Top 28 medical coding auditor Jobs in texas

Medical Claims Auditor (Remote - Texas)
Gainwell Technologies —Texas
- $50,000 - $55,000 a year
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Continuous improvement
- Travel reimbursement
- Profit sharing
Inpatient Coding Compliance Auditor (Remote)
Memorial Hermann Health System —Houston, TX
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- 4 years
Inpatient Coding Auditor
EAPPS TECH LLC dba Magicforce —Irving, TX
- $40 - $50 an hour
- Anatomy knowledge
- Microsoft Outlook
- Mid-level
Quick Apply
Auditor, Risk Adjustment
Oscar Health —Dallas, TX
- $82,717 - $108,566 a year
- Remote
- Mid-level
- Bachelor's degree
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
3d
Medical Bill Auditor
Texas Mutual Insurance Company —Lubbock, TX
- $27.81 - $34.36 an hour
- Full-time
- Hybrid work
- Medical office experience
- Mid-level
- High school diploma or GED
- Paid holidays
- Loan repayment program
7d
Inpatient Coding Auditor - Remote based in US
Other Staff —Dallas, TX
- $30.60 - $48.80 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- 3 years
- Health savings account
- AD&D insurance
Compliance Data Analyst - Billing/Coding
Harris Health —Bellaire, TX
- $68,140.80 - $86,860.80 a year
- Full-time
- Microsoft Excel
- Microsoft Access
- CPA
Staff Accountant - Medical Billing & Receivables Specialist
Presbyterian Childrens Homes and Services —Austin, TX
- $25 - $30 an hour
- 8 hour shift
- Pass drug screening
- Mid-level
- Office
- Paid holidays
- Health insurance
Medical Coding Auditor
Exceptional Healthcare Inc. —Dallas, TX
- Full-time
- Computer literacy
- Mid-level
- Microsoft Office
Quick Apply
Coding Educator/Auditor
University Health —San Antonio, TX
- $25.10 - $40.25 an hour
- Day shift
- RN License
- 5 years
- Senior level
Coding Auditor
Hendrick Health —Abilene, TX
- Full-time
- 5 years
- Computer literacy
- Microsoft Office
PRN Clinical Coding Reimbursement Compliance Manager
Harris Health —Bellaire, TX
- $46.85 - $60.90 an hour
- Part-time
- Microsoft Word
- Anatomy knowledge
- Microsoft Access
4d
Coding Quality Auditor - Remote
Conifer Physician Services —Frisco, TX
- $30.85 - $46.28 an hour
- Full-time
- Remote
- Mid-level
- Microsoft Office
- 3 years
- Health savings account
- AD&D insurance
12h
Compliance Auditor, Billing and Coding Compliance
University of Texas Health Science Center at San Antonio —San Antonio, TX
- 8 hour shift
- Customer service
- 5 years
- Mid-level
- AD&D insurance
- Paid holidays
Senior Corporate Compliance Auditor (Hybrid)
Memorial Hermann Health System —Houston, TX
- Full-time
- Hybrid work
- Nursing
- 7 years
- Customer service
Coding/Compliance Denials Analyst
UT Southwestern —Dallas, TX
- Full-time
- Research
- Bachelor's degree
- 1 year
- Paid parental leave
- Paid holidays
Compliance Auditor, Billing and Coding Compliance
UT Health Science Center at San Antonio —San Antonio, TX
- 8 hour shift
- Customer service
- 5 years
- Mid-level
- AD&D insurance
- Paid holidays
Senior ER Coding Auditor
Exceptional Healthcare Inc. —Dallas, TX
- Part-time
- HIPAA
- Mid-level
- Mentoring
Quick Apply
Senior Compliance Coding Analyst - Business Practices (Medical Center)
Houston Methodist Specialty Physician Group —Houston, TX
- Full-time
- Customer service
- Writing skills
- English
Revenue Integrity Auditor
Shannon Health —San Angelo, TX
- Full-time
- Nursing
- Research
- Mid-level

I want to receive the latest job alert for medical coding auditor in texas

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Medical Claims Auditor (Remote - Texas)

