Certified Medical Coding Auditor

Job Summary

Performing independent external coding audits, the full-time Medical Coding Auditor will ensure compliance with VHA Coding Guidelines and deliver evidence-based reports and education plans while working remotely.

Key responsibilities

• Audit 80 outpatient encounters and 10 inpatient admissions monthly using VA EHR and national encoder
• Validate coding accuracy for ICD-10-CM/PCS, CPT, HCPCS, and E/M levels, along with DRG assignment and POA indicators
• Identify documentation deficiencies and provide remediation recommendations while maintaining inter-reviewer reliability through standardized audit methodology

Required qualifications

• Minimum of 3-5 years of medical coding experience, with 2+ years in coding audit or compliance
• Active certification such as RHIA, RHIT, CCS, CCS-P, CPC, or equivalent
• Trained on VHA Coding Guidelines and applicable VHA Directives/Handbooks
• Prior VA/VHA coding or audit experience is strongly preferred
• Proficient in Microsoft Office Suite, including Excel, Word, PowerPoint, Teams, and Outlook