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Senior Medical Coding Consultant Jobs (NOW HIRING)

Datavant

Profee Coding Consultant - PRN

Cheyenne, WY · On-site

$20 - $28/hr

Review medical records and assign precise codes to ensure accurate coding aligned with client needs (CPT, ICD-10-CM, ICD-10 procedures, ICD-10-CM and ICD-10 PCS, HCPCS). * Conduct data quality ...

CommonSpirit Health

Documentation & Coding Consultant

$33.85 - $55.86/hr

Documentation & Coding Consultant Inspired by faith. Driven by innovation. Powered by humankindness ... We are proud of our pioneering medical advances and numerous awards and accreditations that reflect ...

CODAMETRIX

Medical Coder II/III

$90K - $105K/yr

Senior Medical Coding Analyst CodaMetrix is revolutionizing Revenue Cycle Management with its AI-powered autonomous coding solution, a multi-specialty AI-platform that translates clinical information ...

UnitedHealth Group

Senior Medical Coder

Washington, DC · Remote

$24 - $43/hr

Utilize medical coding software programs or reference materials to identify appropriate codes * Apply post-query response to make final determinations * Apply relevant Medical Coding Reference ...

UMR

Prepay Coding Consultant | , |

Medical Coding Specialist Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve ...

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Senior Medical Coding Consultant information

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$40K

$117.8K

$205.5K

How much do senior medical coding consultant jobs pay per year?

As of Aug 23, 2026, the average yearly pay for senior medical coding consultant in the United States is $117,804.00, according to ZipRecruiter salary data. Most workers in this role earn between $87,500.00 and $138,000.00 per year, depending on experience, location, and employer.

What is a senior medical coding consultant?

Senior Medical Coding Consultants are experienced professionals who specialize in evaluating and improving medical coding processes within healthcare organizations. They ensure that medical records are accurately coded for billing and regulatory compliance. These consultants often provide training, conduct audits, and offer expert guidance on coding standards such as ICD-10, CPT, and HCPCS. Their work helps healthcare providers maximize reimbursement, reduce errors, and stay compliant with healthcare regulations.

What skills and qualifications are needed to be a senior medical coding consultant?

To thrive as a Senior Medical Coding Consultant, you need in-depth knowledge of medical coding systems (ICD-10, CPT, HCPCS), healthcare regulations, and several years of coding experience, often supported by certifications like CPC or CCS. Familiarity with electronic health record (EHR) systems, coding software, and auditing tools is crucial for accuracy and efficiency. Exceptional analytical thinking, attention to detail, and strong communication skills help you resolve discrepancies and guide teams. Mastering these skills ensures regulatory compliance, minimizes errors, and maximizes reimbursement for healthcare organizations.

How does a senior medical coding consultant collaborate with healthcare providers and billing departments?

A Senior Medical Coding Consultant often serves as a bridge between healthcare providers and billing departments, ensuring that clinical documentation is accurately translated into standardized codes. This role involves reviewing complex medical records, providing feedback to physicians on documentation improvement, and working closely with billing teams to resolve coding discrepancies or denials. Effective communication and training are key aspects, as consultants help educate staff on coding updates and compliance standards. Close collaboration ensures accurate reimbursement, reduces claim denials, and supports regulatory compliance across the healthcare organization.

What is the difference between Senior Medical Coding Consultant vs Medical Coding Specialist?

AspectSenior Medical Coding ConsultantMedical Coding Specialist
CertificationsCertified Professional Coder (CPC), Certified Coding Specialist (CCS)Certified Professional Coder (CPC), Certified Coding Specialist (CCS)
Work EnvironmentHealthcare facilities, consulting firms, remoteHospitals, clinics, outpatient centers
Job FocusReviewing complex cases, mentoring, process improvementAssigning codes, ensuring compliance, data entry

The main difference between a Senior Medical Coding Consultant and a Medical Coding Specialist lies in their responsibilities and experience level. Senior Medical Coding Consultants typically handle complex cases, provide guidance, and improve coding processes, while Medical Coding Specialists focus on assigning codes accurately and efficiently. Both roles require similar certifications, but the senior role involves more oversight and strategic input.

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Senior Medical Coding Consultant jobs near you
Infographic showing various Senior Medical Coding Consultant job openings in the United States as of August 2026, with employment types broken down into 86% Full Time, 9% Part Time, and 5% Contract. Highlights an 78% In-person, 4% Hybrid, and 18% Remote job distribution, with an average salary of $117,804 per year, or $56.6 per hour.

Certified Senior Medical Coding Outpatient Auditor

Humana

Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Humana rating

8.0

Company rating: 8.0 out of 10

Based on 266 frontline employees who took The Breakroom Quiz

167th of 311 rated insurance

Job description

Become a part of our caring community
The Senior Medical Coding Outpatient Auditor is responsible for coding-focused audit activities, including identifying billing anomalies, validating coding accuracy, and ensuring compliance with outpatient coding and reimbursement guidelines. You will report to the Manager, Payment Integrity.

Key Responsibilities

  • Research claims anomalies to identify outpatient audit opportunities
  • Apply CPT/HCPCS coding guidelines and payer-specific rules
  • Analyze how codes impact reimbursement (APC grouping, edits, bundling)
  • Conduct detailed record to bill reviews
  • Validate appropriate code assignment and modifier usage
  • Document findings and support defensible audit determinations
  • Provide recommendations for recovery or education
  • Partner with clinical and analytics teams on audit strategies

Use your skills to make an impact

Required Qualifications

  • CPC, COC, CCS, ROCC, RHIA, or RHIT Certification
  • 5+ years post certification experience with Outpatient Specialty Surgeries and Procedures
  • Knowledge of CPT/HCPCS coding
  • Audit experience
  • Experience reading and coding from operative reports

Preferred Qualifications

  • 5+ years prior coding experience
  • Outpatient facility auditing experience
  • Experience with outpatient data trends
  • Ambulatory Payment Classification (APC) coding experience
  • Experience in prospective payment methodologies
  • 3M Coding software experience
  • Radiation Oncology coding experience

Additional Information

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


$71,100 - $97,800 per year


This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 08-26-2026
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

Social media

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