Gainwell Technologies -
Texas

Apply Now

Job Details

Full-time
$50,000 - $55,000 a year

Benefits

Travel reimbursement
Profit sharing
Stock options
Paid holidays
Health insurance
Tuition reimbursement
401(k) matching
Life insurance

Qualifications

Appeals
Medicare
Health insurance policy knowledge
High school diploma or GED
Medicare regulations
Medical billing and coding communication with insurance companies
Medical insurance appeals management
Medical explanation of benefits reviews
Medicaid regulations
Medicaid
Insurance claims appeal handling

Full Job Description

Medical Claims Auditor (Remote - Texas)

Date: May 26, 2026

Location: Any city, TX, US, 99999

Req ID: 34525

Work Mode: Virtual (Exception only)

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

The Medical Claims Auditor is responsible for reviewing and analyzing medical claims to ensure accuracy, compliance, and adherence to company and regulatory standards. This role involves auditing provider-submitted claims, validating coding accuracy, and identifying errors or discrepancies in claim submissions. The ideal candidate has strong attention to detail, a solid understanding of medical billing and coding, and experience with appeals or reimbursement processes in a healthcare or hospital setting.

Your role in our mission

Review medical claims, supporting documentation, and medical records to ensure completeness, accuracy, and compliance with company policies and industry standards.
Validate coding accuracy using ICD-10, CPT, and HCPCS guidelines.
Interpret and analyze Explanation of Benefits (EOB) and UB-04 claim forms to verify correct billing and payment data.
Identify and document discrepancies such as duplicate claims, unbundled services, upcoding, and other billing errors.
Communicate audit findings and recommend corrective actions to the claims processing team or management.
Apply auditing methodologies and regulatory guidelines (CMS, Medicaid, Medicare, and payer contracts) to ensure claims integrity.
Support process improvements to enhance claim accuracy and reduce billing errors.

What we're looking for

HS Diploma/GED Required
Minimum of three (3) years of direct medical claims collections experience, including insurance follow-up and recovery efforts.
Strong knowledge of insurance policy types (HMO, PPO, EPO, Medicare, Medicaid) and the medical claims lifecycle, including denials management and appeals.
Advanced understanding of Explanation of Benefits (EOBs) and medical billing forms UB-04 and HCFA-1500.
Experience navigating payer portals and health information systems (e.g., Availity, Navinet) to obtain claim, patient, and reimbursement information.
Demonstrated ability to perform high-volume outreach and communication, including 30+ daily contacts with providers and insurance carriers to resolve denials, discrepancies, and recoveries (including Medicaid reclamation).

What you should expect in this role

This is a remote position for candidates residing in Texas.
Work schedule is Monday – Friday, from 7:00 AM – 4:30 PM.
Video cameras must be used during all interviews, as well as during the initial week of orientation.
To work effectively as a teleworker or hybrid positions with Gainwell, employees must have a broadband internet connection with a minimum speed of 24 Mbps download and 8 Mbps upload. Higher speeds are recommended for optimal performance.
To test your internet speed, go to Google and search for “Internet Speed Test.”

This posting is intended for pipelining. We will accept applications on an ongoing basis.

#LI-REMOTE #LI-JA1 #LI-CM1

The pay range for this position is $50,000 - $55,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

Apply Now

Refine Your Search

medical coding auditor jobs in texas

Medical Claims Auditor (Remote - Texas)

Inpatient Coding Compliance Auditor (Remote)

Inpatient Coding Auditor

Auditor, Risk Adjustment

Medical Bill Auditor

Inpatient Coding Auditor - Remote based in US

Compliance Data Analyst - Billing/Coding

Staff Accountant - Medical Billing & Receivables Specialist

Medical Coding Auditor

Coding Educator/Auditor

Coding Auditor

PRN Clinical Coding Reimbursement Compliance Manager

Coding Quality Auditor - Remote

Compliance Auditor, Billing and Coding Compliance

Senior Corporate Compliance Auditor (Hybrid)

Coding/Compliance Denials Analyst

Compliance Auditor, Billing and Coding Compliance

Senior ER Coding Auditor

Senior Compliance Coding Analyst - Business Practices (Medical Center)

Revenue Integrity Auditor

I want to receive the latest job alert for medical coding auditor in texas

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected