Medical Coding Auditor

Job Summary

Working remotely, the full-time Medical Coding Quality Auditor will ensure coding accuracy and compliance by reviewing medical documentation, assigning diagnosis and procedure codes, and collaborating with healthcare providers to maintain high quality and productivity standards.

Key responsibilities

• Review medical documentation to accurately assign diagnosis and procedure codes
• Communicate with physicians to obtain or clarify diagnoses and procedures through the coding query process
• Perform peer reviews and quality audits of coding auditors and coders

Required qualifications

• High school diploma or equivalent; Associate's or Bachelor's degree preferred
• CPC, CCS, RHIT, RHIA, or other relevant coding certification
• Experience reviewing medical documentation and assigning diagnosis and procedure codes
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines
• Experience utilizing electronic encoder applications and coding software