Jun 19, 2026

Certified Medical Coding Auditor

Job Description

Performing independent external coding audits, the full-time Medical Coding Auditor will ensure compliance with VHA Coding Guidelines and deliver evidence-based reports and education plans while working remotely. Key responsibilities Audit 80 outpatient encounters and 10 inpatient admissions monthly using VA EHR and national encoder Validate coding accuracy for ICD-10-CM/PCS, CPT, HCPCS, and E/M levels, along with DRG assignment and POA indicators Identify documentation deficiencies and provide remediation recommendations while maintaining inter-reviewer reliability through standardized audit methodology Required qualifications Minimum of 3-5 years of medical coding experience, with 2+ years in coding audit or compliance Active certification such as RHIA, RHIT, CCS, CCS-P, CPC, or equivalent Trained on VHA Coding Guidelines and applicable VHA Directives/Handbooks Prior VA/VHA coding or audit experience is strongly preferred Proficient in Microsoft Office Suite, including Excel, Word, PowerPoint, Teams, and Outlook