Coding Compliance Auditor

Job Summary

To support a growing pediatric practice, the remote Coding Compliance Auditor will ensure accurate and compliant coding by reviewing medical records, conducting audits, and collaborating with clinical and compliance teams in a high-growth environment.

Key responsibilities

• Review medical records and clinical documentation to ensure compliance with coding standards and regulations
• Conduct routine and focused coding audits to identify discrepancies and compliance risks
• Communicate audit findings and provide education to providers and coding staff to enhance documentation practices

Required qualifications

• 5+ years of experience in professional fee coding and auditing, with a focus on E/M and outpatient coding
• Knowledge of medical terminology and coding systems such as CPT, HCPC, ICD-10, and DRG
• Prior coding or auditing experience in a Medicaid environment
• Bachelor's degree in healthcare management or related field preferred
• CPC, CCS, and CPMA certifications required