Certified Coding Compliance Auditor

Job Summary

Serving as a clinical coding subject matter expert, the full-time remote Certified Coding Compliance Auditor will conduct audits of hospital inpatient and outpatient encounters to ensure compliance with federal and state regulations while providing training and support to coding specialists.

Key responsibilities

• Audits ICD-10 diagnostic codes and CPT-4 procedure codes for accuracy and compliance in various hospital settings
• Acts as an advisor and educator for Coding Specialists, facilitating communication between clinical documentation teams and coding staff
• Monitors coding quality and productivity rates, conducting specialized audits as necessary

Required qualifications

• High School graduate or equivalent, with formal training in ICD-10-CM, ICD-10-PCS, and CPT-4 coding
• Minimum of two years of ICD-10-CM/ICD-10-PCS coding experience at a Level 1 Trauma hospital, or four years of inpatient coding experience
• 2-3 years of ambulatory coding experience
• Certification as a Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Inpatient Coder (CIC)