Job Closed

This listing is no longer active.

Vee Technologies logo
Vee Technologies

Our Mission: To Globalize Success to Make Lives Better

Medical Coding Quality Auditor

AuditorAuditorOtherRemoteSeniorTeam 5,001-10,000Since 2000H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

131 days ago

Salary

$28 - $36 / hour

Seniority

Senior

Associate Degree5 yrs expEnglish

Job Description

Medical Coding Quality Auditor

Vee Technologies

• Conduct routine and focused coding audits across multiple medical specialties (e.g., cardiology, orthopedics, general surgery, gastroenterology, radiology, internal medicine, etc.) • Review CPT®, ICD-10-CM, and HCPCS Level II coding for accuracy, completeness, and compliance with CMS, OIG, and payer-specific rules • Evaluate medical record documentation to ensure accurate code assignment and adherence to medical necessity and coding guidelines • Identify trends, patterns, and recurring coding errors; collaborate with coders and leadership to implement corrective actions • Prepare detailed audit reports summarizing findings, accuracy rates, and recommendations for improvement • Provide one-on-one or group coder education and feedback based on audit outcomes • Assist in the development and maintenance of internal audit tools, policies, and training materials • Stay current on coding updates, compliance regulations, and industry best practices • Participate in internal compliance reviews and support external audits as needed • Contribute to process improvement initiatives that enhance coding quality and operational efficiency

Job Requirements

  • Associate’s or Bachelor’s degree in Health Information Management, Health Administration, or a related field (preferred)
  • Active coding certification required: CPC, COC, or CCS (AAPC or AHIMA)
  • CPMA (Certified Professional Medical Auditor) or equivalent auditing credential strongly preferred
  • Minimum 5 years of experience in professional or facility coding across multiple specialties
  • Minimum 2 years of experience in coding auditing or quality review preferred
  • Strong understanding of CPT®, ICD-10-CM, and HCPCS Level II coding systems and payer guidelines
  • Experience with EHRs and coding/audit software tools (e.g., 3M, Epic, Optum, or similar)

Benefits

  • full health insurance including medical/dental/vision
  • PTO
  • 401k match

Related Categories

Related Job Pages

More Auditor Jobs

Align Technology logo

Senior IT Auditor – PCI QSA

Align Technology

Align Technology is dedicated to transforming lives by improving the journey to a healthy, beautiful smile.

Auditor131 days ago
Full TimeRemoteTeam 10,001+Since 1997H1B Sponsor

• Lead and execute PCI DSS assessments in coordination with the project's manager • Create agendas  • Lead client meetings and maintain client relationships  • Perform audit testing and mentor Associate QSA's (AQSA's) performing assigned audit review tasks • Communicate effectively to the client, prior to, during, and post on-site visit  • Review manager’s planning notes, and prepare as appropriate for meetings  • Prepare fieldwork notes throughout the project  • Gather evidence and review  • Provide draft reports to management, within defined timelines and mentor and train Associate QSA's (AQSA's) to help them develop report writing skills  • Provide detailed project status reports weekly to management  • Organize client information on A-LIGN’s OneDrive folder • Communicate to management about any potential project issues  • Provide feedback to junior consultants and management team  • Travel occasionally to clients’ offices

India
Job Closed
CGS Administrators, LLC logo

Auditor II

CGS Administrators, LLC

CGS Administrators is a premier healthcare administrator with more than 50 years of industry leadership.

Auditor131 days ago
OtherRemoteTeam 501-1,000H1B No Sponsor

• Conducts internal and external timely operational, compliance, and financial audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls. • Identifies, documents, and evaluates business risks. • Documents issues, the causes of those issues, and their effects on the process/function and the corporation. • Drafts recommendations to limit risks and improve processes, functions and activities. • Writes audit reports for corporate executive management that clearly and effectively convey engagement evaluations, conclusions, and recommendations. • Collects and analyzes data to detect deficient controls, duplicated effort, fraud, or non-compliance with laws, regulations, and management policies. • Conducts testing of corrective actions as identified. • Develops detailed reports on each audit conducted. • Reports include a review of findings and an identification of recommendation to correct any deficiencies and methods for improvement to processes. • Examines and evaluates financial and information systems, recommending controls to ensure system reliability and data integrity. • Conducts special audit studies for management, such as those required to discover controls for prevention of fraud. • Prepares reports of findings and recommendations for management. • Assists other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel.

Illinois + 1 moreAll locations: Illinois | Tennessee
$51.1K - $97.7K / year
Job Closed
Humana logo

IT Internal Auditor, Level 2

Humana

Louisville, Kentucky-based Humana is a leading healthcare company that offers a variety of health, wellness, and insurance products and services designed to offer an integrated app

Auditor132 days ago

• Develop, direct, plan and evaluate internal audit programs • Audit information system applications to ensure that appropriate controls exist • Evaluate security controls, identifying vulnerabilities, and recommending improvements • Perform IT audit and cybersecurity‑focused consulting engagements • Apply professional IT audit concepts, cybersecurity frameworks, and established technologies • Participate in audit planning, providing insights on technology risks • Attend and conduct walkthroughs with Humana business and technology teams • Identify control weaknesses, cybersecurity vulnerabilities, and misconfigurations • Prepare clear, actionable draft audit issues • Recommend security‑focused improvements and follow through on corrective actions • Collaborate with internal audit team members to align IT audit coverage • Develop communication skills for effective discussion of security findings

United States
$71.1K - $97.8K / year
Job Closed
EXL logo

High Cost Drug Auditor

EXL

We make sense of data to drive your business forward. #MakeSenseofData #DriveYourBusinessForward #PartnerYourWay

Auditor133 days ago
OtherRemoteTeam 10,001+H1B No Sponsor

• In this fully remote position as an HCD Auditor you will apply your expert knowledge of billing HCD claims to perform extensive audit reviews. • You will utilize HCPCS codes, medical record review, industry and EXL proprietary tools in the audit process. • Write professional communications documenting audit findings and supporting rationales. • You will also apply your extensive industry knowledge to identify audit trends and opportunities.

United States
$60K - $90K / year
Job Closed