Medical Coding Auditor

Job Summary

A company is looking for a Medical Coding and Billing Compliance Auditor, Remote.

Key Responsibilities

• Performs coding audits for compliance and accuracy with all coding systems
• Completes coding compliance accuracy score tracking, trending, and monitoring
• Provides feedback and education to billers, coders, and providers on documentation and coding practices

Required Qualifications

• High school diploma or equivalent required; Associate's or Bachelor's degree in Health Information Management or related field preferred
• Current coding credential required (CPC, CEMC, CCS-P, RHIT, RHIA)
• 3+ years of outpatient coding experience required; 1+ years of audit, compliance, or quality review experience
• Strong understanding of ICD-10-CM, CPT, E&M, HCC, HCPCS, and official coding guidelines
• Experience with EMR/EHR systems, encoders, and auditing tools