Remote Medical Coding Auditor

Overview

The Medical Coding Auditor is responsible for performing coding audits and coding review activities to ensure accurate code assignment, documentation integrity, and compliance with regulatory and payer requirements.

In Short

• Conduct audits and reviews of medical records for coding accuracy and compliance.
• Perform hands-on coding as needed, focusing on ProFee coding.
• Review coding for appropriate code selection and documentation support.
• Audit E/M coding to ensure accurate level assignment.
• Support auditing functions for facility services as needed.
• Ensure compliance with regulations and policies.
• Identify discrepancies and recommend corrective actions.
• Prepare audit reports summarizing findings and recommendations.
• Provide feedback and education to coders and leadership.
• Stay current on coding guideline updates and best practices.

Requirements

• Associate’s degree in Health Information Management or related field preferred.
• 3–5+ years of coding experience required.
• Coding audit experience required.
• Strong knowledge of ICD-10-CM, CPT, HCPCS, and modifiers.
• Working knowledge of payer guidelines and medical necessity principles.
• Strong analytical skills and attention to detail.
• Effective communication skills for providing audit feedback.
• Proficiency with EHR/EMR systems and coding tools.
• Required coding credentials (CPC, CCS, COC, or CIC).

Benefits

• Opportunity for professional development and continuous learning.
• Flexible working environment.
• Collaboration with internal teams for quality improvement.
• Engagement in auditing and coding processes.
• Contribution to compliance and regulatory adherence.