Certified Medical Coding Auditor

Job Summary

Working remotely in a full-time capacity, the Certified Medical Coding Auditor will evaluate the accuracy and quality of coded medical records, conduct audits, provide feedback to coding staff, and support compliance initiatives within the organization.

Key responsibilities

• Conduct routine and targeted audits of medical coding, ensuring adherence to coding guidelines and regulatory standards
• Provide constructive feedback to coders and develop educational resources based on audit findings
• Analyze audit data to identify trends and improvement opportunities, reporting findings to coding leadership

Required qualifications

• High school diploma or equivalent required; Associate's or Bachelor's degree in Health Information Management or related field preferred
• Current Certified Professional Medical Auditor (CPMA) certification, along with one additional coding certification (CPC, CCS, COC, RHIT, or RHIA)
• Minimum 3 years of medical coding experience and at least 1 year in coding quality review or auditing
• Strong knowledge of ICD-10-CM, CPT, HCPCS Level II, and official coding guidelines
• Solid understanding of coding quality methodologies and audit principles