support coding education through feedback, targeted training, and reference materials
  • Prepare clear, defensible audit documentation including rationale and references
  • Provide actionable recommendations to address audit findings and reduce future risk
  • Track audit outcomes and trends to support leadership reporting and risk mitigation strategies
  • Support denial prevention, resolution and appeal strategies
  • Collaborate across teams to assist with coding support
  • Maintain confidentiality and comply with HIPAA and organizational policies

Required Qualifications
  • CPC (Required) and CPMA (Required/In Process)
  • 2+ years of ProFee auditing experience
  • Knowledge of:
    • E/M documentation guidelines
    • Modifier rules and NCCI edits
    • CPT, ICD-10-CM, HCPCS Level II
  • High attention to detail with strong analytical and critical-thinking skills
  • Excellent written and verbal communication skills for audit reporting and education
  • Proficiency with EHRs, coding and auditing tools
  • Proficiency with Microsoft Office Suite

Preferred Qualifications
  • Multi-specialty coding and auditing experience with preferred background in E/M Coding, Orthopedics, Pain Management, Urology
  • Background in coding quality programs or compliance teams
  • Advanced reporting skills for audit tracking and trend analysis
  • Prior consulting or client-facing audit experience

Compensation Range:
$57,728-$80,243
Compensation for this job is subject to market conditions, geographic considerations, the candidate's unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates' unique contributions and support their professional growth.
Enhancing Lives and Building Careers
Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development. Together, we are In the Network. Interested in learning more?
Take a look at our Culture, Benefits, Early Talent Program, and Additional Openings.
Visa Sponsorship is not offered for this position.
At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve. The Veradigm Network is a dynamic, open community of solutions, external partners, and cutting-edge artificial intelligence technologies that provide advanced insights, technology, and data-driven solutions. Veradigm offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.
Veradigm's policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Veradigm must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire. Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.
From a "VEVRAA Federal Contractor" We request Priority Referral of Protected Veterans
This is an official Veradigm Job posting. To avoid identity theft, please only consider applying to jobs posted on our official corporate site.
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