Coding Auditor

TEKsystems; United States; Hybrid; USD 66,000 - 93,000; Full time

Benefits offered by this job

Medical, Dental, Vision

401(k) Retirement Plan

Voluntary Life & AD&D

Job summary

TEKsystems in Baltimore, MD seeks a Medical Coding Auditor to conduct physician coding and compliance audits, evaluate documentation for accuracy, and ensure adherence to CMS, CPT, HCPCS and ICD-10 guidelines. You will train providers and deliver actionable feedback to improve coding quality and regulatory compliance across the organization.

The role requires 5+ years of medical coding and 2+ years of physician auditing, CPC certification, and strong knowledge of payer documentation.

Qualifications

• 5+ years of medical coding experience
• 2+ years of physician auditing or billing compliance experience
• ProFee coding experience required
• CPC certification required
• Strong knowledge of CMS, CPT, HCPCS, ICD-10 and payer documentation requirements
• Experience educating providers on coding and documentation practices
• Ability to present audit findings and compliance recommendations to physicians
• Experience with compliance auditing and regulatory guidelines

Responsibilities

• Conduct independent physician coding and auditing reviews.
• Evaluate medical record documentation supporting selected codes.
• Perform compliance audits against CMS, CPT, HCPCS, and ICD-10 guidelines.
• Utilize MDaudit software for audit tracking, reporting, and documentation.
• Identify coding trends, compliance risks, and opportunities for improvement.
• Develop and deliver physician coding education and training programs.
• Present audit findings and compliance recommendations to providers and leadership.
• Support compliance investigations and regulatory inquiries.
• Monitor coding and billing regulation updates and communicate changes.
• Assist in developing audit tools, policies, procedures, and education materials.

Skills

ProFee coding

Physician auditing

Provider education & training

CPC certification

CMS guidelines knowledge

Education

CPC Certification

Tools

MDaudit

Job description

Medical Coding Auditor

Baltimore, MD

Pay

$66,102 - $92,560 annually

Work Environment

Hybrid position requiring a minimum of 1 day onsite weekly (Wednesday), with occasional additional onsite days for provider meetings, training, and department activities. Candidates must be local and able to travel to provider locations as needed.

Schedule

• Monday through Friday


• Standard business hours


• Hybrid schedule with 1-2 onsite days per week

Compensation and Benefits

Pay Rate: Permanent salaried position

Duration: Direct Hire / Permanent

If eligible, benefits may include:

• Medical, Dental, Vision


• Critical Illness, Accident, and Hospital coverage


• 401(k) Retirement Plan (Pre-tax and Roth post-tax contributions available)


• Voluntary Life & AD&D (employee + dependents)


• Short-term and long-term disability


• Health Spending Account (HSA)


• Transportation benefits


• Employee Assistance Program (EAP)


• Time Off / Leave (PTO, Vacation or Sick Leave)

About the Role

The Medical Coding Auditor is responsible for conducting physician coding and compliance audits, evaluating documentation accuracy, and ensuring adherence to CMS, CPT, HCPCS, and ICD-10 guidelines. This role also serves as a key educator for providers, delivering training and feedback to improve coding accuracy, documentation quality, and regulatory compliance across the organization.

Key Responsibilities

• Conduct independent physician coding and auditing reviews.


• Evaluate medical record documentation supporting selected codes.


• Perform compliance audits against CMS, CPT, HCPCS, and ICD-10 guidelines.


• Utilize MDaudit software for audit tracking, reporting, and documentation.


• Identify coding trends, compliance risks, and opportunities for improvement.


• Develop and deliver physician coding education and training programs.


• Present audit findings and compliance recommendations to providers and leadership.


• Support compliance investigations, reporting, and regulatory inquiries.


• Monitor coding and billing regulation updates and communicate changes.


• Assist in developing audit tools, policies, procedures, and education materials.

Required Skills & Experience

• High School Diploma or equivalent.


• 5+ years of medical coding experience.


• 2+ years of physician auditing or billing compliance experience.


• Professional Fee (ProFee) coding experience required.


• Certified Professional Coder (CPC) certification required.


• Strong knowledge of CMS, CPT, HCPCS, ICD-10, and payer documentation requirements.


• Experience educating providers on coding and documentation practices.


• Ability to present audit findings and compliance recommendations to physicians.


• Experience with compliance auditing and regulatory guidelines.

Top Skills Must Haves

• Professional Fee (ProFee) Coding


• Physician Auditing


• Provider Education & Training


• CPC Certification


• Coding Compliance & CMS Guidelines

Nice-to-Have Skills

• E/M Coding and Abstraction Experience


• MDaudit Experience


• Corporate Compliance Experience


• CCS, CCS-P, or CPMA Certification


• Healthcare Provider Documentation Improvement Experience

Job Type & Location

This is a Permanent position based out of Baltimore, MD.

Pay and Benefits

The pay range for this position is $66102.00 - $92560.00/yr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your jobclassification and length of employment. Benefits are subject to change and may besubject to specific elections, plan, or program terms. If eligible, the benefitsavailable for this temporary role may include the following:Medical, dental & visionCritical Illness, Accident, and Hospital401(k) Retirement Plan Pre-tax and Roth post-tax contributions availableLife Insurance (Voluntary Life & AD&D for the employee and dependents)Short and long-term disabilityHealth Spending Account (HSA)Transportation benefitsEmployee Assistance ProgramTime Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a hybrid position in Baltimore,MD.

Application Deadline

This position is anticipated to close on Oct 15, 2026.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.